The aging population calls for instruments to assess functional and cognitive impairment in the elderly, aiming to prevent conditions that affect functional abilities.ObjectiveTo verify the accuracy and reliability of the Pfeffer (FAQ) scale for the Brazilian elderly population and to evaluate the reliability and reproducibility of the translated version of the Pfeffer Questionnaire.MethodsThe Brazilian version of the FAQ was applied to 110 elderly divided into two groups. Both groups were assessed by two blinded investigators at baseline and again after 15 days. In order to verify the accuracy and reliability of the instrument, sensitivity and specificity measurements for the presence or absence of functional and cognitive decline were calculated for various cut-off points and the ROC curve. Intra and inter-examiner reliability were assessed using the Interclass Correlation Coefficient (ICC) and Bland-Altman plots.ResultsFor the occurrence of cognitive decline, the ROC curve yielded an area under the curve of 0.909 (95%CI of 0.845 to 0.972), sensitivity of 75.68% (95%CI of 93.52% to 100%) and specificity of 97.26%. For the occurrence of functional decline, the ROC curve yielded an area under the curve of 0.851 (95%CI of 64.52% to 87.33%) and specificity of 80.36% (95%CI of 69.95% to 90.76%). The ICC was excellent, with all values exceeding 0.75. On the Bland-Altman plot, intra-examiner agreement was good, with p>0.05consistently close to 0. A systematic difference was found for inter-examiner agreement.ConclusionThe Pfeffer Questionnaire is applicable in the Brazilian elderly population and showed reliability and reproducibility compared to the original test.

Patients with chronic kidney disease (CKD) are prone to cardiovascular diseases secondary to abnormalities in both autonomic cardiac function and redox balance [myeloperoxidase (MPO) to paraoxonase 1 (PON1) ratio]. Although aerobic training improves both autonomic balance and redox balance in patients with CKD, the cardioprotective effects of resistance training (RT), with and without blood flow restriction (BFR), remain unknown. We aimed to compare the effects of RT and RT+BFR on antioxidant defence (PON1), pro-oxidative status (MPO), cardiac autonomic function (quantified by heart rate variability analysis) and renal function. Conservative CKD (stages 1 to 5 who do not need hemodialysis) patients (n = 105, 33 female) of both sexes were randomized into three groups: control (CTL; 57.6 ± 5.2 years; body mass index, 33.23 ± 1.62 kg/m 2), RT (58.09 ± 6.26 years; body mass index 33.63 ± 2.05 kg/m 2) and RT+BFR (58.06 ± 6.47 years; body mass index, 33.32 ± 1.87 kg/m 2). Patients completed 6 months of RT or RT+BFR on three non-consecutive days per week under the supervision of strength and conditioning professionals. Training loads were adjusted every 2 months. Heart rate variability was recorded with a Polar-RS800 and data were analysed for time and frequency domains using Kubios software. The redox balance markers were PON1 and MPO, which were analysed in plasma samples. Renal function was estimated as estimated glomerular filtration rate. The RT and RT+BFR decreased pro-oxidative MPO (RT, ∼34 ng/ml and RT+BFR, ∼27 ng/ml),

Cad. Saúde Pública, Rio de Janeiro, 24 (5) O diagnóstico desse transtorno é realizado, especialmente, por meio de entrevistas clínicas que investigam a história do paciente, seus principais sintomas, freqüência e duração. A depressão configura-se como um estado de alterações do humor envolvendo irritabilidade, tristeza profunda, apatia, disforia, perda da capacidade de sentir prazer e ainda, alterações cognitivas, motoras e somáticas. Ela difere de uma tristeza normal pela intensidade e duração prolongada dos sintomas, e tais sintomas interferem no funcionamento social do indivíduo, bem como em outras áreas significativas de sua vida, como: trabalho, relacionamentos amorosos ou amizades 4,5,6 .O transtorno depressivo faz parte dos transtornos de humor, dentre os quais estão ainda o transtorno bipolar e a mania. Sua caracterização define a presença de, no mínimo, cinco sintomas do episódio depressivo maior há pelo menos duas semanas; e um dos sintomas deve ser o humor deprimido ou a perda do interesse ou prazer. De acordo com o Manual de Diagnóstico e Estatística de Transtornos Mentais (DSM-IV) 7 , o transtorno ARTIGO ARTICLE

Patients in maintenance hemodialisys (HD) present sleep disorders, increased inflammation, unbalanced redox profiles, and elevated biomarkers representing endothelial dysfunction. Resistance training (RT) has shown to mitigate the loss of muscle mass, strength, improve inflammatory profiles, and endothelial function while decreasing oxidative stress for those in HD. However, the relation between those factors and sleep quality are inadequately described. The aim of this study was to verify the effects of 3 months of RT on sleep quality, redox balance, nitric oxide (NO) bioavailability, inflammation profile, and asymmetric dimethylarginine (ADMA) in patients undergoing HD. Our primary goal was to describe the role of RT on sleep quality. Our secondary goal was to evaluate the effect of RT on NO, metabolism markers, and inflammatory and redox profiles as potential mechanisms to explain RT—induced sleep quality changes. Fifty-five men undergoing maintenance hemodialysis were randomized into either a control (CTL, n = 25) and RT group (RTG; n = 30). Participants in the RT group demonstrated an improvement in sleep pattern, redox, inflammatory profiles, and biomarkers of endothelial function (NO 2 − and ADMA). This group also increased muscle strength (total workload in RT exercises of upper and lower limbs). These findings support that RT may improve the clinical status of HD patients by improving their sleep quality, oxidative and inflammatory parameters.

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Introduction: Self-concept is a structure formed by cognitive schemas, among of these there are gender schemas (male and female schemas). According to the Interactive Model, all individuals are composed of both schemas resulting in different psychological profile. Objective: This study aimed to evaluate if futsal athletes who differ in gender schemas typological groups present differences in body composition and physical fitness level. Method: The initial sample was composed of 92 male athletes, who were classified in the following gender schema typological group: Male Heteroschematic (MH), Female Heteroschematic (FH) and Isoschematic (ISO). In order to classify the sample in typological groups, the Male Inventory of the Self-Concept's Gender Schemas (IMEGA) was used. The Squat Jump, Counter Movement Jump and Running Anaerobic Sprint Tests were used to assess explosive power and anaerobic capacity, respectively. The results were analyzed with Analysis of Variance (ANOVA): One Way, Mixed and Manova. Results: The results showed no differences in body composition, but MH presented more fatigue than the ISO and FH groups. In the assessment of six sprints executed by the athletes, it was observed that MH presented more variation between the initial and final maximum power, when compared with the other groups. Conclusion: These results lead to the conclusion that different psychological profiles adapt better to some game positions performance and/or to some specific situations during the game. Finally, it is suggested that the psychological profile must be used as a criterion in the selection of the athletes, considering also physiological and technical factors.

RESUMOIntrodução: A população de idosos representa 10% do total da população brasileira. A diminuição da musculatura esquelética é provavelmente a alteração mais significativa, sendo associada à idade e algumas enfermidades, e é determinante na perda da força muscular. Objetivo: Avaliar a relação entre composição corporal e a força de preensão palmar de homens idosos brasileiros. Método: Quarenta e seis homens com idade igual ou superior a 60 anos foram divididos em 4 grupos de acordo com a percentagem de gordura e valor de massa magra. Foram definidas as medianas para %G = 28,65 e massa magra = 54,35 kg. Para as avaliações utilizou-se teste de bioimpedância elétrica e dinamômetro de preensão palmar. Resultados: Observam-se diferenças significativas entre os quatro grupos quanto à massa magra e percentil de massa gorda (p≥0,05), caracterizando as especificidades de cada grupo quanto às variáveis analisadas. Conclusão: Os resultados demonstram que os níveis de força de preensão palmar não dependem unicamente da massa magra, mas também %G, em que a correlação entre massa magra e percentual de gordura pode indicar uma melhor ou pior condição para realizar o esforço isométrico de preensão manual.Palavras-chave: idoso, força da mão, composição corporal. ABSTRACT Introduction: The senior population constitutes 10% of the total Brazilian population. The decrease of skeletal muscle is probably the most significant alteration, being associated with age and some illnesses, and it is determinant in the loss