A visita domiciliar, além de ser uma ferramenta de trabalho para o cuidado das pessoas, pode ser utilizada como estratégia de ensino na área da saúde. Desenvolveu-se um estudo exploratório, descritivo, de natureza qualitativa com oito estagiários de fisioterapia que realizaram visitas domiciliares em uma unidade da Estratégia Saúde da Família com o objetivo de compreender os significados atribuídos a essa atividade de cuidado em saúde no processo de aprendizagem. Utilizou-se a técnica do grupo focal, que foi gravado e transcrito para posterior análise e interpretação dos dados por meio da análise temática, a qual originou três eixos orientadores: a vivência da visita domiciliar em atenção básica e a reorientação da formação profissional do fisioterapeuta; a atenção básica e a visita domiciliar na perspectiva da humanização do fazer fisioterapêutico; e a ressignificação da visita domiciliar na construção do aprendizado. Conclui-se que a visita domiciliar torna-se uma ferramenta pedagógica importante na aprendizagem dos acadêmicos de fisioterapia, porém precisa estar associada a outras atividades na rede de cuidados, tais como desenvolvimento de atividades grupais, participação em campanhas e mutirões da saúde, conselho local de saúde, entre outras, para efetivamente trazer mudanças aos modelos de formação e de atenção à saúde.

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ObjectiveThe aim of this study was to examine the associations between sedentary behavior and different intensities of physical activity with cardiometabolic risk, and to analyze the simultaneous effect of excess sedentary behavior and recommended levels of physical activity on cardiometabolic risk markers in older adults.MethodsWe conducted a population-based cross-sectional study on a sample of older adults (60+) living in Florianopolis, Brazil. The objectively measured predictors were sedentary time, light physical activity and moderate to vigorous physical activity, and the outcomes were markers of cardiometabolic risk. Data were considered valid when the participant had used the accelerometer for at least four days per week.ResultsThe sample included 425 older adults (59.8% women), with a mean age of 73.9 years (95%CI: 73.5–74.4). Sedentary behavior was associated with lower systolic blood pressure levels (β = -0.03; 95%CI: -0.05; -0.01) and lower HDL cholesterol (β = -0.02; 95%CI: -0.02; -0.01). Light physical activity was not associated with any cardiovascular risk markers after adjustment. Each minute spent in moderate to vigorous physical activity was associated with lower waist circumference (β = -0.15; 95%CI: -0.24; -0.05), systolic blood pressure (β = -0.18; 95%CI: -0.32; -0.04) and plasma glucose (β = -0.18; 95%CI: -0.33;-0.02), and with higher HDL cholesterol (β = 0.10; 95%CI: 0.01; 0.18). Moreover, physically inactive and sedentary individuals had a greater mean waist circumference and lower HDL cholesterol than physically active and non-sedentary subjects.ConclusionThe results suggest that moderate to vigorous physical activity have a positive impact on cardiometabolic risk markers in older adults. Light physical activity does not appear to have a beneficial effect on the cardiometabolic markers, and despite the benefits provided by the different intensities of physical activity, the simultaneous presence of sedentary behavior and low physical activity level was associated with poor cardiometabolic risk markers.

The article seeks to describe male participation on a physical activity program for the elderly in the south of Brazil over a ten-year period (2003-2013). The data of the study were extracted from a database and assessed using descriptive and inferential statistics and assessment of the thematic content. The first phase of the study was longitudinal (from 2003 to 2013) with 163 elderly participants, while the second phase was cross-sectional for the year of 2013 with 45 elderly individuals. Male participation was, on average, 3.5 times lower than female participation for all years assessed, and the activity most practiced was swimming. In the year 2013, the average age of the elderly men was 68 ± 7.8 years. Most of them are married, have tertiary education, good acquisitive power, positive self perception of health, one or more diagnosed diseases, and do not participate in any other physical activity outside the program. According to the elderly, the reasons for participating most cited was the search for quality of life and health and, for continuing to exercise, acquiring the taste for the physical activity. Understanding the profile of these individuals and of the reasons that motivate them are important tools to comprehend the issue and help to define public politics directed at this population group.

Instrumentos desenvolvidos para o gerenciamento e cuidado de idosos em instituições de longa permanência: uma revisão sistemáticaInstruments developed for the management and care of the elderly in long-stay care institutions: a systematic review