Análise do perfil lipídico e da glicemia de mulheres participantes de um programa de atividade física moderada

Há muito tempo pesquisadores estudam os malefícios à saúde causados pelo sedentarismo. Atualmente a inatividade física representa um grave problema de saúde pública. Segundo a Organização Mundial de Saúde – OMS (2009a), um estilo de vida sedentário é a principal causa de morte, doenças crônicos degenerativas e deficiências. Além disso, níveis insatisfatórios de atividade física associados a dietas hipercalóricas e com alto teor de gordura estão associados ao aumento de peso corporal, o que leva à desbalanços nos níveis lípedes circulantes, ou dislipidemia (DURSTINE, 2001). A disilipidemia está relacionada a alterações no metabolismo lipídico, incluindo níveis elevados de colesterol total, LDL colesterol, triglicerídeos e redução do HDL colesterol (DÂMASO, 2003). Em contrapartida, já é comprovado que a prática regular de atividade física aparece como uma ferramenta não medicamentosa na prevenção e tratamento de portadores de doenças crônicas. Estudos com indivíduos e grupos populacionais demonstram existir uma associação inversa entre os níveis de atividade física e a incidência de diversas doenças, como a hipertensão, a obesidade, os diabetes, a doença arterial coronariana e a depressão (NAHAS,2001). Sabe-se que a dislipidemia está associada a doenças de preocupação pública como obesidade, DM e doenças cardiovasculares. Por outro lado os benefícios da prática de atividade física já são consolidados. Assim, o objetivo deste estudo é verificar o efeito de um programa de atividade física moderado no perfil lipídico e na glicemia em mulheres acima de 50 anos através da análise do efeito de 7 meses de atividade física moderada nos seguintes parâmetros bioquímicos: colesterol, lipoproteína de baixa densidade (LDL), lipoproteína de alta densidade (HDL), triglicerídeos (TG) e glicemia. Conclui-se que o programa de atividade... (Resumo completo, clicar acesso eletrônico abaixo)

Consultas de enfermagem com pacientes em tratamento para hepatite C

Infection with hepatitis C virus (HCV) is a worldwide problem of public health and who estimates 2.5% to 4.9% of infection by this virus among the population. This means that there are 3.9 to 7.6 million people at risk of developing cirrhosis or liver cancer. In Brazil, 20% to 58% of patients with chronic liver disease have antibodies to HCV (anti-HCV). To characterize the profile of patients undergoing treatment for hepatitis C in the Ambulatory General HC-FMB/UNESP, identify aspects of the disease and the phases of nursing process addressed during consultation. Transverse and descriptive study involving 38 patients undergoing treatment for Hepatitis C in Ambulatory General Area (Viral Hepatitis) in the period from July to September 2010. The population consisted of 38 patients, most of the males with completed higher education level, Catholic, married and aged predominantly between 41 and 60 years. Among the drugs used, we find the use of antihypertensive, antidepressant / anxiolytic and antidiabetic / hypoglycemic. With respect to specific medications used to treat hepatitis C, we found the use mainly of alfapeguinterferona 2b + ribavirin. The drugs used were complementary erythropoietin and filgastrim. There was a predominance of fibrosis 2 (F2) and genotype 1 (G1). Regarding the means of contamination, it was stressed blood transfusion and injection drug use. The most frequent drug reactions were decreased appetite, weight loss and discouragement. : The Nursing Process is considered a valuable tool in caring for patients with hepatitis C, because it works as identifying aspects of lifestyle, needs and potential of these patients and allows the deployment of humanized care strategies aimed at reduction of health hazards and improving the quality of life of these patients

Educação sexual orientada para a ação: um estudo bibliográfico sobre a aplicabilidade dessa modalidade de intervenção

Pós-graduação em Educação Escolar - FCLAR

Outros benefícios do exercício físico para o hipertenso

Aerobic exercise has been suggested as a non-pharmacological treatment for hypertension, and the previous paper of this set demonstrated some of the physiological responses induced by exercise. It has been shown an increment on expenditures for appropriate hypertension management in both, public and private services, which reinforces the inclusion of preventive programs to reduce healthcare costs. However, little is known about physical exercise cost-effectiveness for hypertensive patients. There are several interventions like a simple doctor/dietitian counselling in order to change life style, wed-based nutrition program, pharmacological treatment and assisted or non-assisted physical exercise program that evaluate the costs savings. We have shown that regular exercise (combined or not with another diet counselling and antihypertensive treatment) may effectively contribute to reduce the health care costs (up to -38%). Also, we have shown that exercise improves body composition and lipid profile which are important risk factors to development of cardiovascular disease. So, exercise can lead to significant reduction in blood pressure medication use and, therefore, it causes cost savings, justifying the implementation of exercise programs in all healthcare units.

Implementation of physiotherapeutic shares in the prevention of diabetes complications in a Family Health Strategy

Introduction In the Family Health Strategy (FHS), the treatment of Diabetes Mellitus (DM) includes education and lifestyle change strategies. Physiotherapists have a key role in this health setting. Objectives To implement actions of evaluation and guidelines for patients with type 2 DM who attend a Family Health Strategy (FHS), regarding diabetic foot and the practice of regular physical exercise in the control and prevention of the complications of Diabetes Mellitus. Methods 17 individuals from an FHS were evaluated, with the following procedures: clinical and anthropometric parameters, inspection, a questionnaire on diabetic neuropathy, tests of vibratory and tactile sensitivity, muscle function, range of motion, functional analysis, questions about exercise practice and guidance regarding controlling blood glucose and foot care. Results Deformities, dry skin, calluses, dehydration, ulceration, cracking and brittle nails were found. Peripheral neuropathy was not observed; tactile sensitivity was altered in the heel region and the vibratory sense was absent in 5% of individuals. A decrease in functionality of ankle movements was verified. Of the participants, 76% were sedentary, 24% knew about the benefits of practicing regular exercise, 25% had undergone a medical evaluation prior to performing physical exercise and, of these, 25% were supervised by a qualified professional. Discussion The implementation of physiotherapy actions in diabetics from an FHS was important for highlighting the presence of risk factors for diabetic complications. Conclusions Individuals attending the FHS need more information and programs for the prevention of diabetic complications.

Presença de fatores de risco dependentes ou não de esforço físico em praticantes de corrida de rua

In order to reduce the sedentarism and to improve population's health condition, many physical activity incentive programs have been stimulated. As a result, many people have adhered to street racing, but their health condition is almost always ignored. The aim of this study was to evaluate street racers' health condition, identifying the presence of cardiovascular risk factors as well as problems associated to street racing. The study case was composed by 111 racers from the town of Bauru (94 men and 17 women) aged in average 39±13 years old, who were evaluated in 4 street race competitions. The subjects answered to an anamnesis with questions about their socioeconomic status, medicine use, cardiovascular risk, physical exercise practices, and issues related to racing and injury. Weight (kg) and height (m) were measured to calculate the body mass index (BMI, kg/m²) as well as systolic and diastolic blood pressure (BP), heart rate (HR), abdominal circumference (AC), and flexibility. It could be observed that the majority of racers were Caucasian, married and belonged to social classes over C. The prevalent age was between 18 and 35 years old (42%). Among the participants, 38.7% have already undergone some kind of surgery and 13% declared having some health problem. The questionnaire pointed out that 36% had low and moderate cardiovascular risk. It could be noticed from the AC that 10% of men and 18% of women had high cardiac risk. Among the tested, 43.2% (24.3% altered and 18.9% borderline) showed high BP on the day of the test, but only 2.7% had self-declared hypertensive. In relation to injury, 36% had already had lesions of some kind, 27.5% of which had occurred in the last 8 months. 66.6% had derived from training or racing competitions and the knee was the mostly affected body part. Only 43% had professional orientation by a physical education teacher during their training and the main reasons for them to begin racing practice were...

Avaliação da qualidade de vida dos funcionários administrativos ativos da Universidade Estadual Paulista - UNESP - Rio Claro

A preocupação com a saúde e bem-estar atinge uma maioria de indivíduos, atualmente a busca por uma vida mais saudável faz parte do dia a dia de grande parte da população. Para alcançar uma boa qualidade de vida diversos aspectos devem ser considerados. No ambiente de trabalho a qualidade de vida tem sido afetada em consequência da utilização cada vez menor das potencialidades corporais dos indivíduos. Em contrapartida, a atividade física proporciona benefícios à saúde dentro e fora do ambiente de trabalho. Assim, o objetivo desse estudo foi identificar a associação entre qualidade de vida no trabalho e sua relação com o nível de atividade física dos funcionários administrativos da Unesp de Rio Claro - SP. A análise dessa associação pode auxiliar no enriquecimento de técnicas para intervenção e promoção da saúde, podendo aumentar a qualidade de vida no trabalho. Para a coleta dos aspectos psicossociais dos participantes foi aplicado um Questionário de Avaliação de Qualidade de Vida no Trabalho em Instituições de Ensino Superior em 136 funcionários administrativos (exceto docentes e trabalhadores de manutenção). Esse questionário avalia 7 domínios em 2 blocos: bloco 1 avaliação de desempenho, bloco 2 avaliação de frequência. Além disso, foi utilizado o questionário de Baecke adaptado por Florindo et al. (2004), para acessar o nível de atividade física. Medidas antropométricas foram coletadas para dados sobre a composição corporal dos participantes. Para coleta de dados sobre os aspectos socioeconômicos foi utilizado o questionário Critério de Classificação Econômica do Brasil proposto pela Associação Nacional de Empresas de Pesquisa (ANEP - 2003). Os resultados demonstraram que a maioria dos funcionários é Moderadamente ativa (58,1%) e na maior parte dos domínios da qualidade de vida no trabalho associados com nível de atividade física os resultados foram indesejáveis...

Efeitos da música nos estados de ânimo durante a prática de ginástica laboral

O estilo de vida é a forma com que cada indivíduo conduz a suas atividades diárias, as quais refletirão diretamente na sua saúde. Dessa forma, a prática da ginastica laboral busca oferecer um novo espaço de qualidade de vida, saúde e lazer para o trabalhador. A música nas atividades físicas é utilizada no sentido de motivar a continuidade dos exercícios físicos ou de distrair o praticante de estímulos não prazerosos como cansaço, dor ou até tensão psicológica. Estudos afirmam que os estados de animo melhoram em consequência da atividade física. Sendo assim, o objetivo do trabalho será analisar os efeitos da música nos estados de ânimo de trabalhadores durante aulas de um programa de ginástica laboral. Para isso, este estudo contou com 20 participantes, de ambos os gêneros, funcionários da UNESP - diversos setores, localizada na Av. 24A, nº1515, Bela Vista, Rio Claro/SP, que realizam funções semelhantes em cada ambiente de trabalho. Como forma de avaliação foi utilizado um questionário de dados cadastrais, um questionário relacionado à preferência musical e uma lista referente aos estados de ânimo. Obtivemos como resultado que a prática de ginástica laboral pode ser significativa para os estados de ânimo de seus praticantes em situação sem música e ainda mais com a presença de música da preferencia dos participantes. Verificamos que só com a audição de músicas não trouxe alterações significativas nos estados de ânimo. Verificou-se que a união da música preferida com a atividade física é a situação que mais traz benefícios ao estado de ânimo do trabalhador. Portanto, concluímos que a música, quando do gosto do praticante, aliada a atividade física pode trazer benefícios emocionais significativos à prática de ginástica laboral no ambiente de trabalho

Modelo matemático de tratamento de câncer via quimioterapia em ciclos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Relação entre a ingestão de micronutrientes, perfil de citocinas plasmáticas e expressão dos genes IL-6. IL-10 e TNF-α na obesidade mórbida

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

O consumo de laticínios está associado à redução de triglicerídios e alterações na composição corporal de mulheres com sobrepeso e obesidade: um estudo de intervenção de 12 semanas

Pós-graduação em Saúde Coletiva - FMB

Relação entre a prática da caminhada não supervisionada e fatores de risco para as doenças cardiovasculares em adultos e idosos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Indicadores diagnósticos da síndrome metabólica, butirilcolinesterase e estado de condicionamento físico em adolescentes obesos e eutróficos: uma breve explanação do atual estado da arte

Damage to health caused by excess body fat also generating a negative economic impact, with significant increase in public spending. The metabolic syndrome, which also gets several other names, such as plurimetabolic syndrome or syndrome X, is nothing more than the combined incidence of some diseases or metabolic disorders in which obesity, besides being one of them, seems to promote parallel effects that contribute to the development of other chronic diseases such as diabetes and cardiovascular disease. Researchers agree that hyper caloric diets associated with a sedentary lifestyle are the main triggers of disease, including the increasing on genetic predisposition to this disease in children and adolescents. In the case of children and adolescents the diagnosis is complicated by the lack of a consensus accepted by the scientific community. In addition to behavioral and environmental factors unfavorable to health, in a more detailed analysis also found hereditary aspects or simply genetic, such as hepatic enzyme Butyrylcholinesterase. When compared to eutrophic, obese adolescents, like adults obese, have higher serum concentration values as well as major activity for this enzyme. Increasing evidence suggests that excess body weight assumes an important role in the variation of metabolic functions in adolescents, favoring the emergence of early diagnostic indicators of metabolic syndrome.

Influência do tempo sedentário na qualidade de vida e na percepção dos estados de ânimo em idosos fisicamente ativos

Introduction: Sedentary behavior is characterized by individuals who designed much of the day sitting or lying down activities, even if such conduct regular physical activity. Over the years people tend to be less active, worsening the quality of life. For healthy aging is necessary for the individual to be constantly active, and moving activities improve mood and quality of life, though little is known of the influence of sedentary behavior in these variables. Aim: To investigate the association between sedentary time, quality of life and mood states of elderly women engaged in physical activity. Methodology: The study included 68 elderly women who belong to the Physical Activity Program for the Elderly (PROFIT), for at least 6 months. These answered the Sedentary Behaviour Questionnaire, the Pentacle Welfare and IPAQ Short Version. The Pep States List Reduced and Illustrated (LEA-RI) was applied before and after a workout and before and after three times of sedentary behaviors. To evaluate the difference of sedentary behavior time average for each domain of quality of life was conducted the analysis of the 95% confidence interval for the STATA program version 12.0 and to the moods list data a non-parametric test - test binomial using SPSS version 17.0 program and has adopted a p≤0,05. Results: A moderate intensity physical activity was the most practiced (939.5 ± 650.2 min / week) and the activity most frequently performed in sedentary time was watching television (187.6 ± 96,4min / day). In general, the quality of life for the elderly is considered good (98.39%) and the disease is most prevalent hypertension (29.47%). After a physical activity older felt less useless, less shy and less fear and after a sedentary behavior, felt less agitated and less useless. In relation between the domains of QOL and sedentary behavior time, there were no statistical differences. Conclusion: Elderly active even after a sedentary behavior...

Autocuidado na percepção de pessoas com hanseníase sob a ótica da complexidade

Objective: This study aimed to understand how patients with Hansen's Disease perceive self-care from the complexity perspective. Methods: Qualitative, descriptive and exploratory study based on the Collective Subject Discourse. Results: Sample composed of 15 subjects, most of whom were married males (66.6%) with a mean age of 52.3 years and were classified in the polarized forms of the disease. The following themes emerged from the DCS synthesis: having Hansen's Disease, drug therapy, self-care and lifestyle. The study provided visibility to the vertical model, which is largely hegemonic in the tradition of public health care policies, showing concern about only treating the disease, disregarding the complex relationships involved. Conclusion: Acknowledging these limitations and setting strategies to change them in favor of the dialogue among interprofessional team members are challenges to further develop self-care practices and to empower patients in relation to treatment and disease.