Relação da prática de atividade física em seus diferentes domínios com a qualidade de vida relacionada à saúde e aspectos hemodinâmicos em idosos
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Data
2017-08-16
Autores
Scarabottolo, Catarina Covolo [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Introdução: A atividade física (AF) pode contribuir positivamente para saúde de indivíduos em diversos grupos etárias. No que diz respeito aos diferentes domínios que englobam a AF com a população idosa, o lazer é o domínio que apresenta maiores níveis de AF. No entanto, o mesmo parece não se aplicar em países em desenvolvimento, como o Brasil. Objetivo: analisar a relação da AF nos seus diferentes domínios, com qualidade de vida relacionada à saúde (QVRS), fatores hemodinâmicos e fatores de risco cardiovasculares em idosos de Presidente Prudente - SP. Métodos: A amostra foi composta por 400 participantes (58% mulheres). O município de Presidente Prudente - SP foi dividido em cinco regiões, e as ruas foram selecionadas aleatoriamente. Medidas antropométricas e de pressão arterial foram realizadas no próprio domicílio do idoso, assim como o questionário de Baecke foi aplicado para avaliar o nível de prática de AF. A QVRS foi avaliada a partir do questionário SF-36 e um questionário para morbidades autoreferidas foi aplicado. As informações relacionadas à prática de AF, a QVRS e aos fatores de risco foram apresentadas em frequências. A associação dos domínios da QVRS e dos fatores de risco cardiovasculares foi analisada por meio do teste do Qui-quadrado e sua magnitude pela Regressão Logística Binária. O Software SPSS versão 20.0 foi utilizado para as análises e o nível de significância adotado foi de 5%. Resultados: A prevalência de idosos suficientemente ativos foi de 32% (n=129). A prática de AF se associou com os seguintes domínios da QVRS: capacidade funcional (p = 0,015), dor no corpo (p = 0,016) e aspectos sociais (p = 0,002). Idosos suficientemente ativos apresentaram menos chance de terem níveis elevados de triglicérides (RO = 0,47; [IC95% = 0,21-1,07]). Conclusão: O nível de AF em cada domínio associou-se se maneira distinta com os domínios da QVRS. Idosos suficientemente ativos (na soma de todos os domínios) apresentaram menos chance de terem níveis elevados de triglicérides. Não foram observadas associações entre a AF nos diferentes domínios e as demais variáveis hemodinâmicas e cardiometabólicas.
Introduction: Physical activity (PA) can contribute positively to the health of individuals in different age groups. Regarding the different domains that constitute PA to the elderly population, leisure is the domain that presents higher levels of PA. However, the same does not seem to apply in developing countries, such as Brazil. Objective: to analyze the relationship of PA in its different domains, with health-related quality of life (HRQoL), hemodynamic factors and cardiovascular risk factors in the elderly of Presidente Prudente - SP. Methods: The sample consisted of 400 participants (58% women). The municipality of Presidente Prudente - SP was divided into five regions, and the streets were randomly selected. Anthropometric and blood pressure measurements were performed in the elderly's own home, as the Baecke questionnaire was applied to assess the level of PA practice. HRQL was assessed from the SF-36 questionnaire and a questionnaire for self-reported morbidities was applied. Information related to the practice of PA, HRQoL and risk factors were presented in frequencies. The association of HRQoL domains and cardiovascular risk factors was analyzed using the Chi-square test and its magnitude by Binary Logistic Regression. The SPSS software version 20.0 was used for the analyzes and the level of significance was 5%. Results: The prevalence of sufficiently active elderly was 32% (n = 129). PA practice was associated with the following HRQoL domains: functional capacity (p = 0.015), body pain (p = 0.016) and social aspects (p = 0.002). Sufficiently active elderly were less likely to have elevated triglycerides (OR = 0,47; [IC95% = 0,21-1,07]). Conclusion: The level of PA in each domain was associated in a different way with the domains of the HRQoL. Sufficiently active elderly (in the sum of all domains) were less likely to have elevated triglyceride levels. No associations were observed between PA in the different domains and the other hemodynamic and cardiometabolic variables.
Introduction: Physical activity (PA) can contribute positively to the health of individuals in different age groups. Regarding the different domains that constitute PA to the elderly population, leisure is the domain that presents higher levels of PA. However, the same does not seem to apply in developing countries, such as Brazil. Objective: to analyze the relationship of PA in its different domains, with health-related quality of life (HRQoL), hemodynamic factors and cardiovascular risk factors in the elderly of Presidente Prudente - SP. Methods: The sample consisted of 400 participants (58% women). The municipality of Presidente Prudente - SP was divided into five regions, and the streets were randomly selected. Anthropometric and blood pressure measurements were performed in the elderly's own home, as the Baecke questionnaire was applied to assess the level of PA practice. HRQL was assessed from the SF-36 questionnaire and a questionnaire for self-reported morbidities was applied. Information related to the practice of PA, HRQoL and risk factors were presented in frequencies. The association of HRQoL domains and cardiovascular risk factors was analyzed using the Chi-square test and its magnitude by Binary Logistic Regression. The SPSS software version 20.0 was used for the analyzes and the level of significance was 5%. Results: The prevalence of sufficiently active elderly was 32% (n = 129). PA practice was associated with the following HRQoL domains: functional capacity (p = 0.015), body pain (p = 0.016) and social aspects (p = 0.002). Sufficiently active elderly were less likely to have elevated triglycerides (OR = 0,47; [IC95% = 0,21-1,07]). Conclusion: The level of PA in each domain was associated in a different way with the domains of the HRQoL. Sufficiently active elderly (in the sum of all domains) were less likely to have elevated triglyceride levels. No associations were observed between PA in the different domains and the other hemodynamic and cardiometabolic variables.
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Palavras-chave
Atividade física, epidemiologia, qualidade de vida, pressão arterial, idosos, Physical activity, epidemiology, quality of life, blood pressure, elderly