Ciências da Saúde

URI Permanente desta comunidade

https://repositorio.uenp.edu.br/handle/123456789/169

Navegar

Agora exibindo 1 - 16 de 16

Acesso aberto (Open Access)
Adesão às recomendações de atividade física e status de peso associados à função física e à qualidade de vida em mulheres com câncer de mama
(Universidade Estadual do Norte do Paraná, 2026) Silva, Mariana Somini Fernandes da; Cella, Paola Sanches; https://orcid.org/0000-0003-1023-0961; http://lattes.cnpq.br/3897961993964665; Cella, Paola Sanches; https://orcid.org/0000-0003-1023-0961; http://lattes.cnpq.br/3897961993964665; Rosa, Thiago dos Santos; https://orcid.org/0000-0003-0418-0945; http://lattes.cnpq.br/7914454583840134; Kalinke, Luciana Puchalski; https://orcid.org/0000-0003-4868-8193; http://lattes.cnpq.br/5678749615109042
Introduction: Physical activity and body weight status are modifiable factors associated with physical function and quality of life in women with breast cancer. However, few studies have examined the combined association of these factors with functional and perceptual outcomes while considering different phases of cancer treatment. Objective: To investigate the association between adherence to physical activity recommendations and body weight status with physical function, symptoms, and quality of life in women with breast cancer. Methods: This cross-sectional observational study included 132 women diagnosed with breast cancer. Participants were classified according to adherence to World Health Organization physical activity recommendations and body weight status, forming four combined groups. Physical function, objective functional performance, symptoms (pain and fatigue), and quality of life were assessed. Analyses were adjusted for cancer treatment phase. Results: Women who did not meet physical activity recommendations and presented overweight/obesity showed worse physical function, higher pain perception, and lower quality of life compared with physically active groups. Physically active women exhibited better functional and quality of life outcomes regardless of body weight status. Conclusion: The combination of physical inactivity and overweight/obesity is associated with poorer physical function and quality of life in women with breast cancer. These findings highlight the importance of promoting physical activity as a central component of oncological care, irrespective of body weight status.
Acesso aberto (Open Access)
Associação direta e indireta da motivação intrínseca, autoeficácia, suporte social e percepção do ambiente com a prática de atividade física de adolescentes: uma análise de mediação
(Universidade Estadual do Norte do Paraná, 2023) Barbosa, Rodrigo de Oliveira; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Elias, Rui Gonçalves Marques; https://orcid.org/0000-0002-0040-8212; http://lattes.cnpq.br/2879582936542572; Sasaki, Jeffer Eidi; https://orcid.org/0000-0002-2083-4104; http://lattes.cnpq.br/9249864079237282
Introduction: The regular practice of physical activity has been shown to be associated with numerous health benefits. Recommendations on physical activity suggest that children and adolescents should perform, on average, 60 minutes of moderate to vigorous physical activity per day, however, 81% of adolescents do not comply with these recommendations. Given this scenario, there is an inconclusive understanding of the means responsible for changing behavior in physical activity, and it is necessary to confirm which are the main mediators of the practice of physical activity in order to develop more effective strategies. Objective: To analyze the associations between intrinsic motivation, self-efficacy, satisfaction of basic psychological needs, social support and perception of the environment with the practice of physical activity in adolescents aged between 12 and 15 years. Methods: The present study had a cross-sectional design. A total of 617 adolescent students from public schools in Jacarezinho, PR, participating in the ActTeens program, were evaluated. The practice of physical activity was measured using the PAQ-A questionnaire. To assess intrinsic motivation, self-efficacy, social support and perception of the environment, specific questionnaires were used. In the statistical analysis, the Shapiro Wilk test was used to verify the normality of the data, and the Kruskal-Wallis and Mann-Whitney tests to compare the scores of the variables between the physical activity percentiles. Multiple linear regression analysis was used to verify the relationship between the constructs and physical activity. Results: Adolescents ranked in the highest percentiles for physical activity had higher values of intrinsic motivation, basic psychological needs from peers and the Physical Education teacher, and parental support compared to adolescents in the lower percentiles. Intrinsic motivation (β = 0.26), satisfying the basic psychological needs of colleagues (β = 0.21) and the Physical Education teacher (β = 0.12) and parental support (β = 0.32) demonstrated a significant association with the practice of physical activity in both genders (p<0.05). By inserting intrinsic motivation as a mediator of the association between parental support and the practice of physical activity, the value of the direct effect was reduced (β = 0.24), with a mediated effect of 25%. Similarly, intrinsic motivation mediated the relationships between teacher's basic psychological needs (83%) and peers' basic psychological needs (38%) with physical activity. Conclusion: The psychosocial variables with the greatest effect in the mediation analyzes were intrinsic motivation, meeting the basic psychological needs of peers, and parental support, respectively.
Acesso aberto (Open Access)
Associação entre comportamento de 24 horas e sintomas de transtorno de déficit de atenção e hiperatividade em adolescentes: um estudo transversal
(Universidade Estadual do Norte do Paraná, 2024) Francisquini, Maria Carolina Juvêncio; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Lirani, Luciana da Silva; https://orcid.org/0000-0001-8270-5394; http://lattes.cnpq.br/7980787316560409; Greguol, Márcia; https://orcid.org/0000-0002-3711-8120; http://lattes.cnpq.br/7268537126311037
Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is characterized by symptoms inattention, hyperactivity, and impulsivity present at levels that are excessive for the age. Studies suggest that lifestyle factors, including physical activity, adequate sleep time, and reduced screen time, may contribute to reduction in ADHD symptoms. Objective: To examine the association between 24-hour movement behaviors (physical activity, sleep, and screen time) and ADHD symptoms in adolescents. Methods: This study included 815 adolescents of both sexes, aged 11 to 15 years, enrolled in public schools in the city of Jacarezinho, Paraná, Brazil. Sleep duration was assessed using the Pittsburgh Sleep Quality Index questionnaire, while screen time was evaluated through a specific question regarding daily time spent on electronic devices. Physical activity was measured by accelerometer (ActiGraph GT3X-BT). ADHD symptoms was assessed using the Strengths and Difficulties Questionnaire (SDQ). Statistical analysis employed the Generalized Estimating Equations (GEE) model to investigate associations between 24-hour movement behaviors, ADHD symptom scores, and SDQ subscales, adopting a significance level at p < 0.05. Results: Of the 815 adolescents included in the study, 51.7% were girls, with a mean age of 13.43 years. Analyses showed positive associations between screen time and ADHD symptoms (β: 1.22; 95% CI: 1.09–1.37); sleep and conduct problems (β: 1.08; 95% CI: 1.00–1.18); and sleep with total difficulties (β: 1.08; 95% CI: 1.00–1.16). Combined analyses showed significant associations of physical activity + sleep with emotional symptoms (β: 1.47; 95% CI: 1.06–2.02) and screen time + sleep with hyperactivity (β: 1.35; 95% CI: 1.14–1.59). Conclusion: The findings of the present study underscore the importance of adhering to the recommendations of the 24-hour movement guidelines, as this adherence may contribute to reductions in emotional symptoms, overall difficulties, and externalizing symptoms (ADHD and conduct problems). Longitudinal research should focus on developing intervention strategies aimed at behavior change and compliance with the 24-hour movement guidelines.
Acesso aberto (Open Access)
Associação entre os comportamentos de movimento e qualidade de vida relacionada à saúde de adolescentes: um estudo transversal
(Universidade Estadual do Norte do Paraná, 2025) Dias, Pedro Henrique Garcia; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Guedes, Dartagnan Pinto; https://orcid.org/0000-0002-7367-2276; http://lattes.cnpq.br/3133916929217420; Costa, Bruno Gonçalves Galdino da; https://orcid.org/0000-0002-5132-1512; http://lattes.cnpq.br/7217565517957591
Health-Related Quality of Life (HRQoL) is a multidimensional construct encompassing physical, emotional, psychological, and social domains based on individuals' self-perception. It has been increasingly used as a health indicator in children and adolescents. Studies have shown that lifestyle factors such as physical activity, reduced screen time, and adequate sleep can contribute to improving HRQoL in adolescents. The aim of the present study was to examine the association of movement behaviors (physical activity, screen time, and sleep duration) with indicators of physical well-being, psychological well-being, and health-related quality of life in adolescents. The study included 746 adolescents of both sexes, aged 11 to 15 years, enrolled in public schools in Jacarezinho, Paraná, Brazil. Sleep duration was assessed through a specific question related to habitual bedtime and wake-up time. Screen time was evaluated using a question about the daily time spent on recreational electronic device use. Physical activity levels were measured using accelerometers (ActiGraph GT3X-BT). For global HRQoL, physical well-being, and psychological well-being, the KIDSCREEN questionnaire was used. Generalized linear models were applied for statistical analysis, with a significance level of p < 0.05. Analyses of individual movement behaviors revealed associations between screen time and physical well-being (β = 1.07, 95% CI: 1.00–1.14), as well as between sleep duration and both overall HRQoL (β = 1.05, 95% CI: 1.01–1.08) and psychological well-being (β = 1.07, 95% CI: 1.03–1.10). Combined analyses of sleep duration and screen time showed significant associations with overall HRQoL (β = 1.08, 95% CI: 1.02–1.15), physical well-being (β = 1.11, 95% CI: 1.03–1.21), and psychological well-being (β = 1.09, 95% CI: 1.01–1.18). These findings highlight the importance of adhering to 24-hour movement guidelines, indicating that doing so can enhance adolescents' physical well-being, psychological well-being, and overall HRQoL.
Acesso aberto (Open Access)
Avaliação dos indicadores de sarcopenia em idosas praticantes de treinamento com pesos e pilates
(Universidade Estadual do Norte do Paraná, 2026) Martins, Maiara Naldi Mansano; Santos, Claudinei Ferreira dos; https://orcid.org/0000-0001-8741-4051; http://lattes.cnpq.br/3714147530384082; Santos, Claudinei Ferreira dos; https://orcid.org/0000-0001-8741-4051; http://lattes.cnpq.br/3714147530384082; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Teixeira, Denilson de Castro; https://orcid.org/0000-0002-6299-0252; http://lattes.cnpq.br/8134763463354265
Introduction: Aging is considered a dynamic process, in which morphological and physiological changes occur at all levels of the body. These changes increase the risk of disease, frailty, falls, and sarcopenia, a progressive and widespread musculoskeletal disorder characterized by low muscle strength and mass, which can result in functional decline and disability in the elderly. To mitigate this problem, regular exercise is widely recommended. Both the Pilates Method and weight training can affect sarcopenia indicators. However, the literature still needs to determine the associations between sarcopenia indicators and the practice of these modalities in the elderly, assessing the specific differences between them. Objective: To evaluate sarcopenia indicators in elderly women who practice weight training and the Pilates Method. Methods: This was a cross-sectional study of women aged 60 or older who practiced weight training and Pilates. The volunteers underwent anthropometric assessments and answered the SARC-F questionnaire to identify increased risk for sarcopenia. They also underwent the Handgrip Test and Isokinetic Assessment to assess knee flexor and extensor muscle strength. They also underwent muscle ultrasound of the vastus lateralis and rectus femoris muscles, body composition assessment, and Relative Musculoskeletal Index (RMSI) by Dual-Energy X-ray Absorptiometry (DXA). Finally, they underwent functional tests. Results: The PT group showed significantly higher values for weekly training frequency, vastus lateralis area and thickness, isokinetic flexion torque, and RMSI (p < 0.05). After adjustment by ANCOVA, the vastus lateralis area and handgrip strength remained higher in the PT, indicating independence from time and frequency of practice. Large effects were observed for weekly frequency, vastus lateralis area, and thickness. moderate effects on rectus femoris area, grip strength, flexion torque, RIME, appendicular muscle mass, fat-free mass, and calf circumference; and small effects on rectus femoris thickness and extension torque. Conclusion: Weight training showed a greater impact on muscle mass and strength parameters in elderly women, especially in the vastus lateralis area and handgrip, when compared to Pilates. These results reinforce the importance of resistance training as an effective strategy for the prevention and management of sarcopenia in older women.
Acesso aberto (Open Access)
Comparação entre treinamento muscular do assoalho pélvico e exercícios de pilates para incontinência urinária em mulheres na pós-menopausa: ensaio controlado randomizado
(Universidade Estadual do Norte do Paraná, 2023) Gonzaga, Sabrina; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Gonçalves, Ezequiel Moreira; https://orcid.org/0000-0001-8470-9479; http://lattes.cnpq.br/3712055715302474; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
Introduction: Postmenopause is a period characterized by a series of body changes such as urogenital manifestations, which includes urinary incontinence (UI). The gold standard treatment for UI improvement is pelvic floor muscle training. It is not yet clear in the literature whether other muscle training exercise regimens, such as Pilates, can be effective in improving UI. Objective: To compare pelvic floor muscle training (PFMT) and Pilates exercises (PE) in improving UI, strength, muscle endurance and the impact of UI on the quality of life of postmenopausal women. Methods: Forty postmenopausal women were randomized into two groups: PFMT (n= 20) and PE (n= 20). Interventions for both groups occurred for 12 weeks, being performed three times a week, on non-consecutive days. The PFMT group protocol consisted of four series of ten maximum contractions, sustained for at least six seconds, and at the end of each series, five quick contractions were performed. Each series was performed in one position: 1st lying in lateral decubitus, 2nd sitting, 3rd on four supports and 4th standing. The EP group protocol consisted of 10 exercises, four specific for stretching and six for muscle strengthening. During a concentric phase of the Pilates strengthening exercises, participants in the PE group were instructed and emphasized to perform maximal targeted contraction of the pelvic floor muscles (PFM). Assessments of UI, strength, pelvic floor muscle endurance and impact of UI on quality of life were performed before and after the 12-week treatment. Shapiro Wilk tests were performed to verify normality, Student's t test and Mann Whitney U test according to parametric or non-parametric distribution, Mann-Whitney U test and Wilcoxon test for comparison between groups and intragroups, p values < 0.05 were considered. Data were processed using the SPSS 25.0 program. For effect size calculations (Cohen's d) the GPower 3.1 program was used. Results: There was a significant intragroup improvement for both groups in the Pad-test: TMAP (p= 0.004) and EP (p= 0.009), in the Average daily urinary loss: TMAP (p= 0.003) and EP (p= 0.007), and the impact of urinary incontinence on quality of life, using the ICIQ-SF: PFMT (p= 0.000) and PE (p= 0.000). Regarding PFM strength, there was a significant improvement only in the TMAP group (p= 0.004) and for resistance, significant improvement in both groups: TMAP (p= 0.000) and PE (p= 0.001). Peak force manometry showed significant improvement only in the EP group (p= 0.018) and mean force manometry in both groups: PFMT (p= 0.043) and EP (p= 0.013); there was also an improvement in both groups in Manometry peak resistance: TMAP (p= 0.000) and EP (p= 0.005) and in Manometry mean resistance: TMAP (p= 0.000) and EP (p= 0.004). In the intergroup comparison, it was possible to identify significant results only for the muscle strength variable, in favor of the PFMT group (p= 0.027). Conclusion: There is no significant difference in the treatment of UI between PFMT and Pilates exercises when performed with the request for voluntary contraction of the PFM.
Acesso aberto (Open Access)
Comparação entre treinamento muscular do assoalho pélvico e exercícios de pilates para incontinência urinária em mulheres na pós-menopausa: ensaio controlado randomizado
(Universidade Estadual do Norte do Paraná, 2023) Gonzaga, Sabrina; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Gonçalves, Ezequiel Moreira; https://orcid.org/0000-0001-8470-9479; http://lattes.cnpq.br/3712055715302474; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
Introduction: Postmenopause is a period characterized by a series of body changes such as urogenital manifestations, which includes urinary incontinence (UI). The gold standard treatment for UI improvement is pelvic floor muscle training. It is not yet clear in the literature whether other muscle training exercise regimens, such as Pilates, can be effective in improving UI. Objective: To compare pelvic floor muscle training (PFMT) and Pilates exercises (PE) in improving UI, strength, muscle endurance and the impact of UI on the quality of life of postmenopausal women. Methods: Forty postmenopausal women were randomized into two groups: PFMT (n= 20) and PE (n= 20). Interventions for both groups occurred for 12 weeks, being performed three times a week, on non-consecutive days. The PFMT group protocol consisted of four series of ten maximum contractions, sustained for at least six seconds, and at the end of each series, five quick contractions were performed. Each series was performed in one position: 1st lying in lateral decubitus, 2nd sitting, 3rd on four supports and 4th standing. The EP group protocol consisted of 10 exercises, four specific for stretching and six for muscle strengthening. During a concentric phase of the Pilates strengthening exercises, participants in the PE group were instructed and emphasized to perform maximal targeted contraction of the pelvic floor muscles (PFM). Assessments of UI, strength, pelvic floor muscle endurance and impact of UI on quality of life were performed before and after the 12-week treatment. Shapiro Wilk tests were performed to verify normality, Student's t test and Mann Whitney U test according to parametric or non-parametric distribution, Mann-Whitney U test and Wilcoxon test for comparison between groups and intragroups, p values \< 0.05 were considered. Data were processed using the SPSS 25.0 program. For effect size calculations (Cohen's d) the GPower 3.1 program was used. Results: There was a significant intragroup improvement for both groups in the Pad-test: TMAP (p= 0.004) and EP (p= 0.009), in the Average daily urinary loss: TMAP (p= 0.003) and EP (p= 0.007), and the impact of urinary incontinence on quality of life, using the ICIQ-SF: PFMT (p= 0.000) and PE (p= 0.000). Regarding PFM strength, there was a significant improvement only in the TMAP group (p= 0.004) and for resistance, significant improvement in both groups: TMAP (p= 0.000) and PE (p= 0.001). Peak force manometry showed significant improvement only in the EP group (p= 0.018) and mean force manometry in both groups: PFMT (p= 0.043) and EP (p= 0.013); there was also an improvement in both groups in Manometry peak resistance: TMAP (p= 0.000) and EP (p= 0.005) and in Manometry mean resistance: TMAP (p= 0.000) and EP (p= 0.004). In the intergroup comparison, it was possible to identify significant results only for the muscle strength variable, in favor of the PFMT group (p= 0.027). Conclusion: There is no significant difference in the treatment of UI between PFMT and Pilates exercises when performed with the request for voluntary contraction of the PFM.
Acesso aberto (Open Access)
Custo energético e intensidade metabólica dos exercícios de pilates: uma revisão sistemática com metanálise
(Universidade Estadual do Norte do Paraná, 2024) Vitor, Gleice Beatriz Batista; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Caldeira, Lúcio Flávio Soares; https://orcid.org/0000-0002-5039-068X; http://lattes.cnpq.br/0940116628104330
Introduction: Correctly classifying the energy cost of different physical activities helps professionals when prescribing them, aiming, for example, to reduce body fat, improve cardiorespiratory fitness and meet public health guidelines. Although Pilates exercises have become increasingly popular, little is known about the energy cost and metabolic intensity of this activity. Objective: To verify the energy cost and metabolic intensity of Pilates exercises with the effect of potential moderators. Methods: A systematic search was performed in: PubMed, CENTRAL, Embase, Web of Science, SPORTDiscus and CINAHL (on May 9, 2024). The methodological quality of the studies was assessed using the Rosendal scale. For meta-analysis, the weighted average between the studies was used for: metabolic equivalent (MET), energy cost (kcal/min), VO2 (ml/kg/min), percentage of maximum heart rate (%HRmax) and subjective perception of exertion (RPE) (Borg 6-20). The certainty of the evidence was analyzed by the GRADE system. Results: After screening, six studies met the inclusion criteria (237 participants). Two studies had a high risk of bias. Very low to low-certainty evidence showed that a Pilates session provides on average: 3.8 (95% CI 3.2–4.5) METs; 3.8 (95% CI 3.1–4.4) kcal/min; VO2 10.5 (95% CI 8.1–12.8) ml/kg/min; %HRmax of 55.0 (95% CI 52.8–57.3); and RPE of 10.6 (95% CI 9.3–12.0). The main moderator identified was the interval between sets and exercises, which significantly decreased the observed effects when >60 seconds. Conclusion: In general, Pilates exercises offer an energy cost that can be classified as moderate intensity. However, it is important that the interval between sets and exercises does not exceed 60 seconds. Two weekly sessions of 60 minutes each may be sufficient to initially meet public health guidelines. Due to the low certainty of the evidence, further studies are needed to confirm these findings.
Acesso aberto (Open Access)
Desenvolvimento e validação de um curso na modalidade e-learning sobre segurança do paciente para profissionais da atenção primária à saúde
(Universidade Estadual do Norte do Paraná, 2026) Cogo, Lucimara de Souza; Haddad, Maria do Carmo Fernandez Lourenço; https://orcid.org/0000-0001-7564-8563; http://lattes.cnpq.br/2063185259758698; Haddad, Maria do Carmo Fernandez Lourenço; https://orcid.org/0000-0001-7564-8563; http://lattes.cnpq.br/2063185259758698; Barreto, Maynara Fernanda Carvalho; https://orcid.org/0000-0002-3562-8477; http://lattes.cnpq.br/4241898233838056; Cardoso, Andreia Insabralde de Queiroz; https://orcid.org/0000-0002-9431-7484; http://lattes.cnpq.br/9390172593550736
Introduction: Patient safety is an essential component of quality of health care and it is recognized as a global priority for reducing adverse events and preventable harm. In the context of Primary Health Care (PHC), despite its strategic role in coordinating care, there are still challenges related to the systematic incorporation of safe practices as well as to the training of health professionals. Objective: To develop and validate an e-learning course on patient safety for Primary Health Care professionals. Method: An applied, methodological, and technological development research using a quantitative approach, conducted in accordance with the TIDieR recommendations and carried out in 2025. The course was developed using the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) and was organized into six self-paced modules created using Adobe Captivate® software. The course was validated using the Delphi technique by 13 judges – healthcare professionals with doctoral or master's degrees who provided care in primary healthcare – using a structured instrument based on a Likert-scale to assess the dimensions of functionality, usability, efficiency, aesthetics, content, and language. The usability assessment was conducted with 24 professionals from the Basic Health Units in the study municipality, using the same instrument that as used for the judges. To analyze the data from the two groups of participants, the Content Validity Index (CVI), Cronbach's Alpha, and McDonald's Omega were applied. Results: The course had an overall CCI of 0.95 and 0.97, respectively, for groups 1 and 2, indicating excellent validity for the dimensions assessed, with all scored above the established cutoff point (0.78), particularly in the areas of functionality, content, and language (0.97). The internal consistency indicators demonstrated adequate reliability of the overall scale (α = 0.863; ω = 0.852). The raters and professionals of Basic Health Units recognized the pedagogical adequacy, clarity of language, and applicability of the content to professional practice. Conclusion: The e-learning course proved to be a valid and promising educational technology for use in continuing education programs in the health within the Brazilian Unified Health System.
Acesso aberto (Open Access)
Efeito agudo da suplementação oral de adenosina trifosfato (ATP) sobre o desempenho muscular e respostas psicofisiológicas
(Universidade Estadual do Norte do Paraná, 2023) Fambrini, Danilo Luiz; Santos, Claudinei Ferreira dos; https://orcid.org/0000-0001-8741-4051; http://lattes.cnpq.br/3714147530384082; Santos, Claudinei Ferreira dos; https://orcid.org/0000-0001-8741-4051; http://lattes.cnpq.br/3714147530384082; Krinski, Kleverton; http://lattes.cnpq.br/5635930832976387; Casonatto, Juliano; http://lattes.cnpq.br/1588384106023102; http://lattes.cnpq.br/1588384106023102
Introduction: Adenosine Triphosphate (ATP) is a molecule that has the function of generating energy for the human body, where maintaining high levels is directly related to cellular and muscular health. Knowing this, oral supplementation appears as a possibility to guarantee such levels, and is normally consumed in the form of disodium salt commonly through the Peak ATP® supplement, which can be consumed acutely or chronically. Objectives: To verify the influence of a dose of ATP on muscular performance and psychophysiological responses in adults. Methods: This is an acute, crossover, randomized, double-blind, placebo-controlled intervention study. 20 male volunteers were recruited, with an average age of 27.95 years, healthy and with experience in resistance training. There were two visits to the laboratory, the first being aimed at anchoring the subjective perception of effort (PSE) and pleasure/displeasure (FS) scales and assessing body composition, as well as applying the first protocol. The second visit was intended for the application of the second protocol, where each of the protocols was composed of randomized supplementation of 400mg of Peak ATP® or placebo, and 30 minutes later, five series were performed, where the first consisted of five repetitions and the following four of ten repetitions at 60° per second in knee extension and flexion on a Biodex® 4.0 isokinetic dynamometer, where the volunteers' muscle strength and resistance to fatigue were measured and at the end of each series the Scale was randomly presented OMNI-RES and the Feeling Scale. For data analysis, the normality of the data was assessed using Shapiro Wilk, the ANOVA repeated measures test with Bonferroni's post hoc test was used to identify possible significant differences found in parametric data, while in non-parametric data the Friedman test with Wilcoxon post-hoc and Bonferroni correction. To identify the effect size, Cohen's d test was performed, and the statistical package used will be IBM SPSS 25.0 with an adopted significance value of p<0.05. Results: Acute supplementation was unable to achieve significant improvements in muscle strength indicators. The supplement reduced strength drops as the knee extension exercise progressed compared to placebo (p<0.05), as well as reducing RPE and drops in affective response throughout the protocol (p<0.05). Conclusions: The acute dose of 400mg of ATP did not improve the volunteers' muscle strength indicators, but it was able to reduce fatigue levels as the exercise progressed, enabling greater performance for longer, as well as less sensation of effort and greater affective response during the protocol.
Acesso aberto (Open Access)
Efeitos dos exercícios de pilates na aptidão cardiorrespiratória: uma revisão sistemática e meta-análise
(Universidade Estadual do Norte do Paraná, 2022) Pessôa, Rafaela Almeida Gonçalves; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Krinski, Kleverton; http://lattes.cnpq.br/5635930832976387; Melo, Ruth Caldeira; https://orcid.org/0000-0002-9713-8617; http://lattes.cnpq.br/9437079385922873
Introduction: Among the modalities of physical exercises, Pilates has gained popularity and, consequently, more and more adepts. Scientific evidence has demonstrated the effectiveness of the technique for the development of different physical capacities, such as flexibility, muscle strength and endurance, postural balance and agility, contributing to the functional performance of people in different age groups. More recently, studies have pointed out that Pilates exercises have the potential for the development of cardiorespiratory fitness, however, there is still no consensus in the literature on the effectiveness of the method for this outcome. Objective: To verify the effects of Pilates exercises on cardiorespiratory fitness in healthy adults. Methods: A systematic literature search was performed, in which randomized clinical trials (RCTs) were considered eligible, which used Pilates exercises as an intervention and had cardiorespiratory fitness as an outcome in a healthy adult population. The searches took place in the following databases: PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, SPORTDiscus, LILACS and PEDro. To assess the potential risk of bias and the methodological quality of the studies, the PEDro scale was used. The meta-analysis calculations were performed using the standardized mean difference (SMD) between the Pilates vs. control groups or Pilates vs. other forms of physical exercise. Heterogeneity was quantified by the I2 statistic and Cochran's Q test. Effect sizes were considered statistically significant when p < 0.05 and classified as small (0.2), medium (0.5) or large (0.8) magnitude. The quality of evidence was rated by the GRADE system. Results: Initially, 1,185 records were found. After the screening process, 12 RCTs were included in the systematic review and meta-analysis calculations. Qualitative synthesis (systematic review) showed that all studies used small samples, ranging from nine to 39 participants per group (mean = 19.0 ± 8.2). Only two studies were carried out with a young adult population, the others with elderly people. Pilates protocols, in general, had a low cumulative exercise dose throughout the study, ranging from 900 to 4,320 minutes (median = 1,440) and were applied mainly on the mat (Mat Pilates) (66.7%). Cardiorespiratory fitness was assessed primarily (82%) by the six-minute walk test. 83.3% of RCTs reported that Pilates was significantly superior to control groups on cardiorespiratory fitness. Regarding methodological quality, most (75%) of the studies had a low score (PEDro < 6 points). In the quantitative synthesis (meta-analysis), a large effect size was observed in the primary analysis in favor of Pilates exercises vs. control groups (SMD = 0.96 [CI95% 0.39 – 1.54] p = 0.001, n = 457, studies = 12, I2 = 87%). Subgroup analysis showed that the significant effect was age-dependent (only for older people). In the sensitivity analysis, including only studies of high methodological quality, the significant effect remained in the main analysis in favor of Pilates exercises, but considering age groups, it remained significant only for young adults. When Pilates was compared to other muscle strengthening exercises, no difference was observed. Subgroup analysis involving cumulative dose showed that Pilates exercises were superior to control groups when the total intervention time was ≥ 1,440 minutes, with a large effect size. Comparing Pilates applied on the mat (Mat) or on equipment, a large and moderate effect size was observed, respectively. For all analyses, the evidence was of very low to low quality, as assessed by the GRADE system. Conclusion: Pilates exercises allowed, in general, a great effect on cardiorespiratory fitness compared to no intervention or minimal intervention, not differing from other forms of physical exercise for muscle strengthening. Subgroup analyzes demonstrated that the effects were dependent on the cumulative dose, which equated to performing Pilates three times a week for two months, or twice a week for three months. However, exercise professionals should interpret these results with caution, as future work is likely to have a major impact on effect estimates, given that the evidence was of very low to low quality.
Acesso aberto (Open Access)
Efeitos dos exercícios de pilates na qualidade de vida em mulheres na pós-menopausa: revisão sistemática e metanálise
(Universidade Estadual do Norte do Paraná, 2023) Almeida, Priscila Peruzzolo de; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Lirani, Luciana da Silva; https://orcid.org/0000-0001-8270-5394; http://lattes.cnpq.br/7980787316560409; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
Introduction: Postmenopause is a process that begins 12 months after the last menstrual period and can lead to deficits in several body systems, and consecutively, compromise the quality of life of this population. To alleviate deficits and improve quality of life, regular physical exercise is recommended. Pilates is a possibility of exercises that have been sought after by postmenopausal women and seem to contribute to improving their quality of life, however, the results of Pilates exercises for the quality of life of this population are not yet clear in the literature. Objective: To verify studies of the type of controlled and randomized trials regarding the effects of Pilates exercises in improving the quality of life of postmenopausal women. Methods: a systematic search in the literature and a statistical meta-analysis procedure was carried out. Studies that used Pilates exercises as an intervention and an assessment of quality of life in postmenopausal women were considered eligible. Searches were performed in the following databases: PubMed; BASE; CENTRAL; CINAHL; Web of Science; LILACS; SportDiscus; Pedro; Risk of bias and methodological quality were assessed using the PEDro scale. The quality/certainty of the evidence was observed using the GRADE system. Meta-analysis calculations were performed using the standardized mean difference (SMD) or the mean difference (MD) between the Pilates vs. control groups, or Pilates vs. other forms of exercise. Heterogeneity was quantified by I2 statistics and Cochran's Q test. Effect sizes were considered statistically significant when p \< 0.05 and classified as small (0.2), medium (0.5) or large (0.8) magnitude. All analyzes were performed using the Review Manager program (RevMan), version 5.3 (The Cochrane Collaboration). Results: Initially, 760 records were located. After the screening process, 11 RCTs were included in the systematic review. The qualitative analysis showed that the studies used samples containing 20 to 60 participants per group. With regard to the assessment of quality of life, there were a variety of questionnaires used in the studies; Leipad Questionnaire; WHOQOL-OLD; WHOQOL-BREF; Short Form Health Survey (SF-36); Subjective Well-Being Scale (SWS); CASP19; QUALEFFO-41. Most controlled and randomized trials used the SF-36 questionnaire (54.54%). The methodological quality assessment showed that of the 11 included studies, five were of high quality (PEDro score ≥ 6 points), with a mean score between studies of 5.18 ± 1.40. In the quantitative analysis, our primary analysis demonstrated a statistical significance in favor of the Pilates group vs. control groups for five domains of quality of life (pain, functional capacity, social aspects, physical aspects and emotional aspects) among nine. The sensitivity analysis showed the same results as the primary analysis. In the analysis of subgroups where studies that applied intervention time longer than 4 months were considered, there were significant findings in favor of Pilates for eight quality of life domains, among nine, only the mental health domain was not significant. For comparison analysis between Pilates vs. other exercises, there was a significant difference in favor of Pilates only for the functional capacity domain. For comparison analysis between Mat Pilates vs. Pilates on equipment, Pilates on equipment obtained significant findings for seven domains of quality of life, among eight, while Mat Pilates presented significant results for only four domains. For most of the analyses, the evidence was of very low to low quality, eventually being considered moderate, evaluated by the GRADE system. Conclusion: Pilates exercises, in general, provided a significant result in improving the QoL of postmenopausal women, especially when performed on equipment and for an intervention time of more than four months. However, for professionals to be able to use Pilates for this outcome, more robust RCTs with high methodological quality are needed.
Acesso aberto (Open Access)
Efeitos dos exercícios de pilates no alinhamento postural: revisão sistemática e metanálise
(Universidade Estadual do Norte do Paraná, 2024) Roque, Graziella Cristina; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Jassi, Fabrício José; https://orcid.org/0000-0001-8939-9078; http://lattes.cnpq.br/5866478928326695; Oliveira, Rodrigo Franco de; https://orcid.org/0000-0001-8074-8083; http://lattes.cnpq.br/8546346985076061
INTRODUCTION: Postural misalignments are an important health problem worldwide, and interventions based on physical exercise are often used to improve posture. In recent years, Pilates exercises have been one of the most sought after modalities both to increase physical conditioning and for rehabilitation, and its use is common in cases of postural misalignments. However, there is a scarcity in the literature in relation to studies with high methodological rigor that investigate this topic. OBJECTIVE: Check controlled and randomized trials regarding the effects of Pilates exercises on postural alignment METHODS: A systematic literature search and statistical meta-analysis procedure were carried out. RCTs that used Pilates exercises as an intervention and assessment of postural alignment as an outcome were considered eligible. The searches were carried out in the following databases: PubMed; BASIS; CENTRAL; CINAHL; Web of Science; LILACS; SportDiscus and PEDro. The assessment of risk of bias and methodological quality was carried out using the PEDro scale. The quality/certainty of the evidence was observed using the GRADE system. For meta-analysis, the effect measure was a difference in the standardized mean between the groups at the post-intervention time. Heterogeneity was quantified by the I2 statistic and the Cochrane Q test. Values referring to the treatment effect were considered significant when p < 0.05. All analyzes were performed using the RevMan program, version 5.4. RESULTS: Initially, 923 records were located. After the screening process, 15 RCTs were included in the systematic review. No filter was used to limit the year of publication. The RCTs included were published between the years 2012 and 2023. The assessment of methodological quality stated that of the 15 studies included, seven were of high quality (PEDro score ≥ 6 points), with an average score between the studies of 5.6 points . The qualitative analysis demonstrated dispersion between the RCTs, with regard to the approaches and dosages used. There were no significant results for any of the stages evaluated. The assessment of the quality of evidence by the GRADE system was considered low or very low. Furthermore, it was not possible to carry out sub-analyses to check other stages, as there were not enough studies for comparisons. CONCLUSION: As in all RCTs the body segments analyzed demonstrated a low or very low quality of evidence, and no significant results in favor of Pilates were observed, to date, health professionals should use Pilates exercises with caution when the objective is linked to postural improvement, until new RCTs with high methodological rigor on this topic are developed.
Acesso aberto (Open Access)
Efeitos dos exercícios de pilates no equilíbrio postural e quedas em pessoas idosas: revisão sistemática e meta-análise
(Universidade Estadual do Norte do Paraná, 2023) Campos Júnior, Jorge Furtado de; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Santos, Claudinei Ferreira dos; https://orcid.org/0000-0001-8741-4051; http://lattes.cnpq.br/3714147530384082; Oliveira, Deise Aparecida de Almeida Pires; https://orcid.org/0000-0002-5765-1897; http://lattes.cnpq.br/7663275220903598
Introduction: Older adults suffer from a series of negative health factors due to the natural aging process, such as decreased postural balance, which can lead to the incidence of falls and their consequences. To mitigate this problem, the regular and systematic practice of physical exercises is indicated. Among the possibilities, Pilates exercises stand out, which are well accepted and have been increasingly sought after by older adults. Previous systematic review and meta-analysis studies have shown that Pilates exercises are effective on dynamic postural balance in elderly people, but did not present a consensus regarding the effects on static balance and falls. Objective: To verify the effects of Pilates exercises on postural balance and falls in older adults. Methods: Randomized and controlled clinical trials (RCTs) whose intervention occurred through Pilates exercises and as outcome investigated at least one variable related to postural balance or falls in older adults were considered eligible. The searches took place in the following databases: PubMed, EMBASE, CENTRAL, CINAHL, Web of Science, SPORTDiscus, LILACS and PEDro. Methodological quality was assessed using the PEDro scale, in which studies with a score \< 6 were considered of low methodological quality. Meta-analysis calculations were performed by the standardized mean difference between Pilates and control, or Pilates and other forms of intervention groups. Heterogeneity was quantified by I² statistics and Cochran's Q test. Effect sizes were considered statistically significant when p \< 0.05. All analyzes were performed using the Review Manager (RevMan) program, version 5.4. Results: After the screening process, 38 studies were included in the systematic review, of which 14 had satisfactory methodological quality. The meta-analysis calculations showed that Pilates exercises were capable of promoting a significant improvement in dynamic postural balance, with effects ranging from moderate to large in magnitude, for the tests: Timed Up and Go, 8 Foot Up and Go, Six-minute Walk Test, 30-seconds Chair-stand, Functional Reach and Five Sit to Stand. Only the 10 meter walk test showed no significant effect on the dynamic balance analyses. For static balance, measured by means of displacement of the center of plantar pressure (COP) on a force platform, significant effects of small magnitude were observed in favor of Pilates exercises for COP velocity, COP area and mean velocity. lateral displacement of the COP, but not for the anteroposterior displacement velocity of the COP. For tools that verify the general state of balance, including static and dynamic postural balance tasks, Pilates exercises demonstrate a significant effect, of moderate magnitude, for the Berg Balance Scale, but not for Activities-specific Balance Confidence (ABC). Regarding the incidence or fear of falls, no significant results were observed. Conclusion: There is evidence to support the use of Pilates exercises to improve dynamic postural balance in older adults. For static balance, although Pilates exercises have shown to promote significant improvement, the effects were of small magnitude, with the need for further studies on the subject. With regard to the general state of balance, significant results were observed for only one of the scales used, with few studies included in the analyses, requiring more RCTs to verify this hypothesis. Finally, significant results were not observed for the incidence or fear of falls, and there is also a need for further studies on the subject, especially due to the small number of RCTs that have been dedicated to observing these outcomes so far.
Acesso aberto (Open Access)
Efeitos isolados e combinados do pilates e do treinamento aeróbio na aptidão física em adultos jovens: um ensaio clínico randomizado
(Universidade Estadual do Norte do Paraná, 2026) Oliveira, Gabriela Cristina de; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Oliveira, Raphael Gonçalves de; https://orcid.org/0000-0003-0904-9305; http://lattes.cnpq.br/6247518975926252; Gonçalves, Ezequiel Moreira; https://orcid.org/0000-0001-8470-9479; http://lattes.cnpq.br/3712055715302474; Andrade, Marília dos Santos; https://orcid.org/0000-0002-7004-4565; http://lattes.cnpq.br/8618739762906389
Introduction: Physical exercise is widely recommended as a central strategy to improve physical fitness, with direct implications for metabolic and functional health. However, the magnitude and specificity of physiological adaptations depend on the type of intervention. Aerobic training is traditionally associated with improvements in cardiorespiratory fitness and reductions in fat mass, whereas neuromuscular approaches are linked to increases in lean mass, strength, power, and flexibility. In this context, Pilates has emerged as a modality that integrates motor control, strength, and flexibility, with potential benefits for both musculoskeletal and functional outcomes. Nevertheless, evidence from randomized controlled trials directly comparing Pilates with aerobic exercise remains limited, as does evidence on whether combining these modalities enhances adaptations across different components of physical fitness. Objective: To compare the effects of 12 weeks of Pilates, aerobic training, and their combination on body composition and cardiorespiratory fitness (primary outcomes), as well as muscle strength, power, and flexibility (secondary outcomes) in previously untrained young women. Methods: A single-blind randomized controlled trial was conducted with 80 women (18–40 years), allocated into four groups (n = 20 each): Pilates, aerobic, combined, and control. Interventions were performed three times per week for 12 weeks, with 60-minute sessions. Assessments included total and segmental body composition by dual-energy X-ray absorptiometry (DXA); V̇O₂max measured by a maximal incremental test with direct gas analysis; muscle strength of knee, elbow, and trunk flexors and extensors assessed by isokinetic dynamometry; countermovement vertical jump performance (height, force, and power) measured on a force platform; and trunk flexibility (flexion and extension) assessed using a fleximeter. Session rating of perceived exertion and adverse events were monitored throughout the intervention. Results: All interventions (Pilates, aerobic, and combined) significantly improved cardiorespiratory fitness compared with the control group, with no differences between methods, indicating similar effectiveness for increasing V̇O₂max. Regarding body composition, the Pilates group showed greater increases in total lean mass compared with the aerobic group, with more pronounced gains in lower-limb lean mass. The combined group also demonstrated greater increases than the aerobic group for this outcome. No significant between-group differences were observed for fat mass. For musculoskeletal fitness, Pilates was superior to aerobic training in knee flexor peak torque and also showed greater improvements in elbow and trunk extensor strength. In addition, Pilates led to greater improvements in vertical jump performance (height and power) and trunk flexibility. These effects were accompanied by moderate to large effect sizes. The combined intervention did not provide additional benefits compared with isolated modalities, possibly due to reduced modality-specific training volume. Perceived exertion was similar across intervention groups. Serious adverse events occurred exclusively in the aerobic group and were related to musculoskeletal injuries. Conclusion: Pilates training was as effective as aerobic exercise in improving cardiorespiratory fitness and more effective in increasing lean mass, with no differential effects on fat mass. Additionally, it promoted greater gains in strength, power, and flexibility. Combining modalities did not yield additional benefits. Overall, these findings support Pilates as an effective and safe strategy to improve physical fitness in young women.
Acesso aberto (Open Access)
Exercício físico como abordagem terapêutica no tratamento da sarcopenia em idosos: revisão sistemática e metanálise
(Universidade Estadual do Norte do Paraná, 2025) Lucio, Maria Clara Fagundes; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Oliveira, Laís Campos de; https://orcid.org/0000-0002-9853-7337; http://lattes.cnpq.br/1621658942171919; Aguiar, Andreo Fernando; https://orcid.org/0000-0003-3337-2444; http://lattes.cnpq.br/0004657477950633; Teixeira, Denilson de Castro; https://orcid.org/0000-0002-6299-0252; http://lattes.cnpq.br/8134763463354265
Introduction: Aging is associated with several physiological changes that reduce functionality and quality of life (QoL), including sarcopenia. This condition is characterized by progressive loss of muscle mass and strength, which increases the risk of falls, functional dependence, and mortality. Although physical exercise is recognized as an effective strategy for managing sarcopenia, the literature still presents heterogeneity regarding the most appropriate modalities for this population. Objective: To review randomized controlled trials (RCTs) on the effects of physical exercise on skeletal muscle mass, muscle strength, physical performance, QoL, and mortality in older adults with sarcopenia. Methods: The search was conducted in the following databases: Web of Science, Pubmed, Embase, Central, Cinahl, PEDro, SportDiscus, and Lilacs, without filtering by publication date or language, until May 26, 2025. Eligibility criteria were determined using the population, intervention, comparison, and outcome (PICO) method. The methodological quality of RCTs was assessed using the PEDro scale. Meta-analyses were conducted using the standardized mean difference (SMD) or mean difference (MD) between groups in the post-intervention period. The certainty of the evidence was classified according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). In order to verify whether studies with a high risk of bias were influencing the primary analyses, subgroup analyses were performed. Results: After screening, 77 RCTs were included in the systematic review, of which 40 had a low risk of bias. Physical exercise was superior to controls for improving skeletal muscle mass, muscle strength, and physical performance, with no significant differences in QoL. Among the modalities, resistance exercise was more effective than aerobic exercise for skeletal muscle mass, with no differences in strength. The combination of physical exercise with supplementation showed advantages over its isolated use for muscle mass, strength, and, in sensitivity analyses, also for physical performance. Mortality was not analyzed, as only one RCT reported this outcome. The quality of evidence ranged from very low to moderate. Conclusion: Physical exercise should be considered a first-line intervention for older adults with sarcopenia, with the potential to reduce disabilities, promote functionality, and promote healthier aging, despite the heterogeneity of protocols and the limitation of clinical outcomes in some studies.

Navegar

Navegando Ciências da Saúde por Assunto "3. Saúde e bem-estar"

Resultados por página

Opções de Ordenação