568 RESUMOEstudo realizado com o obje vo de traduzir e adaptar a Morse Fall Scale da língua inglesa para a portuguesa. Foi realizado em sete etapas: autorização pela autora da escala; tradução para o português do Brasil; avaliação e estruturação da escala traduzida; tradução reversa para o inglês; avaliação e validação da escala pelo comitê de especialistas; avaliação da clareza dos itens e defi nições operacionais por 45 profi ssionais e avaliação da concordância entre avaliadores e confi abilidade da reprodu bilidade, quanto aos dados referentes à avaliação de 90 pacientes, por quatro avaliadores/juízes. Quanto à clareza da escala, as proporções foram consideradas muito sa sfatórias, com intervalo de confi ança entre 73% a 100% na opção muito claro. Quanto à concordância das respostas, os resultados apresentaram coeficientes Kappa em torno de 0,80 ou superiores. Concluiu-se que o processo de adaptação da escala foi bem sucedido, indicando que seu uso é apropriado para a população de pacientes brasileiros hospitalizados. DESCRITORES Pacientes internadosAcidentes por quedas Fatores de risco Segurança Estudos de validação. ABSTRACTThe study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authoriza on by the author of the scale; transla on into Portuguese; evalua on and structuring of the translated scale; reverse transla on into English; evalua on and valida on of the scale by a commi ee of experts; evalua on of clarity of items and opera onal defi ni ons with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evalua on of 90 pa ents, performed by four evaluators/judges. The clarity of the scale was considered very sa sfactory, with a confi dence interval of 73.0% to 100% in the op on very clear. For the concordance of responses, the results showed Kappa coeffi cients of approximately 0.80 or higher. It was concluded that the adapta on of the scale was successful, indica ng that its use is appropriate for the popula on of Brazilian pa ents. DESCRIPTORS Inpa ents Accidental falls Risk factors Safety Valida on studies RESUMENEstudio efectuado obje vando traducir y adaptar la Morse Fall Scale del inglés al portugués. Fue realizado en siete etapas: autorización de la autora; traducción al portugués brasileño; evaluación y estructuración de la escala traducida; traducción rever da; evaluación y validación de la escala por comité de especialistas; evaluación de claridad de ítems y defi niciones opera vas por 45 profesionales y evaluación de concordancia entre evaluadores y confi abilidad de la reproduc bilidad; en cuanto a los datos referentes a la evaluación de 90 pacientes, por parte de cuatro evaluadores/jueces. Respecto a la claridad de la escala, las proporciones fueron consideradas muy sa sfactorias, con intervalo de confi anza entre 73% y 100% para muy claro. Acerca de la concordancia de respuestas, los resultados presentaron coefi cientes Kappa de aproximadamente...

Objectives:to present currently available evidence to verify the association between metabolic syndrome and quality of life. Method:Cochrane Library, EMBASE, Medline and LILACS databases were studied for all studies investigating the association with metabolic syndrome and quality of life. Two blinded reviewers extracted data and one more was chosen in case of doubt. Results:a total of 30 studies were included, considering inclusion and exclusion criteria, which involved 62.063 patients. Almost all studies suggested that metabolic syndrome is significantly associated with impaired quality of life. Some, however, found association only in women, or only if associated with depression or Body Mass Index. Merely one study did not find association after adjusted for confounding factors. Conclusion:although there are a few studies available about the relationship between metabolic syndrome and quality of life, a growing body of evidence has shown significant association between metabolic syndrome and the worsening of quality of life. However, it is necessary to carry out further longitudinal studies to confirm this association and verify whether this relationship is linear, or only an association factor.

BackgroundLifestyle intervention programs can reduce the prevalence of metabolic syndrome (MetS) and, therefore, reduce the risk for cardiac disease, one of the main public health problems nowadays.ObjectiveThe aim of this study was to compare the effects of three types of approach for lifestyle change programs in the reduction of metabolic parameters, and to identify its impact on the quality of life (QOL) of individuals with MetS.MethodsA randomized controlled trial included 72 individuals with MetS aged 30-59 years. Individuals were randomized into three groups of multidisciplinary intervention [Standard Intervention (SI) - control group; Group Intervention (GI); and Individual Intervention (II)] during 12 weeks. The primary outcome was change in the metabolic parameters, and secondarily, the improvement in QOL measures at three moments: baseline, 3 and 9 months.ResultsGroup and individual interventions resulted in a significant reduction in body mass index, waist circumference, systolic blood pressure at 3 months and the improvement of QOL, although it was significantly associated with the physical functioning domain. However, these changes did not remain 6 months after the end of intervention. Depression and anxiety were significantly associated with worse QOL, although they showed no effect on the response to intervention.ConclusionMultidisciplinary intervention, especially in a group, might be an effective and economically feasible strategy in the control of metabolic parameters of MetS and improvement of QOL compared to SI, even in a dose-effect relationship.

The randomized controlled trial evaluated the effectiveness of an intervention based on the Transtheoretical Model of Change on anthropometric, metabolic and motivational outcomes in obese adolescents. A total of 135 male and female adolescents were randomized to two groups: intervention group ( n = 65) and control group ( n = 70). The adolescents were evaluated 1 week before the interventions began and at the end of 12 weeks. There was no statistically significant difference between groups in the outcome variables. Intervention group reported magnitude of effect more expressive on body mass index percentile, waist circumference, waist-to-hip ratio, readiness to change diet and readiness to start exercise.

Trata-se de um relato de experiência relativo às estratégias e ações adotadas para a integração ensino-serviço, com a finalidade de contribuir no processo de formação profissional na área da saúde, em consonância com as diretrizes e princípios do Sistema Único de Saúde (SUS). O trabalho aborda as descobertas, os avanços, as potencialidades, as dificuldades e os pontos críticos encontrados, assim como as experiências bem-sucedidas e a sustentabilidade vivenciada no contexto da Atenção Primária à Saúde com os programas Pró-Saúde e PET-Saúde.