No abstract

Introdução: O tratamento cirúrgico do câncer de mama e a hormonioterapia antiestrogênica impactam negativamente a qualidade de vida e a função sexual feminina. Considerando que a atividade física proporciona benefícios importantes para minimizar o impacto físico e emocional do tratamento, o método Pilates é uma modalidade de exercícios físicos que poderia incrementar os parâmetros de qualidade de vida das mulheres sobreviventes do câncer de mama. Objetivo: Estudar o impacto do método Pilates na força dos músculos do assoalho pélvico (FMAP), na função sexual (FS) e na qualidade de vida relacionada à saúde (QVRS) de mulheres sobreviventes de câncer de mama. Método: Ensaio clínico randomizado, no qual 24 mulheres mastectomizadas foram divididas em dois grupos: Pilates (G1) e grupo controle (G2) por oito semanas. A FS foi avaliada pelo questionário FSFI e a QVRS, pelo questionário EORTC QLQ-C30. A FMAP foi avaliada por perineometria e contratilidade usando o esquema PERFECT. Os valores foram expressos como média ± desvio padrão. A análise inferencial foi realizada utilizando medidas repetidas Anova e pós-teste de Bonferroni. Resultados: As mulheres do G1 apresentaram melhor desempenho do que as do G2 nas seguintes variáveis: FS, grau de contração muscular; em todos os itens do esquema PERFECT; domínios do questionário QLQ-C30: status global de saúde, funcionamento físico, funcionamento emocional; itens da escala de sintomas fadiga, náusea e dor e percepção de dificuldades financeiras (p<0,05). Conclusão: Os resultados mostram benefícios dos exercícios supervisionados de Pilates na força dos músculos do assoalho pélvico, função sexual e qualidade de vida após o câncer.

Chronic diseases are becoming a serious public health problem, including chronic kidney failure (CKF), which causes significant functional losses, limitation of activities of daily living (ADL) and impairments in quality of life. As a result, the application of instruments that assess functional capacity in clinical practices becomes relevant. Thus, the objective of the present study was to evaluate the functional capacity of patients with CKF by the ADL-Glittre test. This was a cross-sectional study, including 31 male and female volunteers, divided into two groups: CKD-G (n=19) and CG (n=12), respectively. For the statistical analysis comparing categorical variables, the chi-squared test was used, and for the continuous variables the Mann-Whitney test, with a statistical significance level of 5%. There was a significant difference between the studied groups regarding the time taken to perform the ADL-Glittre [CKD-G: 3.1 (0.5) minutes and CG: 2.5 (0.2) minutes (p=0.001)] and in the ADL-Glittre reports [normal or reduced: CKD-G (0/19) and CG (6/6) (p=0.001)]. In both variables, the CKD-G obtained lower results. In conclusion, it was observed that CKD resulted in impairment of functional capacity and that the ADL-Glittre Test proved to be an appropriate instrument for the assessment of functional capacity of CKD patients.

No abstract

Maintenance of good levels of physical fitness is essential during occupational tasks for the general health of the military police. However, no studies have evaluated longitudinal changes in the physical fitness of Brazilian military police officers according to their specialties. Thus, the objective of the current study was to analyze the changes in the physical fitness of military police officers according to their specialty, over a period of five years. Retrospective data (2015–2019) from 290 police officers were analyzed, including age and physical fitness tests (12-min run test, sit-ups, push-ups, and pull-ups on the bar). The sample was divided into four groups (Specialized; Border; Urban; and Environmental). ANCOVA was used to describe differences in physical fitness components between groups of police officers after adjusting for age. Initial fitness was higher among police officers in the Specialized group (i.e., those with greater physical demands). During the five-year follow-up period, there was an age-related decrease in physical capacity for all groups, regardless of specialty. However, Urban police showed improvement in running and sit-up tests (p < 0.05) over time. Changes in physical capacity during follow-up differed depending on the physical component analyzed and the occupational specialty.