Introdução: as investigações com centenários no Brasil são escassas e pontuais, sendo que pouco se sabe sobre o perfil desta população e os fatores que interferem na longevidade. Objetivo: descrever as pesquisas com centenários em Santa Catarina voltado a temática atividade física, estilo de vida e longevidade, de acordo com o protocolo de avaliação e resultados encontrados. Método: o estudo é de cunho descritivo documental relacionado ao Projeto SC100: estudo Multidimensional dos Centenários de Santa Catarina, desenvolvido no Laboratório de Gerontologia (LAGER) do Centro de Ciências da Saúde e do Esporte (CEFID) da Universidade do Estado de Santa Catarina (UDESC). Resultados: para o projeto SC100 foi elaborado o Protocolo de Avaliação Multidimensional do Idoso Centenário (PAMIC) que ao longo do tempo foi sendo reestruturado, tendo em vista as especificidades desta população. Também foi elaborado o protocolo de avalição do cuidador do idoso, visto a necessidade de compreender a sobrecarga do cuidado. Quanto aos resultados das pesquisas relacionadas ao projeto, foi possível observar que na população centenária, há uma predominância de mulheres, viúvas, escolaridade inferior a sete anos, a caminhada surge como a principal atividade física realizada, caracterizando-as como pouco ativas. Além disso, entre os principais hábitos de lazer estão: assistir TV e dormir. Em relação as atividades de lazer em diferentes fases da vida, há uma tendência natural em se tornarem sedentários, ou seja, iniciam a vida com a prática regular de atividades mais ativas e durante o processo de envelhecimento passam a inatividade. Conclusão: Neste estudo, durante a caracterização dos centenários, foi possível identificar uma tendência de um estivo de vida passivo e da inatividade física, ressaltando a necessidade de intervenções domiciliares com esta população tão longeva. Também protocolos de avaliação podem contribuir para conhecer melhor essa população.
The objective was to analyze the impact of social isolation on moderate physical activity and factors associated with sedentary behavior of older adults during the COVID-19 pandemic. This was a cross-sectional study involving 111 older adults (aged 71.0 ± 6.87 years). The data were collected at two time points: in November 2019 and in June 2020. There was a decline in moderate physical activity when the minutes/week were compared before and during social isolation (p < .001). Sedentary behavior was associated with the condition of living alone. Older adults who lived alone were 3.29 times more likely to spend 4 hr or more in sedentary behavior than those who lived with a partner (95% confidence interval [1.01, 10.74]). Government agencies must establish PA-related health promotion strategies, especially in developing and low-income countries. Therefore, home exercises need to be encouraged to prevent the consequences of this pandemic period.
Objectives: Older women with urinary incontinence (UI) commonly report sleep problems. However, little is known about sleep problems in older women with UI who exercise. We aimed to evaluate the relationship of sleep quality with the presence or absence of UI, urine loss, and nocturia episodes in elderly female practitioners of physical exercise. Material and Methods: We conducted a cross-sectional study on older women participating in an extension program, southern Brazil. Data were collected in 2018. Sociodemographic and health characteristics were collected by interview. The International Consultation on Incontinence Questionnaire -short form was applied to evaluate the presence of UI, as well as the frequency and amount of urine loss. The International Consultation on Incontinence Questionnaire Overactive Bladder was used to analyze nocturia episodes. Sleep quality was assessed using the Pittsburgh sleep quality index. Results:The study group included 142 older women with a mean age of 68.8±6.8 years. The prevalence of UI was 33.8% (95% CI: 0.26-0.42). Women with UI had higher use of medication, daytime dysfunction, and total sleep quality scores than women without UI (p<0.05). Older women who leak urine several times a day exhibited worse sleep quality than those who lose urine once a week or less (p=0.036). Women with three or more episodes of nocturia also showed worse sleep quality than those without any episode (p=0.029). Conclusion: Exercising older women with UI have worse sleep quality than those without this dysfunction. Furthermore, participants who lose large amounts of urine and have more episodes of nocturia also exhibit worse sleep quality.
Introduction. Urinary incontinence (UI) is perceived as a problem that affects older and multiparous women. However, recent studies report that involuntary loss of urine also affects athletes, young and nulliparous. There is controversy over the role of exercise in UI. Thus the purpose of the review is to describe and evaluate scientific evidence concerning the prevalence of UI in female volleyball athletes. Methods. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta--Analyses (PRISMA). The selected databases were PubMed, LILACS, PEDro, Medline, Cochrane, and ScienceDirect. The searches were performed between December 2016 and January 2017. The descriptors and Boolean operators used in the search were as follows: 'urinary incontinence AND athletes AND volleyball.' After peer evaluation, 47 studies were identified, and 6 articles were selected for review. The methodological evaluation was based on Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).Results. The review identified the UI prevalence of 9-30% during sports practice and 17-18% in the day-by-day life. Practising physical exercise of high impact appears to be a causing factor of UI in women.Conclusions. Practising volleyball in the female population can be an important UI risk factor. Owing to the high prevalence of UI, coaches and athletes must be aware of the importance of training the pelvic floor muscles simultaneously with the sports practice. Key words: stress, urinary incontinence, muscles of the pelvic floor, sport review paper Citation: da Silva Pereira F, Haupenthal A, Scarabelot KS, Brunazo PF, Nunes I, Virtuoso JF. Urinary incontinence prevalence in the day--by-day life and during sports practice in volleyball athletes: a systematic review.
Background: High-impact sports can cause dysfunction to the female pelvic floor that leads to the occurrence of stress urinary incontinence. Objective: To identify and compare the presence of urine loss between professional and amateur female volleyball athletes during a competition. Methods: A cross-sectional and comparative study was conducted on 75 volleyball athletes, including 30 amateurs and 45 professional athletes. Female athletes 18 years of age or older were included. Urine loss during the competition was evaluated by self-report and measured by a pad test (in grams). Day-to-day urinary incontinence was identified using the Urinary Distress Inventory 6 (UDI-6). Before the beginning of the game, the instruments were applied by individual interview for data collection and the pad was positioned. After the game, the pad was removed and weighed again. Descriptive and inferential statistics were used, with a significance level of 5%. Results: Half of the professional (50.0%) and amateur (55.6%) athletes have symptoms of urine loss during a competition. Objective urine loss was higher among professional athletes (4.5 AE 1.4 g) compared to amateur athletes (3.8 AE 1.4 g). There was a significant difference (P < .001) in objective urine loss between symptomatic (mean = 5.41, standard deviation [SD] = 0.8) and asymptomatic professional athletes (mean = 3.40, SD = 1.3). Conclusion: Self-report of urinary incontinence during the competition was common among professional and amateur athletes. However, objective urine loss was significantly higher among professional athletes.
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