BackgroundSarcopenic obesity is associated with disability in older people, especially in women. Resistance exercises are recommended for this population, but their efficacy is not clear.ObjectiveTo evaluate the effects of a progressive resistance exercise program with high-speed component on the physical function of older women with sarcopenic obesity.MethodTwenty-eight women 65 to 80 years old, with a body mass index ≥30kg/m2 and handgrip strength ≤21kg were randomly allocated to two groups. The experimental group underwent a 10-week resistance exercise program designed to improve strength, power, and endurance of lower-limb muscles, with open chain and closed chain exercises. The control group had their health status monitored through telephone calls. The primary outcomes were lower limb muscle performance measured by knee extensor strength, power and fatigue by isokinetic dynamometry, and mobility measured by the Short Physical Performance Battery and by gait velocity. The secondary outcome was health-related quality of life assessed by the SF-36 Questionnaire.ResultsThe average rate of adherence was 85%, with few mild adverse effects. There were no significant between-group differences for any of the outcomes.ConclusionIn this study, a progressive resistance exercise program with high-speed component was not effective for improving the physical function of older women with sarcopenic obesity.

BackgroundSarcopenic obesity is a health condition that combines excess adipose tissue and loss of muscle mass and strength. Sarcopenic obesity predisposes to more functional disabilities than obesity or sarcopenia alone. Progressive resistance exercises are recommended for older people as a potential treatment for sarcopenia and also for obesity. However, there is a lack of evidence indicating which programmes are best applied to older people, and no studies have investigated their effects on sarcopenic obese people. The aims of this protocol study are to investigate and compare the efficacy of land-based and aquatic resistance exercise programmes on improving muscle performance, functional capacity and quality of life of older women with sarcopenic obesity.Methods/DesignThis is a protocol study for a parallel randomised controlled clinical trial. Eligible participants are older women (≥65 years) with a body mass index ≥30 kg/m 2 and hand grip strength ≤21 kg force. A total sample of 36 participants will be randomly allocated to one of the intervention groups in blocks of three: land-based, aquatic or control. Each intervention group will undergo 2-week sessions of a 10-week therapeutic exercise programme for strength, power and endurance training of the lower-limb muscles. Participants in the control group will not participate in any strengthening activity for lower limbs and will receive telephone calls once a week. Baseline and final evaluation of outcomes will encompass muscle performance of the lower limbs assessed by an isokinetic dynamometer; functional tests of usual walking speed, maximal walking speed (shuttle walking test), stair speed and the Short Physical Performance Battery; and health-related quality of life (Medical Outcomes Study Short Form Questionnaire – SF-36). Data collectors will be blinded to randomisation and will not be in touch with participants during the interventions.DiscussionThis study is the first randomised controlled trial designed to evaluate resistance exercises in older patients with sarcopenic obesity. If our hypothesis proves correct, both intervention programmes will be effective, with the land-based exercises conferring better results in muscle performance.Trial registrationRegistro Brasileiro de Ensaios Clínicos: RBR-9p5q67

Este é um artigo publicado em acesso aberto (Open Access) e distribuído sob a licença Creative Commons Attribution NonComercial ShareAlike License, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que sem fins comerciais e que o trabalho original seja corretamente citado e de forma que não indique endosso ao trabalho feito. A ResumoIntrodução: Caracterizada por serviços de alta complexidade, a Unidade de Terapia Intensiva (UTI), recebe pacientes com diferentes níveis de gravidade que necessitem de atendimento continuo, imediato e complexo. A coleta de dados sociodemográficos e clínicos acerca desses pacientes possibilita a analise populacional, que é fundamental para planejamento dos serviços de saúde, em todos os níveis de atenção. Objetivo: Traçar o perfil dos pacientes atendidos na Unidade de Terapia Intensiva adulto do Hospital Regional de Eunápolis, Bahia. Método: Foi realizado um estudo transversal, documental, retrospectivo, de caráter exploratório e abordagem descritiva, através da análise de prontuários de pacientes admitidos e atendidos pela fisioterapia na Unidade de Terapia Intensiva do Hospital Regional de Eunápolis -BA, no período de 01 de março de 2019 à 31 de março de 2020. Resultados: Foram analisados 321 prontuários, onde o perfil predominante foi de indivíduos do sexo masculino (54,2%), com idade média de 58,64 anos e tempo de internação inferior a uma semana. As alterações cardiovasculares (39,9%) e do sistema respiratório (19,3%) foram os principais motivos de internação. As comorbidades associadas estavam ausentes em 57,9% dos pacientes. Em relação ao desfecho da internação 55,45% tiveram alta hospitalar, 36,45% óbito e 8,10% transferência; 52% dos pacientes necessitaram de ventilação mecânica no decorrer da internação. Conclusão: Este estudo reconheceu o perfil do público atendido em uma UTI de homens com meia idade, acometidos por eventos cardiovasculares, servindo de subsídio para a adoção de práticas em saúde de prevenção, promoção e reabilitação específicas ao público identificado.