Introdução: A queda é um problema de saúde pública e a identificação dos fatores associados constitui importante estratégia na prevenção da saúde. Objetivo: Identificar a frequência de quedas e fatores associados entre idosos adscritos a uma Unidade Básica de Saúde (UBS). Metodologia: Estudo transversal realizado em UBS do município de Petrolina, PE (Brasil) envolvendo 40 idosos com idade ≥60 anos. Para avaliação socioeconômica, estado geral de saúde, histórico de quedas e medo de cair foram utilizados questionários estruturados. O Mini Exame do Estado Mental (MEEM) foi utilizado como indicativo da função cognitiva e para avaliação do risco de queda utilizou-se o Timed Up And Go (TUG). Em adição, realizou-se avaliação antropométrica. Foram calculadas a distribuição das frequências absolutas e relativas, e os intervalos de confiança de 95% (IC95%). Associações entre a ocorrência de queda e as demais variáveis foram calculadas por meio dos testes Qui-Quadrado ou Exato de Fisher. Resultados: Foram incluídos 38 idosos, com mediana de idade 68,5 anos, 42,1% (n=16) apresentaram histórico de pelo menos uma queda nos últimos 12 meses e 21,1% (n=8) deixaram de realizar alguma atividade por medo de cair. Não foram verificadas associações significativas entre ocorrência de queda e as variáveis idade, sexo, diabetes mellitus, hipertensão arterial sistêmica, risco de queda, medo de cair, déficit visual e doença osteoarticular. Conclusão: A frequência de quedas foi elevada entre os idosos analisados e não foi observada associação significativa entre ocorrência de queda e os fatores preditores analisados.

This study aims to examine the effects of 12 weeks of physical-cognitive dual-task training on cognition, depression, sleep quality, and quality of life in older women (n = 44; 66.20 ± 4.05 years). Of these, 22 were randomly allocated to the dual-task training (DT) group, and 22 participated in the activities of the education control group (CG). Assessments were performed at baseline, at the end of 12 weeks of intervention, and after 12 weeks of follow-up using the following instruments: Trail Making Test parts A and B, ΔTMT (B-A), Stroop test parts A, B, C, and ΔStroop (C-B), Geriatric Depression Scale (GDS), sleep quality (PSQI), quality of life (SF-36). The results showed a positive and significant time-group interaction for two cognitive domains (TMT and Stroop). No time-group interaction effect was indicated for depression and sleep quality perception. There was a positive and significant interaction effect between time and group for three SF-36 subcategories (physical function, physical role, and general health). Our training protocol was not able to improve depressive symptoms and sleep quality. On the other hand, DT training was able to promote the performance of executive functions and the physical and mental component summary of the quality of life with lasting effects of up to 12 weeks after the intervention.

Objective To identify the differences in cardiac autonomic control between older people with good and poor sleep quality. Material and Methods This is a cross-sectional study with 40 older people aged ≥ 60 years, registered at a community health center in Petrolina, Pernambuco, Brazil. The sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). To assess heart rate variability (HRV), the RR intervals (RRI) were recorded for 10 min with a validated smartphone app and a wireless transmitter Polar H7 positioned on the patient’s chest. The HRV parameters were calculated with Kubios HRV, and the data were analyzed in SPSS. Subjects with good and poor sleep quality (PSQI >5) were compared with the Mann-Whitney U test. Results A total of 31 older people were included in the final analysis, with 18 (58.1%) of them having poor sleep quality. Older people with good sleep quality have similar cardiac autonomic control to those with poor sleep quality. The medians of time (mean RRI, pNN50, SDNN, and RMSSD) and frequency-domain HRV parameters (LFms2, LFnu, HFms2, HFnu, and LF/HF ratio) were statistically similar (p > .05) in older people with good and poor sleep quality. According to the effect size, the HRV indicators were slightly better among those with good sleep quality. Conclusion There were no statistical differences in cardiac autonomic control between older people with good and poor sleep quality.

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BACKGROUND AND OBJECTIVES: Both biomechanical and emotional factors may contribute to the development of work-related musculoskeletal disorders in physical therapists working at a hospital, but we still do not know if these professionals present musculoskeletal symptoms related to the sector and working time. The objective of this study was to compare the self-report of pain and musculoskeletal discomfort of the physical therapists working in the intensive care unit and ward of a university hospital and retrospectively evaluate, 12 months of work, self-report of pain and musculoskeletal discomfort of physiotherapists in these sectors. METHODS: The self-report of pain and the musculoskeletal discomfort of the 18 physical therapists working in this hospital were evaluated by the Nordic Musculoskeletal Questionnaire in the admission period (T0) and after 12 months (T1). RESULTS: No association was found between the self-report of pain and musculoskeletal discomfort and the working sector of these professionals. However, there was a temporal association between the self-report of pain and musculoskeletal complaints in the intensive care unit sector in the following regions: neck (p=0.043), shoulders (p=0.009), upper back (p=0.043), lower back (p=0.043) and hip and thigh region (p=0.027). The second shift of these professionals was not associated with pain and musculoskeletal discomfort. CONCLUSION: The self-report of pain and musculoskeletal discomfort of physical therapists of this university hospital, both in the admission period (T0) and after 12 months of work (T1) was not associated with the sector in which they work. However, after 12 months, the physical therapists working in the intensive care unit showed an increase in the amount of self-report of pain and musculoskeletal discomfort. Pain and musculoskeletal discomfort in physiotherapists of the intensive care unit and ward of a university hospital: a retrospective cohort study Dor e desconforto musculoesquelético em fisioterapeutas da unidade de terapia intensiva e enfermaria de um hospital universitário: um estudo de coorte retrospectivo