No abstract

BackgroundA decline in physical activity levels in older people is related with worsening of quality of life and a lower cardiorespiratory fitness level, which are associated with cardiovascular disease events and mortality from all causes. Evidence supports the potential impact of community-based physical exercise programs (CEXE) on cardiovascular health and quality of life. The aim of this study was to investigate health-related quality of life (HRQoL) and cardiovascular risk factors of a CEXE in two communities in Brazil.MethodsAdults with an average age of 70.2 ± 5.4 years were recruited to take part in an individually designed group based CEXE program 2–3 times/ week (aerobic exercise, circuit resistance training and stretching exercises for 1 h each time). Once a week were held competitions to develop the socialization and the ability to collaborate among group members. A CEXE group was compared with a sedentary group. Cardiovascular outcomes were blood pressure (BP), triglycerides, body mass index, waist circumference, high-density-lipoprotein cholesterol (HDL-C), low-density-lipoprotein cholesterol (LDL-C), total cholesterol, and glycaemia. HRQoL was evaluated with the Short Form-36 (SF-36).ResultsOf the investigated cardiovascular outcome measures, significantly decreased by the CEXE program were systolic BP (5.7 [95%CI 0.2 to 11.3], p < 0.05), and the triglyceride-HDL-C ratio (0.8 [95%CI 0.05 to 1.5], p < 0.05), while HDL-C was significantly increased (4.4 [95%CI 0.02 to 8.8], p < 0.05). A significant improvement in the SF-36 subscales occurred in CEXE but not in the control group: physical functioning score (increase of 24.2 [95%CI 11.8 to 36.5] vs. -9.2 [95%CI -21.5 to 3.2], p < 0.001), physical role functioning score (increase of 35.4 [95%CI 12.8 to 58.0] vs. 16.7 [95%CI -6.0 to 39.3], p < 0.01) and general health score (increase of 23.7 [95%CI 36.9 to 10.4] vs. 2.4 [95%CI -10.9 to 15.7], p < 0.001).ConclusionThis study shows that a 12-week physical exercise program may significantly improve cardiovascular risk and health-related quality of life measures in older people. An important socio-cultural transferable strategy of our physical exercise program was to develop social activities during and outside the CEXE program.# These authors contributed equally to this study

Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

Introdução: O envelhecimento promove alterações no sistema cardiovascular que poderá comprometer a aptidão física os idosos. Objetivo: Investigar a correlação entre a aptidão física e os fatores de risco para doenças cardiovasculares em mulheres idosas. Materiais e Métodos: Foram avaliadas 22 mulheres com idades entre 60 e 80 anos participantes do Serviço de Convivência e Fortalecimento de Vínculo do Idoso (SCFVI), do Centro de Referência de AssistÊncia Social (CREAS) da cidade de Eunápolis, Bahia. Foi utilizado o teste de correlação de Pearson para correlacionar a Aptidão Física Geral (ApF) com os Fatores de Risco (FR) e o teste de correlação de Spearman para correlacionar os FR com os domínios da Aptidão Física. Resultados: a média de idade foi de 70 anos (±6), 72,2% viúvas, 59% com ensino fundamental completo e 68,1% com Hipertensão Arterial Sitêmica (HAS) diagnosticada e em tratamento. 45,4% com Índice de Massa Corporal (IMC) classificado com sobrepeso, 68,2% com Circunferência abdominal aumentada substancialmente. A ApF regular foi a classificação mais frequente e sem apresentar correlação com os Fatores de Risco Para Doenças Cardiovasculares avaliados neste estudo. Conclusão: Não foi evidenciado presença de correlação entre os FR’s e o Ínice de Aptidão Física Geral (IAFG), contudo, alguns FR’s se correlacionaram com alguns domínios do IAFG.  Palavras-chave: Doenças Cardiovasculares. Aptidão Física. Geriatria.

Background: Physical activity (PA) and the consequently lower cardiorespiratory fitness levels in older adults decline with age and are associated with cardiovascular disease events and mortality. In the present study we aimed at evaluating the effectiveness of a 12-week supervised physical training community-based program on cardiovascular risk factors and health-related quality of life (HRQoL) in elderly women. METHODS: An exercise intervention was conducted as a prospective, longitudinal and controlled study in 30 elderly participants. Intervention consisted of an individually designed group-based PA program thrice a week (aerobic exercise, resistance training and stretching exercises for 1 h each time), for a period of 12 weeks. The following cardiovascular risk data were investigated: blood pressure, triglycerides, HDL, glycaemia, body mass index (BMI) and waist circumference. HRQoL was evaluated with the Short Form-36 (SF-36). RESULTS: Mean age was 69 ± 0.9 years, normotensive (63% with controlled hypertension), BMI was 25 ± 0.7 kg/m2 and waist circumference was 89 ± 1.6 cm. The exercise group prevented the significant HDL decrease that occurred in the sedentary group (HDL increase: 2.5 [95%CI -4.4 to 9.4] vs HDL decrease: -9.2 [95%CI -16.2 to -2.2], p< 0.01). There was also a significant improvement in the SF-36 subscales in PA but not sedentary group: physical functioning score (increase of 24.2 [95%CI 11.8 to 36.5] vs. -9.2 [95%CI -21.5 to 3.2], p< 0.001), physical role functioning score (increase of 35.4 [95%CI 12.8 to 58.0] vs. 16.7 [95%CI -6.0 to 39.3], p< 0.01) and general health score (increase of 23.7 [95%CI 36.9 to 10.4] vs. 2.4 [95%CI -10.9 to 15.7], p< 0.001). CONCLUSIONS: This study shows that a 12-week physical training program may significantly improve cardiovascular risk reduction, physical capacity, physical function and general health scores.