Um estudo transversal sobre atividade física e qualidade de vida relacionada à saúde em idosos institucionalizados e não institucionalizados

Abstract

A cross-sectional study on physical and sedentary activity and health-related quality of life in institutionalized vs. non-institutionalized elderly Differences between institutionalized and non-institutionalized elderly were found in moderate-intensity activities and walking, a favour of non-institutionalized. The institutionalized elderly remain more minutes in sedentary activity. Also, were observed differences between both groups in physical component of HRQoL, a favour of non-institutionalized elderly. The mental component remained unchanged. The multivariate regression analyses showed that physical activity predicted the physical (8 to 12%) and mental (5 to 8%) components of HRQoL for institutionalized and non-institutionalized elderly. Conclusions: Non-institutionalized elderly were more physically active, spent less time in sedentary activity and showed better perception physical component of HRQoL that institutionalized elderly. An important and encouraging result of this study was that physical activity is a predictor of improved physical and mental component of HRQoL for institutionalized and non-institutionalized elderly. Um estudo transversal sobre atividade física e qualidade de vida relacionada à saúde em idosos institucionalizados e não institucionalizadosKeywords: Motor activity. Sedentary lifestyle. Quality of life. Health of institutionalized elderly.* Author contributions: P Tomas-Carus conceived of the study, participated in its design and coordination, analysed the data, contributed to the results discussion and wrote the manuscript; C Biehl-Printes analysed the data, contributed to the results discussion and manuscript draft; A Raimundo, C Pereira, N Terra contributed to the results discussion; L Laranjo participated in coordination and data collection; J Fernandes participated in the study design and coordination, and contributed to the results discussion. All authors read and approved the final manuscript. RESUMOObjetivos: Comparar atividade física, sedentarismo e qualidade de vida relacionada a saúde (QVRS) em idosos institucionalizados e não institucionalizado e estabelecer um padrão de associação e predição da atividade física e do sedentarismo com os componentes físicos e mentais da QVRS. Métodos: A amostra foi composta por 383 idosos com idade ≥ 75 anos (187 institucionalizados e 196 não institucionalizados). Foram aplicados o questionário internacional de atividade física (IPAQ) e a versão reduzida do inventário de saúde (SF-36) para avaliar a atividade física e o QVRS. Também foi utilizado o Mini Exame do Estado Mental (MEEM) para exclusão de problemas cognitivos. Resultados: Foram encontradas diferenças entre idosos institucionalizados e não institucionalizados nas atividades de intensidade moderada e na caminhada, a favor dos não institucionalizados. Os idosos institucionalizados apresentaram mais minutos em atividade sedentária. Além disso, foram observadas diferenças entre os dois grupos no componente físico da QVRS, a favor dos idosos não institucionalizados. O componente men...

Atividade física e aptidão funcional em pessoas idosas que vivem em lares e em utentes de centro de dia: um estudo exploratório

“…Although there are significant differences between groups in moderate PA, in both cases the results revealed patterns of PA very distant from the health recommendations of accumulating at least 30 min of moderate to vigorous PA (World Health Assembly 2004) or 10,000 steps per day (Tudor-Locke & Bassett, 2004). There are a limited number of studies that measured PA in institutionalized older adults or DCC users and most of them have reported PA by questionnaire (Król-Zielinska et al, 2011;Pereira et al, 2016;Tomas-carus et al, 2014). A previous study about PA behavior which was also conducted with Portuguese institutionalized older adults (Lobo, Santos, Carvalho, & Mota, 2008), reported better results than ours.…”

“…A previous study about PA behavior which was also conducted with Portuguese institutionalized older adults (Lobo, Santos, Carvalho, & Mota, 2008), reported better results than ours. The authors divided the sample into tertiles according to min of moderate PA, reporting mean values between 0.6-0.7 min, 4.3-4.7 min and 25.6-27.9 min for each of those tertiles, thus showing that about one-third of the participants have reasonable levels of PA. We have also found two studies (Pereira et al, 2016;Tomas-carus et al, 2014) that reported results for PA behavior as measured by the International Questionnaire of Physical Activity (Craig et al, 2003). Tomas-carus et al (2014) showed good results of PA in institutionalized older adults.…”

“…Thus, most studies look at PA and functional fitness of older adults living in the community. The available studies with institutional-ized older adults shown that they are less physical active (Król-Zielinska, Kusy, Zielinski & Osinski, 2011), less fit and more sedentary than the older adults living in the community (Simão & Pereira, 2015;Tomas-Carus et al 2014). In Portugal, we found one study that examined the PA of institutionalized older adults (Lobo et al, 2008), and two studies that examined their functional fitness (Lobo et al, 2008;Pereira et al, 2016).…”