Quality of life, physical activity, and functionality in older primary care users in Porto Alegre-RS

OBJETIVO: Estudar a possível relação entre qualidade de vida e características sociodemográficas, antropométricas, funcionais e de atividade física em idosos da Estratégia Saúde da Família de Porto Alegre (RS). MÉTODOS: Estudo transversal e analítico com idosos (≥ 60 anos). Os dados foram coletados de forma prospectiva em amostra aleatória de 30 unidades de saúde. As variáveis pesquisadas foram: sociodemográficas (idade, estado civil, escolaridade); antropométricas (peso, altura, índice de massa corporal); e funcionais (velocidade de marcha, força de preensão manual, teste senta/levanta). Foi aplicada a escala de qualidade de vida de Flanagan e o questionário de Minnesota de atividade física e de lazer para o nível de atividade física. Analisaram-se os dados utilizando regressão logística pelo método backward conditional RESULTADOS: Entre os 577 idosos avaliados (68,5 ± 6,4 anos; 63,7% mulheres), a qualidade de vida de 87% foi classificada como alta. No modelo multivariado inicial (saturado), foram consideradas variáveis preditoras de qualidade de vida: sexo, convivência marital, tempo gasto para caminhar 10 m, escore do teste senta/levanta, força de preensão manual e atividade física moderada, intensa e total. O modelo final (seis etapas) foi composto de quatro variáveis: conviver maritalmente, maior escore do teste senta/levanta, maior força de preensão manual e prática de atividade física intensa. CONCLUSÃO: Conforme observado, a alta qualidade de vida relacionou-se a idosos que convivem maritalmente, apresentam maior força de membros superiores e inferiores e despendem mais tempo na prática de atividade física intensa.OBJECTIVE: To study the possible relation between quality of life and sociodemographic, anthropometric, functional and physical activity characteristics in older users of the Family Health Strategy in Porto Alegre-RS. METHODS: Cross-sectional and analytical study with older subjects (≥ 60 years). Data were prospectively collected in a random sample of 30 health units. The following variables were analyzed: sociodemographic (age, marital status, education); anthropometric (weight, height, body mass index); functional (walking speed, handgrip strength, Sit/Stand test). The Flanagan Quality of Life Scale and the Minnesota Physical Activity and Leisure Questionnaire (level of physical activity) were applied. Logistic Regression (Backward Conditional Method) was used for data analysis. RESULTS: Among the 577 older subjects evaluated (68.5 ± 6.4 years; 63.7% women), the majority (87%) presented high quality of life. In the initial multivariate (saturated) model, the following variables were considered as predictors of quality of life: gender, marital coexistence, time spent walking 10 m, higher Sit/Stand test score, handgrip strength, moderate, intense and total physical activity. The final model (6 steps) consisted of four variables: cohabitation, higher Sit/Stand test score, higher handgrip strength and engagement in intense physical activity. CONCLUSION: As observed, a high quality of life was related to older people who lived with a partner, presented higher upper and lower limb strength, and spent more time in the practice of intense physical activity

Glossário de tecnologia, trabalho e direito do trabalho numa visão interdisciplinar

1

Depressive symptoms and functionality in older adults of the Porto Alegre’s primary care

OBJETIVO: Determinar a prevalência de sintomas depressivos (SD) e a sua relação com aspectos funcionais, sociodemográficos e antropométricos em idosos da Estratégia Saúde da Família de Porto Alegre (RS). MÉTODOS: Trata-se de um estudo transversal prospectivo e analítico com amostra aleatória de 509 idosos de 30 unidades básicas de saúde. Analisaram-se idade, faixa etária, sexo, estado civil, escolaridade, peso, altura, índice de massa corporal, funcionalidade, atividades básicas e instrumentais de vida diária e presença de SD. Para análise estatística, utilizou-se o teste χ2 (bivariada) e de regressão logística (multivariada). RESULTADOS: A prevalência de SD na amostra foi de 35,4%. O modelo final apresentou associação estatisticamente significativa de SD com sexo feminino (odds ratio — OR = 2,87; intervalo de confiança de 95% — IC95% 1,92–9,23), analfabetismo [(OR = 2,13; IC95% 1,89–5,12), baixa escolaridade (OR = 1,23; IC95% 1,05–2,74), dependência em atividades instrumentais de vida diária (OR = 4,03; IC95% 1,68–9,64), baixos escores no teste senta/levanta (OR = 0,89; IC95% 0,82–0,96) e menor força de preensão manual (OR = 0,95; IC95% 0,93–0,98). CONCLUSÃO: A prevalência dos SD observada foi alta, e, ante as associações apresentadas, sugere-se que mulheres analfabetas ou com baixa escolaridade, com dificuldade em atividades instrumentais de vida diária, mais fracas e lentas devem ser investigadas quanto à presença de SD, pelo risco de desenvolvê-los.OBJECTIVE: The aim of this study was to determine the prevalence of depressive symptoms (DS) and their relationship with functional, sociodemographic and anthropometric aspects in the older adults from the Family Health Strategy of Porto Alegre/ RS. METHOD: This is a cross-sectional, prospective and analytical study, with a random sample of 509 older adults from 30 public health units. The following variables were analyzed: age, age group, sex, marital status, schooling, weight, height and body mass index, functionality, activities of daily living, both basic and instrumental, and the presence of DS. For the statistical analyses, the bivariate qui-square test and the multivariate logistic regression were used. RESULTS: The prevalence of DS in this sample was 35,5%. The final model presented a significant statistical association of DS with female gender (OR = 2.87; IC95% 19.2-9.23), illiteracy (OR = 2.13; IC95% 1.89–5.12), low schooling (OR = 1.23; IC95% 1.05–2.74), dependence on IADL (OR = 4.03; IC95% 1.68–9.64), low scores in the sit-to-stand test (OR = 0.89; IC95% 0.82–0.96) and lower HGS (OR = 0.95; IC95% 0.93–0.98). CONCLUSION: The prevalence of DS observed was high (35.4%) and, considering the associations presented, it is suggested that illiterate or poorly educated, weaker and slower women with difficulty in IADL should be investigated for the presence of depressive symptoms, for being at the risk of developing them

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Ensino sobre idosos nos cursos de gradua??o em nutri??o : o panorama brasileiro

Submitted by PPG Gerontologia Biom?dica ([email protected]) on 2019-06-06T12:29:55Z No. of bitstreams: 1 MARTINS_RENATA_BREDA_DIS.pdf: 1128718 bytes, checksum: 6e680df4c258949c4354ffff414ee26a (MD5)Approved for entry into archive by Sheila Dias ([email protected]) on 2019-06-19T19:56:10Z (GMT) No. of bitstreams: 1 MARTINS_RENATA_BREDA_DIS.pdf: 1128718 bytes, checksum: 6e680df4c258949c4354ffff414ee26a (MD5)Made available in DSpace on 2019-06-19T20:04:33Z (GMT). No. of bitstreams: 1 MARTINS_RENATA_BREDA_DIS.pdf: 1128718 bytes, checksum: 6e680df4c258949c4354ffff414ee26a (MD5) Previous issue date: 2019-03-28Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPESIntroduction: Brazil experiences a process of demographic transition in which there is an increase in the elderly population to the detriment of adults and children. This fact challenges the government, educational institutions and society, to reorganize itself to respond to the needs of this population. Higher Education Institutions (HEI) should insert teaching about the elderly in the curriculum of the courses, to contribute to the training of professionals. Objective: To describe the panorama of teaching about the elderly in undergraduate courses in Nutrition of brazilian higher education institutions. Methods: This was a cross-sectional study, whose data were obtained from the e-mail addresses of the HEI accredited in the electronic system of the Ministry of Education (e-MEC) in 2018. The search was carried out in curriculum grid, curriculum, political-pedagogical project about the presence of discipline(s) with the term(s): elderly, elder, aging, geriatrics, geriatric, gerontology, third age. We excluded the HEI that did not offer electronic access, and the courses offered exclusively in the distance teaching mode. The following variables were investigated: administrative category; academic organization; electronic address of the HEI in e-MEC; course modality; evaluation in the National Student Performance Exam (Enade) 2016; Enade concept; minimum course load per e-MEC; curriculum grid; year of beginning of the valid curriculum; the hourly course load reported by the HEI; disciplinary committee; disciplines involving the elderly; type of disciplines; nature of the disciplines; offer semester; hours of the disciplines involving the elderly; pedagogical activity of these disciplines; internship in the area of the elderly. As well as, to analyze the association between the availability of disciplines involving the elderly and the Brazilian geographic regions and the proportion of undergraduate courses in Nutrition with the discipline that involve the elderly in relation to the number of elderly people in the regions. Results: A total of 527 HEIs were analyzed, mostly private HEIs, 88.0% (n= 464), 41.7% (n= 220), and 86.3% (n= 455). Data from 447 HEI were obtained, of which 64.0% (n=286) of the HEI offered subjects on the elderly, and 58.1% (n=166) were offered in a shared way (not only involving the subject of the elderly), 76.2% (n=166) from the 5th to the 8th semester, 53.2% (n=75) was of a theoretical nature, 61.5% (n=163) had ?60 hours/semester, 92.2% (n=247) constituted a compulsory pedagogical activity. It was identified that 97.2% (n=239) of the curricular grades started to apply between 2010-2018 and 98.6% (n=350) had a time load ?3200 hours. It was observed that the stage involving the elderly (one or more) was offered by only 4.6% of the courses. The Southeast region presented the highest number of HEI, 37.4% (n=195). The North region presented the highest proportion of courses with the discipline in relation to the number of elderly people. Conclusion: In the present study, approximately 1/3 of Brazilian HEIs don?t offer teaching about the elderly in their undergraduate courses in Nutrition neither as a discipline nor as an internship. In this case, the disciplines that addressed the theme of the elderly were offered in a shared way with other subjects, had a theoretical approach, a semester load of ?60 hours and were obligatory. Only a minority of the institutions provided internships in this area.Introdu??o: O Brasil vivencia um processo de transi??o demogr?fica em que h? o aumento da popula??o idosa em detrimento de adultos e crian?as. Fato esse que desafia governo, institui??es de ensino e sociedade, a reorganizar-se para responder ?s necessidades dessa popula??o. As Institui??es de Ensino Superior (IES) devem inserir o ensino sobre idosos nos curr?culos dos cursos, de modo a contribuir na forma??o de profissionais. Objetivo: Descrever o panorama do ensino sobre idosos nos cursos de gradua??o em Nutri??o das institui??es de ensino superior brasileiras. M?todos: Trata-se de um estudo transversal, cujos dados foram obtidos nos endere?os eletr?nicos das IES credenciadas no sistema eletr?nico do Minist?rio da Educa??o (e-MEC) em 2018. Foi realizada a busca nos curr?culos, grades curriculares, ementas, projeto pol?tico-pedag?gico sobre a presen?a de disciplina(s) com o(s) termo(s): idoso(s), anci?o, envelhecimento, geriatria, geri?trica, gerontologia, terceira idade. Foram exclu?das as IES que n?o disponibilizavam acesso eletr?nico, e os cursos oferecidos exclusivamente na modalidade ensino ? dist?ncia. As seguintes vari?veis foram investigadas: categoria administrativa; organiza??o acad?mica; endere?o eletr?nico da IES no e-MEC; modalidade do curso; avalia??o no Exame Nacional de Desempenho dos Estudantes (Enade) 2016; conceito Enade; carga hor?ria m?nima do curso pelo e-MEC; grade curricular; ano de in?cio da vig?ncia da grade curricular; carga hor?ria do curso informada pela IES; ementa das disciplinas; disciplinas que envolvem idosos; tipo das disciplinas; natureza das disciplinas; semestre de oferta; carga hor?ria das disciplinas que envolvem idosos; atividade pedag?gica destas disciplinas; est?gio na ?rea do idoso. Assim como, analisar a associa??o entre disponibilidade de disciplinas que envolvem idosos e as regi?es geogr?ficas brasileiras e a propor??o de cursos de gradua??o em Nutri??o com a disciplina que envolvem idosos em rela??o ao n?mero de idosos das regi?es. Resultados: Foram analisadas 527 IES, em sua maioria, IES privadas 88,0% (n=464), do tipo faculdades 41,7% (n=220), de modalidade presencial 86,3% (n= 455). Obtiveram-se dados de 447 IES, das quais 64,0% (n=286) das IES ofertavam disciplinas sobre idosos, sendo que 58,1% (n=166) eram ofertadas de forma compartilhada (n?o envolvendo somente a tem?tica do idoso), 76,2% (n=166) do 5? ao 8? semestre, 53,2% (n=75) era de natureza te?rica, 61,5% (n=163) tinha carga hor?ria ?60 horas/semestre, 92,2% (n=247) constitu?a uma atividade pedag?gica obrigat?ria. Identificou-se que 97,2% (n=239) das grades curriculares iniciaram vig?ncia entre 2010-2018 e 98,6% (n=350) possu?am carga hor?ria ?3200 horas. Observou-se que est?gio envolvendo idoso (um ou mais) era ofertado por apenas 4,6% dos cursos. A regi?o Sudeste apresentou o maior n?mero de IES, 37,4% (n=195). A regi?o Norte apresentou a maior propor??o de cursos com a disciplina em rela??o ao n?mero de idosos. Conclus?o: No presente estudo, aproximadamente 1/3 das IES brasileiras n?o oferece o ensino sobre idosos nos seus cursos de gradua??o em Nutri??o nem como disciplina propriamente dita nem como est?gio. No caso, as disciplinas que abordavam a tem?tica do idoso eram oferecidas de forma compartilhada com outros temas, tinham uma abordagem te?rica, uma carga semestral de ?60 horas e eram obrigat?rias. Apenas uma minoria das institui??es disponibilizava est?gio nessa ?rea

Panorama of teaching on older adults or aging in undergraduate nutrition programs at Brazilian Higher Education Institutions

OBJECTIVE: This study aimed to present an overview of teaching about older adults or aging in undergraduate nutrition programs of higher education institutions (HEIs) in Brazil. METHODS: This is a cross-sectional study with data obtained from HEI websites in 2018. RESULTS: Most of the 527 analyzed HEIs were private institutions (88.05%). Courses related to older adults/aging were offered by 63.98% of the HEIs; 58.04% included shared content (not only involving older adults), 76.15% were offered from the fifth to the eighth semester, 53.19% were theoretical, 61.51% had a workload &ge; 60 hours/semester, and 92.16% were mandatory pedagogical activities. Internships involving older adults (one or more) were observed only in 4.65% of the programs. CONCLUSIONS: Approximately one-third of Brazilian HEIs do not offer courses on older adults or aging in their undergraduate nutrition programs. However, population aging, with its inherent demands, is a reality in Brazil and in the world. Further studies are suggested to expand the reflection and contribute to a more qualified training of nutritionists for the care of older adults.</p

Glossário de tecnologia, trabalho e direito do trabalho numa visão interdisciplinar

1

Quality of life, physical activity, and functionality in older primary care users in Porto Alegre-RS

OBJECTIVE: To study the possible relation between quality of life and sociodemographic, anthropometric, functional and physical activity characteristics in older users of the Family Health Strategy in Porto Alegre-RS. METHODS: Cross-sectional and analytical study with older subjects (&ge; 60 years). Data were prospectively collected in a random sample of 30 health units. The following variables were analyzed: sociodemographic (age, marital status, education); anthropometric (weight, height, body mass index); functional (walking speed, handgrip strength, Sit/Stand test). The Flanagan Quality of Life Scale and the Minnesota Physical Activity and Leisure Questionnaire (level of physical activity) were applied. Logistic Regression (Backward Conditional Method) was used for data analysis. RESULTS: Among the 577 older subjects evaluated (68.5 ± 6.4 years; 63.7% women), the majority (87%) presented high quality of life. In the initial multivariate (saturated) model, the following variables were considered as predictors of quality of life: gender, marital coexistence, time spent walking 10 m, higher Sit/Stand test score, handgrip strength, moderate, intense and total physical activity. The final model (6 steps) consisted of four variables: cohabitation, higher Sit/Stand test score, higher handgrip strength and engagement in intense physical activity. CONCLUSION: As observed, a high quality of life was related to older people who lived with a partner, presented higher upper and lower limb strength, and spent more time in the practice of intense physical activity.</p

Depressive symptoms and functionality in older adults of the Porto Alegre’s primary care

OBJECTIVE: The aim of this study was to determine the prevalence of depressive symptoms (DS) and their relationship with functional, sociodemographic and anthropometric aspects in the older adults from the Family Health Strategy of Porto Alegre/ RS. METHOD: This is a cross-sectional, prospective and analytical study, with a random sample of 509 older adults from 30 public health units. The following variables were analyzed: age, age group, sex, marital status, schooling, weight, height and body mass index, functionality, activities of daily living, both basic and instrumental, and the presence of DS. For the statistical analyses, the bivariate qui-square test and the multivariate logistic regression were used. RESULTS: The prevalence of DS in this sample was 35,5%. The final model presented a significant statistical association of DS with female gender (OR = 2.87; IC95% 19.2-9.23), illiteracy (OR = 2.13; IC95% 1.89–5.12), low schooling (OR = 1.23; IC95% 1.05–2.74), dependence on IADL (OR = 4.03; IC95% 1.68–9.64), low scores in the sit-to-stand test (OR = 0.89; IC95% 0.82–0.96) and lower HGS (OR = 0.95; IC95% 0.93–0.98). CONCLUSION: The prevalence of DS observed was high (35.4%) and, considering the associations presented, it is suggested that illiterate or poorly educated, weaker and slower women with difficulty in IADL should be investigated for the presence of depressive symptoms, for being at the risk of developing them.</p