Association between functional fitness and overweight in elderly women

The purpose of this study was to verify the association between functional fitness (FF) and excessive fatness (EF) in aged women. Three hundred ninety four women, averaged 69.4 years of age (DP = 3.4 years), participated in the study. FF was measured by means of a battery of motor tests. EF was determined by corporal mass and height measurements. FF was compared with AAHPERD normative values. Chi-square test (p < .05) was applied in order to verify an association between FF and EF. EF prevalence was 46.5% and there was an association (p < .05) between the index of functional aptitude (IAFG) and EF. Among those with EF, 87.8% presented a weak IAFG. EF was associated with a 5.07 (IC 95% = 3.12 – 7.14) times greater chance of lower FF. Results point to the conclusion that morphologic condition (EF) needs to be considered in evaluating FF in aged women

Indicadores geoespaciais para avaliação do impacto ambiental da suinocultura no licenciamento em âmbito municipal

Resumo: O objetivo deste trabalho foi propor e avaliar indicadores geoespaciais para analisar o impacto ambiental da atividade suinícola no licenciamento em âmbito municipal. O estudo foi conduzido no Município de Quinze de Novembro, RS. Foram avaliados indicadores ambientais em glebas agrícolas e bacias hidrográficas. Uma base de dados geoespacial foi criada, com uso de Sistemas de Informações Geográficas e de levantamento sistemático dos suinocultores e das glebas que recebem dejetos líquidos de suínos, o que incluiu propriedades suinícolas, uso atual das terras, tipos de solos, rede de drenagem e modelo digital do terreno. Os indicadores geoespaciais obtidos com as ferramentas de geoprocessamento foram: áreas da bacia com aplicação de dejetos suínos; áreas de preservação permanente existentes e a serem recuperadas; taxa de aplicação de dejetos; declividade; resistência à degradação; distância entre glebas com aplicação de dejetos e curso d'água; largura da faixa com potencial de amortecimento para dejetos entre glebas e curso d'água; distância entre instalação suinícola e curso d'água; conflito de instalações com área de preservação; e áreas que requerem recuperação ambiental. A interpretação desses indicadores possibilita avaliar os impactos ambientais potenciais da atividade suinícola nas propriedades rurais e nas bacias em que estão localizadas, o que permite identificar os locais de maior risco e subsidiar o licenciamento ambiental da atividade

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Validade e fidedignidade de escalas de apoio social e autoeficácia para atividade física em escolares

ResumoObjetivoAnalisar a validade e a fidedignidade (reprodutibilidade e consistência interna) das escalas de apoio social e autoeficácia para atividade física em escolares de 9‐15 anos.MétodoParticiparam do estudo 1678 escolares para a etapa de validade e consistência interna e 1393 para reprodutibilidade, de ambos os sexos, de Curitiba, Brasil. A validade foi verificada pela análise fatorial exploratória, a reprodutibilidade pelo coeficiente de correlação intraclasse e a consistência interna pelo alpha de Cronbach.ResultadosAs escalas de apoio social e autoeficácia para atividade física apresentaram dois fatores com cargas fatoriais iguais ou superiores a 0.40 para todos os itens em todas as idades. Os escores de reprodutibilidade foram adequados em todas as faixas etárias analisadas para as medidas de apoio social para atividade física (≥0.81) e autoeficácia para atividade física (≥0.72). A consistência interna para a escala de apoio social variou entre 0.87‐0.90 e para a escala de autoeficácia para atividade física de 0.77‐0.82.ConclusõesAs escalas demonstraram validade fatorial satisfatória e reprodutibilidade e consistência interna adequadas, sendo recomendadas a sua utilização em estudos com escolares entre 9‐15 anos de idade.AbstractObjectiveTo examine the validity and reliability (reproducibility and internal consistency) of scales of social support and self‐efficacy for physical activity in nine to fifteen‐year‐old students.MethodsThe study included 1.678 students in the validity and internal consistency phase and 1.393 students during the reproducibility. Students of both sexes aged nine to fifteen years, from the city of Curitiba, Brazil, participated in the study. The validity was verified by the exploratory factor analysis, the reproducibility by the intraclass correlation coefficient and the internal consistency by the Cronbach's alpha.ResultsThe scales of social support and self‐efficacy for physical activity showed two factors with factor loadings equal to or greater than 0.40 for all ages. The reproducibility scores were adequate in all age groups for the social support measures for physical activity (≥0.81) and self‐efficacy measures for physical activity (≥0.72). The internal consistency for the social support scale ranged from 0.87 to 0.90 and from 0.77 to 0.82 for the self‐efficacy scale.ConclusionsThe scales showed satisfactory factorial validity and adequate reproducibility and internal consistency being, suitable for students aged nine to fifteen