Analysis of health status of older adults users of a municipal physical activity program
DOI:
https://doi.org/10.5712/rbmfc18(45)3480Keywords:
Elderly, Physical exercise, Diagnosis of health situation, Public health.Abstract
Introduction: Intersectoral public policies on health are population (and ecological) interventions widely used to reduce the global burden of disease and optimize both financial and human resources. Objective: The objective of this study was to analyze the health status of older adults users of a municipal policy on physical activities. Methods: This is a cross-sectional study with a sample based on community centers (N community centers=11), which provide body movement practices and others, funded by the Municipal Department of Social Development and Sports (SMDSE), City Hall of Porto Alegre (state of Rio Grande do Sul – RS, Brazil). The users’ sample was weighted by the number of users of each center, by simple random sampling. Data collection took place between April 2018 and February 2019, in which the collection team went to the users’ assigned territory to conduct a self-administered health survey and functional assessment; conversely, the users attended a collection center for laboratory tests (without fasting). Results: A total of 351 users (mean±SD, 70±6 years old) were included. For cardiovascular risk factors, the prevalence of hypercholesterolemia was 54.2% and 49.3% for systemic arterial hypertension — the highest levels. Sleep disorder was prevalent in 55.3% of the sample. Among the self-reported diseases, participants listed cardiovascular (14.3%), previous cancer (14.6%), diabetes (13.2%), rheumatoid arthritis/rheumatism (29.6%), and depression (without major/minor depression discrimination) (18.6%). Functional capacity, estimated by the six-minute walk test, and handgrip strength, predictors of cardiovascular mortality and injuries, had mean values of 498.05±78.96 m and 27.08±8.14 kg, respectively. Conclusions: The findings of this study allow contrasting prevalence rates estimated in older adults participants of a public physical activity program with other estimates in comparison groups, enabling the analysis of health status based on different behaviors and risk factors. All in all, our study enabled to monitor public interventions for older adults at the community level, serving as a baseline for future monitoring.
Downloads
Metrics
References
Piola SF, Servo LMS, Sá EB, Paiva AB. Estruturas de financiamento e gasto do sistema público de saúde. In: Fundação Oswaldo Cruz. A saúde no Brasil em 2030: prospecção estratégica do sistema de saúde brasileiro: estrutura do financiamento e do gasto setorial. Rio de Janeiro: Fiocruz/Ipea/Ministério da Saúde/Secretaria de Assuntos Estratégicos da Presidência da República; 2013. p. 19-70. DOI: https://doi.org/10.7476/9788581100180.0003
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Secretaria de Atenção à Saúde. Política Nacional de Promoção da Saúde: PNPS: Anexo I da Portaria de Consolidação no 2, de 28 de setembro de 2017, que consolida as normas sobre as políticas nacionais de saúde do SUS/Ministério da Saúde, Secretaria de Vigilância em Saúde, Secretaria de Atenção à Saúde [Internet]. Brasília: Ministério da Saúde; 2018 [acessado em 24 fev. 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_promocao_saude.pdf
Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet 2016;388(10051):1311-24. https://doi.org/10.1016/S0140-6736(16)30383-X DOI: https://doi.org/10.1016/S0140-6736(16)30383-X
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61(4):344-9. https://doi.org/10.1016/j.jclinepi.2007.11.008 DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008
Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2013. Percepção do estado de saúde, estilos de vida e doenças crônicas 2013 [Internet]. Rio de Janeiro: IBGE; 2014 [acessado em 26 nov. 2020]. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv91110.pdf
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira [Internet]. Brasília: Ministério da Saúde; 2014 [acessado em 24 fev. 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf
World Health Organization. Global status report on alcohol and health 2018 [Internet]. Geneva: WHO; 2018 [acessado em 26 nov 2020]. Disponível em: https://www.who.int/publications/i/item/9789241565639
Skinner M. A literature review: polypharmacy protocol for primary care. Geriatr Nurs 2015;36(5):367-71.e4. https://doi.org/10.1016/j.gerinurse.2015.05.003 DOI: https://doi.org/10.1016/j.gerinurse.2015.05.003
Wendt A, Costa CS, Machado AKF, Costa FS, Neves RG, Flores TR, et al. Sleep disturbances and daytime fatigue: data from the Brazilian National Health Survey, 2013. Cad Saúde Pública 2019;35(3):e00086918. https://doi.org/10.1590/0102-311X00086918 DOI: https://doi.org/10.1590/0102-311x00086918
Krishnamoorthy Y, Rajaa S, Rehman T. Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: systematic review and meta-analysis. Arch Gerontol Geriatr 2020;87:104002. https://doi.org/10.1016/j.archger.2019.104002 DOI: https://doi.org/10.1016/j.archger.2019.104002
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166(1):111-7. https://doi.org/10.1164/ajrccm.166.1.at1102 DOI: https://doi.org/10.1164/ajrccm.166.1.at1102
World Health Organization. Obesity: preventing and managing the global epidemic [Internet]. Geneva: WHO; 2020 [acessado em 26 nov 2020]. Disponível em: https://apps.who.int/iris/handle/10665/42330
Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972;18(6):499-502. PMID: 4337382 DOI: https://doi.org/10.1093/clinchem/18.6.499
Campolina AG, Bortoluzzo AB, Ferraz MB, Ciconelli RM. O questionário SF-6D Brasil: modelos de construção e aplicações em economia da saúde. Rev Assoc Med Bras 2010;56(4):409-14. https://doi.org/10.1590/S0104-42302010000400012 DOI: https://doi.org/10.1590/S0104-42302010000400012
Casanova C, Celii CR, Barria P, Casas A, Cote C, Torres JP, et al. The 6-min walk distance in healthy subjects: reference standards from seven countries Eur Respir J 2011;37(1):150-6. https://doi.org/10.1183/09031936.00194909 DOI: https://doi.org/10.1183/09031936.00194909
Pereira KG, Peres MA, Iop D, Boing AC, Boing AF, Aziz M, et al. Polifarmácia em idosos: um estudo de base populacional. Rev Bras Epidemiol 2017;20(2):335-44. https://doi.org/10.1590/1980-5497201700020013 DOI: https://doi.org/10.1590/1980-5497201700020013
Medeiros-Souza P, Santos-Neto LL, Kusano LTE, Pereira MG. Diagnosis and control of polypharmacy in the elderly. Rev Saúde Pública 2007;41(6):1049-53. https://doi.org/10.1590/S0034-89102006005000050 DOI: https://doi.org/10.1590/S0034-89102006005000050
Peters MJH, van Nes SI, Vanhoutte EK, Bakkers M, van Doorn PA, Merkies ISJ, et al. Revised normative values for grip strength with the Jamar dynamometer. J Peripher Nerv Syst 2011;16(1):47-50. https://doi.org/10.1111/j.1529-8027.2011.00318.x DOI: https://doi.org/10.1111/j.1529-8027.2011.00318.x
Kadikar A, Maurer J, Kesten S. The six-minute walk test: a guide to assessment for lung transplantation. J Heart Lung Transplant 1997;16(3):313-9. PMID: 9087875
Barbosa AP, Teixeira TG, Orlandi B, Oliveira NTB, Concone MHVB. Level of physical activity and quality of life: a comparative study among the elderly of rural and urban areas. Rev Bras Geriatr Gerontol 2015;18(4):743-54. https://doi.org/10.1590/1809-9823.2015.14182
Suzuki K, Miyamoto M, Hirata K. Sleep disorders in the elderly: diagnosis and management. J Gen Fam Med 2017;18(2):61-71. https://doi.org/10.1002/jgf2.27 DOI: https://doi.org/10.1002/jgf2.27
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. Vigitel Brasil 2021: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2021 [Internet]. Brasília: Ministério da Saúde; 2021 [acessado em 24 fev. 2021]. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2021-estimativas-sobre-frequencia-e-distribuicao-sociodemografica-de-fatores-de-risco-e-protecao-para-doencas-cronicas
Picon RV, Fuchs FD, Moreira LB, Fuchs SC. Prevalence of hypertension among elderly persons in urban Brazil: a systematic review with meta-analysis. Am J Hypertens 2013;26(4):541-8. https://doi.org/10.1093/ajh/hps076 DOI: https://doi.org/10.1093/ajh/hps076
Malachias MVB, Amodeo C, Paula RB, Cordeiro Júnior AC, Magalhães LBNC, Bodanese LC. 7th Brazilian Guideline of Arterial Hypertension: chapter 8 - hypertension and associated clinical conditions. Arq Bras Cardiol 2016;107(3 Suppl 3):44-8. https://doi.org/10.5935/abc.20160158 DOI: https://doi.org/10.5935/abc.20160158
Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta‐analysis. J Am Heart Assoc 2013;2(1):e004473. https://doi.org/10.1161/JAHA.112.004473 DOI: https://doi.org/10.1161/JAHA.112.004473
Umpierre D, Ribeiro PAB, Kramer CK, Leitão CB, Zucatti ATN, Azevedo MJ, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA 2011;305(17):1790-9. https://doi:org.10.1001/jama.2011.576 DOI: https://doi.org/10.1001/jama.2011.576
Barbosa AP, Teixeira TG, Orlandi B, Oliveira NTB, Concone MHVB. Level of physical activity and quality of life: a comparative study among the elderly of rural and urban areas. Rev Bras Geriatr Gerontol 2015;18(4):743-54. https://doi.org/10.1590/1809-9823.2015.14182 DOI: https://doi.org/10.1590/1809-9823.2015.14182
World Health Organization. Depression and other common mental disorders [Internet]. Geneva: WHO; 2017 [acessado em 9 dez 2020]. Disponível em: https://apps.who.int/iris/handle/10665/254610
Oliveira DV, Lima MCC, Oliveira GVN, Bertolini SMMG, Nascimento Júnior JRA, Cavaglieri CR. O comportamento sedentário é um fator interveniente na prática de atividade física no idoso? Rev Bras Geriatr Gerontol 2018;21(4):472-9. https://doi.org/10.1590/1981-22562018021.180091 DOI: https://doi.org/10.1590/1981-22562018021.180091
Almeida JMC. Política de saúde mental no Brasil: o que está em jogo nas mudanças em curso. Cad Saúde Pública 2019;35(11):e00129519. https://doi.org/10.1590/0102-311X00129519 DOI: https://doi.org/10.1590/0102-311x00129519
Bispo Júnior JP, Moreira DC. Núcleos de apoio à saúde da família: concepções, implicações e desafios para o apoio matricial. Trab Educ Saúde 2018;16(2):683-702. https://doi.org/10.1590/1981-7746-sol00122 DOI: https://doi.org/10.1590/1981-7746-sol00122
Carvalho MAP, Gutiérrez AC. Quinze anos da Residência Multiprofissional em Saúde da Família na Atenção Primária à Saúde: contribuições da Fiocruz. Ciênc Saúde Coletiva 2021;26(6):2013-22. https://doi.org/10.1590/1413-81232021266.44132020 DOI: https://doi.org/10.1590/1413-81232021266.44132020
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de atividade física para a população brasileira [Internet]. Brasília : Ministério da Saúde; 2021 [acessado em 14 fev 2021]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/guia_atividade_fisica_populacao_brasileira.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Fernando Matos Dourado, Nórton Luis Oliveira, Luiza Isnardi Cardoso Ricardo, Leandro dos Santos, Angélica Trevisan de Nardi, Cíntia Ehlers Botton, Lucinéia Orsolin Pfeifer, Laura Milán Vasques, Lucas Porto Santos, Larissa Neves da Silva, Bruna Góes Moraes, Lucas Helal, Daniel Umpierre
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.