INTRODUCTION: The aging process is accompanied by physical, social as psychical changes. Skeletal-muscle adaptations are related to the decrease in muscular strength.
OBJECTIVE: The aim of this study was to verify the aging effects in biceps brachiali isometric contractions fatigue comparing young and older subjects.
METHODS: This study sample was composed 16 young adults (22.75 ± 3.47 years old) and 15 older adults (68.6 ± 3.11 years old). The protocol count on a submaximal voluntary contraction (SVC) and a hand weight of 5% of each subject's body mass. The contraction was carried on with a 90º flexion of the elbow, shoulder in neutral position and supinated radius-ulnar, during 35 seconds. The EMG signals were caught through a couple of electrodes on the lateral portion of the biceps brachiali. The signal was cut in two windows of 3 seconds each in the beginning and in the end, without consideing the first and last 2.5 seconds. From each window we obtained the median frequency values (MF) and the values were normalized with the first window of each individual. We plotted a line between the windows and found the inclination coefficient. To reach the specific differences there was applied a non-parametric U Mann-Whitney test.
RESULTS: Both the lines indicated decline: -0.1494 for young subjects and -0.0521 for older subjects, however, there were no significant differences between them (p = 0.129).
CONCLUSION: It seems that the submaximal conditions in this study were not enough to produce differences in the EMG sign between young and older subjects.
Keywords: Aging, fatigue, submaximal effort, electromyography.
OBJECTIVE: To evaluate the effects of body activity intervention on functional capability of the patients with Parkinson disease.
METHOD: Convergent-assisted research was used testing the intervention on 17 patients, 8 in Florianópolis, SC, and 9 in Jequié, BA. These groups were submitted to the intervention of body activity, a health technology, constituted by elongation exercise, local muscle resistance, coordination, flexibility, agility and balance by adopting diversified dance procedures, recreation and other adapted and motivating resources, lasting one hour of intervention and twice a week. For its assessment, was adopted a number of field tests on functional capability measurement from the American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD). The study included five tests: strength and muscle resistance; coordination; flexibility of trunk and legs; balance, agility; and aerobic resistance.
RESULTS: All averages of the analyzed variables have improved in both groups, from pre-test to post-test. It was also observed among patients from Jequié that improvement in all variables averages with prominence on the statistically significant difference on strength variables (p = 0.04) and agility/balance (p = 0.05) among patients in Jequié. Has been more pronounced when compared to the patients of Florianópolis.
CONCLUSION: It seems that body activity intervention adopted affects positively on functional capability of Parkinson disease patients keeping their muscles, bones and joints in good conditions and also maintaining them independents for daily life activities, even experiencing the disease progression.
Keywords: Health technology, motor activity, elderly, Parkinson disease.
OBJECTIVE: To investigate the combined effect of physical activity that included the practice of stretching localized exercises, walking and balances for a period of 16 weeks in elderly women and its relationship with functional autonomy, the body mass index and the pressure.
METHODS: 54 elderly women were divided into two groups, experimental (EG) (n = 33) with 68,93 ± 6,83 years who participated in the activities proposed and control (CG) (n = 21) with 66,55 ± 6,00 years.
RESULTS: The functional autonomy the GE had consistently lower scores in all five tests evaluated which show the benefits from physical activity combined. C10M (10,4 ± 4,5 to 7,9 ± 2,3), LPDV (7,9 ± 4,3 to 6,2 ± 3,6), LCLC (63,8 ± 16,5 to 55,8 ± 12,3) and VTC (18,9 ± 8,7 to 15,6 ± 6,9), but they still remained classified as weak with the exception of LPS test now be classified as regular (12,4 ± 4,3 to 10,5 ± 3,0). The CG remained almost similar values with the pre-test. For BMI, the GE was different after training (29,0 ± 5,2 to 28,4 ± 5,1), while the CG received no differences. For BP, GE obtained difference in SBP after training (145,3 ± 4,3 to 136,2 ± 10,9) and DBP (95,8 ± 8,6 to 85,9 ± 8,6) while GC showed differences only SBP (147,8 ± 12,2 to 140,1 ± 12,8).
CONCLUSION: That physical activity combined exerted important role in improving the items valued at 16 weeks of training for older women.
Keywords: Aging, physical activity combined, functional autonomy, body mass index, blood pressure.
INTRODUCTION: Aging is an individual process, which is influenced by extrinsic factors such as functional capacity, activities and social interactions, which produces impact on quality of life.
OBJECTIVE: To identify health conditions and environmental and home extra home among elderly rural and urban municipality of Macambira, SE.
METHODS: This is a quantitative survey, a cross sectional study of 270 subjects (156 in urban area and 114 rural area).
RESULTS: We noted a predominance of women in both areas (urban 71.79% and 50.88% rural), the vast majority of older people living in urban areas comes from the rural area (83.33%); 73.72% in urban areas and 87.72% in rural living with the family. The water supply for general network is 98.72% in urban areas and 46.49% in rural areas and also supplied by wells or springs 23.68%. As for the fate of the garbage, 98.08% of the subjects in the urban area reported having regular collection, while in rural garbage is burned or buried in 65.79% of the households.
CONCLUSION: The urban environment of the city of Macambira presents difficulties for the elderly in relation to the inadequacy of sidewalks and parks for physical exercise or even shift to secure public and private places. In rural areas, the main environmental problems are water supply and packaging waste, issues relevant to public health. In both areas the majority does not use public transport means, predominantly offset by foot, which may be indicative of environmental influences on activity and social contacts of elderly people in the region studied.
Keywords: Elderly, environmental conditions, public health.
Geriatric clinical evaluations need different scores and protocols which are easier to remember using mnemonic rules.
OBJECTIVE: To show mnemonic rules used at Santa Casa of S. Paulo Geriatric Sector.
MATERIAL AND METHODS: To describe the origin and/or original reference of mnemonic rules and their applicability in the care of the elderly.
RESULT: Common mnemonic rules particularly from the five "I's" rule.
CONCLUSION: There are different mnemonic rules which have a relationship with the team that takes care of the elderly. They are easy to remember and can be used in other places and by other teams.
Keywords: Geriatrics, clinical medicine, disease management.
There is growing interest in understanding the evolution and possible prevention of frailty, as well as the pathophysiological process of diseases that trigger this syndrome with important functional consequences. Research has shown that chronic latent human cytomegalovirus (HCMV) in the elderly population is highly prevalent in the frail elderly and is an important trigger of limitations. The prevalence of frailty syndrome increases as the age of individuals and their study has been gaining ever more importance because of its drastic consequences related to increased mortality. TNF-alpha, interleukins IL-1, IL-6, and the TCD4+, TCD8+ e TCD28+ are the elements of the immune system relevant to the pathogenesis of HCMV and more important in the frailtys process of the elderly, but many studies are still being necessary for that there is also an effective approach in this sector, seeking to slow or prevent the frailty of individuals is by their own immune changes of aging, or by diseases resulting from these changes. This article aims to review the neuro-inflamatory and immune changes related frailty syndrome and cytomegaloviruss infection and demonstrate the similarities of these changes in these pathological processes.
Keywords: Cytomegalovirus, interleukins, frailty.
The American Academy of Family Physicians (AAFP) released a summary of the "Recommendations for Clinical Preventive Services". It is a publication based on "Recommendations for Clinical Preventive Services" published by the United States Preventive Services Task Force (USPSTF). These recommendations are provided only as an aid to physicians in making clinical decisions about the care of their patients. They reflect the clinic references existing at the time of publication. But its only should be used with the clear understanding that continued research may result in new knowledge and consequently there is a need for updates. Some recommendations of the USPSTF are important in clinical practice with the elderly.
Keywords: Clinical evaluation, clinical prevention, grade of recommendation.