Palavras-chave
capacidade física
saúde
quedas
envelhecimento ativo
Como Citar
Resumo
Este estudo analisou os efeitos de um programa de exercício físico multicomponente na capacidade física, mobilidade funcional e resiliência de beneficiários de serviços de apoio domiciliário. O estudo longitudinal, de 12 semanas, envolveu uma amostra de adultos com idade igual ou superior a 65 anos. Os dados foram recolhidos através de um questionário sociodemográfico e foi aplicada a versão portuguesa da Escala de Resiliência. A capacidade física foi avaliada através da força de preensão manual e a mobilidade funcional através do teste Timed Up and Go. Para verificar a normalidade da distribuição utilizou-se o teste de Kolmogorov-Smirnov e o teste t pareado, adotando-se um nível de significância de p<0,05 (software SPSS®). A amostra foi composta por 11 participantes (81.8 ± 4.89 anos; 63.6% mulheres), do Baixo Alentejo e entre eles, 45.5% apresentavam sobrepeso e/ou obesidade, 36.4% relataram quedas nos últimos 12 meses e 81.8% evidenciavam baixa capacidade física. Após a intervenção, observaram-se melhorias significativas na capacidade física (pré: 16.6±7.6 kgf; pós 18.3±5.2 kgf, p=0.002) e na mobilidade funcional (pré: 28.5±10.1 m/s; pós 21.2±14.7 m/s, p=0.017). Verificaram-se também aumentos significativos em fatores específicos da resiliência, nomeadamente perseverança (pré: 4.7±1.7; pós: 5.5±1.9, p<0.001), sentido de vida (pré: 5.2±0.9; pós: 5.3±1.1, p=0.005) e autossuficiência e autoconfiança (pré: 4.4±1.3; pós: 4.5±1.3, p=0.016). Em síntese, o programa de exercício multicomponente promoveu melhorias significativas na capacidade física, na mobilidade funcional e em dimensões específicas da resiliência. Estes resultados reforçam a relevância dos programas de exercício físico na promoção da saúde e do bem-estar dos idosos.Referências
André, N., Ferrand, C., Albinet, C., & Audiffren, M. (2018). Cognitive Strategies and Physical Activity in Older Adults: A Discriminant Analysis. Journal of aging research, 2018. https://doi.org/https://doi.org/10.1155/2018/8917535
Anjos, L. (1992). Body mass index as a tool in the nutritional assessment of adults: a review. Revista de Saúde Pública, 26(6), 431-436.
Arida, R. M., & Teixeira-Machado, L. (2021). The Contribution of Physical Exercise to Brain Resilience [Review]. Frontiers in Behavioral Neuroscience, 14. https://doi.org/10.3389/fnbeh.2020.626769
Bernabei, R., Landi, F., Calvani, R., Cesari, M., Del Signore, S., Anker, S. D., Bejuit, R., Bordes, P., Cherubini, A., Cruz-Jentoft, A. J., Di Bari, M., Friede, T., Ayestarán, C. G., Goyeau, H., Jónsson, P., Kashiwa, M., Lattanzio, F., Maggio, M., Mariotti, L., . . . Consortium, S. (2022). Multicomponent intervention to prevent mobility disability in frail older adults: randomised controlled trial (SPRINTT project). Bmj-British Medical Journal, 377, Article e068788. https://doi.org/10.1136/bmj-2021-068788
Bohannon, R. W. (2006). Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther, 29(2), 64-68. https://doi.org/10.1519/00139143-200608000-00004
Boteta-Gomes, M. I., Aibar-Almazán, A., Hita-Contreras, F., de Loureiro, N. E. M., & Brandão-Loureiro, V. A. F. (2024). Cross-Cultural Adaptation and Validation of the Portuguese Version of the SARC-F in Community-Dwelling Older Adults. Diagnostics, 14(11), 1096. https://www.mdpi.com/2075-4418/14/11/1096
Bueno-Cavanillas, A., Padilla-Ruiz, F., Jiménez-Moleón, J. J., Peinado-Alonso, C. A., & Gálvez-Vargas, R. (2000). Risk factors in falls among the elderly according to extrinsic and intrinsic precipitating causes. Eur J Epidemiol, 16(9), 849-859. https://doi.org/10.1023/a:1007636531965
Clark, P. G., Greene, G. W., Blissmer, B. J., Lees, F. D., Riebe, D. A., & Stamm, K. E. (2019). Trajectories of Maintenance and Resilience in Healthful Eating and Exercise Behaviors in Older Adults. J Aging Health, 31(5), 861-882. https://doi.org/10.1177/0898264317746264
Clemson, L., Fiatarone Singh, M. A., Bundy, A., Cumming, R. G., Manollaras, K., O’Loughlin, P., & Black, D. (2012). Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ : British Medical Journal, 345, e4547. https://doi.org/10.1136/bmj.e4547
Colón-Emeric, C. S., McDermott, C. L., Lee, D. S., & Berry, S. D. (2024). Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults A Review. Jama-Journal of the American Medical Association, 331(16), 1397-1406. https://doi.org/10.1001/jama.2024.1416
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., & Zamboni, M. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing, 48(1), 16-31. https://doi.org/10.1093/ageing/afy169
Deandrea, S., Lucenteforte, E., Bravi, F., Foschi, R., La Vecchia, C., & Negri, E. (2010). Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology, 21(5), 658-668. https://doi.org/10.1097/EDE.0b013e3181e89905
Deep, C., & Leal, I. (2012). Adaptation of "The Resilience Scale" for the adult population of Portugal. Psicologia USP, 23, 417-433. https://doi.org/10.1590/S0103-65642012005000008
Dempsey, P. C., Rowlands, A. V., Strain, T., Zaccardi, F., Dawkins, N., Razieh, C., Davies, M. J., Khunti, K. K., Edwardson, C. L., Wijndaele, K., Brage, S., & Yates, T. (2022). Physical activity volume, intensity, and incident cardiovascular disease. Eur Heart J, 43(46), 4789-4800. https://doi.org/10.1093/eurheartj/ehac613
Dent, E., Daly, R. M., Hoogendijk, E. O., & Scott, D. (2023). Exercise to Prevent and Manage Frailty and Fragility Fractures. Current Osteoporosis Reports, 21(2), 205-215. https://doi.org/10.1007/s11914-023-00777-8
Direção-Geral da Saúde. (2013). Avaliação Antropométrica no Adulto. D.-G. d. Saúde. https://www.dgs.pt/directrizes-da-dgs/orientacoes-e-circulares-informativas/orientacao-n-0172013-de-05122013-pdf.aspx
Dogra, S., Dunstan, D. W., Sugiyama, T., Stathi, A., Gardiner, P. A., & Owen, N. (2022). Active aging and public health : Evidence, implications, and opportunities. Annual Review of Public Health, 43, 439-459. https://doi.org/s://doi.org/10.1146/annurev-publhealth-052620-091107
EUROSTAT. (2023). Population on 1st January by age, sex and type of projection https://doi.org/https://doi.org/10.2908/PROJ_23NP
EUROSTAT. (2024). Population structure and ageing. Retrieved 17 february 2025 from https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Population_structure_and_ageing#The_share_of_elderly_people_continues_to_increase
Fragala, M. S., Cadore, E. L., Dorgo, S., Izquierdo, M., Kraemer, W. J., Peterson, M. D., & Ryan, E. D. (2019). Resistance Training for Older Adults: Position Statement From the National Strength and Conditioning Association. J Strength Cond Res, 33(8), 2019-2052. https://doi.org/10.1519/jsc.0000000000003230
Gale, C. R., Cooper, R., Craig, L., Elliott, J., Kuh, D., Richards, M., Starr, J. M., Whalley, L. J., & Deary, I. J. (2012). Cognitive Function in Childhood and Lifetime Cognitive Change in Relation to Mental Wellbeing in Four Cohorts of Older People. PLOS ONE, 7(9), e44860. https://doi.org/10.1371/journal.pone.0044860
Gazibara, T., Kurtagic, I., Kisic-Tepavcevic, D., Nurkovic, S., Kovacevic, N., Gazibara, T., & Pekmezovic, T. (2017). Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics, 17(4), 215-223. https://doi.org/10.1111/psyg.12217
Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev, 2012(9), Cd007146. https://doi.org/10.1002/14651858.CD007146.pub3
Grevendonk, L., Connell, N. J., McCrum, C., Fealy, C. E., Bilet, L., Bruls, Y. M. H., Mevenkamp, J., Schrauwen-Hinderling, V. B., Jörgensen, J. A., Moonen-Kornips, E., Schaart, G., Havekes, B., de Vogel-van den Bosch, J., Bragt, M. C. E., Meijer, K., Schrauwen, P., & Hoeks, J. (2021). Impact of aging and exercise on skeletal muscle mitochondrial capacity, energy metabolism, and physical function. Nat Commun, 12(1), 4773. https://doi.org/10.1038/s41467-021-24956-2
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., Aubertin-Leheudre, M., Bernabei, R., Cadore, E. L., Cesari, M., Chen, L. K., de Souto Barreto, P., Duque, G., Ferrucci, L., Fielding, R. A., García-Hermoso, A., Gutiérrez-Robledo, L. M., Harridge, S. D. R., Kirk, B., . . . Fiatarone Singh, M. (2021). International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging, 25(7), 824-853. https://doi.org/10.1007/s12603-021-1665-8
Jiménez-García, J. D., Martínez-Amat, A., Hita-Contreras, F., Fábrega-Cuadros, R., Alvarez-Salvago, F., & Aibar-Almazán, A. (2021). Muscle Strength and Physical Performance Are Associated with Reaction Time Performance in Older People. International Journal of Environmental Research and Public Health, 18(11), Article 5893. https://doi.org/10.3390/ijerph18115893
Lampinen, P., & Heikkinen, E. (2003). Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults: an eight-year follow-up study. Aging Clin Exp Res, 15(3), 205-211. https://doi.org/10.1007/bf03324501
Lesuis, S. L., Hoeijmakers, L., Korosi, A., de Rooij, S. R., Swaab, D. F., Kessels, H. W., Lucassen, P. J., & Krugers, H. J. (2018). Vulnerability and resilience to Alzheimer's disease: early life conditions modulate neuropathology and determine cognitive reserve. Alzheimers Res Ther, 10(1), 95. https://doi.org/10.1186/s13195-018-0422-7
Loureiro, V., Castillo-Viera, E., Cachola, A., Rosa, T., & Loureiro, N. (2024). Calidad de vida, caídas y capacidad funcional de mayores portugueses, durante la pandemia de COVID 19 (Quality of life, falls and functional mobility of Portuguese older adults, during the COVID pandemic 19). Retos, 52, 491-498. https://doi.org/10.47197/retos.v52.95705
Loureiro, V., Gomes, M., Loureiro, N., Aibar-Almazán, A., & Hita-Contreras, F. (2021). Multifactorial Programs for Healthy Older Adults to Reduce Falls and Improve Physical Performance: Systematic Review. International Journal of Environmental Research and Public Health, 18(20), 10842. https://www.mdpi.com/1660-4601/18/20/10842
Loureiro, V., Paixão, C., & Castillo-Viera, E. (2021). Prevención de Caídas y Ejercício Físico como Determinantes de la Salud de las Personas Mayores. In M. Mendoza-Sierra & E. Moreno-Sánchez (Eds.), La longevidad como transformación social en el siglo XXI (pp. 65-84). Editiones ALJIBE.
Loureiro, V. A. F., Gomes, M. I. B., & Alves, A. R. (2022). Miedo a caer y capacidad funcional de mayores a vivir en la comunidad (Fear of falling and physical fitness in community-dwelling older adults). Retos, 43(0), 495-502. https://doi.org/10.47197/retos.v43i0.88588
Luo, H., Zheng, Z., Yuan, Z., Hu, H., & Sun, C. (2024). The effectiveness of multicomponent exercise in older adults with cognitive frailty: a systematic review and meta-analysis. Archives of Public Health, 82(1), 229. https://doi.org/10.1186/s13690-024-01441-y
Manemann, S. M., Chamberlain, A. M., Boyd, C. M., Miller, D. M., Poe, K. L., Cheville, A., Weston, S. A., Koepsell, E. E., Jiang, R., & Roger, V. L. (2018). Fall Risk and Outcomes Among Patients Hospitalized With Cardiovascular Disease in the Community. Circ Cardiovasc Qual Outcomes, 11(8), e004199. https://doi.org/10.1161/circoutcomes.117.004199
McLeod, J. C., Currier, B. S., Lowisz, C. V., & Phillips, S. M. (2024). The influence of resistance exercise training prescription variables on skeletal muscle mass, strength, and physical function in healthy adults: An umbrella review. Journal of Sport and Health Science, 13(1), 47-60. https://doi.org/10.1016/j.jshs.2023.06.005
Ministério da Saúde, & Direção-Geral da Saúde. (2016). Estratégia Nacional para a Promoção da Atividade Física, da Saúde e do Bem-Estar. D.-G. d. S. (DGS). https://www.dgs.pt/documentos-e-publicacoes/estrategia-nacional-para-a-promocao-da-atividade-fisica-da-saude-e-do-bem-estar-pdf.aspx
Ministério da Saúde, & Direção-Geral da Saúde. (2023). PROGRAMA NACIONAL PARA A PROMOÇÃO DA ATIVIDADE FÍSICA. https://www.dgs.pt/programa-nacional-para-a-promocao-da-atvidade-fisica/ficheiros-externos-pnpaf/relatorio_pnpaf_2023_v11-pdf.aspx
Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25.
Pereira, M., Carlos, S., Cardoso, A., Navega, A., & Gomes, E. (2024). A prática de pilates na prevenção de quedas no idoso: uma revisão baseada na evidência. RIAGE - Revista Ibero-Americana de Gerontologia, 6, 63-72. https://doi.org/10.61415/riage.310
Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39(2), 142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Russo, S. J., Murrough, J. W., Han, M. H., Charney, D. S., & Nestler, E. J. (2012). Neurobiology of resilience. Nat Neurosci, 15(11), 1475-1484. https://doi.org/10.1038/nn.3234
Rydwik, E., Bergland, A., Forsén, L., & Frändin, K. (2012). Investigation into the reliability and validity of the measurement of elderly people's clinical walking speed: a systematic review. Physiother Theory Pract, 28(3), 238-256. https://doi.org/10.3109/09593985.2011.601804
Sartor-Glittenberg, C., & Brickner, L. (2014). A multidimensional physical therapy program for individuals with cerebellar ataxia secondary to traumatic brain injury: a case series. Physiother Theory Pract, 30(2), 138-148. https://doi.org/10.3109/09593985.2013.819952
Shao, L., Shi, Y., Xie, X. Y., Wang, Z., Wang, Z. A., & Zhang, J. E. (2023). Incidence and Risk Factors of Falls Among Older People in Nursing Homes: Systematic Review and Meta-Analysis. J Am Med Dir Assoc, 24(11), 1708-1717. https://doi.org/10.1016/j.jamda.2023.06.002
Silva, R., Aldoradin-Cabeza, H., Eslick, G. D., Phu, S., & Duque, G. (2017). The effect of physical exercise on frail older persons: a systematic review. The Journal of Frailty & Aging, 6(2), 91-96. https://doi.org/https://doi.org/10.14283/jfa.2017.7
Sirikul, W., Buawangpong, N., Pinyopornpanish, K., & Siviroj, P. (2024). Impact of multicomponent exercise and nutritional supplement interventions for improving physical frailty in community-dwelling older adults: a systematic review and meta-analysis. Bmc Geriatrics, 24(1), 958. https://doi.org/10.1186/s12877-024-05551-8
Toraman, N. F., Erman, A., & Agyar, E. (2004). Effects of Multicomponent Training on Functional Fitness in Older Adults. Journal of Aging and Physical Activity, 12(4), 538-553. https://doi.org/10.1123/japa.12.4.538
Toth, E. E., Ihász, F., Ruíz-Barquín, R., & Szabo, A. (2024). Physical Activity and Psychological Resilience in Older Adults: A Systematic Review of the Literature. Journal of Aging and Physical Activity, 32(2), 276-286. https://doi.org/10.1123/japa.2022-0427
Trombetti, A., Reid, K. F., Hars, M., Herrmann, F. R., Pasha, E., Phillips, E. M., & Fielding, R. A. (2016). Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporos Int, 27(2), 463-471. https://doi.org/10.1007/s00198-015-3236-5
Vaishya, R., Misra, A., Vaish, A., Ursino, N., & D'Ambrosi, R. (2024). Hand grip strength as a proposed new vital sign of health: a narrative review of evidences. J Health Popul Nutr, 43(1), 7. https://doi.org/10.1186/s41043-024-00500-y
Verma, S. K., Willetts, J. L., Corns, H. L., Marucci-Wellman, H. R., Lombardi, D. A., & Courtney, T. K. (2016). Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States. PLOS ONE, 11(3), e0150939. https://doi.org/10.1371/journal.pone.0150939
Wang, D. X. M., Yao, J., Zirek, Y., Reijnierse, E. M., & Maier, A. B. (2020). Muscle mass, strength, and physical performance predicting activities of daily living: a meta-analysis. Journal of Cachexia Sarcopenia and Muscle, 11(1), 3-25. https://doi.org/10.1002/jcsm.12502
Yang, X., Li, S., Xu, L., Liu, H., Li, Y., Song, X., Bao, J., Liao, S., Xi, Y., & Guo, G. (2024). Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review. Exp Gerontol, 197, 112604. https://doi.org/10.1016/j.exger.2024.112604
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Direitos de Autor (c) 2026 Vânia Loureiro, Margarida Gomes, Sandra Ramos, Mariana Côco