Fundamento: O crescimento da população idosa é um fenômeno mundial. O envelhecimento aumenta o risco para a ocorrência de doenças crônicas que resultam em graus variáveis de perda da independência funcional. A elevação da idade também pode acarretar a redução da independência funcional, tornando os idosos dependentes para a realização de atividades da vida diária (AVDs) e atividades instrumentais da vida diária (AIVDs). Objetivos: O objetivo desse estudo foi avaliar a capacidade funcional, determinando a prevalência de independência funcional e as características associadas em indivíduos idosos, em uma amostra representativa de Porto Alegre, RS, bem como identificar sua associação com qualidade de vida. Essa pesquisa é um dos braços do estudo da Síndrome de Obesidade e Fatores de Risco – SOFT. Participantes e Métodos: Nesse estudo transversal, de base populacional, de indivíduos idosos com 60 e 90 anos, selecionados através de amostragem por estágios múltiplos de conglomerados, em 106 dos 2157 setores censitários de Porto Alegre. Em entrevistas domiciliares aplicou-se um questionário padronizado, para investigar características socioeconômicas, demográficas, hábitos de vida, fatores de risco para doença cardiovascular, além do índice de independência nas atividades de vida diária, desenvolvido por Katz, em1969, e a escala de independência nas atividades instrumentais da vida diária, criado por Lawton e Brody, em 1983, assim como o questionário de qualidade de vida Short Form-12 (Ware,1994). Utilizou-se o módulo Complex Samples, do SPSS, para as análises dos dados, a fim de ajustar para o efeito da amostragem. Testaram-se diferenças entre proporções utilizando-se o teste do quiquadrado de Pearson, ao analisarem-se as prevalências; análise de variância ou co-variância para compararem-se médias, e análise de regressão logística múltipla, para cálculo da odds ratio e intervalo de confiança de 95%. As análises foram para um nível de significância de 5%. Resultados: A média de idade foi semelhante entre homens e mulheres idosos, e a distribuição de idade e sexo foi similar à do censo do Instituto Brasileiro de Geografia e Estatística. Além de maior escolaridade (8,8 vs. 6,6 anos), os homens referiram estar casados mais freqüentemente (75,7%) do que as mulheres (31,9%), as quais eram predominantemente viúvas ou separadas e residiam sozinhas em maior proporção. Com exceção de cor da pele e de residir sozinho, as demais características associaram-se significativamente com a idade. Identificou-se uma relação inversa entre idade e escolaridade e com o estar casado ou residir com companheiro, e uma associação direta com aposentadoria, separação ou viuvez e o uso de dispositivos para andar. Associação direta e independente de idade e sexo foi observada entre escolaridade e independência para realizar as atividades instrumentais, mas não para as atividades da vida diária. A prática de atividade física regular foi preditora de independência funcional nas AVDs e nas AIVDs. Esse estudo verificou tendência a maior independência entre os homens para o total de domínios das AVDs (94% vs. 89%; p=0,09), assim como das AIVDs (94% vs. 88%; p=0,04). Nos homens, observou-se a redução da independência funcional para realizar a maior parte das AVDs e AIVDs com o avançar da idade. Entre as mulheres, destaca-se, a redução da independência funcional com a idade em todas as atividades, exceto usar o telefone. O sexo masculino esteve associado, independentemente da idade, a maiores escores dos componentes físico e mental da qualidade de vida. A idade associou-se inversamente com o componente físico, enquanto a escolaridade o fez de maneira direta. Entretanto, nenhuma dessas características mostrou relação com o componente mental. Ser ativo fisicamente e possuir menor número de condições crônicas se associaram tanto ao escore do componente físico quanto mental, de maneira fortemente significativa. Conclusão: Os indivíduos idosos investigados no Estudo SOFT, representam a população idosa de Porto Alegre. As diferenças entre homens e mulheres idosos incluem características socioeconômicas, hábitos de vida e independência funcional. Os homens apresentam maior qualidade de vida do que as mulheres, independentemente da idade. / Background: The growth of the elderly population is a worldwide phenomenon. The elderly have chronic diseases that lead to various degrees of incapacity, which increases with age and makes them dependent in their activities of the daily living (ADLs), and in the instrumental activities of the daily living (IADLs). Objectives: the objective of the present study was to assess the functional capacity, verifing the prevalence of functional independence in a representative sample from southern Brazil, as well as to identify its association with life quality. The present research is one of the subprojects of the study of Syndrome of Obesity and Risk Fators (SOFT). Participants and methods: This cross-sectional population-based study of elderly individuals, aged 60 to 90 years old, was selected through a multistage probability sample including participants from 106, out of 2157, census sectors of Porto Alegre. A standard questionnaire was applied in the household in order to investigate socioeconomic and demographic characteristics, life habits, risk factors for cardiovascular disease, as well as the Index of Independence in the activities of the daily living, developed by Katz (1969) and the Instrumental Activities of Daily Living Scale created by Lawton and Brody (1983). The questionnaire Short Form-12 of quality of life (Ware, 1996) was also administered. Complex Samples module of SPSS was used for data analysis in order to take into account the design effect. The differences between proportions were tested by Pearson’s chi-square test; the variance and covariance analyses were used to compare the averages and the multiple logistic regression analysis to calculate the odds ratio and 95% confidence interval. Results: the age average was similar between elderly man and women, and the sex and age distribution was similar to the one of the census of the Brazilian Institute of Geography and Statistics. Besides higher scholarity (8,8 vs. 6,6 years), men referred to being married more frequently (75,7%) than women (31,9%), which were mainly widows or were separated and residing alone more often than men. Except for the color of the skin and the fact of residing alone or not, all the researched characteristics were significantly associated with age. An inverse relationship between age and scholarity and between age and being married or residing with a companion was identified, as well as a direct relationship between age and being retired, being separated or a widow, and needing a walking assistance device. Also, it was observed a direct relationship, regardless of age and sex, between scholarity and independence to perform instrumental activities of the daily living, not however, to the activities of daily living. The practice of regular physical activity was a predicting factor for functional independence in both ADLs and IADLs. This study verified a larger tendency for independence among men for the total of the ADLs (94% vs. 89% for women; p=0,09) and IADLs(94% vs. 88% for women; p=0,04) domains. The reduction of functional independence with age among men was observed in most of the ADLs and IADLs. Among women there was a reduction of functional independence in every activity, except the use of the telephone. The masculine sex was associated, regardless of age, to higher scores on the physical and mental components of quality of life. Age associated inversely with the physical component, while scholarity made it directly, but none of those characteristics showed any relationship with the mental component. Being physically active and possessing a lower number of chronic diseases associated significantly with both mental and physical scores. Conclusion: the elderly individuals investigated in the SOFT study are representative of the elderly population of Porto Alegre. The differences between elderly man and women include: socio-economical characteristics, life habits and functional independence. Men present a higher quality of life than women regardless of age.

Fundamento: O crescimento da população idosa é um fenômeno mundial. O envelhecimento aumenta o risco para a ocorrência de doenças crônicas que resultam em graus variáveis de perda da independência funcional. A elevação da idade também pode acarretar a redução da independência funcional, tornando os idosos dependentes para a realização de atividades da vida diária (AVDs) e atividades instrumentais da vida diária (AIVDs). Objetivos: O objetivo desse estudo foi avaliar a capacidade funcional, determinando a prevalência de independência funcional e as características associadas em indivíduos idosos, em uma amostra representativa de Porto Alegre, RS, bem como identificar sua associação com qualidade de vida. Essa pesquisa é um dos braços do estudo da Síndrome de Obesidade e Fatores de Risco – SOFT. Participantes e Métodos: Nesse estudo transversal, de base populacional, de indivíduos idosos com 60 e 90 anos, selecionados através de amostragem por estágios múltiplos de conglomerados, em 106 dos 2157 setores censitários de Porto Alegre. Em entrevistas domiciliares aplicou-se um questionário padronizado, para investigar características socioeconômicas, demográficas, hábitos de vida, fatores de risco para doença cardiovascular, além do índice de independência nas atividades de vida diária, desenvolvido por Katz, em1969, e a escala de independência nas atividades instrumentais da vida diária, criado por Lawton e Brody, em 1983, assim como o questionário de qualidade de vida Short Form-12 (Ware,1994). Utilizou-se o módulo Complex Samples, do SPSS, para as análises dos dados, a fim de ajustar para o efeito da amostragem. Testaram-se diferenças entre proporções utilizando-se o teste do quiquadrado de Pearson, ao analisarem-se as prevalências; análise de variância ou co-variância para compararem-se médias, e análise de regressão logística múltipla, para cálculo da odds ratio e intervalo de confiança de 95%. As análises foram para um nível de significância de 5%. Resultados: A média de idade foi semelhante entre homens e mulheres idosos, e a distribuição de idade e sexo foi similar à do censo do Instituto Brasileiro de Geografia e Estatística. Além de maior escolaridade (8,8 vs. 6,6 anos), os homens referiram estar casados mais freqüentemente (75,7%) do que as mulheres (31,9%), as quais eram predominantemente viúvas ou separadas e residiam sozinhas em maior proporção. Com exceção de cor da pele e de residir sozinho, as demais características associaram-se significativamente com a idade. Identificou-se uma relação inversa entre idade e escolaridade e com o estar casado ou residir com companheiro, e uma associação direta com aposentadoria, separação ou viuvez e o uso de dispositivos para andar. Associação direta e independente de idade e sexo foi observada entre escolaridade e independência para realizar as atividades instrumentais, mas não para as atividades da vida diária. A prática de atividade física regular foi preditora de independência funcional nas AVDs e nas AIVDs. Esse estudo verificou tendência a maior independência entre os homens para o total de domínios das AVDs (94% vs. 89%; p=0,09), assim como das AIVDs (94% vs. 88%; p=0,04). Nos homens, observou-se a redução da independência funcional para realizar a maior parte das AVDs e AIVDs com o avançar da idade. Entre as mulheres, destaca-se, a redução da independência funcional com a idade em todas as atividades, exceto usar o telefone. O sexo masculino esteve associado, independentemente da idade, a maiores escores dos componentes físico e mental da qualidade de vida. A idade associou-se inversamente com o componente físico, enquanto a escolaridade o fez de maneira direta. Entretanto, nenhuma dessas características mostrou relação com o componente mental. Ser ativo fisicamente e possuir menor número de condições crônicas se associaram tanto ao escore do componente físico quanto mental, de maneira fortemente significativa. Conclusão: Os indivíduos idosos investigados no Estudo SOFT, representam a população idosa de Porto Alegre. As diferenças entre homens e mulheres idosos incluem características socioeconômicas, hábitos de vida e independência funcional. Os homens apresentam maior qualidade de vida do que as mulheres, independentemente da idade. / Background: The growth of the elderly population is a worldwide phenomenon. The elderly have chronic diseases that lead to various degrees of incapacity, which increases with age and makes them dependent in their activities of the daily living (ADLs), and in the instrumental activities of the daily living (IADLs). Objectives: the objective of the present study was to assess the functional capacity, verifing the prevalence of functional independence in a representative sample from southern Brazil, as well as to identify its association with life quality. The present research is one of the subprojects of the study of Syndrome of Obesity and Risk Fators (SOFT). Participants and methods: This cross-sectional population-based study of elderly individuals, aged 60 to 90 years old, was selected through a multistage probability sample including participants from 106, out of 2157, census sectors of Porto Alegre. A standard questionnaire was applied in the household in order to investigate socioeconomic and demographic characteristics, life habits, risk factors for cardiovascular disease, as well as the Index of Independence in the activities of the daily living, developed by Katz (1969) and the Instrumental Activities of Daily Living Scale created by Lawton and Brody (1983). The questionnaire Short Form-12 of quality of life (Ware, 1996) was also administered. Complex Samples module of SPSS was used for data analysis in order to take into account the design effect. The differences between proportions were tested by Pearson’s chi-square test; the variance and covariance analyses were used to compare the averages and the multiple logistic regression analysis to calculate the odds ratio and 95% confidence interval. Results: the age average was similar between elderly man and women, and the sex and age distribution was similar to the one of the census of the Brazilian Institute of Geography and Statistics. Besides higher scholarity (8,8 vs. 6,6 years), men referred to being married more frequently (75,7%) than women (31,9%), which were mainly widows or were separated and residing alone more often than men. Except for the color of the skin and the fact of residing alone or not, all the researched characteristics were significantly associated with age. An inverse relationship between age and scholarity and between age and being married or residing with a companion was identified, as well as a direct relationship between age and being retired, being separated or a widow, and needing a walking assistance device. Also, it was observed a direct relationship, regardless of age and sex, between scholarity and independence to perform instrumental activities of the daily living, not however, to the activities of daily living. The practice of regular physical activity was a predicting factor for functional independence in both ADLs and IADLs. This study verified a larger tendency for independence among men for the total of the ADLs (94% vs. 89% for women; p=0,09) and IADLs(94% vs. 88% for women; p=0,04) domains. The reduction of functional independence with age among men was observed in most of the ADLs and IADLs. Among women there was a reduction of functional independence in every activity, except the use of the telephone. The masculine sex was associated, regardless of age, to higher scores on the physical and mental components of quality of life. Age associated inversely with the physical component, while scholarity made it directly, but none of those characteristics showed any relationship with the mental component. Being physically active and possessing a lower number of chronic diseases associated significantly with both mental and physical scores. Conclusion: the elderly individuals investigated in the SOFT study are representative of the elderly population of Porto Alegre. The differences between elderly man and women include: socio-economical characteristics, life habits and functional independence. Men present a higher quality of life than women regardless of age.

Fundamento: O crescimento da população idosa é um fenômeno mundial. O envelhecimento aumenta o risco para a ocorrência de doenças crônicas que resultam em graus variáveis de perda da independência funcional. A elevação da idade também pode acarretar a redução da independência funcional, tornando os idosos dependentes para a realização de atividades da vida diária (AVDs) e atividades instrumentais da vida diária (AIVDs). Objetivos: O objetivo desse estudo foi avaliar a capacidade funcional, determinando a prevalência de independência funcional e as características associadas em indivíduos idosos, em uma amostra representativa de Porto Alegre, RS, bem como identificar sua associação com qualidade de vida. Essa pesquisa é um dos braços do estudo da Síndrome de Obesidade e Fatores de Risco – SOFT. Participantes e Métodos: Nesse estudo transversal, de base populacional, de indivíduos idosos com 60 e 90 anos, selecionados através de amostragem por estágios múltiplos de conglomerados, em 106 dos 2157 setores censitários de Porto Alegre. Em entrevistas domiciliares aplicou-se um questionário padronizado, para investigar características socioeconômicas, demográficas, hábitos de vida, fatores de risco para doença cardiovascular, além do índice de independência nas atividades de vida diária, desenvolvido por Katz, em1969, e a escala de independência nas atividades instrumentais da vida diária, criado por Lawton e Brody, em 1983, assim como o questionário de qualidade de vida Short Form-12 (Ware,1994). Utilizou-se o módulo Complex Samples, do SPSS, para as análises dos dados, a fim de ajustar para o efeito da amostragem. Testaram-se diferenças entre proporções utilizando-se o teste do quiquadrado de Pearson, ao analisarem-se as prevalências; análise de variância ou co-variância para compararem-se médias, e análise de regressão logística múltipla, para cálculo da odds ratio e intervalo de confiança de 95%. As análises foram para um nível de significância de 5%. Resultados: A média de idade foi semelhante entre homens e mulheres idosos, e a distribuição de idade e sexo foi similar à do censo do Instituto Brasileiro de Geografia e Estatística. Além de maior escolaridade (8,8 vs. 6,6 anos), os homens referiram estar casados mais freqüentemente (75,7%) do que as mulheres (31,9%), as quais eram predominantemente viúvas ou separadas e residiam sozinhas em maior proporção. Com exceção de cor da pele e de residir sozinho, as demais características associaram-se significativamente com a idade. Identificou-se uma relação inversa entre idade e escolaridade e com o estar casado ou residir com companheiro, e uma associação direta com aposentadoria, separação ou viuvez e o uso de dispositivos para andar. Associação direta e independente de idade e sexo foi observada entre escolaridade e independência para realizar as atividades instrumentais, mas não para as atividades da vida diária. A prática de atividade física regular foi preditora de independência funcional nas AVDs e nas AIVDs. Esse estudo verificou tendência a maior independência entre os homens para o total de domínios das AVDs (94% vs. 89%; p=0,09), assim como das AIVDs (94% vs. 88%; p=0,04). Nos homens, observou-se a redução da independência funcional para realizar a maior parte das AVDs e AIVDs com o avançar da idade. Entre as mulheres, destaca-se, a redução da independência funcional com a idade em todas as atividades, exceto usar o telefone. O sexo masculino esteve associado, independentemente da idade, a maiores escores dos componentes físico e mental da qualidade de vida. A idade associou-se inversamente com o componente físico, enquanto a escolaridade o fez de maneira direta. Entretanto, nenhuma dessas características mostrou relação com o componente mental. Ser ativo fisicamente e possuir menor número de condições crônicas se associaram tanto ao escore do componente físico quanto mental, de maneira fortemente significativa. Conclusão: Os indivíduos idosos investigados no Estudo SOFT, representam a população idosa de Porto Alegre. As diferenças entre homens e mulheres idosos incluem características socioeconômicas, hábitos de vida e independência funcional. Os homens apresentam maior qualidade de vida do que as mulheres, independentemente da idade. / Background: The growth of the elderly population is a worldwide phenomenon. The elderly have chronic diseases that lead to various degrees of incapacity, which increases with age and makes them dependent in their activities of the daily living (ADLs), and in the instrumental activities of the daily living (IADLs). Objectives: the objective of the present study was to assess the functional capacity, verifing the prevalence of functional independence in a representative sample from southern Brazil, as well as to identify its association with life quality. The present research is one of the subprojects of the study of Syndrome of Obesity and Risk Fators (SOFT). Participants and methods: This cross-sectional population-based study of elderly individuals, aged 60 to 90 years old, was selected through a multistage probability sample including participants from 106, out of 2157, census sectors of Porto Alegre. A standard questionnaire was applied in the household in order to investigate socioeconomic and demographic characteristics, life habits, risk factors for cardiovascular disease, as well as the Index of Independence in the activities of the daily living, developed by Katz (1969) and the Instrumental Activities of Daily Living Scale created by Lawton and Brody (1983). The questionnaire Short Form-12 of quality of life (Ware, 1996) was also administered. Complex Samples module of SPSS was used for data analysis in order to take into account the design effect. The differences between proportions were tested by Pearson’s chi-square test; the variance and covariance analyses were used to compare the averages and the multiple logistic regression analysis to calculate the odds ratio and 95% confidence interval. Results: the age average was similar between elderly man and women, and the sex and age distribution was similar to the one of the census of the Brazilian Institute of Geography and Statistics. Besides higher scholarity (8,8 vs. 6,6 years), men referred to being married more frequently (75,7%) than women (31,9%), which were mainly widows or were separated and residing alone more often than men. Except for the color of the skin and the fact of residing alone or not, all the researched characteristics were significantly associated with age. An inverse relationship between age and scholarity and between age and being married or residing with a companion was identified, as well as a direct relationship between age and being retired, being separated or a widow, and needing a walking assistance device. Also, it was observed a direct relationship, regardless of age and sex, between scholarity and independence to perform instrumental activities of the daily living, not however, to the activities of daily living. The practice of regular physical activity was a predicting factor for functional independence in both ADLs and IADLs. This study verified a larger tendency for independence among men for the total of the ADLs (94% vs. 89% for women; p=0,09) and IADLs(94% vs. 88% for women; p=0,04) domains. The reduction of functional independence with age among men was observed in most of the ADLs and IADLs. Among women there was a reduction of functional independence in every activity, except the use of the telephone. The masculine sex was associated, regardless of age, to higher scores on the physical and mental components of quality of life. Age associated inversely with the physical component, while scholarity made it directly, but none of those characteristics showed any relationship with the mental component. Being physically active and possessing a lower number of chronic diseases associated significantly with both mental and physical scores. Conclusion: the elderly individuals investigated in the SOFT study are representative of the elderly population of Porto Alegre. The differences between elderly man and women include: socio-economical characteristics, life habits and functional independence. Men present a higher quality of life than women regardless of age.

Syftet med studien var att sammanställa arbetsterapeutiska interventioner vid palliativ vård samt beskriva arbetsterapeutens erfarenheter av dem. Metod: En litteratursökning gjordes i databaserna PubMed och Cinahl. Efter sammanställning av interventionerna gjordes en kvalitativ innehållsanalys för att identifiera arbetsterapeuternas erfarenheter. Resultat: Utifrån analysen från studierna identifierades följande fem grupper av interventioner: Kompensatoriska åtgärder, Möjliggöra ADL, Förebyggande åtgärder genom handledning och utbildning, Aktivitet som symtomhantering och Aktivitetsbaserade åtgärder. Tre kategorier med underkategorier identifierades utifrån den kvalitativa innehållsanalysen: Utgå från klientens behov (ha förståelse för klientens situation, ta hänsyn till klientens värderingar), Se betydelsen av att utföra aktiviteter (möjliggöra fortsatt delaktighet och samhörighet med andra, använda aktivitet som symtomhantering) och Hantera begränsningar och möjligheter (vara flexibel, ha ett välfungerande team). Konklusion: Arbetsterapeuten har en betydande roll inom det palliativa teamet. Behov av ökad kunskap om arbetsterapeutens roll behövs för att underlätta teamarbetet som är en viktig del inom den palliativa vården. / The aim of the study was to gather occupational therapy interventions in palliative care and describe the occupational therapist's experiences of them. Method: A literature search was performed in the databases PubMed and Cinahl. After compiling the interventions, a qualitative content analysis was performed to identify the occupational therapists' experiences. Results: The interventions were divided into the following five categories:Compensatory measures, Enabling ADL, Preventive measures through guiding and training, Activity as symptom management and Activity-based measures. Three categories with subcategories were identified based on the qualitative content analysis: Meet the client's needs (have an understanding of the client's situation, consider the client's values), See the importance of performing activities (enable continued participation and belonging to others, use activity as symptom management) and Managing constraints and opportunities (be flexible, have a well-functioning team). Conclusion: The occupational therapist has an important role within the palliative care team. The need for increased knowledge of the occupational therapist's role is needed to facilitate teamwork, which is an important part of palliative care.

There is evidence that a person’s financial situation is associated with their wellbeing now and in the future. However, financial stress is present in many adults’ lives, impacting their role and participation in different occupational domains such as work, health management, and instrumental activities of daily living. Financial stress is consistently one of the top three causes of stress in the United States (APA, 2015). Financial stress is associated with cumulative effects that have a negative impact on a person’s physical health (Gallo et al., 2011; Kahn & Pearlin, 2006; Sturgeon et al., 2016) and mental health (Fitch et al., 2011; Mucci et al., 2016). Improving a person’s financial wellbeing is one way to mitigate financial stress. This project focused on the factors affecting a person’s financial decision-making skills and behavior, leading to financial stress or financial wellbeing. The evidence literature and current approaches were reviewed and contributed to the development of Financially Wiser, a theory-driven evidence-based approach for developing financial literacy and positive financial management behavior that leads to improved financial wellbeing. Financially Wiser is designed as a community-based financial management education program facilitated by an occupational therapist. A pre-test post-test evaluation will be conducted to determine participant satisfaction and the degree to which the program goals were achieved.

Wearable sensors and systems have become increasingly popular for diverse applications. An emerging technology for physical activity assessment is Smart Textile Systems (STSs), comprised of sensitive/actuating fiber, yarn, or fabric that can sense an external stimulus. All required components of an STS (sensors, electronics, energy supply, etc.) can be conveniently embedded into a garment, providing a fully textile-based system. Thus, STSs have clear potential utility for measuring health-relevant aspects of human activity, and to do so passively and continuously in diverse environments. For these reasons, STSs have received increasing interest in recent studies. Despite this, however, limited evidence exists to support the implementation of STSs during diverse applications. Our long-term goal was to assess the feasibility and accuracy of using an STS to monitor human activities. Our immediate objective was to investigate the accuracy of an STS in three representative applications with respect to occupational scenarios, healthcare, and activities of daily living. A particular STS was examined, consisting of a smart socks (SSs), using textile pressure sensors, and smart undershirt (SUS), using textile strain sensors. We also explored the relative merits of these two approaches, separately and in combination. Thus, five studies were completed to design and evaluate the usability of the smart undershirt, and investigate the accuracy of implementing an STS in the noted applications. Input from the SUS led to planar angle estimations with errors on the order of 1.3 and 9.4 degrees for the low-back and shoulder, respectively. Overall, individuals preferred wearing a smart textile system over an IMU system and indicated the former as superior in several aspects of usability. In particular, the short-sleeved T-shirt was the most preferred garments for an STS. Results also indicated that the smart shirt and smart socks, both individually and in combination, could detect occupational tasks, abnormal and normal gaits, and activities of daily living with greater than 97% accuracy. Based on our findings, we hope to facilitate future work that more effectively quantifies sedentary periods that may be deleterious to human health, as well as detect activity types that may be help or hinder health and fitness. Such information may be of use to individuals and workers, healthcare providers, and ergonomists. More specifically, further analyses from this investigation could provide strategies for: (a) modifying a sedentary lifestyle or work scenario to a more active one, and (b) helping to more accurately identify occupational injury risk factors associated with human movement. / PHD / The use of interactive or “smart” textiles that have sensing material(s) incorporated into them supports an emerging technology for physical activity assessment called Smart Textile Systems (STSs). STSs are an increasingly useful technology for researchers, athletes, patients, and others. Our aims in the current study were the development and assessment of a new smart undershirt (SUS) that was designed to monitor low-back and shoulder motions, and to evaluate the preferred placement and usability of two STSs. We also assessed the accuracy of two smart garments, smart socks (SSs) and the SUS, both individually and in combination. Accuracy was evaluated in terms of the ability of these systems to distinguish between diverse simulated occupational tasks, normal and abnormal walking patterns, and several typical daily activities. Our investigation indicated that STSs could discriminate between different human activities common in three domains: occupational scenarios, healthcare, and activities of daily life. We also found that both smart garments (i.e., SSs and SUS) provided similar accuracy for activity classification, typically exceeding 97%, and thus there was no clear superiority between these two smart garments. We conclude that, overall, smart garments represent a promising area of research and a potential alternative for discriminating and monitoring a range of human activities. Use of this technology in the future may have positive implications for health promotion.

Capacidade funcional surge como novo conceito quando aborda a saúde do idoso, principalmente em se tratando de idosos com doença de Alzheimer (DA) onde o déficit cognitivo é esperado aliado ao funcional. Dessa forma as pesquisas relacionadas à capacidade funcional do idoso com DA vêm ao encontro das questões relacionadas ao cuidado desse idoso. Trata-se de um estudo observacional e transversal que teve com objetivo identificar comorbidades dos idosos com DA, mensurar nível de independência funcional, segundo a Medida da Independência Funcional (MIF), comparando com o estagiamento da demência, segundo a Avaliação Clínica da demência (Clinical Dementia Rating scale - CDR). A amostra foi constituída de 67 idosos. Os dados foram coletados em entrevistas domiciliares, utilizando-se de instrumento para identificação e perfil sociodemográfico, do Mini Exame do Estado Mental (MEEM) para avaliação do déficit cognitivo, da Medida de Independência Funcional (MIF) para avaliação da funcionalidade e, para estagiamento da demência, foi utilizada CDR. A média de idade dos idosos foi de 79 anos (+ 7,2), sendo 41,8% na faixa etária entre 75-79 anos. Houve predominio de mulheres 77,6% e viúvos 49,3%. Os idosos possuíam média de escolaridade de 5,6 anos, 73,1% tinham renda própria, 46,3% possuíam renda familiar de até 5 salários mínimos e residiam em média com 3,5 pessoas. Quanto às comorbidades existentes, 23,9 não possuíam e 53,7% tinham hipertensão arterial. O déficit cognitivo foi de 82%, e a média no MEEM de 9,3. Sobre o estagiamento da demência, 46,3% apresentavam demência grave, 22,4%% demência moderada e 31,3% demência leve. Quanto a funcionalidade, a variação dos escores observados na MIF foi igual à variação possível para MIF motora. A média geral da MIF global encontrada foi 71,1, a médias da MIF global foram 107,9; 84,5 e 39,7 para os idosos com demência leve, moderada e grave respectivamente. Os idosos com demência leve possuíam independência modificada ou necessitavam de supervisão, aqueles com demência moderada possuíam dependência mínima ou necessidade de supervisão e os idosos com demência grave eram totalmente dependentes. Foi encontrada forte correlação entre o nível de independência funcional (MIF global) com o estágio da demência e com o desempenho cognitivo (p<0,001). Não foram encontradas correlações estatisticamente significantes entre a funcionalidade e idade, sexo e presença de (co)morbidades. Concluiu-se que a capacidade funcional dos idosos com DA está relacionada ao estágio da demência, isto é, quanto mais grave a demência, maior o nível da dependência. / Functional capacity emerges as a new concept in elderly health, mainly with respect to elderly people with Alzheimers disease (AD), when a cognitive deficit is expected, connected with a functional deficit. Thus, research on functional capacity in elderly people with AD is relevant for elderly care delivery. This observational, crosssectional study aimed to identify co-morbidities of elderly people with AD, to measure the functional independence level according to the Functional Independence Measure (FIM), in comparison with the dementia staging according to the Clinical Dementia Rating scale (CDR). The sample consisted of 67 elderly. Data were collected during interviews at the elderlys home, using an identification and sociodemographic profile instrument, the Mini-Mental State Examination (MMSE) to assess cognitive deficit; the Functional Independence Measure (FIM) for functional assessment, and CDR to asses dementia staging. The mean age was 79 years (+ 7.2), with 41.8% between 75 and 79 years old. Women 77.6% and widowed people 49.3% were predominant. The elderlys mean education level was 5.6 years, 73.1% gained their own income, 46.3% gained a family income of up to 5 minimum wages and lived with an average of 3.5 people. As to existing co-morbidities, 23.9 had none and 53.7% had arterial hypertension. The cognitive deficit was 82% and the mean MMSE score 9.3. In dementia staging, 46.3% presented severe, 22.4%% moderate and 31.3% light dementia. With respect to functionality, the variation in FIM scores was equal to the possible variation for motor FIM. The mean global general FIM score was 71.1, the mean global FIM scores were 107.9 for light; 84.5 for moderate and 39.7 for severe dementia. Elderly with light dementia displayed modified independence or needed supervision; those with moderate dementia showed minimal dependence or supervision and elderly with severe dementia were fully dependent. A strong correlation was found between the functional independence level (global FIM) and dementia stage and with cognitive performance (p<0.001). No statistically significant correlations were found between functionality and age, gender and presence of co-morbidities. It was concluded that the functional capacity of elderly people with AD is related with the stage of dementia, that is, the more severe the dementia, the higher the level of dependence will be.

Made available in DSpace on 2016-04-27T18:47:12Z (GMT). No. of bitstreams: 1 Aide Angelica de Oliveira.pdf: 1600559 bytes, checksum: 051769c33fc4500eb613791d0da961d5 (MD5) Previous issue date: 2012-12-17 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The practice of aquatic physical activity for the elderly is an important and strategic topic for both people, as in social terms. Among the aquatic physical activities, water aerobics has been receiving an increasing number of fans contributing, and when offered in a proper manner, to the improvement of the quality of life and for the rescue of the autonomy of the elderly. In water aerobics is the theme of this essay. This is a descriptive and exploratory study that aimed to investigate the relationship between aging, aquatic physical activity (gym) and the quality of life among the elderly. The research was developed in the Municipal sports Center located in Caieiras SP. The study population was made up of 100 subject, with equal or greater age of 60 years and practitioners of water aerobics for at least one year. For quantitative data collection was used a questionnaire covering personal and socioeconomic data; These data were collected through semi-structured interviews which had the objective of deepening aspects related to the regular practice of this kind of physical activity, the choice of the place and the perception of the subject about quality of life . Quantitative data were organized and worked by means of Statistical Package for Social Sciences (SPSS) for Windows. As for the interviews, Bardin (2009) provided the framework for the analysis of the content (AC) of the lines of the subjects. Among the subjects, the predominant age was 60 to 69 years. On the other hand, the prevalence of women was significant (86%). These data were added to the collection of information about education, income, occupation, retirement, family status, marital status, religion, leisure and health conditions. The analysis of the data revealed not only the benefits of physical activity for the elderly population, as the importance of a multidisciplinary work / A prática da atividade física aquática para idosos é um tema relevante e estratégico, tanto para as pessoas, como em termos sociais. Dentre as atividades físicas aquáticas, a hidroginástica vem recebendo um número crescente de adeptos contribuindo, cada vez mais e quando oferecida de forma adequada, para a melhoria da qualidade de vida e para o resgate da autonomia dos idosos. Na hidroginástica situa-se o tema dessa dissertação. Trata-se de um estudo descritivo e exploratório que teve por objetivo investigar a relação entre o envelhecimento, a atividade física aquática (hidroginástica) e a qualidade de vida entre idosos. A investigação foi desenvolvida no Centro Esportivo Municipal localizado na cidade de Caieiras-SP. A população deste estudo foi composta por 100 sujeitos, com idade igual ou maior de 60 anos e praticantes de hidroginástica há pelo menos um ano. Para a coleta de dados quantitativa foi utilizado um questionário contemplando dados pessoais e socioeconômicos; estes dados foram obtidos através de entrevistas semiestruturadas que tiveram o objetivo de aprofundar aspectos relacionados à prática regular desta modalidade de atividade física, à escolha do local e à percepção dos sujeitos sobre qualidade de vida . Os dados quantitativos foram organizados e trabalhados por meio do programa Statistical Package for Social Sciences (SPSS) for Windows. Quanto às entrevistas, Bardin (2009) forneceu os referenciais para a análise do conteúdo (AC) das falas dos sujeitos. Entre os sujeitos, a faixa etária predominante foi de 60 a 69 anos. Por outro lado, a predominância das mulheres foi expressiva (86%). A estes dados somou-se a coleta de informações sobre escolaridade, renda, ocupação, aposentadoria, condição na família, estado civil, religião, lazer e condições de saúde. A análise dos dados revelou não só os benefícios desta atividade física para a população idosa, como a importância um trabalho multidisciplinar

This diploma thesis deals with monitoring the movement of the upper limbs in patients after acquired brain injury using an accelerometer. The diploma thesis is processed from the perspective of occupational therapy. The thesis is divided into the theoretical and practical part. The main objective of the theoretical part is to collect specialist literature about monitoring the movement of the upper limbs by accelerometer in rehabilitation, especially in the occupational therapy. The practical part of the thesis has three objectives. The first objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to an objective improvement of the activity of daily living (ADL) in the areas of eating, washing and dressing. The second objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to subjective improvement in the same ADLs, and the third objective is to compare whether objective and subjective improvement is related. The practical part was prepared in the form of pilot studies. Quantitative research was used, specifically the type of pre-experiment - One Group Pretest Posttest Design. The study included 14 patients after acquired brain injury. The...

This diploma thesis deals with monitoring the movement of the upper limbs in patients after acquired brain injury using an accelerometer. The diploma thesis is processed from the perspective of occupational therapy. The thesis is divided into the theoretical and practical part. The main objective of the theoretical part is to collect specialist literature about monitoring the movement of the upper limbs by accelerometer in rehabilitation, especially in the occupational therapy. The practical part of the thesis has three objectives. The first objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to an objective improvement of the activity of daily living (ADL) in the areas of eating, washing and dressing. The second objective is to find out whether monitoring of the upper limbs using the accelerometer in patients after acquired brain injury will lead to subjective improvement in the same ADLs, and the third objective is to compare whether objective and subjective improvement is related. The practical part was prepared in the form of pilot studies. Quantitative research was used, specifically the type of pre-experiment - One Group Pretest Posttest Design. The study included 14 patients after acquired brain injury. The...