Made available in DSpace on 2016-04-04T18:27:53Z (GMT). No. of bitstreams: 1 Ariane Vicinanca Fornasin.pdf: 848773 bytes, checksum: db0b7ade0380be01de59ff8457b7bd1f (MD5) Previous issue date: 2010-02-05 / The objective of the present study was to assess if competitive activity represents a source of stress for sportsmen in the armed forces, based on a survey of stress symptoms. The study included the participation of 162 male military personnel in the 17-20 age range, divided into two groups: Athletes in the military (GMA) and non-athletes in the military (GM), each consisting of 81 participants. In order to ascertain the level of stress, the Stress Symptoms Inventory (ISSL) was used along with a questionnaire that was different for each group, consisting of open-ended questions. It was noted that 58.02% of the GM participants and 80.25% of GMA athletes did not present symptoms of stress. The main factors which could have contributed to this outcome were a balanced diet of food which they receive in the Army Cadet Preparatory School (EsPCEx), the making of the career decision, the stability that this career affords and the practice of physical activity. However, the level of military personnel with symptoms of stress in the GM group is 41.98%, and 38.28% of these are in the resistance phase. Although the percentage of participants with stress is high, when compared with samples from other studies, it is found that the index recorded is below that observed in young adults. In comparison with the GMA group, the index of stress was even lower. It may be concluded that sporting activity is a factor that lessens stress in young military personnel. / A presente pesquisa analisou se a atividade competitiva representa uma fonte de stress para desportistas militares, tendo como base o levantamento de sintomas de stress. Participaram dessa pesquisa 162 militares do sexo masculino, na faixa et?ria de 17 a 20 anos, divididos em grupos de militares atletas (GMA) e militares n?o atletas (GM), com 81 participantes cada um. Para a verifica??o do stress, foi utilizado o Invent?rio de Sintomas de Stress (ISSL) e um question?rio diferenciado para cada grupo com perguntas abertas. Observou-se que 58,02% dos participantes do GM e 80,25% dos atletas do GMA n?o apresentavam sintomas de stress. Os principais fatores que poderiam contribuir para esse resultado ? a alimenta??o equilibrada que recebem na EsPCEx, a tomada de decis?o sobre a carreira, a estabilidade que ela proporciona e a pr?tica de atividade f?sica. Por?m, o n?vel de militares com sintomas de stress no GM foi de 41,98%, sendo 38,28% desses estavam na fase de resist?ncia. Embora este percentual de participantes com stress seja elevado, quando comparado com amostras de outros estudos, verifica-se que o ?ndice registrado est? abaixo do observado em jovens adultos. Com rela??o ao GMA, o ?ndice de stress foi ainda mais baixo. Conclui-se que a atividade desportista ? um fator atenuante de stress em jovens militares.

Made available in DSpace on 2014-12-17T15:38:41Z (GMT). No. of bitstreams: 1 MarinaPG.pdf: 516690 bytes, checksum: 8c7722ecca5854fc8c3bdbbf688a4d80 (MD5) Previous issue date: 2008-03-11 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The study of the motivation to practice physical activities is relevant once through this it is possible to develop intervention strategies for sedentary population. In this way, the present dissertation aimed to adapt and validate for the Brazilian context the Motives for Physical Activity Measure Revised (MPAM-R). It was investigated yet the relation of some socio-demographic variables (age, gender, Body Mass Index - BMI, types of physical activity; way to practice and time of practice) and the participants means in the motives studied. The physical activity (PA) is defined as any bodily movement produced by skeletal muscles resulting in energy expenditure above the basal level. However, in the present study it was considered motivation for two types of PA: the physical exercises and sports. The Self-Determination Theory (SDT) underlay this research, once it has been used in the sportive context, beyond the facto of it was used as theoretical base to the development of MPAM-R. To attain the proposed goals, it was accomplished translations to Portuguese of the original English scale. Next, was carried out the semantic analysis and the judge analysis. For the empirical analysis of items, participated 309 practitioner of PA, classified in physical exercises practitioners and sports practitioners, with ages between 16 and 74 years, distributed equally by sex. They answered the final version in Portuguese of the MPAM-R and socio-demographic questions. The data was collected in Natal/RN, where the researcher approached people in some places where the PA is practiced, following she communicated that their involvement will be spontaneous and their responses will be confidential. The obtained results pointed the confirmation of the existence of five factors in the final version of the instrument, that was composed by 26 items that presented the following statistics indexes: x? (289) = 757.75, p < 0.000, x?/DF = 2.62, with GFI of 0.83, AGFI of 0.80 and RMSEA of 0.07. The reliability (Cronbach Alpha) of the complete instrument was 0.90, and the indexes of each factor were considered satisfactory too: Enjoyment (&#945; = 0.88), Health (&#945; = 0.84), Appearance (&#945; = 0.79), Competence (&#945; = 0.85) and Social (&#945; = 0.75). It was observed that, in general, the main motive presented by the participants to practice PA was Health. It was verified yet, that women and aged had a higher mean in the Health factor; among the exercise practitioners was found a higher mean in the Appearance factor; and a higher mean in the Social factor was found among those that practice PA with accompaniment. It was concluded that the MPAM-R presented satisfactory psychometric parameters, became it useful in futures researches. Moreover, proposed the accomplishment of new studies that considered others variables to the intent of the better understanding of motivation to practice physical activity / O estudo da motiva??o para a pr?tica de atividades f?sicas ? relevante no sentido de viabilizar poss?veis estrat?gias de interven??o junto ? popula??o sedent?ria. Desta forma, a presente disserta??o objetiva adaptar e validar para o contexto brasileiro a Escala de Motiva??o ? Pr?tica de Atividades F?sicas (Motives for Physical Activity Measure Revise MPAM-R). Buscase ainda verificar a m?dia dos participantes nos motivos estudados em decorr?ncia de algumas vari?veis s?cio-demogr?ficas: idade, g?nero, IMC (?ndice de Massa Corporal), tipo de atividade f?sica; forma de praticar e o tempo de pr?tica. A atividade f?sica (AF) ? definida como todo movimento corporal produzido pela musculatura esquel?tica, que resulte em um gasto energ?tico maior do que os n?veis de repouso. Entretanto, no presente estudo considera-se a motiva??o para dois tipos de AF: os exerc?cios f?sicos e os esportes. Toma-se por base a Teoria da Auto- Determina??o (TAD) que tem sido utilizada no contexto esportivo e serviu de fundamenta??o te?rica ao desenvolvimento da MPAM-R. Para atingir os objetivos propostos, foram realizadas tradu??es da escala original em ingl?s para o portugu?s. Em seguida, realizou-se a an?lise sem?ntica e a an?lise dos ju?zes. Para a realiza??o da an?lise emp?rica dos itens, contou-se com a colabora??o de 309 praticantes de AF, classificadas em exerc?cios f?sicos e esportes, com idades entre 16 e 74 anos (M = 35 anos; DP = 14,11), distribu?dos eq?itativamente quanto ao sexo. Estes responderam a vers?o final em portugu?s da MPAM-R e quest?es s?cio-demogr?ficas. Os dados foram coletados na cidade do Natal/RN, abordando as pessoas em locais onde se pratica AF e assegurando-lhes o car?ter volunt?rio e confidencial de suas respostas. Os resultados obtidos indicaram que foi confirmada a exist?ncia de cinco fatores no instrumento final, que ficou formado por 26 itens apresentando os seguintes ?ndices estat?sticos: x? (289) = 757,75, p < 0,000, x?/gl = 2,62; GFI = 0,83, AGFI = 0,80 e RMSEA = 0,07. A escala total apresentou consist?ncia interna (Alfa de Cronbach) de 0,90, sendo os ?ndices espec?ficos de cada fator tamb?m considerados satisfat?rios: Divers?o (&#945; = 0,88), Sa?de (&#945; = 0,84), Apar?ncia (&#945; = 0,79), Compet?ncia (&#945; = 0,85) e Social (&#945; = 0,75). Observou-se que, no geral, os participantes deste estudo praticam AF mais por quest?es de Sa?de. Verificando-se uma maior m?dia no fator Sa?de para mulheres e idosos; maior m?dia no fator Apar?ncia para os praticantes de exerc?cios e, finalmente, maior m?dia no fator Social entre aqueles que praticam AF acompanhados. Concluise que a MPAM-R apresenta par?metros psicom?tricos satisfat?rios, podendo ser utilizada em pesquisas futuras. Ademais, sugere-se a realiza??o de novos estudos que considerem outras vari?veis em busca de melhor compreender a motiva??o para a pr?tica de AF

Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-04-17T18:52:08Z No. of bitstreams: 1 EneasdeFreitasDutraJuniorDissertacao2016.pdf: 1479114 bytes, checksum: 8cf41903bd170ea88ec99d41f5ddec07 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-04-17T18:53:57Z (GMT) No. of bitstreams: 1 EneasdeFreitasDutraJuniorDissertacao2016.pdf: 1479114 bytes, checksum: 8cf41903bd170ea88ec99d41f5ddec07 (MD5) / Made available in DSpace on 2017-04-17T18:53:58Z (GMT). No. of bitstreams: 1 EneasdeFreitasDutraJuniorDissertacao2016.pdf: 1479114 bytes, checksum: 8cf41903bd170ea88ec99d41f5ddec07 (MD5) Previous issue date: 2012-10-05 / It is proven fact that the practice of physical activity is effective in combating stress, however with the Interactive Model creation, proposed to assess gender schemas of the self-concept, classifying the subject into three main groups, Heteroesquem??ticos Male, Isoesquem??ticos and Hetroesquem??ticos Female where there is an association between behavioral consistency according to the group to which belongs, it is important that the correlation between psychological profile of gender, physical fitness and stress to understand attitudes and behaviors of different subjects on different situations. Therefore this study had as objective to evaluate the influence of psychological gender profile of men integrant of a Military Police Battalion of the State of Piau?? about their levels of stress and physical fitness health-related. Method: the study is characterized as descriptive, quantitative, observational and correlational and was developed with 42 members of the Tactical Actions Group of the military police of the State of Piau??, all male. As data collection instruments were used the Male Gender Schemas' Inventory of Self-concept - IMEGA to evaluate the psychological gender profile and the Factorial Model of Stress - MFE to evaluate the stress level, healthrelated physical fitness was evaluated by applying motor tests as flexibility, strength/ localized muscular endurance (abdominal and elbow flexion), 12-minute test, in addition to these was held also the evaluation of fat % with skinfold method through the 7 site equation proposed by Jackson and Pollock. The results demonstrated that soldiers presented only two typological gender groups, Isoesquem??ticos (61%) and Heteroesquem??ticos Male (39%), about the results of motor tests for flexibility was 37.4 ?? 8.52 centimeter, abdominals was 49.75 ?? 6.68 repetitions per minute, elbows flexion was 43 ?? 11.45 repetitions, VO2max was 45.22 ?? 3.45 ml (kg/min) -1 and fat % was 11.65 ?? 4.02. As for the stress, the soldiers did not show high levels of stress. Conclusions: Although the results of the psychological profile of Gender are consistent with the characteristics of the profession of the subjects of the sample, it was found that there is no influence of the psychological profile of genre on physical fitness levels or about stress levels. / ?? fato comprovado que a pr??tica de atividade f??sica ?? eficaz no combate ao estresse, no entanto com cria????o do Modelo Interativo, proposto a fim de avaliar os esquemas de g??nero do auto conceito, classificando os sujeitos em tr??s grupos principais, Heteroesquem??ticos Masculino, Isoesquematicos e Hetroesquematicos Femininos onde h?? uma associa????o entre a consist??ncia comportamental de acordo com o grupo a que perten??a, ?? relevante que se fa??a a correla????o entre perfil psicol??gico de g??nero, aptid??o f??sica e estresse para se compreender atitudes e comportamentos de diferentes sujeitos diante de situa????es diversas. Portanto este estudo teve como objetivo avaliar a h?? influ??ncia do perfil psicol??gico de g??nero de homens integrantes de um Batalh??o da Pol??cia Militar do Estado do Piau?? sobre seus n??veis de estresse e de aptid??o f??sica relacionada ?? sa??de. M??todo: o estudo caracteriza-se como descritivo quantitativo observacional e correlacional e foi desenvolvido com 42 integrantes do Grupo de A????es T??ticas da policia militar do estado do Piau??, todos do sexo masculino. Como instrumentos de coleta de dados foram utilizados o Invent??rio Masculino dos Esquemas de G??nero do Autoconceito ??? IMEGA para avaliar o perfil psicol??gico de g??nero e o Modelo Fatorial de Estresse ??? MFE para avaliar o n??vel de estresse, a aptid??o f??sica relacionada ?? sa??de foi avaliada atrav??s da aplica????o de testes motores como flexibilidade, for??a / resist??ncia muscular localizada (abdominal e flex??o de cotovelo), teste de 12 minutos, al??m destes foi realizada tamb??m a avalia????o do % de gordura com o m??todo de dobras cut??neas atrav??s da equa????o de 7 dobras proposta por Jackson e Pollock. Os resultados demonstraram que os soldados apresentaram somente dois grupos tipol??gicos de g??nero, Isoesquem??ticos (61%) e Heteroesquem??ticos Masculinos (39%), quanto aos resultados dos testes motores para flexibilidade foi de 37,4 ?? 8,52 cent??metros, abdominais de 49,75 ?? 6,68 repeti????es por minuto, flex??o de cotovelos de 43 ?? 11,45 repeti????es, VO2max de 45,22 ?? 3,45 ml(kg/min)-1 e % de gordura de 11,65 ?? 4,02. Quanto ao estresse, os soldados n??o apresentaram n??veis elevados de estresse. Conclus??es: embora os resultados do perfil psicol??gico de G??nero sejam condizentes com as caracter??sticas da profiss??o dos sujeitos da amostra, verificou-se n??o haver influ??ncia do perfil psicol??gico de g??nero sobre os n??veis de aptid??o f??sica, nem t??o pouco sobre os n??veis de estresse.

Submitted by M?rden L?les (marden.inacio@ufvjm.edu.br) on 2016-07-04T22:59:38Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) delsa_fatima_santos_mariano.pdf: 1114462 bytes, checksum: b82edce62904fecaded34003d0101805 (MD5) / Rejected by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br), reason: Completar registro on 2016-07-04T23:02:13Z (GMT) / Submitted by M?rden L?les (marden.inacio@ufvjm.edu.br) on 2016-07-04T23:58:21Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) erica_carvalho_furforo.pdf: 807685 bytes, checksum: 5cf80432bf0c25d0db30ca19dcc6b7a0 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2016-07-05T01:19:51Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) erica_carvalho_furforo.pdf: 807685 bytes, checksum: 5cf80432bf0c25d0db30ca19dcc6b7a0 (MD5) / Made available in DSpace on 2016-07-05T01:19:51Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) erica_carvalho_furforo.pdf: 807685 bytes, checksum: 5cf80432bf0c25d0db30ca19dcc6b7a0 (MD5) Previous issue date: 2015 / RESUMO A Aten??o B?sica no Brasil tem como um dos seus desafios a incorpora??o da atividade f?sica ao cotidiano da popula??o. Essa estrat?gia goza de grande reconhecimento cient?fico no que tange ? obten??o de h?bitos de vida saud?veis. O presente estudo objetivou identificar a percep??o dos profissionais da Estrat?gia de Sa?de da Fam?lia (ESF) sobre pr?ticas de atividade f?sica nas Unidades B?sicas de Sa?de (UBS) de Diamantina (MG). Neste trabalho estudou-se a percep??o dos profissionais acerca da import?ncia da atividade f?sica, a ader?ncia da popula??o a essas pr?ticas, as dificuldades para a realiza??o das atividades, bem como seu planejamento e execu??o. Foi desenvolvido um estudo explorat?rio, descritivo e anal?tico, do tipo corte transversal, com abordagem de natureza quantitativa e qualitativa, e uma coleta de dados em que foi aplicado um question?rio do tipo Likert a todos os profissionais da sa?de de todas as ESF do referido munic?pio. Na primeira etapa os dados foram analisados atrav?s de estudo de frequ?ncia e propor??o e, na segunda, realizou-se o teste exato de Fisher para verificar associa??o estatisticamente significativa entre categorias profissionais estudadas e vari?veis de interesse. Foi detectado o desenvolvimento de pr?ticas de atividade f?sica representadas pelos grupos de caminhada e gin?stica em seis das nove UBS do munic?pio. Destaca-se a seguir os principais resultados obtidos. A percep??o da import?ncia da pr?tica de atividade f?sica obteve a concord?ncia de 100% dos indiv?duos em tr?s das seis assertivas pesquisadas. A percep??o da participa??o da popula??o nas pr?ticas de atividade f?sica na UBS mostrou concord?ncia total e parcial entre mais de 75% dos respondentes quanto ? divulga??o, hor?rio e aconselhamento sobre a participa??o nos grupos de atividade f?sica. A percep??o das dificuldades para a realiza??o de atividade f?sica nas UBS destacou, em 96% das respostas, a necessidade de capacita??o dos profissionais de sa?de para atividade f?sica. O estudo da percep??o dos profissionais em rela??o ao planejamento e execu??o das pr?ticas de atividade f?sica mostrou que 83,9% das respostas concordaram total ou parcialmente com o reconhecimento da responsabilidade de todos os profissionais da ESF no desenvolvimento das atividades. Conclui-se que os profissionais percebem os benef?cios e a import?ncia da pr?tica de atividade f?sica no ?mbito da Aten??o B?sica, embora reconhe?am a pequena participa??o da popula??o nos grupos de atividade f?sica e na disponibiliza??o de equipamentos p?blicos para tal fim. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. / ABSTRACT The Primary Care in Brazil has as one of its challenges incorporating physical activity to daily life of the population. Incorporating physical activity to the population habits enjoys high scientific recognition to obtain healthy life habits. This study aimed to identify the perception of professionals from the Family Health Strategy practice of physical activity in the Basic Health Units of Diamantina, MG. In this work we studied the perception of professionals about the importance of physical activity, adherence of the population to these practices, the difficulties to carry out the activities and the planning and execution of the same. It was developed an exploratory, descriptive and analytical study of transversal, with a quantitative and qualitative approach, in which data collection was a questionnaire of Likert to all health professionals from all of the municipality ESF. In the first stage the data were analyzed through study frequency and proportion and the second stage was held Fisher's exact test to determine a statistically significant association between occupational groups studied and variables of interest. The development of physical activity practices represented by walking groups and fitness in six of the nine municipal UBS was detected. It highlights the following key results. The perception of the importance of physical activity practice obtained the agreement of 100% of subjects in three of the six surveyed assertive. The perception of participation of people in physical activity practices in UBS showed total and partial agreement between more than 75% of respondents as the disclosure time and advice the participation of physical activity groups. The perception of the difficulties to achieve the physical activity groups at UBS noted in 96% of the responses, the need for training of health professionals for physical activity. The study of the perception of the professionals in relation to the planning and execution of physical activity practices showed that 83.9% of respondents agreed fully or partially recognizing the responsibility of the ESF in the development of activities. It is concluded that the professionals realize the benefits and importance of physical activity in the context of Primary Care, while acknowledging the small participation of the population in physical activity groups and providing public facilities for the purpose.

Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2018-05-17T17:58:05Z No. of bitstreams: 1 Disserta??o - Fernanda Pazini - final 02.05.pdf: 700227 bytes, checksum: 539b26a43d572f86a06b66c6ef510385 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-05-30T17:25:56Z (GMT) No. of bitstreams: 1 Disserta??o - Fernanda Pazini - final 02.05.pdf: 700227 bytes, checksum: 539b26a43d572f86a06b66c6ef510385 (MD5) / Made available in DSpace on 2018-05-30T17:27:54Z (GMT). No. of bitstreams: 1 Disserta??o - Fernanda Pazini - final 02.05.pdf: 700227 bytes, checksum: 539b26a43d572f86a06b66c6ef510385 (MD5) Previous issue date: 2018-03-14 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: Asthma is a chronic respiratory disease of high prevalence in the child population. Its diagnosis and correct treatment are essential so that the patient does not move away from their routine activities. For this population, guided physical activity can help decrease the symptoms of the disease, improve cardiorespiratory fitness, reduce fat levels and increase muscle mass, decrease school absenteeism levels, and raise quality of life scores. Objective: To evaluate and correlate levels of physical activity with the pulmonary function of children diagnosed with asthma at school. Methods: This study was accomplished out in two phases, in schoolchildren from Porto Alegre / RS, from 8 to 16 years old. In the phase I (transversal) the sample was characterized, being applied to the responsible ones of the students a questionnaire of diagnosis of the asthma, following the standards of the international study "The International Study of Asthma and Allergies in Childhood - ISAAC". In phase II (casecontrol) after the characterization and identification of the asthma and control groups (healthy) the anthropometry, physical activity levels and pulmonary function (spirometry) were evaluated. For the purposes of statistical analysis, the descriptive and categorical variables were presented by absolute and relative frequencies. The descriptions of the continuous variables were presented through mean and standard deviation (SD). For comparison between groups, the values were analyzed using the chi-square test and the Pearson test correlations, with a significance value at p<0.05. Results: A total of 605 students participated in the study, of which 290 were children with clinical diagnosis of asthma and 315 were classified as controls. Of the total, 280 (47.3%) male children, with a mean age of 11.0?2.3 years. The categorical spirometric values showed differences in the classifications of airway obstruction levels between asthma and control groups (p 0.005), and the response to bronchodilator use >12% for FEV1/FVC (p=0.023). The values of pulmonary function, anthropometric measurements and physical activity levels were significantly different for spirometric values, showing differences in pre-FEV1 and FEV1/FVC, p=0.008 and p<0.001, respectively) (FEV1/FVC, p=0.003), for the anthropometric values, only the RCE variable presented a modest difference (p=0.048), not being different for the means of physical activity or risk of physical inactivity idle time in front of screens. In the correlation evaluation, these results show a low correlation between the time spent in physical activities for the FEV1 variables [R2=0.13; p=0.012] and FVC [R2 0.12; p=0.035]) for the asthma group, at the time after bronchodilator use. Conclusion: The study shows differences in spirometric volumes, especially after bronchodilator application, indicating obstructive disorders in asthmatic children. At the same time, it shows a low relation between anthropometric values and levels of physical activity with the pulmonary function of school children. / Introdu??o: A asma ? uma doen?a cr?nica respirat?ria de elevada preval?ncia na popula??o infantil. Seu diagn?stico e tratamento correto s?o imprescind?veis para que o paciente n?o se afaste das suas atividades rotineiras. Para esta popula??o, a atividade f?sica orientada pode auxiliar na diminui??o dos sintomas da doen?a, na melhora do condicionamento cardiorrespirat?rio, na diminui??o os n?veis de gordura e aumento da massa muscular, na diminui??o dos n?veis de absente?smo escolar, elevando os escores da qualidade de vida. Objetivo: Avaliar e correlacionar os n?veis de atividade f?sica com a fun??o pulmonar de crian?as com diagn?stico de asma em fase escolar. M?todos: Estudo realizado em duas fases, em escolares da rede p?blica de Porto Alegre/RS, de 8 a 16 anos. Na fase I (transversal) a amostra foi caracterizada, sendo aplicado aos respons?veis pelos escolares um question?rio de diagn?stico da asma, seguindo os padr?es do estudo internacional ?The International Study of Asthma and Allergies in Childhood ? ISAAC?. J? na fase II (caso-controle) ap?s a caracteriza??o e identifica??o dos grupos asma e controle (h?gidos) os desfechos de antropometria, n?veis de atividade f?sica e fun??o pulmonar (espirometria) foram avaliados. Para fins de an?lise estat?stica, as vari?veis descritivas e categ?ricas foram apresentadas por frequ?ncias absolutas e relativas. As descri??es das vari?veis cont?nuas foram apresentadas atrav?s de m?dia e desvio padr?o (DP). Para compara??o entre os grupos, os valores foram analisados utilizando os testes de qui-quadrado e as correla??es pelo teste de Pearson, com um valor de signific?ncia com p<0,05. Resultados: Participaram do estudo 605 escolares, sendo 290 crian?as com diagn?stico cl?nico de asma e 315 classificadas como controle. Do total, 280 (47,3%) crian?as do sexo masculino, com idade m?dia de 11,0?2,3 anos. Os valores espirom?tricos categ?ricos demonstram diferen?as nas classifica??es dos n?veis de obstru??o das vias a?reas entre grupos asma e controle (p=0,005), al?m da resposta ao uso de broncodilatador >12% para o VEF1/CVF (p=0,023). J? para as vari?veis de escores cont?nuas os valores de fun??o pulmonar, medidas antropom?tricas e n?veis de atividades f?sicas, houve diferen?as para os valores espirom?tricos, demonstrando diferen?as nos volumes pr? (VEF1 e VEF1/CVF, p=0,008 e p=<0,001, respectivamente), bem como nos volumes p?s (VEF1/CVF, p=0,003), para os valores antropom?tricos, apenas a vari?vel RCE apresentou uma diferen?a modesta (p=0,048), n?o sendo diferente para as m?dias de atividade f?sica ou risco de inatividade f?sica por tempo ?cio na frente de telas. Na avalia??o da correla??o tais resultados, demonstram haver baixa correla??o entre o tempo gasto em atividades f?sicas para as vari?veis VEF1 [R2=0,13; p=0,012] e CVF [R2=0,12; p=0,035]) para o grupo asma, no momento p?s uso de broncodilatador. Conclus?o: O estudo demonstra existir diferen?as nos volumes espirom?tricos, principalmente ap?s a aplica??o de broncodilatador, indicando dist?rbios obstrutivos em crian?as asm?ticas. Ao mesmo tempo, demonstra baixa rela??o entre valores antropom?tricos e n?veis de atividade f?sica com a fun??o pulmonar de crian?as em fase escolar.

Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2018-05-21T13:54:31Z No. of bitstreams: 1 Tese_Eduardo_Mundstock Versao Final.pdf: 1978473 bytes, checksum: 4be8f1b605788a6e254263a3c448a60f (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-06-06T18:34:35Z (GMT) No. of bitstreams: 1 Tese_Eduardo_Mundstock Versao Final.pdf: 1978473 bytes, checksum: 4be8f1b605788a6e254263a3c448a60f (MD5) / Made available in DSpace on 2018-06-06T18:36:11Z (GMT). No. of bitstreams: 1 Tese_Eduardo_Mundstock Versao Final.pdf: 1978473 bytes, checksum: 4be8f1b605788a6e254263a3c448a60f (MD5) Previous issue date: 2018-03-15 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Introduction: The phase angle is considered an important prognostic marker because it reflects cellular health. Inadequate physical activity and sitting time are associated with a significant number of chronic noncommunicable diseases. Recent studies suggest that these two factors may be associated with phase angle values. Objective: to verify the association of phase angle with physical activity Methodology: the thesis will present two articles: a systematic review with metaanalysis and a cross-section article. Meta-analysis: We searched the following databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, SciELO, LILACS, SPORTDiscus, Scopus and Web of Science. Two reviewers independently assessed eligibility criteria and bias risks. The results were synthesized using random effects models. The association between physical activity and phase angle was evaluated considering the design of the study. Cross-sectional study: individuals over 11 years of age, of both sexes, who met bioimpedance assessment criteria and without diagnosis of chronic disease, were invited to participate in the study. The phase angle evaluation was performed using Ottoboni's Biospace equipment, model InBodyS10. Physical activity level and sitting time were assessed using the International Physical Activity Questionnaire (IPAQ). The association between the phase angle and the predictor variables was evaluated using a univariate and multivariate generalized linear model (GLM). All variables with a value of p <0.20 were included in the multivariate model. In the final model, only the variables with p <0.05 were included. Results: Systematic Review: Nine studies, totaling 575 participants, were included in the meta-analysis. The results of cross-sectional studies indicate that the active subjects presented a mean value of higher phase angle when compared to controls (DM = 0.70, 95% CI 0.48 to 0.92, P <0.001), with low heterogeneity (I2 = 0%, P = 0.619). In the crosssectional analysis, the differences between health status and type of physical activity evaluation were not significant (P = 0.332, P <0.253). In longitudinal studies (clinical trial and follow-up), mean values of final phase angle increased significantly compared to baseline (DM = 0.30, 95% CI 0.11 to 0.49, P <0.001), with low heterogeneity (I2 = 13%, P = 0.331). The differences were not significant in relation to the state of health and the type of longitudinal study (clinical trials or follow-up studies) (P = 0.900; 0.989). Evidence of publication bias was not observed, and the overall risk of bias was moderate to high. Cross-sectional article: 1228 subjects were included. The multivariate generalized linear model showed that both physical activity (? = 0.164, 95% CI 0.071 to 0.256, P = 0.001) and sitting time (? = 0.152, 95% CI 0.063 to 0, 242, P = 0.001) were determinant for the phase angle. As well as sex, body mass index and age, also remained associated with phase angle (? = -0.890, 95%CI -0.975 to -0.806, P <0.001; ? = 0.037, 95%CI 0.029 to 0,045, p <0.001 e; ? = -0.006, 95%CI -0.008 to -0.003 P<0.001, respectively). Conclusion: The results of the systematic review and the cross-sectional article suggest an association of phase angle with physical activity and sitting time. Among the main factors that may explain the positive effect of physical activity on the phase angle are the increase in cell membrane integrity and the change in intracellular content, these factors reflecting the cellular health and, consequently, the health of the individual. / Introdu??o: O ?ngulo de fase est? sendo considerado um importante marcador progn?stico, pois reflete a sa?de celular. A atividade f?sica inadequada e o tempo sentado est?o associados a um n?mero importante de doen?as cr?nicas n?o transmiss?veis. Estudos recentes sugerem que esses dois fatores podem estar associados com os valores do ?ngulo de fase. Objetivo: verificar a associa??o do ?ngulo de fase com a atividade f?sica. Metodologia: a tese ir? apresentar dois artigos: uma revis?o sistem?tica com metan?lise e um artigo transversal. Metan?lise: foram realizadas buscas nas seguintes bases de dados: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, SciELO, LILACS, SPORTDiscus, Scopus e Web of Science. Dois revisores avaliaram independentemente os crit?rios de elegibilidade e o risco de vi?s. Os resultados foram sintetizados mediante modelos de efeitos aleat?rios. A associa??o entre atividade f?sica e ?ngulo de fase foi avaliada considerando o desenho do estudo. Artigo transversal: os indiv?duos com mais de 11 anos de idade, de ambos os sexos, que atendiam aos crit?rios de avalia??o da bioimped?ncia e sem diagn?stico de doen?a cr?nica, foram convidados a participar do estudo. A avalia??o do ?ngulo de fase foi realizada usando o equipamento Biospace, modelo InBodyS10, da Ottoboni. O n?vel de atividade f?sica e o tempo sentado foram avaliados com o question?rio internacional de atividade f?sica (IPAQ). A associa??o entre o ?ngulo de fase e as vari?veis preditoras foram avaliadas utilizando um modelo linear generalizado univari?vel e multivari?vel (MLG). Todas as vari?veis com um valor de p <0,20 foram inclu?das no modelo multivari?vel. No modelo final, apenas as vari?veis com p <0,05 foram inclu?das. Resultados: Revis?o Sistem?tica: Nove estudos, totalizando 575 participantes, foram inclu?dos na metan?lise. Os resultados dos estudos transversais indicam que os sujeitos ativos apresentaram um valor m?dio de ?ngulo de fase superior quando comparado aos controles (DM = 0,70; IC 95%: 0,48 a 0,92, P <0,001), com baixa heterogeneidade (I2 = 0%; P = 0,619). Na an?lise transversal, as diferen?as entre o estado de sa?de e o tipo de avalia??o da atividade f?sica n?o foram significativas (P = 0,332; P <0,253). Nos estudos longitudinais (ensaio cl?nico e acompanhamento), os valores m?dios do ?ngulo de fase finais aumentaram significativamente comparando com os valores iniciais (DM = 0,30; IC 95%: 0,11 a 0,49, P <0,001), com heterogeneidade baixa (I2 = 13%, P = 0,3314). As diferen?as n?o foram significativas, em rela??o ao estado de sa?de e ao tipo de estudo longitudinal (ensaios cl?nicos ou estudos de seguimento) (P = 0,900; 0,989). N?o encontramos evid?ncia de vi?s de publica??o e o risco geral de vieses foi de moderado a alto. Artigo transversal: foram inclu?dos 1228 indiv?duos. O modelo linear generalizado multivari?vel mostrou que tanto a atividade f?sica (? = 0,164, IC95% 0,071 a 0,256, P= 0,001) como o tempo sentado (? = 0,152, IC95% 0,063 a 0,242, P= 0,001) foram determinantes para o ?ngulo de fase. Assim como o sexo, o ?ndice de massa corporal e a idade tamb?m permaneceram associados com o ?ngulo de fase (? = -0,890, IC95% -0,975 a -0,806, P <0,001; ? = 0,037, IC95% 0,029 a 0,045, p <0,001 e; ? = -0,006, IC95% - 0,008 a -0,003 P<0,001, respectivamente). Conclus?o: Os resultados da revis?o sistem?tica e do artigo transversal sugerem uma associa??o do ?ngulo de fase com a atividade f?sica e com o tempo sentado. Entre os principais fatores que podem explicar o efeito positivo da atividade f?sica sobre o ?ngulo de fase est?o o aumento da integridade da membrana celular e a mudan?a no conte?do intracelular, fatores estes que refletem a sa?de celular e, consequentemente, a sa?de do indiv?duo.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-02-07T12:25:53Z No. of bitstreams: 1 PAMELA MELLO VISSER.pdf: 7307006 bytes, checksum: 45d4afb2dcdb039ac1886a0dc46aecc6 (MD5) / Made available in DSpace on 2018-02-07T12:25:53Z (GMT). No. of bitstreams: 1 PAMELA MELLO VISSER.pdf: 7307006 bytes, checksum: 45d4afb2dcdb039ac1886a0dc46aecc6 (MD5) Previous issue date: 2017-12-12 / The quality of life involves the biopsychosocial well-being of human beings in the various spheres in which it is inserted. Adolescence is a transitional phase and specially attention is required to acquire habitude, that can influence the whole adult life. The main objective of this study was to evaluate the quality of life and habits that may be associated with the well-being of adolescents. A cross-sectional study was conducted, in which questionnaires about the usual physical activity for adolescents, quality of life (PedsQL- Pedriatric Quality of Life), classification of socio-economic level and frequency of food consumption were applied. The final sample consisted of 269 students aged between 10 and 18 years. Quality of life showed significant association with the studied factors, including sex, food consumption, use of electronics, and sleeping. The study is original in the country and relevant. Correlation between the quality of life of adolescents and all habits investigated were found, suggesting that further studies with samples that allow the extrapolation of results are needed. / A qualidade de vida envolve o bem-estar biopsicossocial do ser humano nas diversas esferas em que este se encontra inserido. A adolesc?ncia ? uma fase de transi??o e requer aten??o especialmente para se adquirir h?bitos que influenciar?o toda a vida adulta. O objetivo desta pesquisa foi avaliar a qualidade de vida e h?bitos que podem estar associados ao bem-estar de adolescentes. Trata-se de um estudo transversal no qual foram aplicados question?rios de avalia??o da atividade f?sica habitual para adolescentes, avalia??o de qualidade de vida ( - Pedriatric Quality of Life ), classifica??o do n?vel socioecon?mico e frequ?ncia de consumo alimentar. A amostra final foi composta por 269 alunos com idades entre 10 e 18 anos e em todos os dom?nios de qualidade de vida apresentaram algum par?metro significativo, dentre eles sexo, alimenta??o, uso de eletr?nicos e sono. O estudo mostrou-se original no pa?s e pertinente. Foram encontradas correla??es entre a qualidade de vida dos adolescentes e todos os h?bitos investigados, sugerindo a realiza??o de mais estudos com amostras que permitam a extrapola??o dos resultados.

Made available in DSpace on 2014-12-17T15:38:49Z (GMT). No. of bitstreams: 1 IsabelCVO_DISSERT.pdf: 1818078 bytes, checksum: 3aadc6a009ba437df233dcb84e8b4de7 (MD5) Previous issue date: 2010-07-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / While providing physical and psychological benefits, excessive exercise could be or cause a compulsive behavior, making the individual dependent on it. In a parallel discussion, computerized psychological instruments, for a hand, reflects the development of information technology and your applicability to other areas, but also shows little advance for Psychological Assessment. In this perspective, this study aims to adapt the Exercise Dependence Scale (EDS-R) in two formats (paper-and-pencil and computerized) and evaluate evidence of factorial and convergent validity, and reliability of each version and compare them with each other. It is also proposed to observe the relationship of some bio-demographic (Sex, age, frequency, duration and intensity of practice exercise) and the exercise dependence (DEF). For this purpose, 709 regular physical activity practitioners, selected by procedures non-probabilistic sampling, responded a adapted version of EDS-R, Muscle Appearance Satisfaction Scale (MASS), Body Modification Scale (BMS) and a demographic questionnaire, analyzed through Exploratory Factor Analysis, Cronbach's Alpha and not parametric tests. Both the traditional version and the computer showed a seven factors structure, explaining 57 and 62% of the variance, respectively, and Cronbach's alphas of 0.83 and 0.89. Factors were: (1) intentionality, (2) continuity, (3) tolerance, (4) reduction of other activities, (5) lack of control, (6) abstinence and (7) time spent on exercise. Relationships were observed between the Exercise Dependence and the variables: age, diets, consumption of food supplements and medicines for weight change, desire to do plastic surgery and body satisfaction. We observed also a positive correlation between the DEF and the frequency, duration and intensity of exercise, and the factor "Dependence on exercising" from MASS, indicating convergent validity of the EDS-R. Finally, comparisons between the two formats were equivalent, with few changes: computerized version achieved higher DEF scores. Based on these results, it can be concluded that the EDS-R has factorial and convergent validity, reliability, to measure exerceise dependence on traditional e computerized formats. DEF is related to actions used to body modification and behaviors toward exercise. Finally, it was found equivalence between the formats, especially in psychometric parameters, thus suggesting feasibility of a computerized assessment. However, it was observed that the computerized data has sample recruiting strategies more limited / Embora traga benef?cios f?sicos e psicol?gicos, a pr?tica excessiva de atividade f?sica poderia ser ou desencadear um comportamento compulsivo, tornando o indiv?duo dependente deste. Em uma discuss?o paralela, cita-se a informatiza??o de instrumentos de medida em Psicologia, que se, por um lado, reflete o pleno desenvolvimento da inform?tica e aplicabilidade desta para outras ?reas, por outro evidencia tamb?m paradoxalmente pouco avan?o da mesma no campo da Avalia??o Psicol?gica. Nesta perspectiva, o presente estudo visa adaptar para o contexto nacional a Escala de Depend?ncia de Exerc?cio (EDS-R), em duas vers?es (papel-e-l?pis e informatizada), bem como verificar evid?ncias de validade fatorial, convergente e consist?ncia interna de cada vers?o e compar?-las entre si. Prop?e-se, ainda, a observar a rela??o de algumas vari?veis bio-demogr?ficas (g?nero, idade, frequ?ncia, dura??o e intensidade com que pratica exerc?cio) na depend?ncia de exerc?cio f?sico (DEF). Para tanto, 709 praticantes de atividade f?sica regular, selecionados por procedimentos de amostragem n?o-probabil?stica e acidental, responderam a vers?o adaptada da EDS-R, a Escala de Satisfa??o com a Apar?ncia Muscular (MASS), a Escala de Modifica??o Corporal (BMS) e question?rio s?cio-bio-demogr?fico, analisados por meio de An?lise Fatorial Explorat?ria, c?lculo do Alfa de Cronbach e testes inferenciais n?o param?tricos. Tanto a vers?o tradicional como a informatizada apresentaram uma estrutura de sete fatores, explicando 57 e 62% da vari?ncia compartilhada, respectivamente, assim como Alfas de Cronbach de 0,83 e 0,89. Os fatores foram: (1) intencionalidade, (2) continuidade, (3) toler?ncia, (4) redu??o de outras atividades, (5) falta de controle, (6) abstin?ncia e (7) tempo gasto em exerc?cio. Foram observadas rela??es positivas entre a Depend?ncia de Exerc?cio e as vari?veis idade, pr?tica de dietas, consumo de suplementos alimentares e medicamentos para altera??o de massa corporal, desejo de fazer cirurgia pl?stica e satisfa??o corporal. Observou-se, ainda, uma correla??o positiva entre a DEF e a frequ?ncia, dura??o e intensidade com que se pratica exerc?cio, bem como com o fator Depend?ncia em malhar da MASS, indicando, assim, validade convergente da EDS-R. Por fim, quanto ?s compara??es entre as duas vers?es de coleta, estas foram equivalentes, com poucas altera??es, tendo a vers?o informatizada atingido escores mais elevados de DEF. Com base em tais resultados, pode-se concluir que a EDS-R apresenta evid?ncias de validade fatorial, convergente e consist?ncia interna para identifica??o da Depend?ncia de exerc?cio f?sico nas vers?es tradicional e informatizada, bem como est? relacionada a a??es empregadas para modifica??o corporal e comportamentos voltados para o exerc?cio. Por fim, constatou-se uma equival?ncia entre as vers?es tradicional e informatizada, sobretudo nos par?metros psicom?tricos estrutura fatorial e ?ndices de consist?ncia interna, sugerindo, portanto, uma viabilidade de avalia??es informatizadas. No entanto, observou-se que a coleta informatizada possui estrat?gias de recrutamento um pouco mais limitadas

Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2018-09-11T11:57:27Z No. of bitstreams: 1 Disserta??o Mestrado Letiane Zanatta2206.pdf: 1405239 bytes, checksum: f4eecae1492ea6c9c97a2f4d2da54776 (MD5) / Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2018-09-13T12:27:16Z (GMT) No. of bitstreams: 1 Disserta??o Mestrado Letiane Zanatta2206.pdf: 1405239 bytes, checksum: f4eecae1492ea6c9c97a2f4d2da54776 (MD5) / Made available in DSpace on 2018-09-13T12:37:35Z (GMT). No. of bitstreams: 1 Disserta??o Mestrado Letiane Zanatta2206.pdf: 1405239 bytes, checksum: f4eecae1492ea6c9c97a2f4d2da54776 (MD5) Previous issue date: 2018-03-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Obesity is a chronic disease that is growing worldwide and, as a result of its coverage, has developed almost an epidemic and it is becoming one of the most relevant public health problems nowadays, since it is a risk factor that can trigger diseases. Thus, this study aimed to evaluate the effect of an interdisciplinary intervention with a motivational approach on exercise capacity and habitual physical activity levels in overweight and obese adolescents. This is a randomized controlled trial with single blinding of individuals. Adolescents aged 15 to 18 years and body mass index (BMI) compatible with overweight or obesity (? 85th percentile and ?99.9th percentile) were included. The present study was approved by the Research Ethics Committee of the University (CAAE: 36209814.6.0000.5336) and all parents and/or guardians signed the informed consent form (ICF) and the students signed the assent form (AF). After the initial interest, individuals were invited by telephone to participate in a screening and then randomized through the Random Allocation Software (version 2.0) to participate in one of the following two groups: traditional approach (control) or motivational interview (intervention) aiming at the modification of lifestyle. In the control group (GC) the focus was the development of skills through educational health actions using the transmission pedagogy. In the intervention group (GI) the Transtheoric Model of Change was used along with the Motivational Interview to try to develop skills through educational actions in health that provided the development of autonomy and empowerment for behavior change, based on interdisciplinary motivational strategies. Subsequently, the initial evaluations, including the cardiopulmonary exercise test (CPET) and the levels of physical activity were assessed using a short questionnaire and an objective measure (pedometer). The evaluations were performed in two moments for both groups, at time zero (time of inclusion in the study) and after three months (end of intervention). Of a total of 43 overweight and obese adolescents, 05 were excluded, resulting in a sample of 37 participants, 18 in the GC and 19 in the GI. The mean age was around 17 years, with a predominance of females. The mean BMI (z score) was about 2, with 17 being overweight and 20 being obese. There were no significant differences in the baseline demographic, anthropometric and physical activity characteristics between groups. The motivational intervention did not cause significant differences (p>0.05) in the comparison of the variables of exercise capacity and habitual physical activity (questionnaire and pedometer) between GC and GI. The mean VO2max (mL/kg/min) at peak exercise was about 26.0, while the VO2max (mL/kg/min) at the anaerobic threshold (LA) was close to 22.0. All cardiovascular, metabolic, ventilatory and subjective variables at peak exercise were similar in both groups, except for Vmax that was significantly higher (p=0.001) in GI compared to GC. When we tested the effect of the motivational interview on nutritional status (weight and BMI) and physical fitness assessed by CPET (VEmax, VO2max, VO2max in AT and ventilatory equivalents) again no significant changes were observed. The results allow us to conclude that the intervention with a motivational approach did not alter physical fitness and habitual physical activity levels in overweight and obese adolescents. / A obesidade ? uma doen?a cr?nica crescente mundialmente e, em decorr?ncia da sua abrang?ncia, vem configurando-se quase como uma epidemia e tornando-se um dos problemas mais relevantes de sa?de p?blica na atualidade, uma vez que ? um fator de risco que pode desencadear diversas doen?as. Assim, este estudo teve como objetivo avaliar o efeito da interven??o interdisciplinar com abordagem motivacional sobre a capacidade de exerc?cio e o n?vel de atividade f?sica di?ria em adolescentes com sobrepeso e obesidade. Este estudo trata-se de um ensaio cl?nico controlado, randomizado, com cegamento ?nico dos indiv?duos. Foram inclu?dos adolescentes com idade entre 15 e 18 anos e ?ndice de massa corporal (IMC) compat?vel com sobrepeso ou obesidade (? percentil 85 e ? percentil 99,9). O presente estudo foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade (CAAE: 36209814.6.0000.5336) e todos os pais e/ou respons?veis assinaram o termo de consentimento livre e esclarecido (TCLE) e os escolares o termo de assentimento (TA). Ap?s o interesse inicial, os indiv?duos foram convidados por telefone para participar de uma triagem e ap?s randomizados atrav?s do software Random Allocation Software (vers?o 2.0) para participar de um dos dois grupos a seguir: abordagem tradicional (controle) ou entrevista motivacional (interven??o) visando ? modifica??o do estilo de vida. No grupo controle (GC) o foco foi o desenvolvimento de habilidades por meio de a??es educativas em sa?de utilizando a pedagogia da transmiss?o. No grupo interven??o (GI) foi utilizado o Modelo Transte?rico de Mudan?a juntamente com a Entrevista Motivacional para tentar desenvolver habilidades por meio de a??es educativas em sa?de que proporcionassem o desenvolvimento da autonomia e do empoderamento para a mudan?a de comportamento, com base em estrat?gias motivacionais interdisciplinares. Posteriormente, foram agendadas as avalia??es iniciais que inclu?ram o teste de exerc?cio cardiopulmonar (TECP) e a aferi??o do n?vel de atividade f?sica habitual por meio de um question?rio curto e de uma medida objetiva (ped?metro). As avalia??es foram realizadas em dois momentos para ambos os grupos, no tempo zero (momento da inclus?o no estudo) e ap?s tr?s meses (t?rmino da interven??o). De um total de 43 adolescentes com sobrepeso e obesidade, 05 foram exclu?dos, resultando em uma amostra de 37 participantes, sendo 18 no GC e 19 no GI. A m?dia de idade foi em torno de 17 anos, com predom?nio do sexo feminino. A m?dia do IMC (escore-z) foi cerca de 2, sendo 17 classificados com sobrepeso e 20 com obesidade. N?o houve diferen?as significativas nos dados basais de caracter?sticas demogr?ficas, antropom?tricas e de atividade f?sica habitual entre os grupos. A interven??o motivacional n?o provocou diferen?as significativas (p>0,05) na compara??o das vari?veis de capacidade de exerc?cio e atividade f?sica habitual (question?rio e ped?metro) entre o GC e o GI. A m?dia do VO2m?x (mL/kg/min) no pico do exerc?cio foi cerca de 26,0, enquanto o VO2m?x (mL/kg/min) no limiar anaer?bico (LA) foi perto de 22,0. Todas as vari?veis cardiovasculares, metab?licas, ventilat?rias e subjetivas no pico do exerc?cio foram semelhantes em ambos os grupos, com exce??o da VEm?x que foi significativamente maior (p=0,001) no GI em compara??o ao GC. Quando se testou o efeito da entrevista motivacional sobre o estado nutricional (peso e IMC) e a aptid?o f?sica avaliada pelo TECP (VEm?x, VO2m?x, VO2m?x no LA e os equivalentes ventilat?rios) novamente n?o foram observadas altera??es significativas. Os resultados permitem concluir que a interven??o com abordagem motivacional n?o alterou a aptid?o f?sica e os n?veis de atividade f?sica habituais em adolescentes com sobrepeso e obesidade.

Made available in DSpace on 2014-12-17T14:13:50Z (GMT). No. of bitstreams: 1 AuriniceSIM_DISSERT.pdf: 523192 bytes, checksum: d28bf5a5e1dd30cfeab1db694982f134 (MD5) Previous issue date: 2010-10-07 / The epilepsy is one of the neurological disorders more common in the pediatric period, and which interferes significantly in the psycho and social life of children and teenagers. The objective of this study was analyzing the practice of sedentary practices, physicals, traditional infant fun and games of children and teenagers with and without epilepsy. The study was prospective, transversal descriptive, done with 60 children and teenagers with epilepsy (Epileptic Group - EG) patients from Pediatric Neurology Clinic of the Centre Integrated Health Lineu Ara?jo and 60 children and teenagers without epilepsy (Control Group - CG) students from municipal public school, both of the two groups paired with the same age (age group 7 to 14 years) of both the genders (female = 25/41,6% and male = 35/58,3%) of the Teresina city Piau?. It was done two pattern questionnaires, one applied to children and teenagers of the EG and CG to identify the sedentary activities, physical and traditional infant games and other to the parents/responsible of the EG about the clinical and demographic information. The results permitted the elaboration of two manuscripts: a) the first one titled The Practice of Sedentary and Physical Activities of Children and Teenagers with Epilepsy which showed significant difference in the sedentary activities of playing with car toy (p=0,021) to the EG and reading to the CG (p=0,001); in the physical activities the school physical education (p=0,001) and riding a bike (p=0,014) to the CG; b) the second one The Practice of Infant Games and Fun the children and teenagers with and without Epilepsy in this one the playing with marble presented significant difference (p=0,016) to the CG, despite the girls of the two groups don t do this activity. Observing the distribution of frequencies, it was verified that in the play catch-up and hide-and-seek and burn the EG plays more than the CG both in female and male gender. The girls of the EG play less skip, 60 while the boys of the two groups don t play. Elastic jump the girls of the two groups play in a same frequency and the boys don t participate of this fun. The seizures were found to occur during: soccer (23,3%); hide-and-seek (6,6%) and running (3,3%). In the sedentary activities, seizures were reported to occur: resting and watching TV (18,3%), sleeping (36,0%); sitting (13,3%) and lying down (11,7%). Our results showed that the epileptic group and the controls group engage in the same activities, although the epileptic group participates less than the controls. Although the EG had presented a bigger percentage of generalized attacks, they don t occur during the practice of formal physical activities. The research was developed by a multidisciplinary team, and this contributed a lot to the realization of this study / A epilepsia ? uma das desordens neurol?gicas mais comuns na faixa pedi?trica e que interfere significativamente na vida psico-social de crian?as e adolescentes. O objetivo deste estudo foi analisar a pr?tica de atividades sedent?rias, f?sicas, brincadeiras e jogos infantis de crian?as e adolescentes com e sem epilepsia. O estudo foi prospectivo, transversal descritivo, realizado com 60 crian?as e adolescentes com epilepsia (Grupo Epilepsia - GE) pacientes do Ambulat?rio de Neuropediatria do Centro Integrado de Sa?de Lineu Ara?jo e 60 crian?as e adolescentes sem epilepsia (Grupo Controle - GC), escolares de uma escola p?blica municipal, sendo os dois grupos pareados com a mesma idade (faixa et?ria 7 a 14 anos) de ambos os g?neros (feminino = 25/41,6% e masculino = 35/58,3%) da cidade de Teresina Piau?. Utilizou-se dois question?rios padr?o, um aplicado as crian?as e adolescentes dos GE e GC para identificar as atividades sedent?rias, f?sicas e jogos tradicionais infantis, e outro aos pais/respons?veis do GE sobre as informa??es cl?nicas e demogr?ficas. Os resultados permitiram a elabora??o de dois manuscritos: a) o primeiro intitulado - A Pr?tica de Atividades Sedent?rias e F?sicas de Crian?as e Adolescentes com Epilepsia - que mostrou diferen?a significante nas atividades sedent?rias de brincar de carrinho (p=0,021) para o GE e leitura para o GC (p=0,001); nas atividades f?sicas a educa??o f?sica escolar (p=0,001) e andar de bicicleta (p=0,014) para o GC; b) o segundo A Pr?tica de Jogos e Brincadeiras Infantis de crian?as e adolescentes com e sem Epilepsia neste, o brincar com bola de gude apresentou diferen?a significante (p=0,016) para o GC, apesar das meninas dos dois grupos n?o brincarem dessa atividade. Observando as distribui??es de freq??ncias, verificou-se que nas brincadeiras de pega-pega, esconde-esconde e queimada o GE brinca mais que o GC tanto no g?nero feminino como no masculino. Pular corda, as meninas do GE brincam menos, enquanto os meninos dos dois grupos n?o brincam. Pular el?stico, as meninas dos dois grupos brincam numa mesma freq??ncia e os meninos n?o participam desta brincadeira. Quanto ?s crises epil?pticas, elas aconteceram durante as brincadeiras livres como: jogando bola (23,3%); esconde-esconde (6,6%); correndo (3,3%). Nas atividades sedent?rias: assistindo TV (18,3%); dormindo (36,0%); sentado (13,3%); deitado (11,7%) e em mais de uma atividade: jogando bola/assistindo TV (6,6%); dormindo/assistindo TV (3,3%) e correndo/dormindo (2/3,3%). De um modo geral, conclui-se que as crian?as e adolescentes dos dois grupos praticam os mesmos tipos de atividades, sendo que o GE pratica numa freq??ncia menor. Embora o GE tenha apresentado um maior percentual de crises generalizadas, elas n?o ocorreram durante a pr?tica de atividades f?sicas formais. Esta pesquisa foi desenvolvida por uma equipe multidisciplinar, o que muito contribuiu para a realiza??o deste estudo