Made available in DSpace on 2014-06-11T19:30:53Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-07-01Bitstream added on 2014-06-13T20:40:43Z : No. of bitstreams: 1 gonzaga_jm_dr_rcla.pdf: 1160389 bytes, checksum: e452847415e464ed7b36113f5a11a614 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O padrão do andar sofre alterações com a idade devido a alguns fatores inerentes ao envelhecimento como diminuição da mobilidade, do equilíbrio e da capacidade funcional. O exercício físico se apresenta como uma alternativa capaz de reduzir estes efeitos e, consequentemente, produzir mudanças nos parâmetros do andar e na capacidade funcional, repercutindo em melhora na mobilidade e na independência funcional. As características do exercício, como tipo, frequência e intensidade, que podem melhor favorecer estas mudanças ainda não estão claramente definidas. Assim, o presente trabalho foi desenvolvido em dois estudos, com os seguintes objetivos: Estudo 1) comparar os efeitos de diferentes tipos de exercício nos parâmetros cinemáticos do andar de idosas, considerando as características antropométricas, a capacidade funcional e o nível de atividade física; e Estudo 2) avaliar os parâmetros do andar de idosas sedentárias antes e após o envolvimento em um programa de exercícios generalizados, considerando também as características antropométricas, a capacidade funcional e o nível de atividade física, conforme o Estudo 1. Participaram do Estudo 1, 56 idosas que foram agrupadas de acordo com o envolvimento, a mais de 6 meses, em: dança (n=10), musculação (n=10), hidroginástica (n=12), caminhada (n=11) e um grupo de idosas inativas (n=13), sem envolvimento em exercício físico por pelo menos 02 meses. Participaram do Estudo 2, 32 mulheres acima de 60 anos, sedentárias, recrutadas em grupos de terceira idade, sendo que 17 delas atenderam aos critérios de inclusão. Para o Estudo 2, foi desenvolvido um Programa de Exercícios Generalizados (PEG) durante 4 meses, incluindo atividades de aquecimento, alongamento, dança, musculação e atividades recreativas, com ênfase nos componentes da capacidade funcional (resistência aeróbia, força muscular, coordenação... / Gait parameters change with age due to some inherent factors to the aging process such as reduced mobility, balance and functional capacity. The physical exercise is an alternative able to reduce these effects and, consequently, it produces changes in both the gait parameters and the functional capacities, improving mobility and functional independency. The exercise features such as type, frequency and intensity, which can better favor these changes, are not fully defined. Then, the present work was designed in two studies with the following objectives: Study 1) to compare the effects of the different exercise types on gait kinematic parameters of older women considering their anthropometric characteristics, functional capacity and physical activity level; and Study 2) to evaluate the gait parameters of inactive women before and after the enrollment in a multi-mode exercise program also considering their anthropometric characteristics, functional capacity and physical activity level as in Study 1. Fifty-six older women participated in Study 1 and were grouped according to the exercise type enrollment for more than 6 months in dance (n=10), strength training (n=10), hydrogymnastic (n=12), walking (n=11) and a group of inactive women (n=13), without enrollment in physical exercise for at least two months. Thirty-two women, older than 60 years, inactives, from elderly groups were recruited to participate in Study 2. Seventeen women full filled the inclusion criteria. For Study 2, a Generalized Exercise Program (GEP) was developed in 4 months, including warm up activities, dance, strength training, and recreational activities emphasizing the components of the functional capacity (aerobic endurance, strength, coordination, flexibility, and body balance). For both studies, the physical activity level (Baecke questionnaire), the functional capacity (AAHPERD test battery) and the kinematic gait... (Complete abstract click electronic access below)

Orientador: Sebastião Gobbi / Banca: Maria Elisa Pimentel Piemonte / Banca: Florindo Stella / Resumo: O objetivo do presente estudo foi analisar os efeitos de um programa de atividades físicas generalizadas e sistematizadas, especificamente delineado para parkinsonianos, sobre o nível de atividade física, comprometimento motor e capacidade funcional (flexibilidade, coordenação, força, agilidade, equilíbrio dinâmico, resistência aeróbia e habilidade de andar), em pessoas com Doença de Parkinson (DP). Participaram do estudo 22 idosos com DP, idade média de 66 anos e moradores do município de Rio Claro e região, que foram divididos em Grupo Treinamento (GT; n=11) e Grupo Controle (GC; n=11). Foram encontradas interações significativas (p,0,05) nas variáveis nível de atividade física, comprometimento motor e componentes de capacidade funcional, exceto coordenação motora manual, e resistência aeróbia/ habilidade de andar. Conclui-se que: a) o protocolo de treinamento utilizado é eficiente para aumentar nível de atividade física, melhorar a capacidade funcional e diminuir o comprometimento motor. Tais benefícios contrapõem-se aos efeitos deletérios do envelhecimento e da DP e, contrariamente a não participação agrava tais efeitos. Para amplificar os benefícios sugere-se: a) aumentar a freqüência das sessões com atividades de flexibilidade; b) incorporar mais atividades que demandem coordenação motora manual e; c) incorporar atividades de andar, seja num programa supervisionado ou como parte das ou relacionadas com AVD dos parkinsonianos / Abstract: The objective of this study was to analyze the effects of a physical activities program, designed for parkinsonians specifically, on the physical activity level, motor impairment and the functional capacity (flexibility, coordination, strength, agility, dynamic balance, endurance and walk ability) on older people with Parkinson's disease (PD). Twenty-two older people with PD, mean age of 66 yearold; living at Rio Claro city and region, who were assigned into Training Group (TG; n=11) and Control Group (CG; n=11). Significant statistical interactions were found on physical activity level, motor impairment level and the functional capacity components variables, with exception of manual motor coordination and aerobic endurance/walk hability. It was concluded that: a) the training protocol applied was efficient in order to increase physical activity level; to improve functional capacity and; to reduce motor impairment. Such benefits counteract the deleterious effects PD associated with aging and a non-attendance to the training worsens such effects, conversely. If its to amplify the benefits, it is suggested: a) to increase the frequency of the training sessions on flexibility; b) to incorporate more activities which demand manual motor coordination and; c) to add walking. Such improvements can be fostered, either as part of a supervised program or as part of daily living activities of the parkinsonians / Mestre

Nuo 2010 metų Lietuvos paplūdimio rinktinės tinklininkės pasiekė nemažai tarptautinių pergalių: 2011 metais laimėtas Europos jaunių iki 18 metų ir 2012 metais - pasaulio jaunių iki 19 metų auksas bei Europos iki 20 metų bronza. Lietuvoje paplūdimio tinklininkių fizinio parengtumo ir funkcinio pajėgumo rodikliai sistemiškai ir išsamiai nėra tirti. Nežinant sportininkių pajėgumo, rengimo specifikos, sunku tinkamai organizuoti treniruočių procesą, todėl kyla mokslinė problema, koks yra specifinis paplūdimio tinklininkių rengimas, kokie fiziniai ir funkciniai paplūdimio tinklininkių rodikliai yra labiausiai išvystyti, kokia yra fizinio parengtumo ir funkcinio pajėgumo rodiklių kaita metiniame treniruočių cikle ir kokie veiksniai tam turi įtakos bei kuo yra specifiškas paplūdimio tinklininkių sportinis rengimas lyginant su tinklininkėmis. Hipotezė - manome, kad kryptingas 17 - 18 metų paplūdimio tinklininkių sportinis rengimas ypač fiziniai krūviai, turės teigiamos įtakos fizinio parengtumo ir funkcinio pajėgumo rodiklių kaitai metiniu treniruočių ciklu. Išryškės esminiai paplūdimio tinklininkių ir tinklininkių fizinių rodiklių, funkcinių galių ir sportinio rengimo skirtumai varžybų periodu. Tyrimo objektas: Lietuvos didelio meistriškumo 17 – 18 metų paplūdimio tinklininkių fizinio parengtumo ir funkcinio pajėgumo rodiklių kaitos analizė metiniu treniruočių ciklu. Tyrimo subjektas: Lietuvos didelio meistriškumo 17 – 18 metų paplūdimio tinklinio rinktinė (n= 2) ir 16 – 17 metų... [toliau žr. visą tekstą] / Since 2010, Lithuania female beach volleyball players have reached a number of international victories: in 2011, they won gold in the European Youth Championship (U-18) and the World Youth Championship (U-19), and bronze in the European Championship (U-20) in 2012. The rates of physical fitness and functional capacity of Lithuanian female beach volleyball players have not been investigated systematically and comprehensively. Without knowing the athletes' capacity, training specifics, it is difficult to organize the practical training process, so there is a scientific problem, what training is specific for the beach volleyball, what physical and functional indicators of beach volleyball players are most developed, what changes are in physical fitness and functional capacity indicators in the annual training cycle, and what factors have influence and what is specific for the beach volleyball sports training versus indoor volleyball. Hypothesis - we believe that purposeful sports training of the 17-18-year-old beach volleyball players will have a positive impact on physical fitness and functional capacity progress in the annual training cycle. The essential differences in physical indicators, functional abilities and sports training of beach and indoor volleyball players will be highlighted in the competition period. The object of this study: the analysis of physical fitness and functional capacity indicators progress in the annual training cycle of Lithuanian elite 17-1... [to full text]

This research work is driven by a desire to improve status quo in the area of New Zealand’s political, business and person-to-person relations with the post-Soviet Baltic Republics of Estonia, Latvia and Lithuania (the Baltics or the Baltic States), which by now represent an integral part of the European Union (EU). The example of Estonia will be tested as a possible ‘gateway’ for New Zealand trying to undertake its most recent endeavours towards discovering the Baltic region. The dissertation’s response variable can be outlined as ‘New Zealand multi-dimensional interactions with the post-Soviet Baltic Republics, particularly with the Republic of Estonia’. At the same time, the descriptive nature of the dependent variable is planned to be expanded with the help of the manipulated variable that will lead this research work. The latter variable will be formulated as ‘Estonia, a democratic, transparent, free-market state, can be chosen as a ‘gateway’ for New Zealand politics, business circles and the public in their endeavours to succeed in the post-Soviet Baltic region of the EU’. Such an approach will give a chance to scrutinise the studied issues comprehensively, from several angles (such as ‘theoretical’, ‘operational’ and ‘structural’), and by answering the following three research questions: is it necessary for New Zealand to promote its interests and values in the region of the Baltic States; does an idea to choose one of the three Baltic States as a ‘hub’ for promoting New Zealand interests and values in the Baltic region of the EU have a perspective; and can Estonia be considered/recommended to become such a ‘hub’? This dissertation is among the first attempts to address a deficit of scholarship studying New Zealand relations with the post-Soviet Baltic region. Its findings could be used by both New Zealand and the Baltics’ decision-makers in the field of international relations.

Motivation: The South-African deep level gold mining industry has adapted in many ways, as the pursuit for gold has led deep into the earth core, where rock face temperatures measure around 60°C. Ventilation adapted through engineering developments like refrigeration systems, creating cooler work environments to an extent. Despite these developments the risks of high ambient temperatures coupled with strenuous work and dehydration remains, leading to alternative methods of control that have to indicate whether employees have the necessary functional capacity to perform daily work tasks. Objectives: The objectives of this study were: to measure and compare the physiological effects of the tasks performed by workers in an underground mining environment; To measure the soundness of heart rate as a gauge of work stress in real-life work conditions, taking into account the stressors that influence it; to determine the efficacy of functional and physical work capacity assessments as a method of determining work readiness. Methods: A study group (n = 16) was chosen to represent the “most exposed” work population, all of whom have previously passed the functional work capacity and physical work capacity assessments. The assessments were repeated and the maximal oxygen uptake assessment was done. The participants were divided into two groups (n = 8) according to their work areas. Measurements were taken over a period of eight consecutive shifts. Each group was later divided into three groups as per the work they performed. Dehydration was determined through urine analysis and body weight changes. Heart rate was observed continuously through a heart rate monitor and oral temperature was measured on an hourly basis. Results: The shift durations seen during this study were much longer than the customary 8-hour work day. The mean HR results of group I, which was suspected of having the most strenuous work, were very similar to the results for group II and III. This group did, however, have the highest % heart rate ≥ 120 beats per minute and mean cumulative heart beats, group III having the lowest. All of the groups were found to be mildly dehydrated at the end of their shifts, the urine specific gravity indicating that the participants were generally already considerably dehydrated at the onset of the shifts. Group I was the only group whose mean heart rate had a statistically significant correlation (r ≥ 0.5) with % weight loss. There was a statistically significant (p ≤ 0.05) correlation between heart rate and mean oral temperature for all of the groups. The participants that passed the functional work capacity and physical work capacity assessments were found to have performed comparatively better during the real-time shifts than those that failed. Conclusions: Although there were several employees that had a high mean maximum heart rate, none of the mean heart rates were higher than the self-pacing rate of 110 beats per minute. This ability of self- pacing was seen in the way the participants were able to manage energy expenditure by alternating between heavy and lighter tasks. A great concern is the fact that all of the participants had a % weight loss (0.9 – 2.8% weight loss) indicative of mild dehydration after the shifts, on top of morning urine specific gravity samples (1.020 – 1.025) showing signs of considerable dehydration. Several correlations were found between the functional work capacity and physical work capacity assessments and maximum temperature, maximum heart rate and maximal oxygen uptake, suggesting a significant relationship between the real life situation and the homogenous laboratory setting. comparing the employees that passed the functional work capacity and physical work capacity assessment to those that failed, a marked difference was seen in their respective performances. The groups that passed had a lower mean heart rate and maximum heart rate and higher maximal oxygen uptake. It may, therefore, be concluded that the functional work capacity and physical work capacity assessments provide a valid evaluation of an individual’s work capacity and potential to cope with the varying demands of underground work. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013.

Motivation: The South-African deep level gold mining industry has adapted in many ways, as the pursuit for gold has led deep into the earth core, where rock face temperatures measure around 60°C. Ventilation adapted through engineering developments like refrigeration systems, creating cooler work environments to an extent. Despite these developments the risks of high ambient temperatures coupled with strenuous work and dehydration remains, leading to alternative methods of control that have to indicate whether employees have the necessary functional capacity to perform daily work tasks. Objectives: The objectives of this study were: to measure and compare the physiological effects of the tasks performed by workers in an underground mining environment; To measure the soundness of heart rate as a gauge of work stress in real-life work conditions, taking into account the stressors that influence it; to determine the efficacy of functional and physical work capacity assessments as a method of determining work readiness. Methods: A study group (n = 16) was chosen to represent the “most exposed” work population, all of whom have previously passed the functional work capacity and physical work capacity assessments. The assessments were repeated and the maximal oxygen uptake assessment was done. The participants were divided into two groups (n = 8) according to their work areas. Measurements were taken over a period of eight consecutive shifts. Each group was later divided into three groups as per the work they performed. Dehydration was determined through urine analysis and body weight changes. Heart rate was observed continuously through a heart rate monitor and oral temperature was measured on an hourly basis. Results: The shift durations seen during this study were much longer than the customary 8-hour work day. The mean HR results of group I, which was suspected of having the most strenuous work, were very similar to the results for group II and III. This group did, however, have the highest % heart rate ≥ 120 beats per minute and mean cumulative heart beats, group III having the lowest. All of the groups were found to be mildly dehydrated at the end of their shifts, the urine specific gravity indicating that the participants were generally already considerably dehydrated at the onset of the shifts. Group I was the only group whose mean heart rate had a statistically significant correlation (r ≥ 0.5) with % weight loss. There was a statistically significant (p ≤ 0.05) correlation between heart rate and mean oral temperature for all of the groups. The participants that passed the functional work capacity and physical work capacity assessments were found to have performed comparatively better during the real-time shifts than those that failed. Conclusions: Although there were several employees that had a high mean maximum heart rate, none of the mean heart rates were higher than the self-pacing rate of 110 beats per minute. This ability of self- pacing was seen in the way the participants were able to manage energy expenditure by alternating between heavy and lighter tasks. A great concern is the fact that all of the participants had a % weight loss (0.9 – 2.8% weight loss) indicative of mild dehydration after the shifts, on top of morning urine specific gravity samples (1.020 – 1.025) showing signs of considerable dehydration. Several correlations were found between the functional work capacity and physical work capacity assessments and maximum temperature, maximum heart rate and maximal oxygen uptake, suggesting a significant relationship between the real life situation and the homogenous laboratory setting. comparing the employees that passed the functional work capacity and physical work capacity assessment to those that failed, a marked difference was seen in their respective performances. The groups that passed had a lower mean heart rate and maximum heart rate and higher maximal oxygen uptake. It may, therefore, be concluded that the functional work capacity and physical work capacity assessments provide a valid evaluation of an individual’s work capacity and potential to cope with the varying demands of underground work. / Thesis (MSc (Occupational Hygiene))--North-West University, Potchefstroom Campus, 2013.

The aim of this thesis was to modify and evaluate effects, as well as todescribe experiences of a nurse-led multidisciplinary programme of pulmonaryrehabilitation in primary health care for patients with chronicobstructive pulmonary disease (COPD) and their next of kin.Interviews were performed with 12 COPD nurses about their experiencesof patient education (I). Forty-nine patients participated in the interventiongroup and 54 in the control group in a quasi-experimentalstudy which investigated the effects of the programme on functional capacity,quality of life and exacerbation frequency during one year (II).Interviews were performed related to the experiences of 20 patients whohad participated in the six-week programme (III) and the experiences of20 next of kin to the patients that had participated (IV).The results showed that COPD nurses fluctuated between security andinsecurity in patient education and were in need of support, time, structureand collaboration to develop their patient education (I). In Study IIthere were no differences between the groups with regard to functionalcapacity and quality of life, but the number of exacerbations decreased inthe intervention group and increased in the control group (II). The patientsin study III had allowed themselves to live at their own pace followingthe programme but a constant fear was present in spite of the programme(III). Next of kin in Study IV had a life that remained overshadowedby illness but there were positive outcomes of the programme aslong as two years afterwards. The next of kin also had constant fear,however (IV).In conclusion, the six week programme brought about results in changingeveryday life. Nevertheless, all lived in the shadow of fear and uncertaintyin spite of the programme. More research is needed to address therequirements of COPD nurses, patients and next of kin.

Os diferentes tipos de treinamento de força (TF) apresentam distintas adaptações do tecido muscular como o desenvolvimento de força máxima, potência e/ou força reativa muscular. Dentre estes tipos de TF, estão os treinamentos de força Tradicional, Treinamento de Potência e de Treinamento de Força Reativa, em que está presente o ciclo-alongamento-encurtamento (CAE). A habilidade de produzir força rapidamente requer a participação intensa das fibras do tipo IIX, condição esta frequentemente reduzida em mulheres idosas. A força rápida tem importância significativa para homens e mulheres de todas as idades, destacando-se ainda mais em mulheres idosas. A prescrição de um tipo de TF que melhor desenvolva as atividades de vida diária (AVD) é primordial para a manutenção da independência física e qualidade de vida de idosas. Assim o objetivo principal do trabalho foi avaliar e comparar as adaptações neuromusculares, morfológicas e funcionais em mulheres idosas submetidas a três tipos específicos de treinamento de força. Na revisão de literatura a metodologia embasou-se em pesquisa bibliográfica, utilizando artigos atuais e clássicos da literatura sobre TF em mulheres idosas (publicados, principalmente, a partir de 2000) selecionados nas bases de dados Pubmed e Sportdiscus, que comparassem e analisassem pelo menos dois tipos específicos de TF. No segundo estudo, 58 mulheres idosas saudáveis sem a prática de treinamento de força foram randomizadas em grupo experimental (GE, n= 41) e grupo controle (GC, n=17), e submetidas a seis semanas de treinamento de força resistente. Foram realizadas avaliações da qualidade muscular e sua correlação com os testes funcionais (sentar e levantar em 30s e up foot and go). Como resultado o GE apresentou incremento significativo na qualidade muscular do quadríceps (14,8%) com alta correlação com os testes funcionais sentar e levantar (r=0,62, p< 0,001) e up foot and go (r= -0,72, p< 0,001). O terceiro estudo o GC foi preservado e o grupo experimental foi dividido em Treinamento de Força Tradicional (GT, n=14), Treinamento de Potência (GP, n=13) e Treinamento de Força Reativa (GR, n=14). Foram realizadas avaliações do 1RM extensão de joelhos, espessura muscular, ativação, onset e tempo de reação muscular, taxa de produção de força e testes funcionais como o sentar e levantar e o salto com contra movimento. Como resultados, observou-se que o GR foi mais efetivo que os grupos GT e GP no onset muscular do RC, da taxa de produção de força (0-150 ms), no tempo de reação muscular e nos testes funcionais (p< 0,05). Dessa forma, conclui-se que o treinamento de força reativa é mais efetivo para o desenvolvimento da produção de força rápida do músculo que os outros tipos específicos de treinamento de força, e por conseqüência disto, melhor desenvolve as capacidades funcionais de mulheres idosas. / Differents strenght trainning (ST) are associated with distincts muscles tissues responses that comprised maximum strenght, power and/or reactive force. Among these different ST programmes there are traditional strenght training (GT), power (GP) and reactive force (GR) which is present in stretch-shortening cycle (SSC). In this context, for fast force production is necessary that IIX type fibers being recruited, condiction that to be seem decreasing among elderly women population. Furthermore, fast production of force has significant importance for all ages, however this condition could be considerate more significant for elderly women population. Consequently, prescrition of ST associated with improving activities of daily living (ADL) have been evidenciated as a important pathway for physical independence, as well as, for elderly quality of life. Thus, the mayor aim of this study was to verifiy and compare neuromuscular, morphological and functional adaptations in a sample of elderly women which were submitted in three different ST programmes. The methodology used in the first study was a sistematic literature review included classics studies about ST in this population. These studies were selected by two international scientic database (Pubmed and Sportdiscus); were published since 2000 until now and to show a comparation between at least two different kinds of ST. For the second study, 58 inactivity elderly women was randomized between control (GC=17) and experimental group (GE=41) and after submitted over a six weeks of ST. The relationship between muscle quality assesment with up foot and go and 30- second chair stand functional test was realized. Subjects included in GE showed significant improvement of quadricips muscle quality (14.8%), as well as, muscle quality showed significant strong association with 30-second chair stand (r=0.62, p< 0.001) and up foot and go (r= -0.72, p< 0.001) functional tests. For the third study, the GC was maintenced while GE was again randomized between GT (14), GP (13) and GR (14). 1 RM of knee extention, muscles thickness, activation, onset, reaction time, rate development force tests and working out as the sit and stand and countermovement jumps were measured. Results of this study showed that GR was more effective than GT and GP when comprised rectus thigh muscle onset, initial periods of production of strenght rate, reaction time and muscles function tests (p <0.05). Finnaly, considerating results of these studies we concluded that GR training was more effective when considerated fast force production of muscle if compared with other specifics ST programmes. Consequently this study suggest GR as a better ST programm for improving functional capapcities in a sample of elderaly women.

p. 1-69 / Submitted by Antonio Geraldo Couto Barreto (ppgms@ufba.br) on 2013-10-03T13:56:17Z No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) / Approved for entry into archive by Patricia Barroso(pbarroso@ufba.br) on 2013-10-03T17:56:53Z (GMT) No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) / Made available in DSpace on 2013-10-03T17:56:53Z (GMT). No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) Previous issue date: 2013 / OBJETIVO: Investigar os fatores associados à independência funcional de idosos atendidos pela Estratégia Saúde da Família (ESF), no município de Cajazeiras, PB. MÉTODOS: Estudo observacional e transversal, com abordagem quantitativa, desenvolvido com 377 idosos cadastrados e residentes na zona urbana e zona rural de Cajazeiras. Os dados foram coletados no domicílio do sujeito, através dos instrumentos: Questionário Sócio Demográfico (QSD); Míni Exame do Estado Mental (MEEM); Escala de Depressão Geriátrica (EDG) e Escala Modificada de Barthel. Foi utilizado o teste do Qui-quadrado para investigar a associação entre as variáveis da Escala Modificada de Barthel, EDG e demais variáveis categóricas do estudo e o teste de Mann-Whitney para as variáveis quantitativas. Para identificar as variáveis associadas à capacidade funcional dos idosos foi utilizado um modelo de regressão logística multivariado, seguido de um modelo de regressão com processo Backward Conditional. RESULTADOS: A idade dos participantes era entre 60-97 anos (dp=8.116), a maioria do sexo feminino (63,7%) e residentes na zona urbana (84,1%). Foram observadas dependência funcional em 40,6% bem como independência funcional em 59,4% da amostra estudada. Verificou-se que a diminuição da capacidade funcional está associada ao aumento da idade, à presença de depressão e de deficiência visual. CONCLUSÕES: Fatores demográficos e a presença de comorbidades podem interferir na independência funcional dos idosos. / Salvador

p. 1-68 / Submitted by Antonio Geraldo Couto Barreto (ppgms@ufba.br) on 2013-10-08T13:42:44Z No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) / Approved for entry into archive by Patricia Barroso(pbarroso@ufba.br) on 2013-10-08T17:00:33Z (GMT) No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) / Made available in DSpace on 2013-10-08T17:00:33Z (GMT). No. of bitstreams: 1 TESE_ERLANE_22_09_2013.pdf: 2572167 bytes, checksum: 1085698af62f88c1937177041cb0c6ec (MD5) Previous issue date: 2013 / OBJETIVO: Investigar os fatores associados à independência funcional de idosos atendidos pela Estratégia Saúde da Família (ESF), no município de Cajazeiras, PB. MÉTODOS: Estudo observacional e transversal, com abordagem quantitativa, desenvolvido com 377 idosos cadastrados e residentes na zona urbana e zona rural de Cajazeiras. Os dados foram coletados no domicílio do sujeito, através dos instrumentos: Questionário Sócio Demográfico (QSD); Míni Exame do Estado Mental (MEEM); Escala de Depressão Geriátrica (EDG) e Escala Modificada de Barthel. Foi utilizado o teste do Qui-quadrado para investigar a associação entre as variáveis da Escala Modificada de Barthel, EDG e demais variáveis categóricas do estudo e o teste de Mann-Whitney para as variáveis quantitativas. Para identificar as variáveis associadas à capacidade funcional dos idosos foi utilizado um modelo de regressão logística multivariado, seguido de um modelo de regressão com processo Backward Conditional. RESULTADOS: A idade dos participantes era entre 60-97 anos (dp=8.116), a maioria do sexo feminino (63,7%) e residentes na zona urbana (84,1%). Foram observadas dependência funcional em 40,6% bem como independência funcional em 59,4% da amostra estudada. Verificou-se que a diminuição da capacidade funcional está associada ao aumento da idade, à presença de depressão e de deficiência visual. CONCLUSÕES: Fatores demográficos e a presença de comorbidades podem interferir na independência funcional dos idosos. / Salvador