Efeitos do programa de exercícios multicomponentes em grupos de idosos comunitários com baixa escolaridade: ensaio clínico randomizado duplo cego

Introduction: Multicomponent training involves more than one type of exercise during an intervention performed with the elderly, exercises aimed at strengthening, balance training, and agility are widely applied, in addition, cognitive tasks can be associated. most Brazilian studies with multicomponent exercise programs with community-dwelling elderly people belong to the southern and southeastern regions of Brazil, where elderly people with higher formal education predominate, and that there is limited evidence on the application of these programs in elderly people with low formal education. Objective: to analyze the effects on the physical and hemodynamic functions of elderly community members with low formal education through a multicomponent program adapted with a double task in relation to simple multicomponent exercises performed in groups. Methods: This is a randomized, double-blind clinical trial. Elderly people over 60 years old, both sexes and who did not have serious orthopedic and neurological diseases were included. Twenty-one elderly people were randomly allocated to two groups: G1 (n = 11) and G2 (n = 10) and sixteen completed the sixteen sessions for six weeks, three times a week. During eight sessions, (G1) performed multi-component exercises adapted with dual task AgeingONDUAL-TASK (strengthening, balance and cognitive tasks) and (G2) simple multi-component exercises adapted (strengthening, balance) and the two groups performed simple multi-component exercises during eight sessions. Three evaluations were carried out, first (pre), second (post) and third evaluation. PCL, SPPB, TUG, F8W, DUAL-TASK-Questionare, FES-I-Brasil and computerized posturography were applied. Results: It was found that both groups showed homogeneity in the sociodemographic profile and in the clinical and physical-functional characteristics. Cognitive function did not show intergroup difference, however, G2 showed an increase in PCL after the third assessment (p = 0.031). Frailty showed intergroup improvement in SPPB scores after the third assessment (p = 0.008), as well as mobility by simple (p = 0.011), motor (p = 0.018) and cognitive (p = 0.010) tests. In addition, after the third assessment, dynamic balance also showed intergroup improvement in simple (p = 0.018), motor (p = 0.022) and cognitive (p = 0.018), as well as G2's cognitive F8W improved between the second and the second. third assessment (p = 0.034). The results of posturography show significant intergroup differences between the medians (between the 1st and 2nd and 1st and 3rd assessments). In G1, differences in body oscillations were observed between the 1st and 2nd assessments in the anteroposterior position under the following conditions: semantic verbal fluency (p = 0.035), calculations (p = 0.043), memory / attention (p = 0.011). In the mid-lateral position, there was a statistical difference in the condition of open eyes (p = 0.039). In group 2, significant differences were found between the 1st and 3rd assessments of the oscillation in the mid-lateral position for open eyes (p = 0.031) and memory / attention (p = 0.031), the total displacement showed differences in all conditions. The hemodynamic function remained within the normal range, with no significant changes after the sessions. Conclusion: It was observed that multicomponent exercises with dual tasks had similar effects to simple multicomponent exercises. The elderly of both interventions showed improvement in mobility, fragility, static postural control and hemodynamic balance and stability.

Grantor dc:publisher

Universidade Federal do Rio Grande do Norte

Year dc:date.issued

2021

Author dc:creator

• Silva, Neildja Maria da

Advisor dc:contributor.advisor

• Lima, Nubia Maria Freire Vieira

• Envelhecimento
• Exercício físico
• Escolaridade
• Fragilidade
• Equilíbrio postural

Statement dc:rights

• Acesso Aberto

Language dc:language

pt_BR

Repository record dc:identifier.uri

https://repositorio.ufrn.br/handle/123456789/32431

OAI identifier oai:identifier

oai:repositorio.ufrn.br:123456789/32431