Browsing by Author "Festas, Clarinda"
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- Feasibility, clinical efficacy, and maternal outcomes of a remote exercise program in pregnant women with obesity: The GROB randomized control pilot studyPublication . Bernardo, Diana; Bobadilla-Agouborde, Carolina; Festas, Clarinda; Carvalho, Carlos; Abdalla, Pedro Pugliesi; Amezcua-Prieto, Carmen; Naia-Entonado, Zeltia; Mesquita, Cristina; Mota, Jorge; Santos, Paula ClaraObesity is common in women of reproductive age and increases the risk during pregnancy. Exercising during this period reduces health complications. Home e-health programs are effective in overcoming exercise barriers as pregnant women use technology and the internet for health information. Methods: A single-blind randomized controlled feasibility study with pregnant women with obesity (body mass index [BMI] ≥≥30 kg/m22) was conducted in the University Hospital Center of São João between January and April 2023. Pregnant women were randomized to a control group with standard care and to an experimental group with 8-week remote exercise program using a Phoenix® biofeedback device. Feasibility outcome measures were recruitment rate (≥≥35%), loss to follow-up (≤≤15%), and program fidelity (≥≥1 session/week). Secondary outcomes were evaluated through Pregnancy Physical Activity Questionnaire, Oswestry Index on Disability, and weight assessments at baseline and at the end of the program. Results: Of the 63 eligible participants, 24 (38.1%) were successfully randomized and completed the baseline assessment. Of these, 3 (4.8%) from experimental group did not perform the initial onboarding. The control group had 8.3% of follow-up losses and for the experimental group there were no follow-up losses. Program fidelity (mean ≥≥1 session/week) was fulfilled by 66.7% of successfully randomized participants. Regarding secondary outcomes assessed between baseline and the 8th week, experimental group compared to control group had higher levels of physical activity for sports activities, a lower level of inactivity, and lower disability rates caused by low back pain. Conclusions: Based on the recruitment rate, losses to follow-up, and fidelity rate, the GROB (obesity in pregnancy) study was deemed feasible and worthy of consideration for a larger study. Moreover, the GROB study has the potential to improve maternal outcomes by reducing sedentarism and disability caused by low back pain.
- International handbook for the advancement of public health policies – Education and professional training in healthPublication . Missias-Moreira, Ramon; Festas, Clarinda; Prudêncio, CristinaO conceito de qualidade de vida surge nos anos 60, com o Presidente Eisenhower, no relatório da “Commission on National Goals”, neste relatório a Qualidade de Vida é definida como um construto multidimensional e abrangente, incluindo as variações sociais e todos os seus fatores envolventes, tais como: a educação; interesses individuais; desenvolvimento económico; saúde e bem- -estar; defesa e liberdade. No domínio da saúde, este conceito começa por aplicado nos anos 70 com preocupação não só relacionada com os indivíduos doentes e com os cuidados que lhe são prestados, mas também é uma preocupação na forma como são utilizados e rentabilizados os recursos, no sentido de proporcionar a melhor Qualidade de Vida possível aos doentes.
- Les effets de la kinésithérapie respiratoire chez les adultes obèses avant et après chirurgie bariatrique – Une revue narrativePublication . Silva, Cristina de Oliveira e; Abreu, Verónica; Festas, Clarinda; Vilarinho, Rui; Viana, Sara; Viana, RuiLa chirurgie bariatrique a été largement utilisée comme stratégie pour la perte de poids rapide chez les individus obèses et en surpoids. Mais, comme toute intervention chirurgicale, elle comporte un risque de complications. Cette revue visait à examiner les effets de la kinésithérapie respiratoire sur la fonction pulmonaire et la qualité de vie des patients obèses avant et après la chirurgie bariatrique. Cette revue narrative a été menée sur quatre bases de données en mai 2023 afin d’identifier des essais contrôlés randomisées qui portaient sur les effets de différentes interventions de kinésithérapie respiratoire entre un groupe expérimental et un groupe témoin, conformément aux directives PRISMA. La qualité méthodologique des articles a été évaluée à l’aide de l’échelle Physiotherapy Evidence Database. Dix articles ont répondu aux critères d’éligibilité et ont été inclus dans la revue. Les essais sélectionnés avaient une qualité méthodologique moyenne de 6,9/10. Ils portaient sur 487 participants. Malgré l’hétérogénéité des interventions, tous les essais montraient des bienfaits de la kinésithérapie respiratoire avant et/ou après la chirurgie bariatrique. Le groupe expérimental montrait une meilleure fonction pulmonaire, une meilleure force respiratoire, une meilleure qualité de vie et une prévalence plus faible de complications pulmonaires par rapport au groupe témoin. La kinésithérapie respiratoire montre sa nécessité, dans plusieurs types d’interventions, avant et après chirurgie bariatrique. Elle apporte des améliorations, notamment en termes de fonction pulmonaire, de force musculaire respiratoire, d’endurance, de qualité de vie et de prévention des complications pulmonaires.
- Normative values and reference equations of the 4-meter gait speed test for Portuguese adults: a cross-sectional studyPublication . Silva, Sara; Vilarinho, Rui; Festas, Clarinda; Santos, Fátima; Montes, António Mesquita; Jácome, Cristina; Mesquita Montes, António; Vilarinho, RuiTo determine the normative values and reference equations of the 4-Meter Gait Speed Test (4MGS) at usual and maximal speed for Portuguese adults. We also assessed the participant experience during the performance of the 4MGS. A cross-sectional study was conducted with individuals without disabilities. Sociodemographic, anthropometric, smoking habits and physical activity (Brief Physical Activity Assessment Tool [BPAAT]) data were collected. Individuals performed 3 repetitions of 4MGS at usual and maximal speeds, and the best performances were recorded. Speed values were calculated by age and sex. Stepwise multiple regressions were used for the reference equations. Participants rated their comfort from 0 (‘not comfortable at all’) to 5 (‘very comfortable’) for each modality and indicated their preferences. A total of 287 individuals (62.4% female; 47.8 ± 19.5 years) were recruited. Speed was significantly reduced after the sixth decade of life compared with the other decades (p < 0.001). Reference equations were: Usual speed = 1.598 – (0.006 x age) + (0.060 x BPAAT classification), R2= 27% and Maximal speed = 2.272 – (0.010 x age) + (0.157 x sex) + (0.73 x BPAAT classification), R2= 38%. Most participants felt ‘very comfortable’ performing the 4MGS at usual speed (94.8%), maximal speed (75.6%) and no preference in 4MGS modalities (69%). Speed is significantly affected by age. For the reference equations, age and physical activity explain the results of usual speed, and both associated with sex explain the results of maximal speed. Most participants were highly comfortable and expressed no preference in 4MGS modalities.