Falls, balance , physical fitness, walking, dyspnea , blood pressure , cardiac frequency, respiratory frequency, oxygen saturation
Conditions
Interventions
Three months of intervention , in two groups of 12 participants , with balance training in solo and cardiorespiratory training in the water, over a period of 60 minutes and frequency of twice a week.
Other
E02.779.483
Sponsors
Pontificia Universidade Católica de Goiás
Adriana Marcia Monteiro Fantinati
Mariana de Ávila Maciel
Eligibility
Sex/Gender
Female
Age
45 Years to 90 Years
Inclusion criteria
Inclusion criteria: Women over 45 years old, participants of UNATI (Universidade Aberta à Terceira Idade) PUC - GO (Pontificia Universidade Católica - Goiás), capable according with the Mini Mental State Examination (MMSE) with score minimum of 17, considering illiterate , 75% presence in cardiorespiratory training in the water and in balance training in solo for a period of three months , who participated in all assessments proposed in the study and signed the Informed Consent and Informed.
Exclusion criteria
Exclusion criteria: Women who did not pass in the screening UNATI (Universidade Aberta a Terceira Idade) PUC - GO (Pontifícia Universidade Católica - Goiás) prior to attending the program, did not participate in Six Minutes Walk Test (6MWT) due the following contraindications: recent electrocardiographic changes; recent myocardial infarction acute ; high resting blood pressure (systolic bigger then 180 mmHg; diastolic bigger then 100 mmHg); unstable angina during the last month; heart rate greater than 120 beats per minute.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome: Improved functionality , measured by Short Physical Performance Battery (SPPB) with balance tests, gait speed and sitting and standing, considering significant results with p less than 0,05. Decrease is risk of falls, measured by Quick Screen Clinical Risk Assessment Falls , considering significant results with p less than 0,05 . Improvement in functional capacity, measured by Walk Six Minute Test (6MWT), considering significant results with p less than 0,05.;Outcome found: Improves of functionality without statistical significance, measured by Short Physical Performance Battery (SPPB), where the participants showed an increase in the average balance test, 3,92 ± 0,28 for 3,96 ± 0,20, and also in the test sitting and standing, from 2,75 ± 1,19 for 2,79 ± 0,93, p equal 0,575 and p equal 0,885, respectively. Significant decrease in the risk of falls, measured by Quick Screen Clinical Falls Risk Assessment, with significant differences in pre and post-training with p less than 0,001 in the pre-training only 29,2% of the sample had a 7% risk of falls, classification minimum according to the test, the remaining 66,7% and 4,2% were 13% and 27% probability of falling, respectively. And in the post-training the percentage of participants who had a 7% risk of falls increased to 79,2%, only 20,8% had 13% and no qualified 27% risk of falls. Significant improvement in functional capacity, measured by the Six Minute Walk Test (6MWT), which in the pre-training the participants walked an average of 430,46 ± 103.39 meters in the 6MWT and 95,5% were shown to be sufficient according to the predicted. After three months of training toured 470,04 ± 83,25 meters and 100% managed to achieve sufficiency in accordance with the predicted therefore increased 39,58 ± 95,54 meters in the post-training, representing a significant improvement (p equal 0,049). | — |
Secondary
| Measure | Time frame |
|---|---|
| Outcomes expected: Correlation between increased age and increased risk of falls, rated by Quick Screen Clinical Falls Risk Assessment and Spearman Correlation Index , considering significant results with p less than 0,05. Correlation between increasing age and decreased function, assessed by Short Physical Performance Battery and Spearman Correlation Index, considering significant results with p less than 0,05. Correlation between increasing age and decreased functional capacity , measured by the Walk Test Six Minutes and Spearman Correlation Index, considering significant results with p less than 0,05. Correlation between functionality and quality in the performance of activities of daily living, measured by the Short Physical Performance Battery, Walk Test Six Minutes and Spearman Correlation Index , considering significant results with p less than 0,05. ;Outcomes found: correlation was found between increased age and increased risk of falls, rated by Quick Screen Clinical Falls Risk Assessment and Spearman Correlation Index, with significance and moderate statistical correlation (p equal 0,012 and r equal 0,538). Correlation between functionality and quality in the performance of activities of daily living, measured by the Short Physical Performance Battery, Six Minute Walk Test and Spearman Correlation Index, with moderate significance and correlation statistically (p equal 0,008 and r equal 0,560). Correlation between higher number of comorbidities with increased risk of falls, assessed by questionnaire of comorbidities, Quick Screen Clinical Risk Assessment and Spearman Correlation Index, with moderate statistical significance and correlation (p equal 0,006 and r equal 0,696). | — |
Countries
Brazil
Contacts
Public ContactMariana Maciel
Universidade Estadual de Goiás
Outcome results
None listed