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Percorrer por autor "Safons, Marisete"

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  • Extension project – Physical Exercise for Older Adults: The Experience of the University of Brasília, Brazil
    Publication . Silva, Fabiana; Costa, Maria da Glória; Safons, Marisete
    Background: The Extension Project Physical Exercises for Older Adults, from the Uni-versity of Brasília, has, since 1997, developed a program of physical exercises comple-mented by cultural activities aimed at promoting the health of the elderly population. The project is coordinated by the Study and Research Group on Physical Activities for Older Adults (GEPAFI), whose work has contributed to the development and dissemination of innovative practices focused on active and healthy aging. Objective: To describe the train-ing methodology of GEPAFI and present its effects on the health of older adults. Methods: This is a descriptive study in which data from 78 GEPAFI participants, each with at least one year of practice and who completed an anamnesis form, were analyzed. GEPAFI adopts a standardized system aimed at resistance training for older adults, prioritizing efficiency, safety, and organization. Training sheets are structured according to complex-ity level and muscle groups, following scientific parameters. Exercises are performed in a circuit format, with an average duration of 60 minutes, and are individualized and adapted to the needs of each participant. Results: The sample consisted predominantly of women (76.9%), individuals with higher education (47.4%), and married (41.0%). The most prevalent conditions were arterial hypertension (46.2%), arthritis/arthrosis (39.7%), and osteoporosis (38.5%), all of which were mainly controlled through physical exercise. Despite reports of pain in the lumbar spine (42.9%), shoulders (36.4%), and knees (35.1%), 67.9% reported a reduction in pain after joining the program. Moreover, most participants had not experienced falls in the past 12 months and did not express concern about falling (91.0%). Conclusions: This study reinforces the relevance of the project as an effective strategy for promoting active aging. Initiatives of this nature can contribute to improving participants’ health and quality-of-life indicators, while also strengthening university–community integration and consolidating the social role of institutions.
    2025Documento de conferência Acesso aberto Ver mais
  • Risk of frailty and associated factors among older people during the COVID-19 pandemic
    Publication . Silva, Fabiana Medeiros de Almeida; Safons, Marisete
    Background: Frailty is a multifactorial geriatric syndrome characterized by the cumulative decline of physiological systems, which results in decrease in energy reserves and resistance to stressors. Social determinants such as socioeconomic level and lifestyle stand out as predisposing factors for functional decline, which favor the development of other disabilities, which may result in frailty, institutionalization, hospitalization and death. Purpose: To analyze the spatial distribution of the risk of frailty and associated factors among community older adults during the covid-19 pandemic. Methods: An epidemiological screening type research, with cross-sectional design and sample representative of the Federal District, Brazil, was carried out. Data were collected through electronic questionnaire. In order to answer the problem question, the Clinical-Functional Vulnerability Index - IVCF-20 instrument was used (with risk ≥7 points), complemented by questions about demographic factors, socioeconomic factors and health risk behaviors (physical activity and physical exercise before and during the physical distancing resulting from the covid-19 pandemic). To determine the prevalence of risk of frailty and health risk behaviors, descriptive procedures were used (frequency distribution and confidence interval) and to identify the association of risk of frailty with health risk behaviors, multivariate analysis with crude and adjusted logistic regression was used, adopting significance level of p≤0.05. In the analysis of the spatial distribution pattern of risk of frailty and associated health risk behaviors, bivariate association analysis was used (chi-square test of variables of interest stratified by income and place of residence, adopting significance level of p≤0.05) and geoprocessing techniques in the QGis 3.28.9 software. Results: The sample consisted of 1,363 older adults (66.0%=female; 34.0%=male), the majority aged 60-74 years (82.2%), who lived in high-income regions (61%), with higher education level (50.1%) and who did not live alone (76.6%). There was high prevalence of individuals exposed to risk of frailty (30.7%; CI 95%=26.3-35.1), insufficiently active (45.6%; CI 95%=41.7-49.5) and who did not practice physical exercises before (30.2%; CI 95%=25.8-34.6) and during the physical distancing resulting from the covid-19 pandemic (53.4%; CI95%=49.8-57.0), being higher for all variables in low-income regions when compared to their peers (p<0.001). The prevalence of risk of frailty was associated with insufficient level of physical activity (OR=3.37; 95% CI 2.59-4.39) and with not practicing physical exercise before (OR=1.54; 95% CI 1. 17-2.03) and during physical distancing (OR=2.07; 95% CI 1.58-2.69). Discussion and conclusions: It could be concluded that the prevalence of risk of frailty in the investigated sample was high, being associated with insufficient level of physical activity and absence of physical exercises. The spatial analysis allowed knowing the distribution of the risk of frailty and associated health risk behaviors, with higher concentration in low-income regions compared to highincome ones. The results point to the need for health interventions to prevent the onset of frailty in older adults who were exposed to physical distancing resulting from the covid-19 pandemic, highlighting the importance of promoting physical activity, health care and education in health for all strata of the society.
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