Browsing by Author "Alves, Susana"
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- Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical TrialsPublication . Couto, Nuno; Cid, Luis; Alves, Susana; Brito, João; Pimenta, Nuno; Bento, TeresaBackground: Chronic obstructive pulmonary disease (COPD) is a heterogeneous lung condition, the main symptoms of which are dyspnoea and fatigue. Though exercise has been recommended for subjects with COPD, its benefits remain unclear. The aim of this study was to summarise, through a systematic review and meta-analysis, the available evidence on the effects of aerobic, resistance, stretching, and combined exercise on the main symptoms of COPD. Methods: Search was performed using the electronic databases PubMed and Web of Science. Randomised controlled trials (RCTs) with interventions based on aerobic, resistance and/or combined exercise published until July 2022 were identified. The effects were summarised based on standardised mean differences (95% confidence intervals) using random and fixed effect models. Results: Eight studies were selected, including a total of 375 subjects. The results obtained showed that resistance exercise, aerobic exercise and combined exercise seem to improve dyspnoea and fatigue symptoms in COPD subjects. Conclusions: In general, we can conclude that exercise-based interventions appear to improve the main COPD symptoms and may benefit quality of life in this population.
- Comunicação Cinésico-Gestual dos Instrutores de Aulas de Grupo de Fitness: Desenvolvimento, validação e aplicação piloto do sistema de observação SOCIN-FitnessPublication . Alves, SusanaApesar da inquestionável evolução técnico-pedagógica que se tem assistido nos últimos anos ao nível dos programas de formação de técnicos de Fitness, existem ainda algumas áreas do conhecimento que necessitam de ser mais aprofundadas. No contexto das actividades de grupo de Fitness, apesar de alguns autores identificarem a comunicação não-verbal do instrutor como um dos aspectos mais importantes, são ainda reduzidos os estudos que se centram sobre esta temática neste contexto em particular. Assim sendo, esta investigação centra-se sobre a análise da comunicação não-verbal cinésica dos instrutores de Fitness em aulas de grupo. Foram definidos dois objectivos principais que estruturam este trabalho. O primeiro objectivo centrou-se no desenvolvimento e validação para o contexto do Fitness do Sistema de Observação da Comunicação Cinésica – Fitness, o qual permite analisar a comunicação cinésia dos instrutores de Fitness em aulas de grupo. Para tal foi aplicada a metodologia de desenvolvimento e validação de sistemas de observação proposta por Brewer e Jones (2002) que pressupõe um conjunto de cinco fases distintas. O segundo objectivo centrou-se na realização de um estudo piloto de aplicação do referido sistema de observação a uma amostra de 12 instrutores de Fitness de quatro distintas modalidades de grupo (3 instrutores de Step, 3 instrutores de Localizada, 3 instrutores de Indoor Cycling e 3 instrutores de Hidroginástica), para despistar possíveis tendências comportamentais ao nível da comunicação cinésica. Os resultados do estudo de desenvolvimento corroboraram a validade do Sistema de Observação da Comunicação Cinésica – Fitness. De igual forma, o estudo piloto permitiu descrever a comunicação cinésica dos instrutores de Fitness analisados, não só em termos globais mas também para cada uma das modalidades analisadas. No final, são apresentadas algumas sugestões para investigações futuras.
- Dançar – Vivências contemporâneas na comunidadePublication . Varregoso, Isabel; Monteiro, Elisabete; Rodrigues, José; Franco, Susana; Alves, SusanaA Dança na Comunidade constitui um conceito abrangente que evidencia uma diversidade de práticas, filosofias e abordagens que interessa estudar. Como atividade participativa e inclusiva, permite uma troca mútua, destacando a valorização individual e coletiva pela motivação, sentido de pertença e de conexão sem limites ou limitações. Na atualidade, são vivenciadas um conjunto de danças de inspiração tradicional miscigenadas com influências contemporâneas, as quais retomam a vivência dos bailes à antiga, onde as pessoas convivem e se divertem unidas pelo prazer de dançar. Pretendemos analisar o(s) contexto(s) em que decorre(m) estas danças, caraterizá-las de forma genérica, e perceber o que as pessoas encontram nestes contextos.
- Desenvolvimento e validação de uma versão reduzida do Exercise Motivation Inventory-2pPublication . Baptista, Pedro; Monteiro, Diogo; Alves, Susana; Cid, Luis; MOUTÃO, JOÃOO questionário Exercise Motivation Inventory-2 tem-se apresentado como o mais completo na avaliação dos motivos para a prática de exercício. Todavia, a sua extensão (51 itens, 14 fatores e 5 dimensões) revela-se um problema nalgumas situações de menor disponibilidade temporal para o seu preenchimento, que por vezes ocorrem no contexto do fitness. Tendo por base este problema, este estudo objetiva o desenvolvimento e validação de uma versão reduzida Exercise Motivation Inventory-2. Participaram neste estudo 2266 praticantes de fitness (865 do género feminino e 1397 do género masculino), com idades compreendidas entre os 16 e os 77 anos (M = 35.95; DP = 13.80). A versão reduzida foi desenvolvida através da seleção dos itens com maior peso fatorial em cada um dos 14 fatores da versão original (Inglês) e em função da análise da consistência interna e dos resultados da validade de constructo obtidos com recurso à análise fatorial exploratória e confirmatória do modelo de medida. A versão reduzida do Exercise Motivation Inventory-2 demonstrou valores aceitáveis de fiabilidade e de validade de constructo, dando assim suporte à sua utilização na avaliação dos motivos de prática de exercício.
- Development and validation of a physical exercise training program for women diagnosed with Fibromyalgia “Pessoas com Fibra” (People with Fiber). A pilot studyPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a chronic disease that affects patients’ quality of life, leading to reduced physical activity levels. This problem can therefore be attenuated by promoting physical exercise training programs (PETP). The aim of this pilot study was to develop and validate a PETP, “Pessoas com Fibra”, designed to increase physical activity and improve the quality of life of women diagnosed with Fibromyalgia, aged between 30 and 60. The PETP was designed and validated by physical fitness specialists in accordance with Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions and the Consensus Guidelines on Physical Exercise Programme Reporting Model. It went through three phases: development, piloting and evaluation. This study presents an intervention proposal based on improving the participants' Fibromyalgia symptoms. “Pessoas com Fibra” program proposal presents suggestions for adaptation to the target population and exercises that can be replicated by professionals in the field of physical exercise and health.
- Effects of a combined training program on pain, stiffness, fatigue and well-being in women with fibromyalgiaPublication . Sousa, Mónica; Moutão, João; Oliveira, Rafael; Alves, SusanaFibromyalgia is a rheumatic disease characterized by chronic widespread muscle pain and its treatment is carried out through pharmacological interventions. Physical exercise and the adoption of a healthy lifestyle influence the reduction of the symptoms of the disease. The main objective of this study was to analyze the effects of a combined training program on health and functional capacity in female individuals diagnosed with Fibromyalgia. It was a quasi-experimental study with a duration of 8 months with a sample of six participants between 43 and 58 years old, who did not practice any type of physical exercise program. The following instruments were used in baseline and post intervention: Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey Questionnaire (SF-36v2) and functional physical fitness tests (30-second chair stand, arm curl, sit and reach, 8-ft up-and-go, back scratch and 2-minute step test. Wilcoxon non-parametric test (intra group comparison) was used, with a significance level of p<0.05 to compare baseline and post intervention effects. Significant improvements were observed: in 2-minute step test (p=0.21); physical function; physical performance; physical pain and general health, the mental component, vitality; social function of the SF-36v2 (all, p<0.05). Moreover, FIQ showed a significant reduction in all scales at the end of the program compared to the baseline (p<0.05). Combined training program can reduce the impact of fibromyalgia while improving health and aerobic performance.
- Effects of a combined training program on pain, stiffness, fatigue, and well-being in women with fibromyalgiaPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a rheumatic disease characterized by chronic widespread muscle pain and its treatment is carried out through pharmacological interventions. Physical exercise and the adoption of a healthy lifestyle influence the reduction of the symptoms of the disease. The main objective of this study was to analyze the effects of a combined training program on health and functional capacity in female individuals diagnosed with Fibromyalgia. It was a quasi-experimental study with a duration of 8 months with a sample of six participants between 43 and 58 years old, who did not practice any type of physical exercise program. The following instruments were used in baseline and post intervention: Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey Questionnaire (SF-36v2) and functional physical fitness tests (30-second chair stand, arm curl, sit and reach, 8-ft up-and-go, back scratch and 2-minute step test. Wilcoxon non-parametric test (intra-group comparison) was used, with a significance level of p<0.05 to compare baseline and post intervention effects. Significant improvements were observed: in 2-minute step test (p=0.21); physical function; physical performance; physical pain and general health, the mental component, vitality; social function of the SF-36v2 (all, p<0.05). Moreover, FIQ showed a significant reduction in all scales at the end of the program compared to the baseline (p<0.05). Combined training program can reduce the impact of fibromyalgia while improving health and aerobic performance.
- Effects of Combined Training Programs in Individuals with Fibromyalgia: A Systematic ReviewPublication . Sousa, Mónica; Oliveira, Rafael; Brito, João; Martins, Alexandre Duarte; MOUTÃO, JOÃO; Alves, SusanaFibromyalgia is a rheumatic disease characterised by chronic widespread muscular pain and its treatment is carried out by pharmacological interventions. Physical exercise and a healthy lifestyle act as an important mechanism in reducing the symptoms of the disease. The aims of this study were to analyse and systematise the characteristics of combined training programs (i.e., type and duration of interventions, weekly frequency, duration and structure of training sessions and prescribed intensities) and to analyse their effects on people diagnosed with fibromyalgia. A systematic literature search was performed using the PRISMA method and then randomised controlled trial articles that met the eligibility criteria were selected. The Physiotherapy Evidence Database scale was used to assess the quality and risk of the studies. A total of 230 articles were selected, and in the end, 13 articles met the defined criteria. The results showed different exercise interventions such as: combined training, high-intensity interval training, Tai Chi, aerobic exercise, body balance and strength training. In general, the different interventions were beneficial for decreasing physical symptoms and improving physical fitness and functional capacity. In conclusion, a minimum duration of 14 weeks is recommended for better benefits. Moreover, combined training programs were the most effective for this population, in order to reduce the symptoms of the disease with a duration between 60 and 90 min, three times a week with a light to moderate intensity
- O enfermeiro enquanto promotor da saúde da pessoa em situação de risco de Hepatite B para a vacinação.Publication . Alves, Susana; Reis, Alcinda; Spínola, AnaEste relatório surge na sequência do II estágio do Curso de Mestrado em Enfermagem Comunitária, decorrido numa Unidade de Saúde Pública. Teve como objetivo “Planear intervenções de Cuidados Especializados em Enfermagem Comunitária”. De acordo com as competências do Especialista em Enfermagem Comunitária planeou-se a intervenção ao grupo alvo - a promoção da saúde dos funcionários municipais do saneamento na adesão à vacinação da hepatite B. Através da metodologia do planeamento em saúde, fez-se a avaliação do estado vacinal e trabalhou-se a literacia em saúde do grupo alvo. A prática em contexto clínico teve por base a síntese da melhor evidência, partindo da pergunta PICo “Como a promoção da saúde capacita a pessoa em situação de risco para a hepatite B, na adesão à vacinação?” Concluiu-se que os participantes têm perceção do perigo, mas ao mesmo tempo, “confiam na saúde dos outros” e a sua noção de risco não é exata. This report follows the second stage of the Master Course in Community Nursing, held at the Public Health Unit, whose objective was to “Plan Specialized Care interventions in the context of Community Nursing”. The intervention was intended to improve the skills of municipal sanitation workers in observance to vaccination for hepatitis B. The competencies of the Community Nursing Specialist allowed, based on the methodology of health planning, evaluation of the vaccination status and contribution to literacy. The whole practice was based on the synthesis of the best evidence, starting from the question PICo “How does health promotion enable the person at risk for hepatitis B, in adherence to vaccination?” We realize that employees are aware of the inherent risks, but at the same time “trust the health of others” and their notion of risk is not accurate.
- Enhancing student well-being: the Impact of a mindfulness-based program (Mind7+) on stress, anxiety, sleep quality, and social Interactions in a sample of portuguese university studentsPublication . Pinto, Paula; Franco, Susana; Alves, Susana; Januário, Patrícia; Barroso, IsabelThere is an urgent need to promote mental health strategies in university students, and mindfulness-based interventions provide alternative and complementary approaches. The present study aimed to investigate the impact of a mind-fulness-based program (Mind7+) on Portuguese students from the Polytechnic University of Santarem, focusing on stress levels, depression, anxiety, and sleep quality. The intervention consisted of a 8 week mindfulness-based program, with six presential sessions and two online sessions. The participants completed self-filled validated questionnaires before and after intervention. The study revealed that Mind7+ program not only positively influenced stress levels, anxiety, and sleep quality among university students but also had a positive impact on their social interactions. A correlation between sleep quality and frequency of individual practices was observed. The observed medium effect size under-scores the practical relevance of Mind7+ program and the potential of mindfulness-based interventions in higher education to enhance both individual well-being and social connections.
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