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Publication
Prescrição de exercício físico na recuperação pós--parto. revisão narrativa, validação de programa de exercício e estudo piloto
| Name: | Description: | Size: | Format: | |
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| 25.96 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O pós-parto é um período marcado por alterações profundas da mulher a nível físico,
psicológico e fisiológico. Muitas dessas alterações persistem após 4 a 6 semanas de
pós-parto, sendo que a maioria das mulheres não retoma os seus níveis de atividade
física, o que aumenta o risco de permanecer inativa por muitos anos. Torna-se
importante perceber e implementar estratégias e programas eficazes que promovam o
exercício durante o pós-parto. No entanto, verifica-se a escassez de estudos nesta área.
A atividade física durante o período pós-parto é um problema de saúde pública. Tendo
em vista a reprodutibilidade e a implementação bem-sucedida de intervenções com
exercício físico, reportar a qualidade de tais desenhos de estudo deve ser assegurada.
Tendo em conta esta problemática, os objetivos deste trabalho são: analisar as
características fisiológicas e psicológicas do período pós-parto, bem como as evidências
científicas sobre as principais recomendações, avaliação, prescrição e características
de programas de exercício adaptados ao período pós-parto (estudo 1); desenvolver e
validar um programa de exercício físico na recuperação pós-parto “MÃES ATIVAS”, que
promove a condição física e a saúde durante o período pós-parto (estudo 2); testar a
exequibilidade e analisar os efeitos do programa de exercício específico no pós-parto
“Mães Ativas”, em parâmetros psicológicos, metabólicos e musculoesqueléticos.
Para o estudo 1, foram utilizadas as bases eletrónicas Web of Science e PubMed, cujos
resultados confirmaram a importância do exercício como um aliado para a recuperação
pós-parto, tornando-se necessário criar programas de exercício específicos para esta
fase.
Para a descrição do programa de exercício, foi utilizado o Consenso sobre o Modelo de
Reporte de Exercício (CERT). Para a validação do programa, seguiram-se os Critérios
para Reporte do Desenvolvimento e Avaliação de Intervenções Complexas em Saúde
(CReDECI2), passando pelas três etapas de desenvolvimento, pilotagem e avaliação.
Foi realizado um estudo-piloto qualitativo. O programa de exercícios personalizado foi
desenvolvido e validado com base em recomendações internacionais baseadas em
evidências, com o objetivo de ser implementado por profissionais de exercício
qualificados. Foi realizada uma intervenção de 12 a 16 semanas de testagem, envolvendo 11 mulheres no pós-parto. A viabilidade do programa foi posteriormente
avaliada por todas as participantes. A intervenção apresentada pode auxiliar
especialistas em exercício, profissionais de saúde e investigadores no planeamento,
promoção e implementação de um programa de exercício específico para recuperação
pós-parto.
Participaram no estudo 11 mulheres no período pós-parto, num programa
supervisionado com a duração mínima de 12 semanas. Para análise dos efeitos foi
avaliado o nível de atividade física, a qualidade de vida, a dor pélvica e dor lombar, a
fadiga, a depressão e o nível de condição física. As mulheres foram avaliadas antes,
durante e depois do programa de exercício. Os resultados mostraram que a aplicação
do programa de exercício específico para o período pós-parto, com a duração mínima
de 12 semanas, realizado três vezes por semana, produz efeitos positivos em
parâmetros psicológicos, metabólicos e musculoesqueléticos.
The postpartum period is marked by profound changes in women at a physical, psychological and physiological level. Many of these changes persist after 4 to 6 weeks postpartum, and most women do not resume their levels of physical activity, which increases the risk of remaining inactive for many years. It is crucial to understand and implement effective strategies and programs that promote exercise during the postpartum period. moreover, there is scarcity of studies in this area. Physical activity during the postpartum period is a public health issue. In view of the reproducibility and successful implementation of physical exercise interventions, reporting the quality of such study designs must be assured. Considering this problem, the objectives of this study are: to analyze the physiological and psychological characteristics of the postpartum period, as well as the scientific evidence on the main recommendations, evaluation, prescription and characteristics of exercise programs adapted to the postpartum period ( study 1); to develop and validate a physical exercise program in postpartum recovery “ACTIVE MUMS”, which promotes physical condition and health during the postpartum period (study 2); to test the feasibility and analyze the effects of the specific exercise program in the postpartum period “ACTIVE MUMS”, in psychological, metabolic and musculoskeletal parameters. For study 1, the electronic databases Web of Science and PubMed were used, whose results confirmed the importance of exercise as an ally for postpartum recovery, making it necessary to create specific exercise programs for this phase. For the description of the exercise program, the Consensus on the Exercise Reporting TEMPLATE (CERT) was used. To validate the program, the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare (CReDECI2) were followed, going through the three stages of development, piloting and evaluation. A qualitative pilot study was carried out. The personalized exercise program was developed and validated based on evidence-based international recommendations, with the aim of being implemented by qualified exercise professionals. An intervention of 12 to 16 weeks of testing was performed, involving 11 postpartum women. The viability of the program was subsequently evaluated by all participants. The presented intervention can assist exercise specialists, health professionals and researchers in the planning, promotion and implementation of a specific exercise program for postpartum recovery. Eleven postpartum women participated in the study, in a supervised program lasting at least 12 weeks. To analyze the effects, the level of physical activity, quality of life, pelvic pain and low back pain, fatigue, depression and the level of physical fitness were evaluated. The women were evaluated before, during and after the exercise program. The results showed that the application of a specific exercise program for the postpartum period, with a minimum duration of 12 weeks, performed three times a week, produces positive effects on psychological, metabolic and musculoskeletal parameters.
The postpartum period is marked by profound changes in women at a physical, psychological and physiological level. Many of these changes persist after 4 to 6 weeks postpartum, and most women do not resume their levels of physical activity, which increases the risk of remaining inactive for many years. It is crucial to understand and implement effective strategies and programs that promote exercise during the postpartum period. moreover, there is scarcity of studies in this area. Physical activity during the postpartum period is a public health issue. In view of the reproducibility and successful implementation of physical exercise interventions, reporting the quality of such study designs must be assured. Considering this problem, the objectives of this study are: to analyze the physiological and psychological characteristics of the postpartum period, as well as the scientific evidence on the main recommendations, evaluation, prescription and characteristics of exercise programs adapted to the postpartum period ( study 1); to develop and validate a physical exercise program in postpartum recovery “ACTIVE MUMS”, which promotes physical condition and health during the postpartum period (study 2); to test the feasibility and analyze the effects of the specific exercise program in the postpartum period “ACTIVE MUMS”, in psychological, metabolic and musculoskeletal parameters. For study 1, the electronic databases Web of Science and PubMed were used, whose results confirmed the importance of exercise as an ally for postpartum recovery, making it necessary to create specific exercise programs for this phase. For the description of the exercise program, the Consensus on the Exercise Reporting TEMPLATE (CERT) was used. To validate the program, the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare (CReDECI2) were followed, going through the three stages of development, piloting and evaluation. A qualitative pilot study was carried out. The personalized exercise program was developed and validated based on evidence-based international recommendations, with the aim of being implemented by qualified exercise professionals. An intervention of 12 to 16 weeks of testing was performed, involving 11 postpartum women. The viability of the program was subsequently evaluated by all participants. The presented intervention can assist exercise specialists, health professionals and researchers in the planning, promotion and implementation of a specific exercise program for postpartum recovery. Eleven postpartum women participated in the study, in a supervised program lasting at least 12 weeks. To analyze the effects, the level of physical activity, quality of life, pelvic pain and low back pain, fatigue, depression and the level of physical fitness were evaluated. The women were evaluated before, during and after the exercise program. The results showed that the application of a specific exercise program for the postpartum period, with a minimum duration of 12 weeks, performed three times a week, produces positive effects on psychological, metabolic and musculoskeletal parameters.
Description
Keywords
pós-parto atividade física exercício programa de exercício postpartum physical activity exercise exercise program