Caros Colegas.

=C9 com grande satisfa=E7=E3o que comunico= a todos que=20 n=F3s fomos inclu=EDdos no projeto do novo plano de carreira da Secretaria = Municipal=20 de Sa=FAde de minha cidade (Cachoeira do Sul - RS), na qual venho pleiteand= o junto=20 ao nosso Prefeito e a nossa Secret=E1ria Municipal. Maiores Esclarecimentos= fitnessmaia@uol.com.br. <= /DIV>

Prof. Jorge Maia

CREF-2

n=BA=20 3.869

------=_NextPart_000_004B_01CB7B4B.751EAF60-- From lucasfoiz@hotmail.com Sun Nov 03 07:50:07 2002 Return-Path: X-Sender: lucasfoiz@hotmail.com X-Apparently-To: cevidoso-L@yahoogrupos.com.br Received: (EGP: mail-8_2_2_1); 3 Nov 2002 15:50:05 -0000 Received: (qmail 11912 invoked from network); 3 Nov 2002 15:50:05 -0000 Received: from unknown (66.218.66.218) by m3.grp.scd.yahoo.com with QMQP; 3 Nov 2002 15:50:05 -0000 Received: from unknown (HELO hotmail.com) (64.4.31.222) by mta3.grp.scd.yahoo.com with SMTP; 3 Nov 2002 15:50:05 -0000 Received: from mail pickup service by hotmail.com with Microsoft SMTPSVC; Sun, 3 Nov 2002 07:50:05 -0800 Received: from 200.155.51.183 by pv1fd.pav1.hotmail.msn.com with HTTP; Sun, 03 Nov 2002 15:50:05 GMT To: cevidoso-L@yahoogrupos.com.br Bcc: Subject: =?iso-8859-1?B?UmVmZXLqbmNpYXMu?= Date: Sun, 03 Nov 2002 13:50:05 -0200 Mime-Version: 1.0 Content-Type: text/html; charset=iso-8859-1 Message-ID: X-OriginalArrivalTime: 03 Nov 2002 15:50:05.0359 (UTC) FILETIME=[ADA37BF0:01C28350] From: "Lucas Martins da Silveira (FoiZ)" X-Originating-IP: [200.155.51.183] X-Yahoo-Group-Post: member; u=90323083 X-Yahoo-Message-Num: 85

Prezados colegas listeiros,

Preciso - o mais breve - do maior número de referências acerca da prescrição de exercícios resistidos para indivíduos com osteoporose.

Agradeço toda e qualquer ajuda.

Atenciosamente,

Lucas Martins da Silveira

lucasfoiz@hotmail.com

ICQ: 15855195

Tel.: (43) 3356-9790

R. Canudos, 146, Ap. 503. Residencial Joselita.

86015-040 - Londrina, PR.

Universidade Estadual de Londrina

Centro de Educação Física e Desportos

MSN Hotmail, o maior webmail do Brasil. Faça o seu agora. From algarvhe@yahoo.com.br Sun Nov 03 11:31:22 2002 Return-Path: X-Sender: algarvhe@yahoo.com.br X-Apparently-To: cevidoso-L@yahoogrupos.com.br Received: (EGP: mail-8_2_2_1); 3 Nov 2002 19:31:22 -0000 Received: (qmail 65042 invoked from network); 3 Nov 2002 19:31:21 -0000 Received: from unknown (66.218.66.218) by m11.grp.scd.yahoo.com with QMQP; 3 Nov 2002 19:31:21 -0000 Received: from unknown (HELO web14901.mail.yahoo.com) (216.136.225.53) by mta3.grp.scd.yahoo.com with SMTP; 3 Nov 2002 19:31:21 -0000 Message-ID: <20021103193121.59630.qmail@web14901.mail.yahoo.com> Received: from [200.163.147.196] by web14901.mail.yahoo.com via HTTP; Sun, 03 Nov 2002 16:31:21 ART Date: Sun, 3 Nov 2002 16:31:21 -0300 (ART) Subject: Re: [cevidoso-L] Referências. To: cevidoso-L@yahoogrupos.com.br In-Reply-To: MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="0-1868897737-1036351881=:59258" Content-Transfer-Encoding: 8bit From: =?iso-8859-1?q?Rafael=20Cechet?= X-Yahoo-Group-Post: member; u=116164423 X-Yahoo-Message-Num: 86 --0-1868897737-1036351881=:59258 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Content-Disposition: inline tá anexado, em pdf: KEVIN R. VINCENT and RANDY W. BRAITH - "Resistance exercise and bone turnover in elderly men and women" - 0195-9131/02/3401-0017/$3.00/0 MEDICINE & SCIENCE IN SPORTS & EXERCISE® Copyright © 2002 by the American College of Sports Medicine Submitted for publication August 2000. Accepted for publication April 2001. _______________________________________________________________________ Yahoo! GeoCities Tudo para criar o seu site: ferramentas fáceis de usar, espaço de sobra e acessórios. http://br.geocities.yahoo.com/ --0-1868897737-1036351881=:59258 Content-Type: application/pdf; name="########Resistance exercise and bone turnover in elderly men and women#######.pdf" Content-Transfer-Encoding: base64 Content-Description: ########Resistance exercise and bone turnover in elderly men and women#######.pdf Content-Disposition: attachment; filename="########Resistance exercise and bone turnover in elderly men and women#######.pdf" [Conteúdo anexado não exibido.] --0-1868897737-1036351881=:59258-- From drummond@marlin.com.br Sun Nov 03 16:49:29 2002 Return-Path: X-Sender: drummond@marlin.com.br X-Apparently-To: cevidoso-l@yahoogrupos.com.br Received: (EGP: mail-8_2_2_1); 4 Nov 2002 00:49:28 -0000 Received: (qmail 62050 invoked from network); 4 Nov 2002 00:49:28 -0000 Received: from unknown (66.218.66.218) by m1.grp.scd.yahoo.com with QMQP; 4 Nov 2002 00:49:28 -0000 Received: from unknown (HELO white.marlin.com.br) (200.219.182.34) by mta3.grp.scd.yahoo.com with SMTP; 4 Nov 2002 00:49:26 -0000 Received: (from root@localhost) by white.marlin.com.br (8.12.3/8.11.6) id gA40nT4E098456 for cevidoso-l@yahoogrupos.com.br; Sun, 3 Nov 2002 22:49:29 -0200 (BRST) (envelope-from drummond@marlin.com.br) Received: from drummond (max2-004.marlin.com.br [200.219.183.4]) by white.marlin.com.br (8.12.3/8.11.6av) with SMTP id gA40lNbT098344 for ; Sun, 3 Nov 2002 22:49:21 -0200 (BRST) (envelope-from drummond@marlin.com.br) Message-ID: <002201c2839a$377657a0$04b7dbc8@drummond> To: Subject: Resumos em ingles Date: Sun, 3 Nov 2002 22:36:28 -0200 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_001F_01C28389.7325A3C0" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1106 X-MIMEOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 X-Virus-Scanned: by AMaViS perl-11 From: "edmundo" X-Yahoo-Group-Post: member; u=36530607 X-Yahoo-Profile: admcevidoso X-Yahoo-Message-Num: 87 ------=_NextPart_000_001F_01C28389.7325A3C0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Dubbert P.M., Cooper K.M., Kirchner K.A., Meydrech E.F., Bilbrew D.= =20=20 Effects of nurse counseling on walking for exercise in elderly primar= y care patients.=20 J Gerontol A Biol Sci Med Sci 2002 Nov;57(11):M733-40.=20 Background. Counseling sedentary primary care patients can increase p= hysical activity, but whether this approach will increase exercise and fitn= ess in elderly adults with chronic diseases remains to be determined. Metho= ds. After receiving individualized nurse counseling to begin a program of w= alking for health, 60- to 80-year-old primary care patients were randomized= to one of three levels of telephone contacts over 10 months: (i) 20 nurse-= initiated calls, (ii) 10 nurse-initiated calls plus 10 motivational calls p= rogrammed through an automated phone calling system, or (iii) no program-in= itiated phone contacts. Self-reported (diary) walking adherence was the pri= mary outcome; other activity, social support, health quality of life, and m= easured walking performance, mobility, and body mass index and girths were = also assessed during the initiation (months 1-6) and maintenance (months 7-= 10) phases of the trial. Results. Average adherence for the 181 participant= s to the goal of walking at least 20 minutes on 3 or more days per week was= 44% for initiation and 42% for maintenance. Participants receiving the com= bination of nurse-initiated personal and automated phone calls walked signi= ficantly more frequently than those with no phone contacts. Fitness improve= d in all three groups; changes were generally correlated with self-reported= walking. Having a companion was associated with more frequent walking. Per= ceived quality of physical and mental health did not change. Conclusions. S= imple and relatively inexpensive nurse contacts can motivate elderly primar= y care patients to walk for exercise, and this activity is associated with = measurable health benefits.=20 : Izumi K., Makimoto K., Kato M., Hiramatsu T.=20=20 Prospective study of fall risk assessment among institutionalized eld= erly in Japan.=20 Nurs Health Sci 2002 Dec;4(4):141-7.=20 The purpose of the present study was to identify risk factors for fal= ls among institutionalized elderly, using the standardized risk assessment = tool developed by Izumi. We examined 746 patients from three types of facil= ities: rehabilitation wards in four general hospitals, three long-term care= facilities, and three nursing homes, for up to three months. The incidence= of falls within all facilities was 12.5%. Patterns of relative risks of fa= lling differed among types of facilities. The highest relative risk of fall= in long-term care facilities and nursing homes was nurses' prediction, fol= lowed by history of fall and altered mentation. In contrast, that in genera= l hospitals was mobility. In long-term care facilities, history of falls (o= dds 3.68, 95CI: 1.47-9.23) and interaction (history of falls and assistance= with toileting) (odds 3.13, 95CI: 1.48-6.64) showed significance on adjust= ed-odds ratios for fall. History of falls, altered mentation, and assistanc= e with toileting may be used to screen patients at a high risk for fall at = admission.=20 Carter N.D., Khan K.M., McKay H.A., Petit M.A., Waterman C., Heino= nen A., Janssen P.A., Donaldson M.G., Mallinson A., Riddell L., Kruse K., P= rior J.C., Flicker L.=20=20 Community-based exercise program reduces risk factors for falls in 65= - to 75-year-old women with osteoporosis: randomized controlled trial.=20 CMAJ 2002 Oct 29;167(9):997-1004.=20 BACKGROUND: Exercise programs improve balance, strength and agility i= n elderly people and thus may prevent falls. However, specific exercise pro= grams that might be widely used in the community and that might be "prescri= bed" by physicians, especially for patients with osteoporosis, have not bee= n evaluated. We conducted a randomized controlled trial of such a program d= esigned specifically for women with osteoporosis. METHODS: We identified wo= men 65 to 75 years of age in whom osteoporosis had been diagnosed by dual-e= nergy X-ray absorptiometry in our hospital between 1996 and 2000 and who we= re not engaged in regular weekly programs of moderate or hard exercise. Wom= en who agreed to participate were randomly assigned to participate in a twi= ce-weekly exercise class or to not participate in the class. We measured ba= seline data and, 20 weeks later, changes in static balance (by dynamic post= urography), dynamic balance (by a timed figure-eight run) and knee extensio= n strength (by dynamometry). RESULTS: Of 93 women who began the trial, 80 c= ompleted it. Before adjustment for covariates, the intervention group tende= d to have greater, although nonsignificant, improvements in static balance = (mean difference 4.8%, 95% confidence interval [CI] -1.3% to 11.0%), dynami= c balance (mean difference 3.3%, 95% CI -1.7% to 8.4%) and knee extension s= trength (mean difference 7.8%, 95% CI -5.4% to 21.0%). Mean crude changes i= n the static balance score were -0.85 (95% CI -2.91 to 1.21) for the contro= l group and 1.40 (95% CI -0.66 to 3.46) for the intervention group. Mean cr= ude changes in figure-eight velocity (dynamic balance) were 0.08 (95% CI 0.= 02 to 0.14) m/s for the control group and 0.14 (95% CI 0.08 to 0.20) m/s fo= r the intervention group. For knee extension strength, mean changes were -0= .58 (95% CI -3.02 to 1.81) kg/m for the control group and 1.03 (95% CI -1.3= 1 to 3.34) kg/m for the intervention group. After adjustment for age, physi= cal activity and years of estrogen use, the improvement in dynamic balance = was 4.9% greater for the intervention group than for the control group (p = =3D 0.044). After adjustment for physical activity, cognitive status and nu= mber of fractures ever, the improvement in knee extension strength was 12.8= % greater for the intervention group than for the control group (p =3D 0.04= 7). The intervention group also had a 6.3% greater improvement in static ba= lance after adjustment for rheumatoid arthritis and osteoarthritis, but thi= s difference was not significant (p =3D 0.06). INTERPRETATION: Relative to = controls, participants in the exercise program experienced improvements in = dynamic balance and strength, both important determinants of risk for falls= , particularly in older women with osteoporosis.=20 Kono A., Kanagawa K., Ban M., Kitahama Y., Matubara E.=20=20 [Evaluation of a community-based preventive care program for elderly = living at home]=20 Nippon Koshu Eisei Zasshi 2002 Sep;49(9):983-91.=20 PURPOSE: The purpose of this study was to evaluate a community-based = preventive care program focused on physical and psychosocial status of frai= l elderly living at home. METHOD: The study had a prospective cohort design= . Community-dwelling frail elderly not applying for the long-term insurance= system care were assigned to a participant group (n =3D 71), wishing to pa= rticipate in the community-based preventive care program, and a non-partici= pant group (n =3D 40) who did not have the intention. The care program incl= uded activities and health education for elderly to promote their social co= ntacts. Outcome variables were Activities of Daily Living (FIM), upper extr= emity function, time required for a 1.5 meter walk, health complaints, cogn= itive function (MMSE), psychological Quality of Life (QOL), depression (GDS= ), modified fall-related self efficacy (MFES), self efficacy for health pro= motion (SEHP), and social network. Data were collected prior to and at 6 mo= nths and 12 months after the intervention. RESULTS: 1. At the baseline, the= number of female (P =3D .033) and B day service use (P =3D .001) in the pa= rticipant group was significantly greater, and the number reporting falls (= P =3D .017) and A day service use (P =3D .014) was lower than the non-parti= cipant group. MMSE (P =3D .032), MFES (P =3D .001), and SEHP scores (P =3D = .017) as well as the social network values (P =3D .022) in the participant = group were significantly higher than for the non-participant group. 2. The = participants demonstrated significant effectiveness in the MMSE scores (P = =3D .002) during the follow-up period, values after both 6-months (P =3D .0= 02) and 12-months (P =3D .005) follow-up, being lower than in the non-parti= cipant group. 3. The participant group also demonstrated significant effect= iveness in the GDS score (P =3D .033) during the study period, their values= being lower after 12-months (P =3D .070) than in the other group. CONCLUSI= ON: The results indicated that the community-based preventive care program = to the elderly could effect on cognitive function and depression.=20 Deschenes M.R., Kraemer W.J.=20=20 Performance and physiologic adaptations to resistance training.=20 Am J Phys Med Rehabil 2002 Nov;81(11 Suppl):S3-S16.=20 ABSTRACT Deschenes MR, Kraemer WJ: Performance and physiologic adapta= tions to resistance training. 2002; 81(Suppl):S3-S16. Weight lifting, or re= sistance training, is a potent stimulus to the neuromuscular system. Depend= ing on the specific program design, resistance training can enhance strengt= h, power, or local muscular endurance. These improvements in performance ar= e directly related to the physiologic adaptations elicited through prolonge= d resistance training. Optimal resistance training programs are individuali= zed to meet specific training goals. When trained properly (i.e., similar i= ntensity and volume), these functional and physiologic adaptations are simi= larly impressive among women and the aged as they are among young men. Yet,= in contrast to relative measurements, sex and age differences exist in the= absolute magnitude of adaptation. Of equal importance, perhaps most notabl= y among the elderly, are the important health benefits that may also be der= ived from resistance training. For example, bone density, insulin sensitivi= ty, and co-morbidities associated with obesity can be effectively managed w= ith resistance exercise when it is conducted on a regular basis. The extent= of the functional and health benefits to be accrued from resistance traini= ng depend on factors such as initial performance and health status, along w= ith the specification of program design variables such as frequency, durati= on, intensity, volume, and rest intervals.=20 Cesari M., Landi F., Torre S., Onder G., Lattanzio F., Bernabei R. = =20 Prevalence and risk factors for falls in an older community-dwelling = population.=20 J Gerontol A Biol Sci Med Sci 2002 Nov;57(11):M722-6.=20 BACKGROUND: Falls are responsible for considerable morbidity, immobil= ity, and mortality among elderly people. The aim of this study was to deter= mine the prevalence of falls and related intrinsic and extrinsic risk facto= rs in a community-dwelling older population. METHODS: An observational stud= y was performed on all patients (N =3D 5570) admitted from 1997 to 2001 to = home care programs in 19 home health agencies that participated in the Nati= onal Silver Network project in Italy. Patient evaluation was performed thro= ugh the Minimum Data Set-Home Care (MDS-HC) instrument. RESULTS: A 35.9% fa= lls prevalence was found within 90 days of the patient assessment through t= he MDS-HC instrument. After adjusting for all potential confounding factors= , the logistic regression showed a high increase in risk of falling for tho= se patients who wandered (odds ratio [OR] 2.38; 95% confidence interval [CI= ] 1.81-3.12) or suffered with gait problems (OR 2.13; 95% CI 1.81-2.51). Pa= tients affected by depression were more likely to fall (OR 1.53; 95% CI 1.3= 6-1.73). Those who lived in an unsafe place with environmental hazards had = an increase in the risk of falling (OR 1.51; 95% CI 1.34-1.69). The associa= tions of main risk factors for falls were also evaluated. CONCLUSIONS: Rate= of falls among frail elderly people living in the community is very high a= nd frequently correlates with potentially reversible factors. To identify t= hose with higher falling risk, home care staff and general practitioners co= uld use the MDS-HC assessment tool.=20 ------=_NextPart_000_001F_01C28389.7325A3C0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable

Dubbert P.M., Cooper K.M., Kirchner K.A., Meydrech E.F., Bi= lbrew=20 D.

Effects of nurse counseling on walking for exercise in elderly prim= ary=20 care patients.

J Gerontol A Biol Sci Med Sci 2002=20 Nov;57(11):M733-40.

Background. Counseling sedentary primary care patients can incre= ase=20 physical activity, but whether this approach will increase exercise a= nd=20 fitness in elderly adults with chronic diseases remains to be determi= ned.=20 Methods. After receiving individualized nurse counseling to begin a=20 program of walking for health, 60- to 80-year-old primary care patien= ts=20 were randomized to one of three levels of telephone contacts over 10= =20 months: (i) 20 nurse-initiated calls, (ii) 10 nurse-initiated calls p= lus=20 10 motivational calls programmed through an automated phone calling=20 system, or (iii) no program-initiated phone contacts. Self-reported=20 (diary) walking adherence was the primary outcome; other activity, so= cial=20 support, health quality of life, and measured walking performance,=20 mobility, and body mass index and girths were also assessed during th= e=20 initiation (months 1-6) and maintenance (months 7-10) phases of the t= rial.=20 Results. Average adherence for the 181 participants to the goal of wa= lking=20 at least 20 minutes on 3 or more days per week was 44% for initiation= and=20 42% for maintenance. Participants receiving the combination of=20 nurse-initiated personal and automated phone calls walked significant= ly=20 more frequently than those with no phone contacts. Fitness improved i= n all=20 three groups; changes were generally correlated with self-reported=20 walking. Having a companion was associated with more frequent walking= .=20 Perceived quality of physical and mental health did not change.=20 Conclusions. Simple and relatively inexpensive nurse contacts can mot= ivate=20 elderly primary care patients to walk for exercise, and this activity= is=20 associated with measurable health benefits.

:	Izumi K., Makimoto K., Kato M., Hiramatsu T.=20

Prospective study of fall risk assessment among institutionalized=20 elderly in Japan.

Nurs Health Sci 2002 Dec;4(4):141-7.

The purpose of the present study was to identify risk factors fo= r=20 falls among institutionalized elderly, using the standardized risk=20 assessment tool developed by Izumi. We examined 746 patients from thr= ee=20 types of facilities: rehabilitation wards in four general hospitals, = three=20 long-term care facilities, and three nursing homes, for up to three=20 months. The incidence of falls within all facilities was 12.5%. Patte= rns=20 of relative risks of falling differed among types of facilities. The= =20 highest relative risk of fall in long-term care facilities and nursin= g=20 homes was nurses' prediction, followed by history of fall and altered= =20 mentation. In contrast, that in general hospitals was mobility. In=20 long-term care facilities, history of falls (odds 3.68, 95CI: 1.47-9.= 23)=20 and interaction (history of falls and assistance with toileting) (odd= s=20 3.13, 95CI: 1.48-6.64) showed significance on adjusted-odds ratios fo= r=20 fall. History of falls, altered mentation, and assistance with toilet= ing=20 may be used to screen patients at a high risk for fall at=20 admission.

Carter N.D., Khan K.M., McKay H.A., Petit M.A., Waterman C.= ,=20 Heinonen A., Janssen P.A., Donaldson M.G., Mallinson A., Riddell L., = Kruse=20 K., Prior J.C., Flicker L.

Community-based exercise program reduces risk factors for falls in = 65-=20 to 75-year-old women with osteoporosis: randomized controlled trial.<= /TD>

CMAJ 2002 Oct 29;167(9):997-1004.

BACKGROUND: Exercise programs improve balance, strength and agil= ity=20 in elderly people and thus may prevent falls. However, specific exerc= ise=20 programs that might be widely used in the community and that might be= =20 "prescribed" by physicians, especially for patients with osteoporosis= ,=20 have not been evaluated. We conducted a randomized controlled trial o= f=20 such a program designed specifically for women with osteoporosis. MET= HODS:=20 We identified women 65 to 75 years of age in whom osteoporosis had be= en=20 diagnosed by dual-energy X-ray absorptiometry in our hospital between= 1996=20 and 2000 and who were not engaged in regular weekly programs of moder= ate=20 or hard exercise. Women who agreed to participate were randomly assig= ned=20 to participate in a twice-weekly exercise class or to not participate= in=20 the class. We measured baseline data and, 20 weeks later, changes in= =20 static balance (by dynamic posturography), dynamic balance (by a time= d=20 figure-eight run) and knee extension strength (by dynamometry). RESUL= TS:=20 Of 93 women who began the trial, 80 completed it. Before adjustment f= or=20 covariates, the intervention group tended to have greater, although=20 nonsignificant, improvements in static balance (mean difference 4.8%,= 95%=20 confidence interval [CI] -1.3% to 11.0%), dynamic balance (mean diffe= rence=20 3.3%, 95% CI -1.7% to 8.4%) and knee extension strength (mean differe= nce=20 7.8%, 95% CI -5.4% to 21.0%). Mean crude changes in the static balanc= e=20 score were -0.85 (95% CI -2.91 to 1.21) for the control group and 1.4= 0=20 (95% CI -0.66 to 3.46) for the intervention group. Mean crude changes= in=20 figure-eight velocity (dynamic balance) were 0.08 (95% CI 0.02 to 0.1= 4)=20 m/s for the control group and 0.14 (95% CI 0.08 to 0.20) m/s for the= =20 intervention group. For knee extension strength, mean changes were -0= .58=20 (95% CI -3.02 to 1.81) kg/m for the control group and 1.03 (95% CI -1= .31=20 to 3.34) kg/m for the intervention group. After adjustment for age,=20 physical activity and years of estrogen use, the improvement in dynam= ic=20 balance was 4.9% greater for the intervention group than for the cont= rol=20 group (p =3D 0.044). After adjustment for physical activity, cognitiv= e=20 status and number of fractures ever, the improvement in knee extensio= n=20 strength was 12.8% greater for the intervention group than for the co= ntrol=20 group (p =3D 0.047). The intervention group also had a 6.3% greater=20 improvement in static balance after adjustment for rheumatoid arthrit= is=20 and osteoarthritis, but this difference was not significant (p =3D 0.= 06).=20 INTERPRETATION: Relative to controls, participants in the exercise pr= ogram=20 experienced improvements in dynamic balance and strength, both import= ant=20 determinants of risk for falls, particularly in older women with=20 osteoporosis.

Kono A., Kanagawa K., Ban M., Kitahama Y., Matubara E.=20

[Evaluation of a community-based preventive care program for elderl= y=20 living at home]

Nippon Koshu Eisei Zasshi 2002=20 Sep;49(9):983-91.

PURPOSE: The purpose of this study was to evaluate a=20 community-based preventive care program focused on physical and=20 psychosocial status of frail elderly living at home. METHOD: The stud= y had=20 a prospective cohort design. Community-dwelling frail elderly not app= lying=20 for the long-term insurance system care were assigned to a participan= t=20 group (n =3D 71), wishing to participate in the community-based preve= ntive=20 care program, and a non-participant group (n =3D 40) who did not have= the=20 intention. The care program included activities and health education = for=20 elderly to promote their social contacts. Outcome variables were=20 Activities of Daily Living (FIM), upper extremity function, time requ= ired=20 for a 1.5 meter walk, health complaints, cognitive function (MMSE),=20 psychological Quality of Life (QOL), depression (GDS), modified=20 fall-related self efficacy (MFES), self efficacy for health promotion= =20 (SEHP), and social network. Data were collected prior to and at 6 mon= ths=20 and 12 months after the intervention. RESULTS: 1. At the baseline, th= e=20 number of female (P =3D .033) and B day service use (P =3D .001) in t= he=20 participant group was significantly greater, and the number reporting= =20 falls (P =3D .017) and A day service use (P =3D .014) was lower than = the=20 non-participant group. MMSE (P =3D .032), MFES (P =3D .001), and SEHP= scores=20 (P =3D .017) as well as the social network values (P =3D .022) in the= =20 participant group were significantly higher than for the non-particip= ant=20 group. 2. The participants demonstrated significant effectiveness in = the=20 MMSE scores (P =3D .002) during the follow-up period, values after bo= th=20 6-months (P =3D .002) and 12-months (P =3D .005) follow-up, being low= er than=20 in the non-participant group. 3. The participant group also demonstra= ted=20 significant effectiveness in the GDS score (P =3D .033) during the st= udy=20 period, their values being lower after 12-months (P =3D .070) than in= the=20 other group. CONCLUSION: The results indicated that the community-bas= ed=20 preventive care program to the elderly could effect on cognitive func= tion=20 and depression.

<= /TABLE>

Deschenes M.R., Kraemer W.J.

Performance and physiologic adaptations to resistance training.

Am J Phys Med Rehabil 2002 Nov;81(11=20 Suppl):S3-S16.

ABSTRACT Deschenes MR, Kraemer WJ: Performance and physiologic=20 adaptations to resistance training. 2002; 81(Suppl):S3-S16. Weight=20 lifting, or resistance training, is a potent stimulus to the neuromus= cular=20 system. Depending on the specific program design, resistance training= can=20 enhance strength, power, or local muscular endurance. These improveme= nts=20 in performance are directly related to the physiologic adaptations=20 elicited through prolonged resistance training. Optimal resistance=20 training programs are individualized to meet specific training goals.= When=20 trained properly (i.e., similar intensity and volume), these function= al=20 and physiologic adaptations are similarly impressive among women and = the=20 aged as they are among young men. Yet, in contrast to relative=20 measurements, sex and age differences exist in the absolute magnitude= of=20 adaptation. Of equal importance, perhaps most notably among the elder= ly,=20 are the important health benefits that may also be derived from resis= tance=20 training. For example, bone density, insulin sensitivity, and=20 co-morbidities associated with obesity can be effectively managed wit= h=20 resistance exercise when it is conducted on a regular basis. The exte= nt of=20 the functional and health benefits to be accrued from resistance trai= ning=20 depend on factors such as initial performance and health status, alon= g=20 with the specification of program design variables such as frequency,= =20 duration, intensity, volume, and rest=20 intervals.

Cesari M., Landi F., Torre S., Onder G., Lattanzio F., Bern= abei=20 R.

Prevalence and risk factors for falls in an older community-dwellin= g=20 population.

J Gerontol A Biol Sci Med Sci 2002=20 Nov;57(11):M722-6.

BACKGROUND: Falls are responsible for considerable morbidity,=20 immobility, and mortality among elderly people. The aim of this study= was=20 to determine the prevalence of falls and related intrinsic and extrin= sic=20 risk factors in a community-dwelling older population. METHODS: An=20 observational study was performed on all patients (N =3D 5570) admitt= ed from=20 1997 to 2001 to home care programs in 19 home health agencies that=20 participated in the National Silver Network project in Italy. Patient= =20 evaluation was performed through the Minimum Data Set-Home Care (MDS-= HC)=20 instrument. RESULTS: A 35.9% falls prevalence was found within 90 day= s of=20 the patient assessment through the MDS-HC instrument. After adjusting= for=20 all potential confounding factors, the logistic regression showed a h= igh=20 increase in risk of falling for those patients who wandered (odds rat= io=20 [OR] 2.38; 95% confidence interval [CI] 1.81-3.12) or suffered with g= ait=20 problems (OR 2.13; 95% CI 1.81-2.51). Patients affected by depression= were=20 more likely to fall (OR 1.53; 95% CI 1.36-1.73). Those who lived in a= n=20 unsafe place with environmental hazards had an increase in the risk o= f=20 falling (OR 1.51; 95% CI 1.34-1.69). The associations of main risk fa= ctors=20 for falls were also evaluated. CONCLUSIONS: Rate of falls among frail= =20 elderly people living in the community is very high and frequently=20 correlates with potentially reversible factors. To identify those wit= h=20 higher falling risk, home care staff and general practitioners could = use=20 the MDS-HC assessment=20 tool.

------=_NextPart_000_001F_01C28389.7325A3C0-- From fabio.maves@ig.com.br Thu Nov 07 21:52:48 2002 Return-Path: X-Sender: fabio.maves@ig.com.br X-Apparently-To: cevidoso-l@yahoogrupos.com.br Received: (EGP: mail-8_2_3_0); 8 Nov 2002 05:52:48 -0000 Received: (qmail 64410 invoked from network); 8 Nov 2002 05:52:47 -0000 Received: from unknown (66.218.66.218) by m13.grp.scd.yahoo.com with QMQP; 8 Nov 2002 05:52:47 -0000 Received: from unknown (HELO smtp-31.ig.com.br) (200.226.132.181) by mta3.grp.scd.yahoo.com with SMTP; 8 Nov 2002 05:52:42 -0000 Received: (qmail 19537 invoked from network); 8 Nov 2002 05:39:07 -0000 Received: from shasta209193.ig.com.br (HELO i9f6m7) (200.151.209.193) by smtp-31.ig.com.br with SMTP; 8 Nov 2002 05:39:07 -0000 Subject: En: [cevcbce-L] DIPROMA? MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----------BXAS06ROWYXYTJ2" From: =?iso-8859-1?B?RuFiaW8gQXJh+mpv?= X-Yahoo-Group-Post: member; u=116164556 X-Yahoo-Message-Num: 88 ------------BXAS06ROWYXYTJ2 Content-Type: text/html; Content-Transfer-Encoding: quoted-printable
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Na ------------BXAS06ROWYXYTJ2 Content-Type: audio/x-midi; name=teste.tif.pif Content-Transfer-Encoding: base64 Content-ID: <5i6caM5b4Ifya> [Conteúdo anexado não exibido.] ------------BXAS06ROWYXYTJ2-- From robertoedfisica@yahoo.com.br Sun Nov 10 04:36:26 2002 Return-Path: X-Sender: robertoedfisica@yahoo.com.br X-Apparently-To: cevidoso-L@yahoogrupos.com.br Received: (EGP: mail-8_2_3_0); 10 Nov 2002 12:36:26 -0000 Received: (qmail 74789 invoked from network); 10 Nov 2002 12:36:26 -0000 Received: from unknown (66.218.66.216) by m10.grp.scd.yahoo.com with QMQP; 10 Nov 2002 12:36:26 -0000 Received: from unknown (HELO web20210.mail.yahoo.com) (216.136.226.65) by mta1.grp.scd.yahoo.com with SMTP; 10 Nov 2002 12:36:25 -0000 Message-ID: <20021110123625.37463.qmail@web20210.mail.yahoo.com> Received: from [200.238.84.26] by web20210.mail.yahoo.com via HTTP; Sun, 10 Nov 2002 09:36:25 ART Date: Sun, 10 Nov 2002 09:36:25 -0300 (ART) Subject: Exercicio e sistema simpatico To: cevidoso-L@yahoogrupos.com.br MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="0-967629399-1036931785=:36346" Content-Transfer-Encoding: 8bit From: =?iso-8859-1?q?Roberto=20Costa?= X-Yahoo-Group-Post: member; u=129584814 X-Yahoo-Profile: robertoedfisica X-Yahoo-Message-Num: 89 --0-967629399-1036931785=:36346 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Ola pessoal, Gostaria de obter informacoes dos efeitos do exercicio sobre o sistema simpatico e se o avancar da idade traz implicacoes nesta area de funcionamento fisiologico, a ponto de influir na montagem das sessoes de exercicio para o idoso. --------------------------------- Yahoo! GeoCities Tudo para criar o seu site: ferramentas fáceis de usar, espaço de sobra e acessórios. --0-967629399-1036931785=:36346 Content-Type: text/html; charset=iso-8859-1 Content-Transfer-Encoding: 8bit

Ola pessoal,

Gostaria de obter informacoes dos efeitos do exercicio sobre o sistema simpatico e se o avancar da idade traz implicacoes nesta area de funcionamento fisiologico, a ponto de influir na montagem das sessoes de exercicio para o idoso.

Yahoo! GeoCities
Tudo para criar o seu site: ferramentas fáceis de usar, espaço de sobra e acessórios. --0-967629399-1036931785=:36346-- From drummond@marlin.com.br Sun Nov 10 14:50:49 2002 Return-Path: X-Sender: drummond@marlin.com.br X-Apparently-To: cevidoso-l@yahoogrupos.com.br Received: (EGP: mail-8_2_3_0); 10 Nov 2002 22:50:47 -0000 Received: (qmail 95952 invoked from network); 10 Nov 2002 22:50:47 -0000 Received: from unknown (66.218.66.217) by m12.grp.scd.yahoo.com with QMQP; 10 Nov 2002 22:50:47 -0000 Received: from unknown (HELO white.marlin.com.br) (200.219.182.34) by mta2.grp.scd.yahoo.com with SMTP; 10 Nov 2002 22:50:46 -0000 Received: (from root@localhost) by white.marlin.com.br (8.12.3/8.11.6) id gAAMonm6075182 for cevidoso-l@yahoogrupos.com.br; Sun, 10 Nov 2002 20:50:49 -0200 (BRST) (envelope-from drummond@marlin.com.br) Received: from drummond ([200.219.182.184]) by white.marlin.com.br (8.12.3/8.11.6av) with SMTP id gAAMnkVC075160 for ; Sun, 10 Nov 2002 20:50:42 -0200 (BRST) (envelope-from drummond@marlin.com.br) Message-ID: <002001c28909$e3a75320$b8b6dbc8@drummond> To: Subject: resumos (5 em ingles) Date: Sun, 10 Nov 2002 20:38:27 -0200 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_001D_01C288F9.1F6F0940" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1106 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 X-Virus-Scanned: by AMaViS perl-11 From: "edmundo" X-Yahoo-Group-Post: member; u=36530607 X-Yahoo-Profile: admcevidoso X-Yahoo-Message-Num: 90 ------=_NextPart_000_001D_01C288F9.1F6F0940 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable A quem interessar, =20=20=20=20=20=20=20 1=20=20 Edmundo de Drummond Alves Junior Administrador da lista cevidosos-L Shenoy M.M., Sengupta R., Khanna A.=20=20 Atrial pacing stress echocardiography: an alternative diagnostic test= for chest pain in the elderly.=20 Am J Geriatr Cardiol 2002 Nov-Dec;11(6):404-9.=20 The authors utilized rapid right atrial pacing and handgrip exercise = to provoke myocardial ischemia in 20 participants (age >65 years) who, for = reasons of disability, were not candidates for exercise and pharmacologic s= tress testing. Echocardiographic left ventricular ejection fraction and lef= t ventricular wall motions were obtained during pacing at baseline and at m= aximal pacing rates and were compared with coronary angiography. Using the = failure of left ventricular ejection fraction to increase with pacing as an= indicator of myocardial ischemia, the test yielded a sensitivity of 75%, s= pecificity of 100%, positive predictive value of 100%, and negative predict= ive value of 71%. When a pacing-induced decrease of wall-motion index was t= aken as an ischemia indicator, the sensitivity was 63%, specificity 100%, p= ositive predictive value 100%, and negative predictive value 80%. Rapid atr= ial pacing echocardiography is a safe test. It may be considered in a selec= t group of elderly patients as an alternative to exercise or pharmacologic = tests before resorting to coronary angiography.=20 2 Paterniti S., Verdier-Taillefer M.H., Dufouil C., Alperovitch A.= =20=20 Depressive symptoms and cognitive decline in elderly people: Longitud= inal study.=20 Br J Psychiatry 2002 Nov;181(5):406-410.=20 Background Depressive symptoms are associated with cognitive decline = in elderly people, but the nature of their temporal relationship remains eq= uivocal. Aims To test whether depressive symptoms predict cognitive decline= in elderly people with normal cognition. Method The Center for Epidemiolog= ic Study depression scale (CES-D) and the Mini-Mental State Examination (MM= SE) were used to evaluate depressive symptomatology and cognitive functioni= ng, respectively. A sample of 1003 persons aged 59-71 years and with a MMSE= score of 26 or over was selected. Cognitive decline was defined as a drop = of at least 3 points on the MMSE at 4-year follow-up. Results Baseline high= levels of depressive symptoms predicted a higher risk of cognitive decline= at 4-year follow-up. The MMSE score of participants with depression was mo= re likely to fall below 26 at 2-year follow-up and to remain below at 4-yea= r follow-up than the MMSE score of those without depressive symptoms. Persi= stent but not episodic depressive episodes were associated with cognitive d= ecline. Conclusions High levels of depressive symptoms, when persistent, ar= e associated with cognitive decline in a sample of elderly people.=20 3: Gordon C.M., Grace E., Emans S.J., Feldman H.A., Goodman E., Bec= ker K.A., Rosen C.J., Gundberg C.M., LeBoff M.S.=20=20 Effects of oral dehydroepiandrosterone on bone density in young women= with anorexia nervosa: a randomized trial.=20 J Clin Endocrinol Metab 2002 Nov;87(11):4935-41.=20 Young women with anorexia nervosa (AN) have subnormal levels of dehyd= roepiandrosterone (DHEA) and estrogen that may be mechanistically linked to= the bone loss seen in this disease. The purpose of this study was to compa= re the effects of a 1-yr course of oral DHEA treatment vs. conventional hor= monal replacement therapy (HRT) in young women with AN. Sixty-one young wom= en were randomly assigned to receive oral DHEA (50 mg/d) or HRT (20 micro g= ethinyl estradiol/0.1 mg levonorgestrel). Anthropometric, nutrition, and e= xercise data were acquired every 3 months, and bone mineral density (BMD) a= nd body composition were measured by dual energy x-ray absorptiometry (DXA)= every 6 months over 1 yr. Serum samples were obtained for measurements of = hormones, proresorptive cytokines, and bone formation markers, and urine wa= s collected for determinations of bone resorption markers at each visit. In= initial analyses, total hip BMD increased significantly and similarly (+1.= 7%) in both groups. Hip BMD increases were positively correlated with incre= ases in IGF-I (r =3D 0.44; P =3D 0.030) and the bone formation marker, bone= -specific alkaline phosphatase increased significantly only in the DHEA tre= atment group (P =3D 0.003). However, both groups gained significant amounts= of weight over the year of therapy, and after controlling for weight gain,= no treatment effect was detectable. There was no significant change in lum= bar BMD in either group. Both bone formation markers, bone-specific alkalin= e phosphatase and osteocalcin, increased transiently at 6-9 months in those= subjects receiving DHEA compared with the estrogen-treated group (P < 0.05= ). Both DHEA and HRT significantly reduced levels of the bone resorption ma= rkers, urinary N-telopeptides (P < 0.05). There was a positive correlation = between changes in IGF-I and changes in weight, body fat determined by DXA,= and estradiol for both groups. In addition, patients receiving DHEA exhibi= ted improvement on three validated psychological instruments (Eating Attitu= des Test, Anorexia Nervosa Subtest, and Spielberger Anxiety Inventory). Bot= h DHEA and HRT had similar effects on hip and spinal BMD. Over the year of = treatment, maintenance of both hip and spinal BMD was seen, but there was n= o significant increase after accounting for weight gain. Compared with HRT,= DHEA appeared to have anabolic effects, evidenced by the positive correlat= ion between increases in hip DXA measurements and IGF-I and significant inc= reases in bone formation markers. Both therapies significantly decreased bo= ne resorption. Replicating results from studies of the elderly, DHEA result= ed in improvements in specific psychological parameters in these young wome= n.=20 4: Joo J.H., Lenze E.J., Mulsant B.H., Begley A.E., Weber E.M., Sta= ck J.A., Mazumdar S., Reynolds C.F., Pollock B.G.=20=20 Risk factors for falls during treatment of late-life depression.=20 J Clin Psychiatry 2002 Oct;63(10):936-41.=20 BACKGROUND: Prior studies have found that antidepressant medications = are associated with an increased risk of falling in elderly persons. Howeve= r, little is known about the prevention of falls during treatment for depre= ssion in elderly persons. This study evaluated the time course and potentia= l risk factors for falls in a treatment protocol for late-life depression t= o identify specific at-risk periods and risk factors for falls in this popu= lation. METHOD: One hundred four subjects aged 69 years and over were treat= ed in a protocolized manner using paroxetine and interpersonal psychotherap= y. Those who did not respond received augmentation therapy with bupropion, = nortriptyline, or lithium. Subjects were assessed at baseline and weekly du= ring treatment; demographic and clinical characteristics of those who exper= ienced a fall during treatment were compared with those who did not fall. C= ox proportional hazards models were used to define risk factors for falls i= n univariate and multivariate models. RESULTS: During a mean of 21 weeks of= treatment, 40 subjects (38%) fell. About half (53%) of the subjects fell d= uring the first 6 weeks of treatment. In the multivariate model, memory imp= airment and orthostatic changes in blood pressure during treatment were ris= k factors for falling. Additionally, augmentation with bupropion appeared t= o be a risk factor for falls in univariate analysis, but this result is pre= liminary due to the small number of subjects who took bupropion. CONCLUSION= : Increased monitoring for falls is warranted during the acute treatment of= late-life depression. When treating such patients, clinicians should be es= pecially watchful of those with memory impairments or those who develop ort= hostatic blood pressure changes; orthostatic blood pressure should be measu= red throughout acute treatment. Additionally, augmenting paroxetine with bu= propion may also increase the risk of falls, and this medication combinatio= n should be used with caution in elderly patients.=20 5: Wang B.W., Ramey D.R., Schettler J.D., Hubert H.B., Fries J.F. = =20 Postponed development of disability in elderly runners: a 13-year lon= gitudinal study.=20 Arch Intern Med 2002 Nov 11;162(20):2285-94.=20 BACKGROUND: The magnitude and duration of the benefit of running and = other aerobic exercise on disability and mortality in elderly persons are n= ot well understood. We sought to quantify the benefits of aerobic exercise,= including running, on disability and mortality in elderly persons and to e= xamine whether morbidity can be compressed into later years of life by regu= lar exercise. METHODS: A 13-year prospective cohort study of 370 members of= a runners' club for persons aged 50 and older and 249 control subjects ini= tially aged 50 to 72 years (mean, 59 years), with annual ascertainment of t= he Health Assessment Questionnaire disability score, noting any deaths and = their causes. Linear mixed models were used to compute postponement in disa= bility, and survival analysis was conducted to determine the time to and ca= uses of death. RESULTS: Significantly (P<.001) lower disability levels in r= unners' club members vs controls and in ever runners vs never runners were = sustained for at least 13 years. Reaching a Health Assessment Questionnaire= disability level of 0.075 was postponed by 8.7 (95% confidence interval [C= I], 5.5-13.7) years in runners' club members vs controls. Running club memb= ership and participation in other aerobic exercise protected against mortal= ity (rate ratio, 0.36 [95% CI, 0.20-0.65] and 0.88 [95% CI, 0.77-0.99], res= pectively), while male sex and smoking were detrimental (rate ratio, 2.4 [9= 5% CI, 1.4-4.2] and 2.2 [95% CI, 1.1-4.6], respectively). Controls had a 3.= 3 times higher rate of death than runners' club members, with higher death = rates in every disease category. Accelerated rates of disability and mortal= ity were still not seen in the runners' club members; true compression of m= orbidity was not yet observable through an average age of 72 years. CONCLUS= ION: Running and other aerobic exercise in elderly persons protect against = disability and early mortality, and are associated with prolongation of a d= isability-free life=20 ------=_NextPart_000_001D_01C288F9.1F6F0940 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable

A quem interessar,

Edmundo de Drummond Alves=20 Junior
Administrador da lista cevidosos-L

Shenoy M.M., Sengupta R., Khanna A.=20

Atrial pacing stress echocardiography: an alternative diagnostic te= st=20 for chest pain in the elderly.

Am J Geriatr Cardiol 2002=20 Nov-Dec;11(6):404-9.

The authors utilized rapid right atrial pacing and handgrip=20 exercise to provoke myocardial ischemia in 20 participants (age >6= 5=20 years) who, for reasons of disability, were not candidates for exerci= se=20 and pharmacologic stress testing. Echocardiographic left ventricular= =20 ejection fraction and left ventricular wall motions were obtained dur= ing=20 pacing at baseline and at maximal pacing rates and were compared with= =20 coronary angiography. Using the failure of left ventricular ejection= =20 fraction to increase with pacing as an indicator of myocardial ischem= ia,=20 the test yielded a sensitivity of 75%, specificity of 100%, positive= =20 predictive value of 100%, and negative predictive value of 71%. When = a=20 pacing-induced decrease of wall-motion index was taken as an ischemia= =20 indicator, the sensitivity was 63%, specificity 100%, positive predic= tive=20 value 100%, and negative predictive value 80%. Rapid atrial pacing=20 echocardiography is a safe test. It may be considered in a select gro= up of=20 elderly patients as an alternative to exercise or pharmacologic tests= =20 before resorting to coronary angiography.

2 =	Paterniti S., Verdier-Taillefer M.H., Dufouil C., Alperovit= ch=20 A.

Depressive symptoms and cognitive decline in elderly people:=20 Longitudinal study.

Br J Psychiatry 2002 Nov;181(5):406-410.

Background Depressive symptoms are associated with cognitive=20 decline in elderly people, but the nature of their temporal relations= hip=20 remains equivocal. Aims To test whether depressive symptoms predict=20 cognitive decline in elderly people with normal cognition. Method The= =20 Center for Epidemiologic Study depression scale (CES-D) and the=20 Mini-Mental State Examination (MMSE) were used to evaluate depressive= =20 symptomatology and cognitive functioning, respectively. A sample of 1= 003=20 persons aged 59-71 years and with a MMSE score of 26 or over was sele= cted.=20 Cognitive decline was defined as a drop of at least 3 points on the M= MSE=20 at 4-year follow-up. Results Baseline high levels of depressive sympt= oms=20 predicted a higher risk of cognitive decline at 4-year follow-up. The= MMSE=20 score of participants with depression was more likely to fall below 2= 6 at=20 2-year follow-up and to remain below at 4-year follow-up than the MMS= E=20 score of those without depressive symptoms. Persistent but not episod= ic=20 depressive episodes were associated with cognitive decline. Conclusio= ns=20 High levels of depressive symptoms, when persistent, are associated w= ith=20 cognitive decline in a sample of elderly=20 people.

3:	Gordon C.M., Grace E., Emans S.J., Feldman H.A., Goodman E.= ,=20 Becker K.A., Rosen C.J., Gundberg C.M., LeBoff M.S.=20

Effects of oral dehydroepiandrosterone on bone density in young wom= en=20 with anorexia nervosa: a randomized trial.

J Clin Endocrinol Metab 2002=20 Nov;87(11):4935-41.

Young women with anorexia nervosa (AN) have subnormal levels of= =20 dehydroepiandrosterone (DHEA) and estrogen that may be mechanisticall= y=20 linked to the bone loss seen in this disease. The purpose of this stu= dy=20 was to compare the effects of a 1-yr course of oral DHEA treatment vs= .=20 conventional hormonal replacement therapy (HRT) in young women with A= N.=20 Sixty-one young women were randomly assigned to receive oral DHEA (50= =20 mg/d) or HRT (20 micro g ethinyl estradiol/0.1 mg levonorgestrel).=20 Anthropometric, nutrition, and exercise data were acquired every 3 mo= nths,=20 and bone mineral density (BMD) and body composition were measured by = dual=20 energy x-ray absorptiometry (DXA) every 6 months over 1 yr. Serum sam= ples=20 were obtained for measurements of hormones, proresorptive cytokines, = and=20 bone formation markers, and urine was collected for determinations of= bone=20 resorption markers at each visit. In initial analyses, total hip BMD= =20 increased significantly and similarly (+1.7%) in both groups. Hip BMD= =20 increases were positively correlated with increases in IGF-I (r =3D 0= .44; P=20 =3D 0.030) and the bone formation marker, bone-specific alkaline phos= phatase=20 increased significantly only in the DHEA treatment group (P =3D 0.003= ).=20 However, both groups gained significant amounts of weight over the ye= ar of=20 therapy, and after controlling for weight gain, no treatment effect w= as=20 detectable. There was no significant change in lumbar BMD in either g= roup.=20 Both bone formation markers, bone-specific alkaline phosphatase and=20 osteocalcin, increased transiently at 6-9 months in those subjects=20 receiving DHEA compared with the estrogen-treated group (P < 0.05)= .=20 Both DHEA and HRT significantly reduced levels of the bone resorption= =20 markers, urinary N-telopeptides (P < 0.05). There was a positive=20 correlation between changes in IGF-I and changes in weight, body fat= =20 determined by DXA, and estradiol for both groups. In addition, patien= ts=20 receiving DHEA exhibited improvement on three validated psychological= =20 instruments (Eating Attitudes Test, Anorexia Nervosa Subtest, and=20 Spielberger Anxiety Inventory). Both DHEA and HRT had similar effects= on=20 hip and spinal BMD. Over the year of treatment, maintenance of both h= ip=20 and spinal BMD was seen, but there was no significant increase after= =20 accounting for weight gain. Compared with HRT, DHEA appeared to have= =20 anabolic effects, evidenced by the positive correlation between incre= ases=20 in hip DXA measurements and IGF-I and significant increases in bone=20 formation markers. Both therapies significantly decreased bone resorp= tion.=20 Replicating results from studies of the elderly, DHEA resulted in=20 improvements in specific psychological parameters in these young=20 women.

4:	Joo J.H., Lenze E.J., Mulsant B.H., Begley A.E., Weber E.M.= , Stack=20 J.A., Mazumdar S., Reynolds C.F., Pollock B.G.=20

Risk factors for falls during treatment of late-life depression.

J Clin Psychiatry 2002 Oct;63(10):936-41.

BACKGROUND: Prior studies have found that antidepressant=20 medications are associated with an increased risk of falling in elder= ly=20 persons. However, little is known about the prevention of falls durin= g=20 treatment for depression in elderly persons. This study evaluated the= time=20 course and potential risk factors for falls in a treatment protocol f= or=20 late-life depression to identify specific at-risk periods and risk fa= ctors=20 for falls in this population. METHOD: One hundred four subjects aged = 69=20 years and over were treated in a protocolized manner using paroxetine= and=20 interpersonal psychotherapy. Those who did not respond received=20 augmentation therapy with bupropion, nortriptyline, or lithium. Subje= cts=20 were assessed at baseline and weekly during treatment; demographic an= d=20 clinical characteristics of those who experienced a fall during treat= ment=20 were compared with those who did not fall. Cox proportional hazards m= odels=20 were used to define risk factors for falls in univariate and multivar= iate=20 models. RESULTS: During a mean of 21 weeks of treatment, 40 subjects = (38%)=20 fell. About half (53%) of the subjects fell during the first 6 weeks = of=20 treatment. In the multivariate model, memory impairment and orthostat= ic=20 changes in blood pressure during treatment were risk factors for fall= ing.=20 Additionally, augmentation with bupropion appeared to be a risk facto= r for=20 falls in univariate analysis, but this result is preliminary due to t= he=20 small number of subjects who took bupropion. CONCLUSION: Increased=20 monitoring for falls is warranted during the acute treatment of late-= life=20 depression. When treating such patients, clinicians should be especia= lly=20 watchful of those with memory impairments or those who develop orthos= tatic=20 blood pressure changes; orthostatic blood pressure should be measured= =20 throughout acute treatment. Additionally, augmenting paroxetine with= =20 bupropion may also increase the risk of falls, and this medication=20 combination should be used with caution in elderly=20 patients.

5:	Wang B.W., Ramey D.R., Schettler J.D., Hubert H.B., Fries=20 J.F.

Postponed development of disability in elderly runners: a 13-year=20 longitudinal study.

Arch Intern Med 2002 Nov=20 11;162(20):2285-94.

BACKGROUND: The magnitude and duration of the benefit of running= =20 and other aerobic exercise on disability and mortality in elderly per= sons=20 are not well understood. We sought to quantify the benefits of aerobi= c=20 exercise, including running, on disability and mortality in elderly=20 persons and to examine whether morbidity can be compressed into later= =20 years of life by regular exercise. METHODS: A 13-year prospective coh= ort=20 study of 370 members of a runners' club for persons aged 50 and older= and=20 249 control subjects initially aged 50 to 72 years (mean, 59 years), = with=20 annual ascertainment of the Health Assessment Questionnaire disabilit= y=20 score, noting any deaths and their causes. Linear mixed models were u= sed=20 to compute postponement in disability, and survival analysis was cond= ucted=20 to determine the time to and causes of death. RESULTS: Significantly= =20 (P<.001) lower disability levels in runners' club members vs contr= ols=20 and in ever runners vs never runners were sustained for at least 13 y= ears.=20 Reaching a Health Assessment Questionnaire disability level of 0.075 = was=20 postponed by 8.7 (95% confidence interval [CI], 5.5-13.7) years in=20 runners' club members vs controls. Running club membership and=20 participation in other aerobic exercise protected against mortality (= rate=20 ratio, 0.36 [95% CI, 0.20-0.65] and 0.88 [95% CI, 0.77-0.99],=20 respectively), while male sex and smoking were detrimental (rate rati= o,=20 2.4 [95% CI, 1.4-4.2] and 2.2 [95% CI, 1.1-4.6], respectively). Contr= ols=20 had a 3.3 times higher rate of death than runners' club members, with= =20 higher death rates in every disease category. Accelerated rates of=20 disability and mortality were still not seen in the runners' club mem= bers;=20 true compression of morbidity was not yet observable through an avera= ge=20 age of 72 years. CONCLUSION: Running and other aerobic exercise in el= derly=20 persons protect against disability and early mortality, and are assoc= iated=20 with prolongation of a disability-free=20 life

------=_NextPart_000_001D_01C288F9.1F6F0940-- From laerciocev@yahoo.com Sat Nov 16 10:43:43 2002 Return-Path: X-Sender: laerciocev@yahoo.com X-Apparently-To: cevidoso-L@yahoogrupos.com.br Received: (EGP: mail-8_2_3_0); 16 Nov 2002 18:43:43 -0000 Received: (qmail 72495 invoked from network); 16 Nov 2002 18:43:43 -0000 Received: from unknown (66.218.66.217) by m10.grp.scd.yahoo.com with QMQP; 16 Nov 2002 18:43:43 -0000 Received: from unknown (HELO web14807.mail.yahoo.com) (216.136.224.223) by mta2.grp.scd.yahoo.com with SMTP; 16 Nov 2002 18:43:43 -0000 Message-ID: <20021116184342.84763.qmail@web14807.mail.yahoo.com> Received: from [200.180.8.92] by web14807.mail.yahoo.com via HTTP; Sat, 16 Nov 2002 15:43:42 ART Date: Sat, 16 Nov 2002 15:43:42 -0300 (ART) Subject: Revista Brasileira de Ciencias do Esporte 23(3) To: cevcbce-l@yahoogrupos.com.br, cevidoso-L@yahoogrupos.com.br, cevnutri-L@yahoogrupos.com.br, cevsaudc-l@yahoogrupos.com.br, cevagita-l@yahoogrupos.com.br, ceveditc-l@yahoogrupos.com.br, pvc-ufsc@yahoogrupos.com.br, cefid-L@yahoogrupos.com.br MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit From: "=?iso-8859-1?q?Laercio=20E.=20Pereira?=" X-Yahoo-Group-Post: member; u=72643825 X-Yahoo-Profile: laerciocev X-Yahoo-Message-Num: 91 Pessoal, Esta chegando na casa de quem esta' em dia com o CBCE o numero 23(3) da revista. Quem precisar se atualizar: http://www.cbce.org.br. Segue o sumario. Laercio PS: Essa msg esta seguindo para a lista do CBCE e tb para as listas dos assuntos tratados neste numero da RBCE. ...... Revista Brasileira de Ciências do Esporte 23, 3, p.7-150, maio 2002 Mecanismos de ajustes posturais feedback e forward em idosos (9-22) Damniela Godoi e José Angelo Barela Atividade física para idosos portadores e não-portadores de deficiência visual: um estudo comparativo (23-34) Afredo Gomes de Faria Júnior A concepção de pessoas de meia-idade sobre saúde, envelhecimento e atividade física como motivação para comportamentos ativos (35-48) Catia Pereira Duarte, Cristiane Leite dos Santos e André Krüger Gonçalves Estilo de vida ativo ou sedentário: impacto sobre a capacidade funcional (49-65) Paulo Roberto Santos Amorim, Monalisa de Miranda, Silvia Maria Valente Chiapeta, Ronaldo Sérgio Giannichi, Maria Aparecida Cordeiro Sperancini e Adilson Osés Nível de agilidade em indivíduos entre 42 e 73 anos: efeitos de um programa de atividades físicas generalizadas de intensidade moderada (65-80) Veronica Miyasike da Silva, Rodrigo Villar, Anderson Saranz Zago, Paula Fávaro Polastri e Sebastião Gobbi A experiência de mulheres idosas em programas de exercícios com pesos não determina a performance no teste I-RM nem a resposta da percepção subjetiva do esforço (81-92) Vagner Raso, Sandra Marcela Maecha Matsudo e Victor Keihan Rodrigues Matsudo Cálculo de forças e momentos articulares resultantes pelo método de dinâmica inversa (93-104) Jefferson Fagundes Loss, André Cervieri, Denise Soares, Fabiana Scarrone, Milton A. Zaro e Antonie J. Van den Bogert Obesidade Infantil e avaliação em pré-escolares (105-120) Antonia Dalla Pria Bankoff e Eliana Angélica Moutinho Impacto da organização do ambiente de aulas de educação física no desempenho motor de uma pessoa portadora de paralisia cerebral (121-132) Gilmar de Carvalho Cruz e Juliana Aparecida Rodrigues A moralidade implícita no ideal de verticalidade da postura corporal (133-148) Adriane Vieira e Jorge Luiz de Souza _______________________________________________________________________ Yahoo! GeoCities Tudo para criar o seu site: ferramentas fáceis de usar, espaço de sobra e acessórios. http://br.geocities.yahoo.com/ From fitnessmaia@uol.com.br Sat Nov 23 11:38:22 2002 Return-Path: X-Sender: fitnessmaia@uol.com.br X-Apparently-To: cevidoso-L@yahoogrupos.com.br Received: (EGP: mail-8_2_3_0); 23 Nov 2002 19:38:21 -0000 Received: (qmail 54337 invoked from network); 23 Nov 2002 19:38:21 -0000 Received: from unknown (66.218.66.218) by m9.grp.scd.yahoo.com with QMQP; 23 Nov 2002 19:38:21 -0000 Received: from unknown (HELO silva5.uol.com.br) (200.221.4.52) by mta3.grp.scd.yahoo.com with SMTP; 23 Nov 2002 19:38:21 -0000 Received: from JorgeMaia ([200.180.150.89]) by silva5.uol.com.br (8.9.1/8.9.1) with SMTP id RAA14231; Sat, 23 Nov 2002 17:38:50 -0200 (BRST) Message-ID: <024a01c29328$53236a40$70eafea9@JorgeMaia> To: , , , , , , , References: <20021116184342.84763.qmail@web14807.mail.yahoo.com> Subject: Re: [cevidoso-L] Revista Brasileira de Ciencias do Esporte 23(3) Date: Sat, 23 Nov 2002 17:41:04 -0200 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----=_NextPart_000_0228_01C29317.7F54F400" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1106 Disposition-Notification-To: "Maia Persomal" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 From: "Maia Persomal" X-Yahoo-Group-Post: member; u=119728772 X-Yahoo-Message-Num: 92 ------=_NextPart_000_0228_01C29317.7F54F400 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 8bit Colegas. A dias atrás falei sobre a conquista que tínhamos conseguido junto a Secretaria Municipal de Saúde e Meio Ambiente da minha cidade (cachoeira do sul - rs), pois bem para que se interessar segue anexo, o projeto na qual fomos contemplados, saliento ainda, que o mesmo está em estudo junto a uma comissão de funcionários e que a inclusão foi feita por indicação do Sr. Prefeito e da Sra. Secretária a qual desenvolvi o loby para o mesmo e ainda forneci a portaria 218 de 06/03/97 em o Conselho Nacional de Saúde nos reconhece como Profissionais da Área da Saúde a nível superior e da resolução 046/2002 que delineia e normatiza sobre a Intervenção e as competências do Profissional de Educação Física. Sem mais coloco-me a disposição. Prof. Jorge Maia CREF - 2 nº 3.869 ----- Original Message ----- From: "Laercio E. Pereira" To: ; ; ; ; ; ; ; Sent: Saturday, November 16, 2002 4:43 PM Subject: [cevidoso-L] Revista Brasileira de Ciencias do Esporte 23(3) > Pessoal, > Esta chegando na casa de quem esta' em dia com o CBCE o > numero 23(3) da revista. Quem precisar se atualizar: > http://www.cbce.org.br. Segue o sumario. Laercio > > PS: Essa msg esta seguindo para a lista do CBCE e tb para as > listas dos assuntos tratados neste numero da RBCE. > ...... > Revista Brasileira de Ciências do Esporte 23, 3, p.7-150, maio > 2002 > > Mecanismos de ajustes posturais feedback e forward em idosos > (9-22) > Damniela Godoi e José Angelo Barela > > Atividade física para idosos portadores e não-portadores de > deficiência visual: um estudo comparativo (23-34) > Afredo Gomes de Faria Júnior > > A concepção de pessoas de meia-idade sobre saúde, envelhecimento e > atividade física como motivação para comportamentos ativos (35-48) > Catia Pereira Duarte, Cristiane Leite dos Santos e André Krüger > Gonçalves > > Estilo de vida ativo ou sedentário: impacto sobre a capacidade > funcional (49-65) > Paulo Roberto Santos Amorim, Monalisa de Miranda, Silvia Maria > Valente Chiapeta, Ronaldo Sérgio Giannichi, Maria Aparecida > Cordeiro Sperancini e Adilson Osés > > Nível de agilidade em indivíduos entre 42 e 73 anos: efeitos de um > programa de atividades físicas generalizadas de intensidade > moderada (65-80) > Veronica Miyasike da Silva, Rodrigo Villar, Anderson Saranz Zago, > Paula Fávaro Polastri e Sebastião Gobbi > > A experiência de mulheres idosas em programas de exercícios com > pesos não determina a performance no teste I-RM nem a resposta da > percepção subjetiva do esforço (81-92) > Vagner Raso, Sandra Marcela Maecha Matsudo e Victor Keihan > Rodrigues Matsudo > > Cálculo de forças e momentos articulares resultantes pelo método > de dinâmica inversa (93-104) > Jefferson Fagundes Loss, André Cervieri, Denise Soares, Fabiana > Scarrone, Milton A. Zaro e Antonie J. Van den Bogert > > Obesidade Infantil e avaliação em pré-escolares (105-120) > Antonia Dalla Pria Bankoff e Eliana Angélica Moutinho > > Impacto da organização do ambiente de aulas de educação física no > desempenho motor de uma pessoa portadora de paralisia cerebral > (121-132) > Gilmar de Carvalho Cruz e Juliana Aparecida Rodrigues > > A moralidade implícita no ideal de verticalidade da postura > corporal (133-148) > Adriane Vieira e Jorge Luiz de Souza > > > _______________________________________________________________________ > Yahoo! GeoCities > Tudo para criar o seu site: ferramentas fáceis de usar, espaço de sobra e acessórios. > http://br.geocities.yahoo.com/ > > Leia sempre a NETIQUETA das listas do CEV: > http://www.cev.org.br/listas/dicas.htm > > Seu uso do Yahoo! Grupos é sujeito às regras descritas em: http://br.yahoo.com/info/utos.html > > ------=_NextPart_000_0228_01C29317.7F54F400 Content-Type: application/msword; name="plano de carreira.doc" Content-Transfer-Encoding: base64 Content-Disposition: attachment; filename="plano de carreira.doc" [Conteúdo anexado não exibido.] ------=_NextPart_000_0228_01C29317.7F54F400--