Fatores socioeconômicos, hábitos de vida e saúde de mulheres idosas com e sem vivência sexual em um município no interior de Minas Gerais / Socialeconomic factors, lifestyle habits, and the health of older women with and without sexual experience in a municipality in the interior of Minas Gerais

Resumo Objetivo avaliar e comparar fatores socioeconômicos, hábitos de vida e saúde de mulheres idosas com e sem vivência sexual. Método Pesquisa quantitativa, analítica, observacional e transversal de base populacional. As participantes foram divididas em dois grupos: grupo CVS - com vivência sexual e grupo SVS - sem vivência sexual, por meio da pergunta: "Você tem vida sexual ativa?". Foram analisadas variáveis socioeconômicas, sono, comorbidades e nível de atividade física através de uma questão do SRQ-20, uma lista baseada no Índice de Capacidade para o Trabalho e o IPAQ versão longa, respectivamente. A análise descritiva foi realizada com uso de frequências absolutas e percentuais. O teste U de Mann Whitney, teste qui-quadrado e regressão linear múltipla consideraram nível de significância de p<0,05. Resultados a amostra totalizou 494 idosas, 100 delas do grupo CVS. Ter um companheiro fixo (p<0,0001), idade menos avançada (p<0,0001), renda familiar mais alta (p<0,0001), tempo de atividade física vigorosa (p=0,005) e caminhada (p<0,0001) foram fatores significativos e positivos quanto a continuidade da vivência sexual na amostra analisada. Conclusão O estudo identificou diferenças significativas quando comparados os grupos demonstrando a influência dos fatores socioeconômicos e de saúde na expressão da sexualidade de mulheres idosas, destacando os desafios enfrentados. Políticas públicas e ações de educação em saúde são necessárias para garantir direitos, dignidade e promover mudanças positivas na vida dessa população.

Abstract Objective To assess and compare socioeconomic factors, lifestyle habits, and the health of older women with and without sexual experience. Method A quantitative, analytical, observational, and cross-sectional population-based study was conducted. Participants were divided into two groups: the CVS group (with sexual experience) and the SVS group (without sexual experience), based on the question: "Do you have an active sexual life?". Socioeconomic variables, sleep patterns, comorbidities, and the level of physical activity were analyzed using a question from the SRQ-20, a list based on the Work Ability Index, and the long version of the IPAQ, respectively. Descriptive analysis was performed using absolute frequencies and percentages. Mann-Whitney U test, chi-square test, and multiple linear regression were used with a significance level set at p<0.05. Results The total sample consisted of 494 older women, with 100 of them in the CVS group. Having a stable partner (p<0.0001), a younger age (p<0.0001), higher family income (p<0.0001), duration of vigorous physical activity (p=0.005), and walking (p<0.0001) were significant and positive factors for continued sexual experience in the analyzed sample. Conclusion The study identified significant differences when comparing the groups, highlighting the influence of socioeconomic and health factors on the expression of sexuality in older women, thus emphasizing the challenges they face. Public policies and health education initiatives are necessary to safeguard rights, dignity, and promote positive changes in the lives of this population.

Sedentary postmenopausal women not undergoing hormone replacement therapy can have their blood pressure lowered by performing resistance training: a systematic review and meta-analysis of randomized controlled trials

Abstract Aim: This systematic review and meta-analysis aimed at examining the literature regarding the effects of resistance training (RT) on blood pressure (BP) in postmenopausal women. Methods: The Pubmed, Scopus, Embase, and BVS databases were accessed by two independent reviewers between July 2020, and June 2021 to search for studies that investigated the effects of RT on BP. The eligibility criteria were determined by the PICOT strategy. P: postmenopausal women, I: RT, in which training variables are presented, C: presence of a control group that does not receive any type of intervention, O: BP measured in both groups, at least before and after the intervention, T: randomized controlled trial. For the studies included in the meta-analysis, we calculated the effects sizes based on the net changes in the systolic (SBP) and diastolic (DBP) BP for a random effect model with a confidence interval of 95% and a statistical significance of p < 0.05. Results: The RT group presented a significantly lower SBP (−7.25 mmHg [95% CI: −14.04, −0.45], p = 0.04), while DBP was not statistically significantly different compared to controlled conditions (−2.54 mmHg [95% CI: −5.52, 0.44], p = 0.09). Conclusions: Physically-inactive postmenopausal women who did not take hormone replacement but performed RT exercise had a lower BP value when compared to the control group.