RESUMO
Este estudo objetivou analisar o impacto de um programa de exercícios físicos adaptado à realidade de Unidades de Saúde da Família (USF) sobre a Qualidade de Vida (QV) de mulheres com sobrepeso e obesidade no período pós-menopausa. Trata-se de pesquisa descritiva, transversal e quantitativa, conduzida em USF de um município do centro-oeste paulista. A amostra por conveniência foi de 68 mulheres com sobrepeso e obesidade na pós-menopausa alocadas igualmente e aleatoriamente em grupo exercício e grupo controle. Oprograma de exercícios físicos foi estabelecido com base nas recomendações do Colégio Americano de Medicina do Esporte sendo este adaptado às condições disponíveis em USF. Para análise dos dados utilizamos a estatística descritiva e a estatística paramétrica e não paramétrica, com α fixado em 0,05. No grupo exercício foi verificado valores significativamente maiores do que no grupo controle para os domínios capacidadefuncional, aspectos físicos, dor, saúde geral, saúde mental e percepção geral de qualidade de vida. A condição de saúde é determinada por múltiplos fatores e pode ser monitorada por diferentes indicadores. A QV tem se apresentado com um importante indicador da condição da saúde devido seu impacto sobre a autonomia para a realização de atividades diárias da mulher pós-menopausa
This study aimed to analyze the impact of a physical exercise program adapted to the reality of the Family Health Units (FHUs), about Quality of Life (QoL) in women with overweight and obesity in postmenopausal. This is a descriptive, cross-sectional quantitative research conducted in FHU in a Midwestern city of São Paulo. Aconvenience sample consisted of 68 postmenopausal women with overweight and obese equally and randomlyallocated to the exercise group and the control group. The exercise program was based on the recommendations of the American College of Sports Medicine which is adapted to the conditions available at FHU. For data analysis it was used descriptive statistics and statistical parametric and nonparametric, with α set at 0.05. In the exercise group was found domains significantly higher than in the control group for the domains functional capacity, physical aspects, pain, general health, mental health and general perception of quality of life. The condition of health is determined by multiple factors and can be monitored by different indicators. QoL has performed an important indicator of the health condition due to its impact on the autonomy to carry out daily activities of postmenopausal women.
RESUMO
BACKGROUND: To develop and validate a quality of life subscale for patients with esophageal cancer to be used with the Functional Assessment of Cancer Therapy-General (FACT-G). METHODS: Prospective cohort study of patients with esophageal cancer treated with surgery alone or neoadjuvant chemoradiotherapy and surgery evaluating the validity, internal consistency, and responsiveness to change of the FACT-Esophageal (FACT-E) when comparing it with the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ 30) and esophageal (OES 24) as well as clinical factors. RESULTS: The FACT-E demonstrated very good convergent and divergent validity when compared with the EORTC QLQ30 and OES 24 and clinical variables. Internal consistency was also good with coefficient alpha > 0.70 for all subscales and individual items. Stability coefficients were > 0.80. Changes in clinical status were reflected in changes in FACT-E scores demonstrating responsiveness to change, particularly in patients receiving neoadjuvant chemoradiotherapy before surgery. CONCLUSIONS: The FACT-E met or exceeded all standards for validity, providing an option to measure health-related quality of life for different treatment strategies for esophageal cancer.
