Efeitos do Mat Pilates online nos sintomas depressivos e na qualidade de vida de idosos durante a pandemia de COVID-19: um ensaio clínico randomizado e controlado
DOI:
https://doi.org/10.12820/rbafs.29e0328Palavras-chave:
Envelhecimento, Exercício físico, Intervenção baseada em internet, Saúde mental, Distanciamento físicoResumo
O objetivo foi verificar os efeitos de uma intervenção de Mat Pilates realizada de maneira online nos sintomas depressivos e na qualidade de vida de idosos durante a pandemia de COVID-19. Trata-se de um ensaio clínico randomizado e controlado, envolvendo 56 idosos (64,38 ± 3,45 years) saudáveis e sedentários, randomizados em dois grupos: Grupo Treinamento Mat Pilates (GTP, n = 28) e Grupo Controle (GC, n = 28). A intervenção teve duração de 12 semanas com duas sessões semanais de 45 minutos, utilizando aplicativo de vídeo chamada. Na parte principal, foi realizada a sequência de Mat Pilates Básico com progressões na intensidade, volume e complexidade dos exercícios. O GC recebeu uma cartilha com orientações quanto à prática de exercícios sem supervisão e palestras semanais de educação em saúde. Os sintomas depressivos foram avaliados pelo questionário PHQ-9. A qualidade de vida foi avaliada por dois questionários (WHOQOL-BREF e WHOQOL-OLD) e seus respectivos domínios. As análises foram realizadas pelo modelo de Equações de Estimativas Generalizadas. Na análise por protocolo, não houve diferenças significativas nem no tempo (p = 0,352) nem entre grupos (p = 0,739) para os sintomas depressivos (Pré: 3,50 ± 2,61 e 4,20 ± 5,92; Pós: 3,08 ± 2,57 e 3,40 ± 3,86; GTP e GC respectivamente). Não foram observadas interações significativas (p = 0,969) na qualidade de vida geral (Pré: 75,00 ± 14,10 e 73,75 ± 13,76; Pós: 76,04 ± 8,36 e 75,00 ± 17,68; GTP e GC respectivamente) nem na análise por domínios do questionário WHOQOL-BREF. Com relação ao WHOQOL-OLD, houve uma melhora no domínio Morte e Morrer (p = 0,042) para ambos os grupos (Pré: 70,31 ± 21,67 e 71,88 ± 20,04; Pós: 79,69 ± 15,34 e 74,38 ± 23,65; GTP e GC respectivamente), sem interações para a qualidade de vida geral (p = 0,820) ou para os outros domínios. Conclusão: o Mat Pilates remoto foi capaz de manter baixos níveis de sintomas depressivos, e melhorar alguns aspectos da qualidade de vida de idosos.
Downloads
Referências
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020;395:912–20. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Ornell F, Schuch JB, Sordi AO, Kessler FHP. “Pandemic fear” and COVID-19: mental health burden and strategies. Braz J Psychiatry. 2020;42(3):232–5. DOI: https://doi.org/10.1590/1516-4446-2020-0008
Barbosa IR, Galvão MHR, Souza TAD, Gomes SM, Medeiros ADA, Lima KCD. Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study. Rev. Bras. Geriatr. Gerontol. 2020;23(1):1–10. DOI: https://doi.org/10.1590/1981-22562020023.200171
Onder G, Rezza G, Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. J. Am. Med. Assoc. 2020;1–2. DOI: https://doi.org/10.1001/jama.2020.4683
Orellana JDY, Marrero L, Horta BL. COVID-19 mortality in Brazil in different age groups: differentials between extreme rates in 2021 and 202. Reports in Public Health. 2022;38(7):1–8. DOI: https://doi.org/10.1590/0102-311xpt041922
Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, et al. COVID-19: towards controlling of a pandemic. The Lancet. 2020;395(10229):1015–8. DOI: https://doi.org/10.1016/S0140-6736(20)30673-5
Roschel H, Artioli GG, Gualano B. Risk of Increased Physical Inactivity During COVID-19 Outbreak in Older People: A Call for Actions. J Am Geriatr Soc. 2020;68(6):1126–8. DOI: https://doi.org/10.1111/jgs.16550
Garcia A, Passos A, Passos AT, Pinheiro E, Barroso F, Coutinho G, et al. The depression and the aging process. Cien. Cogn. 2006;7:111–21.
Pieh C, Budimir S, Probst T. The effect of age, gender, income, work, and physical activity on mental health during coronavirus disease (COVID-19) lockdown in Austria. J. Psychosom. Res. 2020;136:1–9. DOI: https://doi.org/10.1016/j.jpsychores.2020.110186
Maio M, Bratta C, Iannaccone A, Castellani L, Foster C, Cortis C, et al. Home-Based Physical Activity as a Healthy Aging Booster before and during COVID-19 Outbreak. Int. J. Environ. Res. Public Health. 2022;19(7):1–19. DOI: https://doi.org/10.3390/ijerph19074317
Silva WA, Martins VF, Haas AN, Gonçalves AK. Online Exercise Training Program for Brazilian Older Adults: Effects on Physical Fitness and Health-Related Variables of a Feasibility Study in Times of COVID-19. Int. J. Environ. Res. Public Health. 2022;19(21):1–10. DOI: https://doi.org/10.3390/ijerph192114042
Yi D, Yim J. Remote Home-Based Exercise Program to Improve the Mental State, Balance, and Physical Function and Prevent Falls in Adults Aged 65 Years and Older During the COVID-19 Pandemic in Seoul, Korea. Med Sci Monit. 2021;27:1–11. DOI: https://doi.org/10.12659/MSM.935496
Mueller D, Redkva PE, Borba EF, Barbosa SC, Krause MP, Silva SG. Effect of mat vs. apparatus pilates training on the functional capacity of elderly women. J Bodyw Mov Ther. 2021;25:80–6. DOI: https://doi.org/10.1016/j.jbmt.2020.11.012
Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: A systematic review. Complement Ther Med. 2012;20(4):253–62. DOI: https://doi.org/10.1016/j.ctim.2012.02.005
Pereira MJ, Mendes R, Mendes RS, Martins F, Gomes R, Gama J, et al. Benefits of Pilates in the Elderly Population: A Systematic Review and Meta-Analysis. Eur J Investig Health Psychol Educ. 2022;12(3):236–68. DOI: https://doi.org/10.3390/ejihpe12030018
Pacheco LDA, Menezes EC, Cano FW, Mazo GZ. Contribuições da prática de Pilates na aptidão física e na força de preensão manual de idosos. Arq. Ciênc. Saúde UNIPAR. 2019;23(3):189–95. DOI: https://doi.org/10.25110/arqsaude.v23i3.2019.6816
Souza ROB, Marcon LDF, Arruda ASFD, Junior FLP, Melo RCD. Effects of Mat Pilates on Physical Functional Performance of Older Adults: A Meta-analysis of Randomized Controlled Trials. Am J Phys Med Rehabil. 2018;97(6):414–25. DOI: https://doi.org/10.1097/PHM.0000000000000883
Latey P. The Pilates method: history and philosophy. J Bodyw Mov Ther. 2001;5(4):275–82. DOI: https://doi.org/10.1054/jbmt.2001.0237
Boutron I, Altman DG, Moher D, Schulz KF, Ravaud P, for the CONSORT NPT Group. CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments: A 2017 Update and a CONSORT Extension for Nonpharmacologic Trial Abstracts. Annals of Internal Medicine. 2017;167(1):1–22. DOI: https://doi.org/10.7326/M17-0046
Curi VS, Vilaça J, Haas AN, Fernandes HM. Effects of 16-weeks of Pilates on health perception and sleep quality among elderly women. Arch Gerontol Geriatr. 2018;74:118–22. DOI: https://doi.org/10.1016/j.archger.2017.10.012
Matsudo S, Araujo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. International Physical Activity Questionnaire (IPAQ): study of validity and reproducibility in Brazil. Rev Bras Ativ Fís Saúde. 2001;5–18.
Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul. Classificação do Nível de Atividade Física IPAQ [Internet]. São Caetano do Sul: CELAFISCS; 2007 p. 1. Disponível em: https://edisciplinas.usp.br/pluginfile.php/3343547/mod_resource/content/1/IPAQ.pdf
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J. Gen. Intern. Med. 2001;16(9):606–13. DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref. Rev. Saúde Pública. 2000;34(2):178–83. DOI: https://doi.org/10.1590/S0034-89102000000200012
Fleck MPA, Chachamovich E, Trentini CM. WHOQOL-OLD Project: method and focus group results in Brazi l. Rev. Saúde Pública. 2003;37(6):1–11. DOI: https://doi.org/10.1590/S0034-89102003000600016
Cohen J. Statistical power analysis for the behavioral sciences. 2o ed. New York: Lawrence Erlbaum Associates, 1988.
Kim HB, Hyun AH. Psychological and Biochemical Effects of an Online Pilates Intervention in Pregnant Women during COVID-19: A Randomized Pilot Study. Int J Environ Res Public Health. 2022;19(17):1–12. DOI: https://doi.org/10.3390/ijerph191710931
Bulguroglu HI, Bulguroglu M. The effects of online pilates and face-to-face pilates in healthy individuals during the COVID-19 pandemic: a randomized controlled study. BMC Sports Sci Med Rehabil. 2023;15(1):1–11. DOI: https://doi.org/10.1186/s13102-023-00625-3
Meikis L, Wicker P, Donath L. Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review. Front Neurol. 2021;12:1–17. DOI: https://doi.org/10.3389/fneur.2021.724218
Fleming KM, Herring MP. The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complement Ther Med. 2018;37:80–95. DOI: https://doi.org/10.1016/j.ctim.2018.02.003
Silva DCP, Martins IB, Menezes RAD, Leão ADG, Valadares YD. The effects of the Pilates method on the mental health of patients with depression and anxiety disorder: a literature review. Research, Society and Development. 2022;11(7):1–10. DOI: https://doi.org/10.33448/rsd-v11i7.29368
Aibar-Almazán A, Hita-Contreras F, Cruz-Díaz D, De La Torre-Cruz M, Jiménez-García JD, Martínez-Amat A. Effects of Pilates training on sleep quality, anxiety, depression and fatigue in postmenopausal women: A randomized controlled trial. Maturitas. 2019;124:62–7. DOI: https://doi.org/10.1016/j.maturitas.2019.03.019
Bullo V, Bergamin M, Gobbo S, Sieverdes JC, Zaccaria M, Neunhaeuserer D, et al. The effects of Pilates exercise training on physical fitness and wellbeing in the elderly: A systematic review for future exercise prescription. Prev. Med. 2015;75:1–11. DOI: https://doi.org/10.1016/j.ypmed.2015.03.002
Metz VR, Scapini KB, Dias Gomes AL, Andrade RM, Brech GC, Alonso AC. Effects of pilates on physical-functional performance, quality of life and mood in older adults: Systematic review and meta-analysis of randomized clinical trials. J Bodyw Mov Ther. 2021;28:502–12. DOI: https://doi.org/10.1016/j.jbmt.2021.06.005
Liposcki DB, Nagata IFS, Silvano GA, Zanella K, Schneider RH. Influence of a Pilates exercise program on the quality of life of sedentary elderly people: A randomized clinical trial. J Bodyw Mov Ther. 2019;23(2):390–3. DOI: https://doi.org/10.1016/j.jbmt.2018.02.007
Rodrigues BGDS, Cader SA, Torres NVOB, Oliveira EMD, Dantas EHM. Pilates method in personal autonomy, static balance and quality of life of elderly females. J Bodyw Mov Ther. 2010;14(2):195–202. DOI: https://doi.org/10.1016/j.jbmt.2009.12.005
Patra I, Muda I, Ketut Acwin Dwijendra N, Najm MAa, Hamoud Alshahrani S, Sajad Kadhim S, et al. A Systematic Review and Meta-Analysis on Death Anxiety During COVID-19 Pandemic. OMEGA - Journal of Death and Dying. 2023;1–19. DOI: https://doi.org/10.1177/00302228221144791
Hawthorne G, Herrman H, Murphy B. Interpreting the WHOQOL-Brèf: Preliminary Population Norms and Effect Sizes. Soc. Indic. Res. 2006;77(1):37–59. DOI: https://doi.org/10.1007/s11205-005-5552-1
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Valéria Pires, Camila Miranda, Bruna Sacchi, Jonas Casagranda Zanella, Mariana de Souza Strehl, Amanda Sgarioni, Cláudia Gomes Bracht, Thaís Reichert; Ana Carolina Kanitz
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Ao submeter um manuscrito à Revista Brasileira de Atividade Física & Saúde, os autores mantêm a titularidade dos direitos autorais sobre o artigo, e autorizam a Revista Brasileira de Atividade Física & Saúde a publicar esse manuscrito sob a Licença Creative Commons Atribuição 4.0 e identificá-la como veículo de sua publicação original.