Análise da associação entre problemas relacionados com o joelho por osteoartrite e dor neuropática com os níveis de atividade física e a motivação para a prática de atividade física em adultos em manutenção da perda de peso
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2021
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Objetivo – Esta dissertação tem como objetivos a realização de uma Revisão rápida e Sistemática de Literatura, que por sua vez tem por objetivo analisar a relação entre factores motivacionais e barreiras para a prática de atividade física e os níveis de atividade física em adultos com dor no joelho por osteoartrite, e a realização de um estudo observacional transversal que tem por objetivo efetuar a análise da associação entre problemas relacionados com o joelho por osteoartrite e dor neuropática com os níveis de atividade física e a motivação para a prática de atividade física em adultos em manutenção da perda de peso. Método – Para a realização da Revisão rápida e Sistemática de Literatura foram utilizadas as seguintes bases de dados: PubMed, b-On e Google Académico. Foram considerados critérios de inclusão e de exclusão, que através de um processo de triagem permitiram incluir nesta revisão cinco estudos elegíveis, que incluíram no total 1986 participantes. Para a obtenção de dados e consequente realização do estudo observacional transversal foi efetuada uma análise secundária dos dados do estudo controlado randomizado Navigating to a Healthy Weight (NoHoW). Estes dados foram auto-reportados em quatro questionários validados para português e recolhidos pelos investigadores do estudo NoHoW, aos 18 meses. No estudo observacional transversal, prepararam-se os dados e obteve-se uma amostra (n = 961), dos quais 67.95% eram mulheres, a idade média foi de 45.90 anos (dp 11.49) e o IMC inicial médio foi de 29.06 kg/m² (dp 4.95). Resultados – Na Revisão rápida e Sistemática de Literatura, a dor no joelho foi uma barreira significativamente associada à atividade física (AF) moderada a vigorosa adequada (que cumpre as recomendações para a prática de AF), como também a falta de motivação, medo de cair ou medo de lesões. A prática de AF foi maior nos indivíduos com motivação. Foram encontradas associações estatisticamente significativas entre a redução da dor, melhorias na função física e na rigidez com a prática de AF e com a adesão à AF. Factores motivacionais, para aderir e permanecer a praticar AF foram: querer melhorar a função física, aliviar a dor ou artrite e desfrutar do exercício. No estudo observacional transversal verificou-se que ter maior intensidade de dor no joelho foi preditiva de menos AF vigorosa e menos tempo a caminhar. Possuir mais motivação controlada foi preditiva de menos tempo a caminhar e mais tempo sentado/a. Em contrapartida, ter melhor função física nas atividades da vida diária foi preditiva de mais
tempo a caminhar. Possuir mais motivação autónoma foi preditiva de mais AF vigorosa e de menos tempo sentado/a. Conclusões – A Revisão rápida e Sistemática de Literatura e o estudo observacional transversal obtiveram resultados concordantes. A dor no joelho (intensidade) e a falta de motivação (motivação controlada) foram factores que levaram à diminuição dos níveis de AF. Ter motivação (motivação autónoma) foi um factor que levou ao aumento dos níveis de AF.
Objective - This dissertation aims to carry out a quick Systematic Literature Review, which aims to analyse the relationship between motivational factors and barriers to the practice of physical activity and the levels of physical activity in adults with knee pain due to osteoarthritis, and conducting a cross-sectional observational study that aims to analyse the association between problems related to the knee due to osteoarthritis and neuropathic pain with levels of physical activity and the motivation to practice physical activity in adults in maintaining weight loss. Method - To carry out this quick Systematic Literature Review, the following databases were used: PubMed, b-On and Google Scholar. Inclusion and exclusion criteria were considered, through a screening process that allowed to include in this review five eligible studies, which included a total of 1986 participants. To obtain data and consequent conduct of the cross-sectional observational study, a secondary analysis of the data from the randomized controlled study Navigating to a Healthy Weight (NoHoW) was performed. These data was self-reported in four questionnaires validated for Portuguese and collected by the researchers of the NoHoW study, at 18 months. In the observational cross-sectional study, data was prepared and a sample was obtained (n = 961), of which 67.95% were women, the mean age was 45.90 years (sd 11.49) and the initial BMI average was 29.06 kg/m² (sd 4.95). Results - In this quick Systematic Literature Review, knee pain was a barrier significantly associated with moderate to vigorous physical activity (PA) (by recommendations for PA practice), as well as lack of motivation, fear of falling or fear of injury. The practice of PA was higher in individuals with motivation. Statistically significant associations were found between pain reduction, improvements in physical function and stiffness with the practice of PA and adherence to PA. Motivational factors to adhere and continue to practice PA was wanting to improve physical function, relieving pain or arthritis and enjoying exercise. In the cross-sectional observational study, it was found that higher intensity knee pain was predictive of less vigorous PA and less time to walk. Having more controlled motivation was predictive of less time walking and more time sitting. In contrast, having a better physical function in the activities of daily living was predictive of more time walking. Higher autonomous motivation was predictive of more vigorous PA and less sitting time. Conclusions – This quick and Systematic Literature Review and the observational cross sectional study obtained concordant results. Knee pain (intensity) and lack of motivation (controlled motivation) were factors that led to a decrease in PA levels. Being motivated (autonomous motivation) was a factor that led to increased levels of PA.
Objective - This dissertation aims to carry out a quick Systematic Literature Review, which aims to analyse the relationship between motivational factors and barriers to the practice of physical activity and the levels of physical activity in adults with knee pain due to osteoarthritis, and conducting a cross-sectional observational study that aims to analyse the association between problems related to the knee due to osteoarthritis and neuropathic pain with levels of physical activity and the motivation to practice physical activity in adults in maintaining weight loss. Method - To carry out this quick Systematic Literature Review, the following databases were used: PubMed, b-On and Google Scholar. Inclusion and exclusion criteria were considered, through a screening process that allowed to include in this review five eligible studies, which included a total of 1986 participants. To obtain data and consequent conduct of the cross-sectional observational study, a secondary analysis of the data from the randomized controlled study Navigating to a Healthy Weight (NoHoW) was performed. These data was self-reported in four questionnaires validated for Portuguese and collected by the researchers of the NoHoW study, at 18 months. In the observational cross-sectional study, data was prepared and a sample was obtained (n = 961), of which 67.95% were women, the mean age was 45.90 years (sd 11.49) and the initial BMI average was 29.06 kg/m² (sd 4.95). Results - In this quick Systematic Literature Review, knee pain was a barrier significantly associated with moderate to vigorous physical activity (PA) (by recommendations for PA practice), as well as lack of motivation, fear of falling or fear of injury. The practice of PA was higher in individuals with motivation. Statistically significant associations were found between pain reduction, improvements in physical function and stiffness with the practice of PA and adherence to PA. Motivational factors to adhere and continue to practice PA was wanting to improve physical function, relieving pain or arthritis and enjoying exercise. In the cross-sectional observational study, it was found that higher intensity knee pain was predictive of less vigorous PA and less time to walk. Having more controlled motivation was predictive of less time walking and more time sitting. In contrast, having a better physical function in the activities of daily living was predictive of more time walking. Higher autonomous motivation was predictive of more vigorous PA and less sitting time. Conclusions – This quick and Systematic Literature Review and the observational cross sectional study obtained concordant results. Knee pain (intensity) and lack of motivation (controlled motivation) were factors that led to a decrease in PA levels. Being motivated (autonomous motivation) was a factor that led to increased levels of PA.
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Orientação: António João Labisa da Silva Palmeira
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MESTRADO EM EXERCÍCIO E BEM-ESTAR, DESPORTO, SPORT, EDUCAÇÃO FÍSICA, PHYSICAL EDUCATION, OSTEOARTRITE, OSTEOARTHRITIS, JOELHOS, KNEES, DOR NEUROPÁTICA, NEUROPATHIC PAIN, ATIVIDADE FÍSICA, PHYSICAL ACTIVITY, EXERCÍCIO FÍSICO, PHYSICAL EXERCISE, MOTIVAÇÃO, MOTIVATION, ADULTOS, ADULTS, OBESIDADE, OBESITY