Greice Westphal

Physical activity and exercise are key components in obesity management and in the perioperative care of metabolic bariatric surgery (MBS) patients. Howeve

Educadança is a university extension event linked to the Dança UEPG na Comunidade extension project at the Universidade Estadual de Ponta Grossa (UEPG), functioning as an instrument for the inseparability of teaching, research, and extension in initial Physical Education teacher training. This study analyzes the project's trajectory of institutional and pedagogical consolidation from 2017 to 2025. Drawing on a qualitative and documentary approach, with a corpus of 13 documents examined through Bardin's Content Analysis, the research highlights the transition from a technically oriented teaching model toward a practice grounded in student agency. The results demonstrate structural maturation, with a 900% expansion of the organizing team and a total audience of 6650 attendees across nine editions. It is concluded that the Educadança has consolidated itself as a space of resistance for dance within the university curriculum and of professional empowerment, transforming extension into a vital field for applying theoretical and practical knowledge.

The objective of the present study was to summarize the prevalences, secular trends, and associated factors of overweight and obesity among Brazilian children and adolescents in order to update the 2018 and 2019 data published in the 2020 Report Card. A systematic search was conducted in nine databases, restricted to studies published between January 2020 and December 2024. After the analysis of 82 studies, the overall prevalences were 18.4% for overweight, 10.7% for obesity, and 29.7% for excess weight. When considering the overall data stratified by sex, boys presented slightly higher prevalences than girls for overweight (18.3% vs. 18.1%), obesity (11.2% vs. 9.7%), and excess weight (31.9% vs. 29.9%). When stratified by children and adolescents, prevalences of 18.3% and 18.5% were observed for overweight, 16.5% and 8.5% for obesity, and 35.3% and 28.5% for excess weight, respectively. Secular trend studies indicate stabilization in the prevalences of overweight, obesity, and excess weight among boys, whereas among girls these prevalences continue to increase. Based on these findings, preventive measures aimed at reducing the prevalences of overweight and obesity should be developed and strengthened, as well as treatment programs focused on the management of childhood obesity, which should be considered a top priority within the public health system.

Background: Obesity is a chronic and complex disease; by its nature, it represents an enormous challenge to be solved and managed. For that matter, several guidelines have been published, but there is still a long way to go until concrete scaled results can be presented. Adults with obesity, and especially severe obesity, need to have access to treatment programs, but they are not available for the vast majority of the population. Objective: The aim of this study is to evaluate the effectiveness of a multidisciplinary treatment program for obesity (MTPO) offered to adults (ages 18 to 50 years old) with a BMI over 30 kg/m². Methods: Participants were invited through media ads, resulting in 404 participants for the first phase of that study, from whom the risk profile was assessed. After that, 180 participants (82.8% with severe obesity) concluded the MTPO, which consisted of 48 sessions of exercises and the same number of professional orientations about a healthy lifestyle, including the importance of being physically active, how to improve their eating habits, and how to control their emotions. Results: For the analysis of results, participants were grouped according to their weight loss in terciles, with the first, tercile presenting an average weight loss of 7.6%, which is considered clinically significant. In the same way, the average percental variations were even higher in this group for body fat (12.7%) and the lean mass to fat mass ratio (LM/FM), which increased by 14.3%. The homeostatic model assessment for insulin resistance, HOMA-IR, was around 3 times the variation of body mass, whereas the triglycerides (TG) and the hemoglobin A1C (H1Ac) were around twice that rate. Conclusions: These results made clear the effectiveness of the MTPO, which needs to be tested in public health services.

Objective: To verify the association between levels of anxiety and depression of participants in a Multidisciplinary Program for the Treatment of Obesity, with anthropometric variables; body composition; biochemical and hemodynamic parameters; and health-related physical fitness. Method: Quantitative, correlational, cross-sectional study carried out with adults who participated in the Multidisciplinary Program for the Treatment of Obesity in a municipality in the Northwest of Paraná. For data collection, anthropometric measurements were applied in July 2021; body composition; biochemical and hemodynamic parameters; health-related physical fitness tests; and scale to assess levels of anxiety and depression.Results: 116 individuals participated in the study, 87.94% female, 12.06% male, with a mean age of 40 years. There was a considerable positive correlation between hemoglobin and hematocrit; total and LDL cholesterol; glucose and HbA1C1; weight and BMI; weight and abdominal circumference; weight and waist circumference; BMI and abdominal circumference; BMI and waist circumference; as well as anxiety and depression.Conclusion: The levels of anxiety and depression of the participants of the Multidisciplinary Program for the Treatment of Obesity did not present a significant correlation with the variables of anthropometric measurements; body composition; biochemical and hemodynamic parameters; and health-related physical fitness assessment tests. Objetivo: Verificar la asociación entre los niveles de ansiedad y depresión en participantes de un Programa Multidisciplinario para el Tratamiento de la Obesidad, con variables antropométricas; composición corporal; parámetros bioquímicos y hemodinámicos; y aptitud física relacionada con la salud. Método: Estudio cuantitativo, correlacional, transversal, realizado con adultos participantes del Programa Multidisciplinario de Tratamiento de la Obesidad en un municipio del Noroeste de Paraná. Para la recolección de datos se aplicaron medidas antropométricas en julio de 2021; composición corporal; parámetros bioquímicos y hemodinámicos; pruebas de aptitud física relacionadas con la salud; y escala para evaluar los niveles de ansiedad y depresión.Resultados: Participaron del estudio 116 individuos, 87,94% mujeres, 12,06% hombres, con una edad media de 40 años. Hubo una correlación positiva considerable entre la hemoglobina y el hematocrito; colesterol total y LDL; glucosa y HbA1C1; peso e IMC; peso y perímetro abdominal; peso y circunferencia de la cintura; IMC y perímetro abdominal; IMC y perímetro de cintura; así como ansiedad y depresión.Conclusión: Los niveles de ansiedad y depresión de los participantes de Programa Multidisciplinario para el Tratamiento de la Obesidad no se correlacionaron significativamente con las variables de medición antropométricas; composición corporal; parámetros bioquímicos y hemodinámicos; y pruebas de evaluación de la aptitud física relacionadas con la salud. Objetivo: Verificar associação entre níveis de ansiedade e depressão de participantes de um Programa Multiprofissional de Tratamento da Obesidade, com variáveis antropométricas; composição corporal; parâmetros bioquímicos e hemodinâmicos; e aptidão física relacionada à saúde.Método: Estudo transversal, realizado com adultos que participaram do programa em município do Noroeste do Paraná. Para a coleta de dados, aplicou-se em julho de 2021, avaliações de medidas antropométricas; composição corporal; parâmetros bioquímicos e hemodinâmicos; testes de aptidão física relacionada à saúde; e escala para avaliar os níveis de ansiedade e depressão. Resultados: Participaram do estudo 116 indivíduos, sendo 87,94% do sexo feminino, 12,06% do sexo masculino, com média de idade de 40 anos. Houve correlação positiva entre hemoglobinas e hematócritos; colesterol total e LDL; glicose e HbA1C1; peso, IMC e circunferências abdominal e de cintura; além de ansiedade e depressão. Conclusão: Os níveis de ansiedade e depressão não apresentaram correlação significativa com as variáveis estudadas.

The primary objective of this research was to identify effective modes of physical exercise to optimize the quality of life and health ofindividuals affected by severe obesity. To conduct this systematic review, the PubMed, Web of Science, and Dimensions databases were consulted. The inclusion criteria encompassed original articles publicly available, written in Portuguese, English, or Spanish, addressing exercise protocols targeted at individuals with severe obesity, aged between 18 and 65 years, and with a body mass index (BMI) equal to or greater than 40 kg/m2. The methodological quality of randomized clinical trials (RCTs) was individually assessed by reviewers based on the Physiotherapy Evidence Database (PEDro) scale. Anthropometric measurements, functional capacity, parameters of physical fitness, and quality of life were employed as performance indicators in the results. A notable heterogeneity was observed in the protocols adopted, encompassing variation in the number of sessions, intervention duration, outcome criteria, and sample size, among other factors. The results indicated that intervention programs for severe obesity, regardless of the training modality, demonstrated effectiveness in reducing various anthropometric parameters and improving biochemical variables. Additionally, these programs encouraged the adoption of a healthier lifestyle by individuals affected by severe obesity. Keywords: Severe obesity; Activities Physical; Exercise; Multiprofessional treatment; Lifestyle; Sedentary Behavior.

The multidisciplinary treatment of obesity (MTO) has been recognized as the standard intervention and the basis for complementary treatments. However, it is still not clear how effective MTO programs can be and it has become more difficult to determine because normally the conditions of the intervention are not clearly stated. Therefore, it is important to make it clear if one MTO program is characterized as an efficacy trial, conducted under ideal conditions, or as an effectiveness trial developed in real-world scenarios. In this sense, this systematic review aims to explore some information from MTO studies. This systematic review made a search for potential papers using PubMed and SciELO, in which the terms efficacy or effectiveness were presented. After applying all the inclusion/exclusion criteria, four trials were included (343 participants). All the studies had characteristics of effectiveness trials. They used three different main outcomes, which made comparisons difficult. In conclusion, this review shows that a very small number of MTO studies have been published using the terminology efficacy or effectiveness. These studies do not explore the terms in a way that could make important distinctions among these distinct clinical trial models. Keywords: Obesity; Treatment; Efficacy; Effectiveness.

Non-communicable chronic diseases (NCDs) are considered one of the leading causes of death worldwide. During the COVID-19 pandemic, these diseases have been neglected due to the Brazilian Unified National Health System (BHUS) overload. In this context, this study aimed to analyze the bond between patients with NCDs and primary care during the COVID-19 pandemic while also seeking to identify the population's level of knowledge about health parameters and their relationship with the healthcare system. A cross-sectional and observational study was conducted, in which an online questionnaire was administered to collect socioeconomic information from patients and their bond with BHUS in the metropolitan region of Maringa, Parana, Brazil, encompassing individuals over 18 years of age. The survey was promoted on social media, and interested participants responded to the questionnaire, which addressed topics such as identification, medication use, disease information, knowledge about NCDs, and general data related to COVID-19. The obtained and analyzed responses revealed a low bond level between this population and primary care and a lack of knowledge about NCDs and their health during the pandemic. There was a notable decrease in seeking healthcare services during this period, which may be explained by the fear of contracting the novel coronavirus. This study is essential to understand patients' responses to public health challenges during the pandemic. It can become a valuable ally in dealing with future pandemics and endemic crises, enabling improvements in care and raising awareness among the population about NCDs and the healthcare system.

Obesity is a global Non-Communicable Chronic Disease (NCD) associated with various comorbidities and a high mortality rate. This scenario has increasingly affected the female population, leading to a rise in prevalence and related health issues. Therefore, the present study aimed to assess the health-related quality of life of women with overweight or obesity and symptoms of COVID-19 using a multi-professional intervention model. This research was conducted as a parallel group and repeated measures pragmatic trial, in which 28 participants aged between 25 and 65 were allocated into two groups: experimental (intervention group) and control (non-intervention participants). The Body Mass Index (BMI) was (30.5 ± 5.45 kg/m²) in the Experimental Group, and the Control Group was (31 ± 8.2 kg/m2). The 12-Item Health Survey (SF-12) questionnaire was applied to assess the quality of life in the physical and mental domains of COVID-19 survivors with different symptom severities (mild, moderate, severe) compared to the control group. At the end of the program, 28 participants finished the study (15 from the experimental group and 13 from the control group). The results indicated a significant improvement in the mental health domain only in the experimental group after the intervention period (p < 0.05). However, no significant differences in physical health were observed between the experimental and control groups (p > 0.05). Considering these findings, multi-professional actions emerge as a crucial component for enhancing the quality of life, particularly within mental health, during the 16-week intervention period.

Este artigo tem o objetivo de analisar a opinião de alunos que participaram de uma experiência educacional por meio do uso de um blog durante o ano letivo 2022-2023 em uma disciplina universitária. Os dados foram coletados a partir de uma proposta de reflexão final, a partir do blog da disciplina, e que todos os grupos de alunos tiveram que responder. Por meio de uma análise qualitativa, foram definidas cinco categorias: o blog como ferramenta de inovação educacional, o blog como ambiente significativo de aprendizagem, o blog como aprimoramento da competência digital, o blog como agente de avaliação formativa e compartilhada e propostas de melhoria. Os resultados demonstram grande satisfação quanto ao uso do blog, pois o consideram uma ferramenta de recurso didático inovador, que facilita o acompanhamento da disciplina e a reflexão sobre temas relacionados à Educação Física, o que de outra forma não seria possível; além de ser um excelente recurso como parte da avaliação formativa e compartilhada dos próprios alunos. No entanto, é uma ferramenta muito útil para implementar metodologias abertas e participativas que possibilitem lidar com conteúdos teóricos relevantes, sem implicar na redução do tempo de atividade motora.