Comportamentos de movimento e mobilidade no espaço de vida e suas associações com características da moradia durante a pandemia da COVID-19 em idosos com hipertensão: um estudo longitudinal
The aim of this thesis was to investigate the movement behavior and life-space mobility and their associations with housing characteristics during different moments of the coronavirus disease (COVID-19) pandemic in older adults with hypertension. In this exploratory longitudinal study, 35 participan...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/45978 |
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| Resumo: | The aim of this thesis was to investigate the movement behavior and life-space mobility and
their associations with housing characteristics during different moments of the coronavirus
disease (COVID-19) pandemic in older adults with hypertension. In this exploratory
longitudinal study, 35 participants were included. The evaluations occurred at three moments
over 18 months: i) before the first case of COVID-19 in Natal-RN (January‒March, 2020); ii)
during the social distancing policy and without vaccination (June, 2020); iii) ~2 months after
the vaccination (July, 2021). Physical activity (PA) and sedentary behavior (SB) were
measured by accelerometry. Life-space mobility was assessed by the Life-Space
Assessment Questionnaire. The following housing characteristics were assessed: housing
type, housing surface area, and household size. Generalized linear mixed model was used
for data analyses, with adjustment for age, sex, education, income, employment status
and/or accelerometer wear use. During the social distancing policy without vaccination there
was a decrease in steps/day (β = –886, p = 0.018), in moderate-vigorous PA (β = –0.4 %, p =
0.001), and in light PA (β = –3.7 %, p = 0.004), in addition to an increase in SB (β = 4.1 %, p
= 0.001) in relation to the period before the pandemic. The magnitude of changes was
greater on the weekend, mainly for steps/day (β= –1,739, p < 0.001) and SB pattern (more
time in prolonged bouts and less breaks). Older adults who resided in apartment and row
housing showed a greater decrease in PA and a greater increase in SB compared to those
who resided in detached house (p < 0.05). After the vaccination, older adults who resided in
apartment and row housing showed an increase in life-space mobility and light PA, in
addition to a decrease in SB in relation to the period of social distancing policy (p < 0.05). In
conclusion, the movement behavior and life-space mobility of older adults with hypertension
seem to change during the COVID-19 pandemic, especially in those who reside in limited
houses. While the social distancing policy without vaccination is associated with a reduction
in PA and an increase in SB, the immunization is associated with an increase in life-space
mobility and PA, in addition to a reduction in SB. |
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