Background: Prehabilitation is a strategy used aiming to reduce the risk factors and complications of surgery procedures, but there is no consensus on the effectiveness of supervised physical exercise and its optimal prescription during this phase. Objectives: To determine the effects of exercise prehabilitation on body composition, functional capacity and quality of life in candidates for bariatric surgery. Search methods: A search was conducted in PubMed, Web of Science, SciELO, Scopus, MEDLINE and CINAHL. Selection criteria: Only randomized clinical trials that examined the effectiveness of supervised physical exercise were included. The main outcomes were body composition, functional capacity, quality of life and surgical outcomes. Data collection and analysis: Two researchers independently selected the literature, extracted the data and evaluated the risk of bias. A third researcher was consulted when a consensus was not reached. The risk of bias was assessed by the tool recommended by the Cochrane Collaboration, the quality of the evidence by GRADE, and to analyze the effects of prehabilitation on the primary objectives, RevMan software, version 5.3 was used. Main results: The search resulted in 4550 articles, of which 22 met the eligibility criteria, leaving 5 articles selected for this review. One article was assessed as a high bias risk and four as an uncertain risk, which included 139 candidates for bariatric surgery. Most of the studies evaluated the body composition, functional capacity and quality of life; none reported surgical outcomes. Conclusions: Supervised physical exercise has positive effects on the body composition, functional capacity and quality of life; there was no evidence for surgical outcomes, which opens up a field of study for future research of this population.
A inflamação sistêmica de baixo grau está na base de muitas doenças, incluindo a obesidade, diabetes tipo 2, hipertensão e doenças vasculares. Nesse sentido, e por ser considerado o biomarcador mais promissor nas condições crônicas de saúde, a proteína C-reativa ultra sensível (PCR-us) vem ganhando destaque na literatura na avaliação de diversas doenças crônicas não transmissíveis (DCNT). Assim, o objetivo desse estudo foi analisar estudos que tenham utilizado a PCR ou a PCR-us como indicador de risco. Para tanto, foi realizada uma revisão sistemática na base SCIELO, restringindo a busca a trabalhos nacionais, com os descritores “Proteína C Reativa”, “Proteína C Reativa de Alta-Sensibilidade” e “Proteína C Reativa Ultra-Sensível”. Após a aplicação dos critérios de seleção que incluíam estudos com seres humanos, com DCNT, com valores de PCR ou PCR-us por grupo, foram analisados 17 artigos, com um total de participantes de 12.493. De maneira geral, os resultados dos trabalhos reforçam a utilidade da PCR no diagnóstico, prognóstico e efeito de tratamento na totalidade dos estudos analisados. Conclui-se, portanto, que a PCR-us tem valor diagnóstico em diversos quadros crônicos de saúde, no entanto alguns cuidados devem ser observados para o adequado uso dessas informações.
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.
17 August 2026 in ARS MEDICA Revista de Ciencias Médicas
Introducción: La enfermedad de Parkinson (EP) es una enfermedad neurológica degenerativa y progresiva debido a la pérdida de las neuronas dopaminérgicas de la sustancia nigra del mesencéfalo, su etiología es de origen desconocido. Unas de las disfunciones en estudio es que pacientes con EP suelen no presentar un descenso nocturno en la presión arterial (PA), afección denominada non dipper. Esto se asocia a mayor riesgo cardiovascular y mortalidad en esta población. Los rangos de normalidad del descenso nocturno de la PA es de 10-15%. Hay un vacío de conocimiento acerca de los beneficios de la terapia de estimulación periférica automática (EPMA) y su correlación con la PA. Materiales y Métodos: se presenta el caso de un hombre de 86 años con antecedentes de EP de estadio III Hoen&Yhar (UPDRS) fue sometido a un estudio cross over, se evaluó durante 24 horas la PA con un holter de presión posterior a una sesión de EPMA activa y sham, cada sesión fue con una ventana de 2 semanas. Resultados: posterior a EPMA sham hubo un descenso nocturno PA sistólica (PAS) de 8,8% y PA diastólica (PAD) 8,6% y en EPMA activa PAS 10,9% y PAD 14,2%, dejando de estar clasificado como non-dipper. Conclusión: una sesión de EPMA activa fue efectiva en disminuir la PA de 24 horas en un paciente non- dipper con EP.