The present study aimed to investigate the effects of a multi-professional intervention model on the mental health of middle-aged, overweight survivors of COVID-19. A clinical trial study with parallel groups and repeated measures was conducted. For eight weeks, multi-professional interventions were conducted (psychoeducation, nutritional intervention, and physical exercises). One hundred and thirty-five overweight or obese patients aged 46.46 ± 12.77 years were distributed into four experimental groups: mild, moderate, severe COVID, and control group. The instruments were used: mental health continuum-MHC, revised impact scale–IES-r, generalized anxiety disorder-GAD-7, and Patient health questionnaire PHQ-9, before and after eight weeks. The main results indicated only a time effect, with a significant increase in global MHC scores, emotional well-being, social well-being, and psychological well-being, as well as detected a significant reduction in global IES-R scores, intrusion, avoidance, and hyperarousal, in addition to a reduction in GAD-7 and PHQ-9 scores (p < 0.05). In conclusion, it was possible to identify those psychoeducational interventions that effectively reduced anxiety, depression, and post-traumatic stress symptoms in post-COVID-19 patients, regardless of symptomatology, in addition to the control group. However, moderate and severe post-COVID-19 patients need to be monitored continuously since the results of these groups did not follow the response pattern of the mild and control groups.

COVID-19 pandemic has deeply affected medical practice, and conducts o minimize the overload of healthcare services were necessary. The objective of this study is to evaluate the impact of the pandemic in the practice of surgical procedures in Brazil. This is a descriptive study with data about hospitalizations for surgical procedures in Brazil from 2016 to 2020, collected from the Department of Informatics of Brazil’s Unified Health System (DATASUS). Primary analysis describes the variations in the number of elective, urgent and other types of surgical procedures performed during this period, by comparing the mean number of hospitalizations from 2016 to 2019 with the absolute number from 2020. Secondary analysis describe the variations in hospitalizations for surgical procedures during this period in each of Brazil’s geographical regions, and variations in different surgical procedure subgroups. There was a decrease of 14.88% [95% CI: 14,82-14,93] in hospitalizations for surgical procedures in 2020, when comparing to the mean between 2016-2019. Decrease rates were 34.82% [95% CI: 34,73-34,90] for elective procedures and 1.11% [95% CI: 1.07-1.13] for urgent procedures. Surgical procedure subgroups with highest decrease rates were endocrine gland surgery, breast surgery, oral-maxillofacial surgery and surgery of upper airways, face, head and neck. The overload of healthcare facilities demanded reductions in non-urgent activities to prevent services’ collapse. Further studies are needed to evaluate the social and clinical impact of such reductions and support the development of precise criteria defining which procedures should be prioritized. A pandemia de COVID-19 afetou profundamente a prática médica, e condutas para reduzir a sobrecarga dos serviços de saúde foram necessárias. O objetivo deste estudo é avaliar o impacto da pandemia na prática de procedimentos cirúrgicos no Brasil. Trata-se de um estudo descritivo, com dados sobre hospitalizações por procedimentos cirúrgicos no Brasil entre 2016 e 2020, coletados do Departamento de Informática do Sistema Único de Saúde do Brasil (DATASUS). A análise primária descreve as variações na quantidade de procedimentos eletivos, de urgência e outros tipos realizados nesse período, comparando o número médio de hospitalizações entre 2016 e 2019 com o número absoluto em 2020. Análises secundárias descrevem variações nas hospitalizações por procedimentos cirúrgicos nesse período em cada uma das regiões do Brasil, e variações nos diferentes subgrupos de procedimentos cirúrgicos. Houve uma queda de 14,88% [IC 95% - 14,82-14,93] nas hospitalizações por procedimentos cirúrgicos em 2020, comparando com a média entre 2016 e 2019. As taxas de redução foram 34,82% [IC 95% - 34,73-34,90] para procedimentos eletivos e 1,11% [IC 95% - 1,07-1,13] para procedimentos de urgência. Subgrupos de procedimentos cirúrgicos com maiores reduções foram: cirurgia de glândulas endócrinas, cirurgia da mama, cirurgia bucomaxilofacial e cirurgia de vias aéreas superiores, face, cabeça e pescoço. A sobrecarga dos serviços de saúde demandou reduções na realização de procedimentos não urgentes para prevenir o colapso dos serviços. São necessários estudos adicionais para avaliar o impacto social e clínico dessas reduções, e auxiliar na elaboração de critérios precisos para definir quais procedimentos devem ser priorizados.

Background The COVID-19 pandemic has deeply affected medical practice, and changes in healthcare activities were needed to minimize the overload and avoid healthcare systems collapse. The aim of this study was to evaluate the impact of the pandemic on surgical procedures in Brazil. Materials and Methods We conducted a descriptive study of the number of hospitalizations for surgical procedures in Brazil from 2016 to 2020. Data were collected from the Brazilian Department of Informatics of the Unified Health System (DATASUS). Analyzes were performed according to the type of procedure, geographical region, subgroups of surgical procedures, and the number of surgeries from 2020 were compared with the average from 2016 to 2019. Results There were 4,009,116 hospitalizations for surgical procedures in the Brazilian Public Health System in 2020. When comparing it to the average of hospitalizations from 2016-2019, there was a decrease of 14.88% [95%IC (14.82-14.93)]. Decrease rates were 34.82% [95%IC (34.73-34.90)] for elective procedures and 1.11% [95%IC (1.07-1.13)] for urgent procedures. Decrease rates were similar in all the five regions of the country (average 14.17%). Surgical procedure subgroups with the highest decrease rates were endocrine gland surgery (48.03%), breast surgery (40.68%), oral and maxillofacial surgery (37.03%), surgery of the upper airways, face, head and neck (36.06%), and minor surgeries and surgeries of skin, subcutaneous tissue and mucosa (33.16%). Conclusion: The overload of healthcare facilities has demanded a reduction of non-urgent activities to prevent a collapse of healthcare systems, resulting in a decrease in elective surgeries. Recommendations about the performance of surgical procedures were made, and continuous refinements of these recommendations are encouraged.

Background: The aim was to investigate the effects of 12 and 24 weeks of interdisciplinary interventions on health-related physical fitness, biochemical markers, and food processing levels in overweight or obese adolescents. Methods: Thirty-one adolescents completed 24 weeks of nutritional, psychoeducational, and physical activity interventions in addition to assessments and tests carried out before, at 12 weeks, and after 24 weeks. Results: There were increases in lean mass (p = 0.003) and decreases in absolute and relative fat mass (p < 0.001) for both sexes, as well as increases in flexibility on the right and left sides (p < 0.001), maximum oxygen consumption (p < 0.001) increased after the interventions, time spent in isometric exercises on the plank increased (p > 0.05), total cholesterol after 12 weeks decreased (p = 0.014), triglycerides were reduced (p = 0.002), low-density lipoproteins were reduced (p < 0.001), consumption of more processed foods after 24 weeks decreased (p < 0.001), consumption of fresh foods in grams and kilocalories increased (p < 0.001), and, in addition, the consumption of processed and ultra-processed foods was reduced (p = 0.020). Conclusions: The 24-week interventions promoted superior benefits for adolescents’ physical, nutritional, and biochemical health, although the dropout rate was high (~50%).

Background/objectives: Considering the diverse symptomatology of COVID-19—ranging from mild to severe cases—multi-professional interventions are crucial for enhancing physical recovery, nutritional status, and mental health outcomes in affected patients. Thus, this study aimed to investigate the effects of such an intervention on health-related physical fitness and biomarkers in overweight COVID-19 survivors with varying degrees of symptom severity after 8 weeks and 16 weeks. Methods: This non-randomized clinical trial included 59 overweight COVID-19 survivors (32 males and 27 females) divided into three groups: mild (n = 31), moderate (n = 13), and severe/critical (n = 15). The participants underwent a multi-professional program and were assessed for anthropometric and body composition (primary outcome), as well as physical fitness and biochemical markers (secondary outcome) 8 and 16 weeks before the intervention. Results: After 8 weeks, time effects were observed for the maximum isometric handgrip strength (p < 0.001), maximum isometric lumbar-traction strength (p = 0.01), flexibility (p < 0.001), abdominal strength–endurance (p < 0.001), the sit-and-stand test (p < 0.001), maximum oxygen consumption (p < 0.001), and distance covered in the 6 min walk test (p < 0.001). Additionally, time effects were also observed for fat mass (p = 0.03), body fat percentage (p = 0.02), abdominal circumference (p = 0.01), total cholesterol (p < 0.001), low-density lipoproteins (p < 0.001), and glycated hemoglobin (p < 0.001), with lower values after multi-professional interventions. After 16 weeks, the systolic and diastolic blood pressure showed significant reductions independently of the intervention group (p < 0.001). Conclusion: These findings suggest that multi-professional interventions can provide substantial benefits for post-COVID-19 patients, regardless of the severity of their initial symptoms.