Publications by authors named "Leonessa Boing"

13 Publications

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Mat pilates method improve postural alignment women undergoing hormone therapy adjunct to breast cancer treatment. Clinical trial.

Complement Ther Clin Pract 2021 Jun 1;44:101424. Epub 2021 Jun 1.

Department of Physical Education at the Center for Health Sciences and Sports and Professor Postgraduate Program in Human Movement Sciences, Santa Catarina State University, Brazil.

The purpose of the study is to analyze the effects of a mat Pilates intervention on the postural alignment and balance of breast cancer women receiving hormone therapy. A two-arm randomized clinical trial included 34 breast cancer survivors divided randomly between a mat Pilates group (n = 18), that performed 16 weeks of mat Pilates exercises, and a control group (n = 16), who were invited to maintain their daily routine activities and received three educational sessions. Data collection occurred at baseline and at post-intervention time. The postural alignment was assessed using the Postural Assessment Software (SAPO) and the balance was assessed by the MINIBESTest. When the two-way ANOVA was performed on postural alignment results, a significant statistical difference was found in the angle between acromions and the anterior-superior iliac spines of the mat Pilates group (p = 0.036). When compared to the post-intervention period, the mat Pilates method had an improved horizontal alignment of the anterior-superior iliac spines (p = 0.039) and vertical alignment of the acromion head on the right side (p = 0,016). Also, the participants of the Pilates group showed a significant statistical difference in the balance (p = 0.034). The control group had an improved vertical trunk alignment on the left side (p = 0,048). The control group and the mat Pilates method group improved in some aspects, however the mat Pilates method was effective in improving the postural alignment and the balance of breast cancer survivors receiving hormone therapy and may be recommended in oncological rehabilitation as a type of complementary therapy.
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http://dx.doi.org/10.1016/j.ctcp.2021.101424DOI Listing
June 2021

The influence of 12-week dance intervention on sleep quality and pain among women with breast cancer - Pilot study of a non-randomized clinical trial.

J Bodyw Mov Ther 2021 Apr 6;26:43-48. Epub 2020 Oct 6.

College of Health and Sport Science, Santa Catarina State University, Florianópolis, SC, Brazil; Human Movement Sciences Graduate Program, College of Health and Sport Science, Santa Catarina State University, Florianópolis, SC, Brazil.

Background: Analyze the effects of a 12-week dance intervention on the sleep quality and the level of pain among women with breast cancer.

Methods: Non-randomized clinical trial including 21 breast cancer survivors allocated in intervention group (n = 11) or control group (n = 10). Intervention group received a 12-week mix dance intervention and the control group maintained their routine activities. Data collection was realized through the application of a questionnaire before and after 12 weeks, involving pain (VAS) and sleep quality (Pittsburgh Sleep Quality Index). The Two-way ANOVA with repeated measures and Šidák correction, and multiple linear regression was used.

Results: No significant effects were found on sleep quality and pain after the 12-week intervention with a mix dance protocol. Also, no significant difference was found between intervention and control group during post-intervention. The multiple linear regression analysis, controlled by stage of treatment, did not present a significant relationship between sleep quality and pain. Additionally, some spontaneous reports provided by the participants demonstrated a subjective improvement in their social life and general well-being.

Conclusion: The 12-week mix dance intervention did not seem to directly influence the sleep quality and pain of breast cancer survivors in this study; however, no adverse events were reported. Perhaps, a dance protocol focusing only in one modality of dance may be more effective for breast cancer survivors on sleep quality and pain.
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http://dx.doi.org/10.1016/j.jbmt.2020.10.004DOI Listing
April 2021

Binary dance rhythm or Quaternary dance rhythm which has the greatest effect on non-motor symptoms of individuals with Parkinson's disease?

Complement Ther Clin Pract 2021 May 4;43:101348. Epub 2021 Mar 4.

Professor of the Department of Physical Education and Post-Graduation Program in Human Movement Sciences at the Health and Sports Sciences Center of the State University of Santa Catarina, Brazil; Brazilian Parkinson's Disease Rehabilitation Initiative - BpaRkI, Brazil.

This study aimed to compare the effect of a binary and quaternary rhythm protocol on cognition, mental activity, daily life, and quality of life among individuals with Parkinson's Disease. A two-arm randomized clinical trial with 31 individuals diagnosed with Parkinson's disease, who were allocated to the binary group or quaternary group. Both groups underwent a 12-week intervention. The following variables were analyzed: personal and clinical information; MoCA; UPDRSI and II; PDQ-39. Both intervention groups improved cognition, mental activity, activities of daily living, and quality of life. In addition, there were intergroup differences in total UPDRSII, writing, and hygiene where the quaternary group was superior to the binary group. It concludes that the binary and quaternary rhythm positively influenced and presented similar effects on the complementary treatment of individuals with Parkinson's disease on the studied variables. Thus, it is believed that both interventions are possible and feasible for the health professionals involved in the area.
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http://dx.doi.org/10.1016/j.ctcp.2021.101348DOI Listing
May 2021

Exercise associated or not to the intake of Eurycoma longifolia improves strength and cardiorespiratory fitness in men with androgen deficiency.

Complement Ther Clin Pract 2021 Feb 5;42:101301. Epub 2021 Jan 5.

Professor of the Department of Physical Education and Post-Graduation Program in Human Movement Sciences at the Health and Sports Sciences Center of the State University of Santa Catarina, Brazil.

This study aims to analyze the effects of a concurrent training (CT) associated with Eurycoma longifolia (EL) supplementation on the muscle strength, cardiorespiratory fitness, and symptomatology score of men with the androgen deficiency of aging male (ADAM). Forty-five subjects (47.6 ± 5.2 years) were included in the study. The randomized, double-blinded, placebo controlled clinical trial lasted for 6 months. Participants were randomized into four groups, control (C; n = 12); EL (n = 11); CT (n = 11); and CT + EL (n = 11). Along this period, the isokinetic peak torque of the knee extensors increased in the CT (14%) and CT + EL (17%) groups (p = 0.040; p = 0.006, respectively), while the isokinetic peak torque of knee flexion increased in the CT + EL group only (p < 0.05). For all participants, testosterone levels were correlated with isokinetic peak torque of knee extension (r = 0.517, p = 0.001) and flexion (r = 0.362, p = 0.028). Subjects of the CT (27.3%) and CT + EL (36.1%) groups decreased the symptomatology of ADAM (p = 0.005). This study demonstrated the benefits of CT and EL consumption as a non-pharmacological treatment for ADAM.
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http://dx.doi.org/10.1016/j.ctcp.2020.101301DOI Listing
February 2021

Effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy - A systematic review and meta-analysis.

Maturitas 2020 Nov 26;141:71-81. Epub 2020 Jun 26.

College of Health and Sport Science, Santa Catarina State University, Brazil.

Background: Side-effects of hormone therapy can impair the physical health of breast cancer survivors. Exercise has been clearly shown to improve the quality of life of breast cancer survivors. Less is known about the effects of exercise on physical outcomes for breast cancer survivors receiving hormone therapy.

Objective: To investigate the effects of exercise on physical outcomes of breast cancer survivors receiving hormone therapy.

Methods: Five electronic databases were searched by two authors using the terms "Breast Neoplasms" [MeSH] and "Tamoxifen" [MeSH] and "Aromatase Inhibitors" [MeSH] and "Exercise" [MeSH]. Randomized and non-randomized clinical trials were included. Risk of bias was assessed by the Cochrane Collaboration tool and ROBINS-I, and the quality of evidence was evaluated using GRADE. Pooled effects were reported as standardized mean differences (SMDs) and 95 % confidence intervals (CIs) using a random effects model.

Results: Eleven studies were included in the meta-analysis. Two hundred and fourteen breast cancer survivors receiving hormone therapy, tamoxifen, or aromatase inhibitors participated in interventions based on aerobic plus resistance exercise or walking activity. The physical outcomes reported in the articles were: cardiorespiratory fitness, pain, bone mineral density, grip strength, and body fat percentage. Exercise effects were found only for cardiorespiratory fitness (SMD = 0.37; 95 % CI: 0.11; 0.63; I = 93 %) and pain (SMD = -0.55; IC95 % -1.11; -0.00; I = 80 %), with low quality of evidence. No effects were observed for the other variables.

Conclusions: Aerobic plus resistance exercise had positive effects on cardiorespiratory fitness and pain in breast cancer survivors receiving hormone therapy. However, high-quality randomized clinical trials are required to confirm this finding.
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http://dx.doi.org/10.1016/j.maturitas.2020.06.022DOI Listing
November 2020

Feasibility of a Brazilian samba protocol for patients with Parkinson's disease: a clinical non-randomized study.

Arq Neuropsiquiatr 2020 01;78(1):13-20

Universidade do Estado de Santa Catarina, Departamento de Educação Física, Florianópolis SC, Brazil.

Objective: To investigate the feasibility of a Brazilian samba protocol in individuals with Parkinson's disease.

Methods: Twenty participants, mean age of 66.4±10.7 years, diagnosed with idiopathic Parkinson 's disease, divided into: experimental group that received the intervention of Brazilian samba dance classes (10 individuals); and control group that maintained their routine activities (10 individuals). For data collection, a divided questionnaire was used: General Information; Disability stages scale; Balance and Quality of Life.

Results: During class implementation, there were no falls, as all dance activities adhered to the details of the protocol steps without any changes. On average, patients completed 82.7% of activities. After 12 weeks, the experimental group had improvements in the UPDRS global score, in daily activities, and on motor examination. There was also improvement in balance scores and in the mobility domain of the quality of life in the experimental group.

Conclusion: The samba protocol seems to be feasible and safe for patients with PD. Moreover, it has pleasant characteristics and offers sufficient physical benefits for combination with drug treatment. There were also benefits in social relationships and as a possible rehabilitation tool in individuals with Parkinson's disease.
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http://dx.doi.org/10.1590/0004-282X20190140DOI Listing
January 2020

Pilates and dance to patients with breast cancer undergoing treatment: study protocol for a randomized clinical trial - MoveMama study.

Trials 2020 Jan 7;21(1):35. Epub 2020 Jan 7.

Santa Catarina State University, Florianópolis, Brazil.

Background: Breast cancer is a global public health issue. The side effects of the clinical treatment can decrease the quality of life of these women. Therefore, a healthy lifestyle is essential to minimize the physical and psychological side effects of treatment. Physical activity has several benefits for women with breast cancer, and Pilates solo and belly dancing can be an enjoyable type of physical activity for women with breast cancer undergoing clinical treatment. The purpose of this study is to provide a Pilates solo and a belly dance protocol (three times per week/16 weeks) for women undergoing breast cancer treatment and compare its effectiveness with that in the control group.

Methods: The participants will be allocated to either the intervention arm (Pilates solo or belly dance classes three times per week for 16 weeks) or a control group (receipt of a booklet on physical activity for patients with breast cancer and maintenance of habitual physical activity routine). The Pilates solo and belly dance classes will be divided into three stages: warmup and stretching, the main stage, and relaxation. Measurements of the study outcomes will take place at baseline; postintervention; and 6, 12, and 24 months after the end of the intervention (maintenance period). The data collection for both groups will occur with a paper questionnaire and tests covering general and clinical information. The primary outcome will be quality of life (EORT QLQ-C30 and EORT QLQ-BR23), and secondary outcomes will be physical aspects such as cardiorespiratory fitness (6-min walk test and cycle ergometer), lymphedema (sum of arm circumference), physical activity (IPAQ short version), disabilities of the arm (DASH), range of motion (goniometer test), muscular strength (dynamometer test) and flexibility (sit and reach test), and psychological aspects such as depressive symptoms (Beck Depression Inventory), body image (Body Image After Breast Cancer Questionnaire), self-esteem (Rosenberg), fatigue (FACT-F), pain (VAS), sexual function (FSFI), and sleep quality (Pittsburgh Sleep Quality Index).

Discussion: In view of the high prevalence of breast cancer among women, the implementation of a specific protocol of Pilates solo and belly dancing for patients with breast cancer is important, considering the necessity to improve their physical and psychological quality of life. Pilates solo and belly dancing are two types of physical activity that involve mental and physical concentration, music, upper limb movements, femininity, and social involvement. An intervention with these two physical activities could offer options of supportive care to women with breast cancer undergoing treatment, with the aim being to improve physical and psychological quality of life.

Trial Registration: ClinicalTrials.gov, NCT03194997. Registration date 12 August 2017. Universal Trial Number (World Health Organization), U1111-1195-1623.
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http://dx.doi.org/10.1186/s13063-019-3874-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947954PMC
January 2020

Factors associated with depression symptoms in women after breast cancer.

Rev Saude Publica 2019 Apr 1;53:30. Epub 2019 Apr 1.

Universidade do Estado de Santa Catarina. Departamento de Educação Física. Florianópolis, SC, Brasil.

Objective: To analyze the factors associated with the presence of depression symptoms in women after breast cancer.

Methods: Cross-sectional study with 181 women with breast cancer, aged 57.0 years (SD = 9.5), who were undergoing treatment or after treatment in the Oncology Research Center in Florianópolis, state of Santa Catarina, Brazil. The questionnaire comprised items addressing general and health information, economic level, anthropometric measures, depression symptoms (Beck Depression Inventory), self-esteem (Rosenberg Self-Esteem Scale), and body image (Body Image After Breast Cancer Questionnaire). Descriptive and inferential statistical analysis were performed by chi-square and Fisher's exact tests to verify association, Mann-Whitney U test to compare the groups and Poisson regression to identify the prevalence ratio of the factors associated with presence of depression symptoms (p < 0.05).

Results: We found an association between the presence of depression symptoms and the group of younger women (aged 40-60 years), those who had another disease besides cancer, those who had mastectomy surgery, those who suffered from lymphedema, and those who presented low-medium self-esteem. Less educated women presented more depressive symptoms, as did women with worse body image on the subscales of limitations, transparency, and arm concerns.

Conclusions: Age, educational attainment, diagnosis of other diseases, type of surgery, lymphedema, self-esteem, and body image were factors associated with the presence of depression symptoms in Brazilian women after breast cancer. Health professionals should be aware of these relationships and try to detect depression symptoms earlier and improve the care they provide to these women.
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http://dx.doi.org/10.11606/S1518-8787.2019053000786DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6474749PMC
April 2019

Effect of physical exercise on the cardiorespiratory fitness of men-A systematic review and meta-analysis.

Maturitas 2018 Sep 12;115:23-30. Epub 2018 Jun 12.

State University of Santa Catarina, Postgraduate Program in Human Movement, Sciences Center for Health and Sport Sciences, Florianópolis, Santa Catarina, Brazil.

This systematic review and meta-analysis analyzes the effect of physical exercise on the cardiorespiratory fitness of men according to type, intensity and duration of intervention, using data from randomized clinical trials; it also seeks to verify the dose-response relationship between duration and intensity of exercise and level of fitness. Databases were searched for reports of relevant studies. A methodological evaluation was carried out. In the statistical analysis, mean, standard deviation and sample size of each group were used. The mean age of the participants was 48.2 ± 17.1 years. The effect on men's VO2 (a measure of cardiovascular fitness) of five to 120 weeks of exercise of moderate to vigorous intensity was found to be a change of 10.190 L/min. A meta-regression analysis did not reveal significant results. A positive effect on VO2 of men of different age groups was observed after aerobic and resistance exercise interventions, indicating the beneficial effects of exercise on cardiorespiratory fitness.
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http://dx.doi.org/10.1016/j.maturitas.2018.06.006DOI Listing
September 2018

Benefits of belly dance on quality of life, fatigue, and depressive symptoms in women with breast cancer - A pilot study of a non-randomised clinical trial.

J Bodyw Mov Ther 2018 Apr 12;22(2):460-466. Epub 2017 Oct 12.

Universidade do Estado de Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Objective: To analyse the influence of belly dance on the quality of life, fatigue, and depressive symptoms in women with breast cancer.

Methods: Pilot study, with a design of non-randomised clinical trial study, analysing 19 women, with 8 allocated in the experimental group and 11 in the control group. The experimental group underwent 12 weeks of belly dance classes, with a frequency of twice a week and duration of 60 min for each lesson. Data collection was made through the use of questionnaires containing general information, quality of life (EORTC QLQ-BR23), fatigue (Piper Fatigue Scale) and depressive symptoms (BECK's Depression Inventory) applied on baseline and after intervention.

Results: The experimental group presented significant improvements after the intervention, with an increase in scores of the functional scale (p = 0.002): body image (p = 0.037) and sexual function (p = 0.027); and a decrease in scores of the symptomatic scale (p = 0.001): systemic therapy side effects (p = 0.005) and arm symptoms (p = 0.001) of quality of life, as well the decrease of fatigue (p = 0.036) and depressive symptoms (p = 0.002). No significant differences were observed in clinical and demographic information at baseline between the experimental and control groups. Also, there was no significant difference on quality of life, fatigue, and depressive symptoms between the two groups.

Conclusion: Belly dance can be a viable form of physical activity for women with breast cancer. It was associated with benefits for quality of life, fatigue, and depressive symptoms. Even though there were significant pre-post treatment differences, there was no significance difference between the experimental and control group; and therefore, treatment could have been due to natural history.
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http://dx.doi.org/10.1016/j.jbmt.2017.10.003DOI Listing
April 2018

Concurrent training protocol for men with androgen deficiency in the aging male: a randomized clinical trial.

Aging Male 2018 Sep 25;21(3):149-157. Epub 2018 Mar 25.

a Postgraduate Program in Human Movement, Sciences Center for Health and Sport Sciences , Santa Catarina State University , Florianópolis , Santa Catarina , Brazil.

Background: The androgen deficiency in the aging male (ADAM) affects physical, sexual, and psychological aspects with characteristics symptoms of middle-aged men. The practice of regular physical activity and physical exercise can attenuate these symptoms. The aim of this randomized clinical trial is to propose a physical exercise protocol based on concurrent training for middle-aged men with ADAM.

Method: Randomized clinical trial with a 6-month intervention will randomly divided into two groups: experimental group (EG) and control group (CG). Four evaluations will be carried out, (1) pre-intervention; (2) in the first month of intervention; (3) in the third month of intervention; (4) post-intervention, evaluating: physical, psychological, sexual, and hormonal aspects. The intervention protocol with concurrent training will have duration of 6 months; frequency of 3 times weekly, with 60 min per session. The two-way ANOVA test will be used for the inter-group and intra-group comparisons with repeated measurements, and also Sydak's comparison test.

Conclusion: This protocol was developed with the intent of easing the symptoms of ADAM. In addition, it is believed that the concurrent training protocol could be capable to recover hormonal, physical, psychological, and sexual aspect of middle-aged men with ADAM.
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http://dx.doi.org/10.1080/13685538.2018.1454421DOI Listing
September 2018

[Influence of age on the perception of finitude and quality of life].

Cien Saude Colet 2013 Sep;18(9):2497-505

This cross-sectional study analyzed the influence of age on the perception of finitude and quality of life (QOL) of government employees, with a non-probabilistic accessibility sample composed of 471 employees with an average age of 40. A self-administered questionnaire was used for the study. The results show that physical activity of group C had the highest average in all components and group B the lowest values, with the exception of walking. All the participants achieved good scores in the four domains of QOL (58% - 74%). In the perception of finitude, group B obtained better scores (positive perception) in the four areas, whereas groups A and C had a more negative perception, there being no significant difference between the variables. This study reveals the positive relation of finitude in the age group from 35 to 50. Positive QOL and a high level of physical activity were identified.
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http://dx.doi.org/10.1590/s1413-81232013000900003DOI Listing
September 2013
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