ABSTRACT The Caatinga biome in Brazil comprises the largest and most continuous expanse of the seasonally dry tropical forest (SDTF) worldwide; nevertheless, it is among the most threatened and least studied, despite its ecological and biogeographical importance. The spatial distribution of volumetric wood stocks in the Caatinga and the relationship with environmental factors remain unknown. Therefore, this study intends to quantify and analyze the spatial distribution of wood volume as a function of environmental variables in Caatinga vegetation in Bahia State, Brazil. Volumetric estimates were obtained at the plot and fragment level. The multiple linear regression techniques were adopted, using environmental variables in the area as predictors. Spatial modeling was performed using the geostatistical kriging approach with the model residuals. The model developed presented a reasonable fit for the volume m3 ha with r2 of 0.54 and Root Mean Square Error (RMSE) of 10.9 m3 ha–1. The kriging of ordinary residuals suggested low error estimates in unsampled locations and balance in the under and overestimates of the model. The regression kriging approach provided greater detailing of the global wood volume stock map, yielding volume estimates that ranged from 0.01 to 109 m3 ha–1. Elevation, mean annual temperature, and precipitation of the driest month are strong environmental predictors for volume estimation. This information is necessary to development action plans for sustainable management and use of the Caatinga SDTF in Bahia State, Brazil.

ABSTRACT This study aimed to investigate the contributions of social participation in health promotion groups and regular physical exercise programs to the physical and functional performance of different age groups of community-dwelling older adults. This is a cross-sectional study including 266 older adults. Physical and functional performances (dependent variables) were characterized based on dynamic balance (alternate step test), mobility (timed up and go test), upper (handgrip dynamometer) and lower limbs muscle strength (Sit-to-stand test). Participants were questioned about active social participation in primary care groups and in physical exercise programs. The data were analyzed by linear regressions. Among individuals aged over 80 years, women participated in less health promotion groups and both sexes practiced less physical exercise. Age combined with regular exercise significantly explained 18.7% of dynamic balance and 22.8% of lower limb muscle strength in women. Despite social participation, for men, age alone explained 11.9% of lower limb strength and 11.5% of mobility. Therefore, social participation in physical exercise programs was a protective factor for these physical and functional differences between women’s age groups. Among men, mobility and lower limb strength performance reduced with aging, regardless of social participation.

RESUMEN El objetivo de este estudio fue investigar las contribuciones de la participación social en grupos de promoción de la salud y en programas de ejercicio físico regular para el desempeño físico y funcional de ancianos residentes en comunidad de diferentes grupos de edad. Para ello, se realizó un estudio transversal con 266 ancianos. El rendimiento físico y funcional (variables dependientes) se caracterizó con base en el equilibrio dinámico (prueba de escalón alterno), en la movilidad (prueba timed up and go), en la fuerza muscular de los miembros superiores (dinamómetro de agarre manual) y miembros inferiores (prueba de levantarse y sentarse). Las preguntas del cuestionario versaban sobre la participación social activa de los encuestados en grupos de atención primaria y en programas de ejercicio físico. Los datos se analizaron mediante regresiones lineales. Entre las personas de 80 años o más, las mujeres participaban menos en los grupos de promoción de la salud y ambos sexos practicaban menos ejercicio físico. La combinación edad y ejercicio regular explicó significativamente el 18,7% del equilibrio dinámico y el 22,8% de la fuerza muscular de los miembros inferiores en las mujeres. Para los participantes del sexo masculino, independientemente de la participación social, la edad por sí sola explicó el 11,9% de la fuerza de los miembros inferiores y el 11,5% de la movilidad. Se encontró que la participación social en programas de ejercicio físico fue un factor protector entre las mujeres para estas diferencias físicas y funcionales entre los grupos de edad. Entre los hombres, el rendimiento de la movilidad y fuerza de las extremidades inferiores empeoró conforme el aumento de la edad, independientemente de la participación social.

RESUMO O objetivo deste estudo foi investigar as contribuições da participação social em grupos de promoção de saúde e programas de exercícios físicos regulares para o desempenho físico e funcional de idosos comunitários de diferentes faixas etárias. Para tanto, realizou-se um estudo transversal com 266 idosos. O desempenho físico e funcional (variáveis dependentes) foi caracterizado com base no equilíbrio dinâmico (teste de degrau alternado), na mobilidade (teste timed up and go), na força muscular dos membros superiores (dinamômetro de preensão manual) e inferiores (teste de sentar e levantar). Os participantes foram questionados sobre sua participação social ativa em grupos de atenção primária e em programas de exercícios físicos. Os dados foram analisados por regressões lineares. Entre os indivíduos com 80 anos ou mais, as mulheres participaram menos de grupos de promoção de saúde, e ambos os sexos praticaram menos exercícios físicos. A idade combinada com o exercício regular explicou significativamente 18,7% do equilíbrio dinâmico e 22,8% da força muscular dos membros inferiores em mulheres. Para os participantes do sexo masculino, independentemente da participação social, apenas a idade explicou 11,9% da força dos membros inferiores e 11,5% da mobilidade. Verificou-se que a participação social em programas de exercícios físicos foi um fator protetor, entre as mulheres, para essas diferenças físicas e funcionais entre faixas etárias. Entre os homens, o desempenho de mobilidade e força dos membros inferiores foi piorando conforme o aumento da idade, independentemente da participação social.

Abstract Objective To associate clinical parameters of sarcopenia with cognitive impairment in older people. Method Cross-sectional study with 263 older adults (≥60 years) treated at a specialized public health facility. Sociodemographic and clinical variables were used to characterize the sample and the clinical parameters of sarcopenia (muscle strength, muscle mass and physical performance) were assessed based on handgrip strength (HGS), calf circumference (CC) and the Timed Up and Go (TUG) test. The Mini-Mental State Examination (MMSE) was used to evaluate cognitive status. Associations were analyzed by simple and multiple linear and logistic regression considering the clinical parameters of sarcopenia (independent variables) and cognitive status (dependent variable), adjusted for age, sex, years of schooling, number of medications, nutritional status and functional capacity. Results Of participants with cognitive impairment, 59.6% exhibited low muscle strength. In simple linear regression, cognitive status was explained by muscle strength in 21.5% of cases, muscle mass in 12.3% and physical performance in 7.6%, with muscle strength and muscle mass as explanatory variables for cognitive status in non-adjusted multiple regression and muscle strength alone for adjusted analyses. Only muscle strength remained significantly associated with cognitive status in adjusted multiple logistic regression (OR=0.846; [95%CI: 0.774 – 0.924] p<0.001). Conclusion Low muscle strength was the sarcopenia parameter independently associated with cognitive impairment. This information is useful in highlighting the likelihood of cognitive impairment when poor muscle strength is identified in older people.

Resumo Objetivo Associar os parâmetros clínicos de sarcopenia com o comprometimento cognitivo em pessoas idosas. Método Estudo transversal, com 263 idosos (≥60 anos) usuários de um serviço público de atenção especializada. Variáveis sociodemográficas e clínicas caracterizaram a amostra e os parâmetros clínicos de sarcopenia (força, massa muscular e desempenho físico) foram avaliados, respectivamente, por meio da Força de Preensão Palmar (FPP), circunferência da panturrilha (CP) e o Teste Timed Up and Go (TUG). Utilizou-se o Miniexame do Estado Mental (MEEM) para avaliar o estado cognitivo. As associações foram investigadas por regressões lineares e logísticas simples e múltiplas considerando os parâmetros clínicos de sarcopenia (variáveis independentes) e o estado cognitivo (variável dependente), ajustadas para idade, sexo, anos de estudo, número de medicação, estado nutricional e capacidade funcional. Resultados Dos participantes com comprometimento cognitivo, 59,6% apresentaram baixa força muscular. O estado cognitivo foi explicado pela força muscular em 21,5%, pela massa muscular em 12,3% e pelo desempenho físico em 7,6% nas análises de regressão linear simples, mantendo a força e a massa muscular como variáveis explicativas do estado cognitivo em análises múltiplas não ajustadas e somente a força muscular quando ajustadas. Apenas a força manteve-se significativamente associada ao estado cognitivo na regressão logística múltipla ajustada (OR=0,846; [IC 95%: 0,774 – 0,924]; p<0,001). Conclusão A baixa força muscular foi o parâmetro de sarcopenia independentemente associado ao comprometimento cognitivo. Essa informação é útil para atentar-se para a probabilidade de comprometimento cognitivo quando identificada baixa força muscular em pessoas idosas.

ABSTRACT Previous studies have shown an association between lower limb muscle strength and functional performance, but a dose-response relationship between the strength of each lower limb muscle group and performance in daily life activities in older adults has not been well established. Thus, this study aimed to investigate the association between isokinetic muscle strength of all eight major lower limb muscle groups and functional performance in community-dwelling older adults. The muscle strength of the plantar flexors and dorsiflexors of the ankle, flexors and extensors of the knee, and flexors, extensors, adductors, and abductors of the hip were evaluated using a Biodex System 4 Pro® isokinetic dynamometer. Functional performance was evaluated in 109 participants using the five-times sit-to-stand test (STS) and 4-meter usual walking speed (UWS). The multiple linear regression analyses showed that the hip abductors strength predicted 31.3% of the variability for UWS (p=0.011), and the knee extensors strength (p=0.015) predicted 31.6% of the variability for the STS. We conclude that hip abductors and knee extensors could be the key muscle groups involved in sit to stand and walking speed performance in older adults.

RESUMEN Estudios previos ya demostraron la asociación entre la fuerza muscular de los miembros inferiores y el rendimiento funcional, sin embargo, no está bien establecida la contribución de los principales músculos de los miembros inferiores sobre el rendimiento de las personas mayores en las actividades diarias. El objetivo de este estudio fue evaluar la asociación entre la fuerza muscular isocinética de los ocho principales grupos musculares de los miembros inferiores y el rendimiento funcional en personas mayores que viven en la comunidad. La fuerza muscular de los plantiflexores y dorsiflexores del tobillo, los flexores y extensores de la rodilla y los flexores, extensores, aductores y abductores de la cadera se evaluaron por medio del dinamómetro isocinético Biodex System 4 Pro®. El rendimiento funcional de 109 participantes se evaluó mediante el test de sentarse y pararse cinco veces (STS) y la velocidad de marcha habitual de 4 metros. Los análisis de regresión lineal múltiple mostraron que la fuerza de los abductores de la cadera predijo el 31,3% de la variabilidad para la velocidad de marcha habitual (p=0,011); y la fuerza de los extensores de la rodilla (p=0,015), el 31,6% de variabilidad para STS. Se concluyó que los abductores de la cadera y los extensores de la rodilla pueden ser los principales grupos musculares involucrados en el rendimiento de los adultos mayores para sentarse, pararse y caminar.

RESUMO Estudos anteriores já demonstraram a associação entre força muscular de membros inferiores e desempenho funcional, mas a contribuição dos principais músculos dos membros inferiores para o desempenho de pessoas idosas nas atividades cotidianas não foi bem estabelecida. O objetivo deste estudo foi investigar a associação entre a força muscular isocinética dos oito principais grupos musculares dos membros inferiores e o desempenho funcional em pessoas idosas da comunidade. A força muscular dos plantiflexores e dorsiflexores do tornozelo, flexores e extensores do joelho e flexores, extensores, adutores e abdutores do quadril foi avaliada utilizando um dinamômetro isocinético Biodex System 4 Pro®. O desempenho funcional de 109 participantes foi avaliado usando o teste de sentar e levantar cinco vezes (TSL) e de velocidade de marcha habitual de 4 metros (VMH). As análises de regressão linear múltipla mostraram que a força dos abdutores do quadril previu 31,3% da variabilidade para a VMH (p=0,011), e a força dos extensores do joelho (p=0,015) 31,6% da variabilidade para o TSL. Concluímos que os abdutores do quadril e os extensores do joelho podem ser os principais grupos musculares envolvidos no desempenho de pessoas idosas para sentar-levantar e caminhar.

ABSTRACT The distribution modeling in diameter classes is an important indicator of the potential use of a forest community, as well as the projection of future forest production. The objective of this study was to evaluate the diametric structure and to select probabilistic density functions for three woody species in forested arboreal Caatinga vegetation in Bahia, Brazil. The study was carried out in the Contendas do Sincorá National Forest in the state of Bahia, Brazil. A total of 16 plots of 20 x 20 m were installed and all individuals with diameter at breast height equal to or greater than 5.0 cm were measured. The three species with the highest population density (Commiphora leptophloeos, Manihot catinga and Patagonula bahiensis) were selected for analysis and modeling of the diametric structure. Four probabilistic density models were adjusted. The Akaike information criterion was used to select the best model. The results found indicated that the three species presented a decreasing type curve. The Log-Normal function best described the diametric distribution and it can be indicated to describe the diametric distribution and assist in making decisions about the management and conservation of these species. It is concluded that the Normal function was less adequate to represent the distribution of the studied species.

ABSTRACT The objective of this work was to characterize the population structure, analyze the spatial distribution pattern and identify the potential use of the Commiphora leptopholoeos in the Contendas do Sincorá National Forest, BA. Thus, three disjoint transects of 40 x 160 m were installed for the phytosociological study and spatial distribution and subdivided into 64 plots of 10 x 10 m, for which the density and frequency values of regenerating individuals (dbh < 5 cm), and the density, frequency and basal area of arboreal size were calculated (dbh ≥ 5 cm). The spatial distribution pattern was calculated by the Morisita index, Payandeh’s dispersion index and the Chi-squared test for the different populations. The diametric distribution was in the form of a reverse J-shaped, usually indicate full regeneration with constant seed production, germination and recruitment. The stems of the species were mostly healthy, but with a large tillering percentage and tortuosity below the commercial height, constituting characteristics which favor uses for firewood, stakes and poles. The spatial distribution pattern values of the species for tree size and regeneration point to an aggregate spatial distribution or to a tendency to aggregation.

ABSTRACT Dynamics studies associated with prognosis can support planning actions for the conservation and sustainable use of forest resources. Therefore, the objective of this study was to evaluate the dynamics and predict the diameter structure using the Markov chain model for an area of caatinga forest submitted to different management practices. The study was carried out in the Contendas do Sincorá National Forest in the state of Bahia. Four treatments were installed, corresponding to three management systems and one control. Data was obtained measuring all individuals with a diameter greater than or equal to 5 cm. The measurements were performed at two moments in 2015 and 2018. The results indicated that the selective cut-by-diameter treatment had the lowest mortality rate and the highest recruitment rate. Predictions of the diameter structure using the Markov chain do not generally present statistical differences (α0.01) between the observed and expected frequencies for the year 2018. It was concluded that the basal area showed a tendency for recovery and growth in the treatments which involved suppression compared to the control, with no statistically significant differences among treatments until the moment after intervention.

Abstract The present work aimed to evaluate the influence of different eucalyptus hybrids on the edaphic macrofauna community. It is hypothesized that the density and diversity of edaphic fauna are influenced by the quantity and quality of the litter deposited by the different hybrids on the soil surface. The study area is in the city of Vitória da Conquista (BA) and consists of seven eucalyptus hybrids, one from sexual reproduction (seminal) and six from asexual (clonal) reproduction. Sampling of the soil macrofauna was performed by the Tropical Soil Biology and Fertility method. All visible invertebrates were collected and identified at the level of large taxonomic groups. The relative density, group richness, and diversity index were calculated. Hybrids did not influence the total density and richness of the soil macrofauna. However, it was possible to observe changes in litter accumulation and composition, and as a result in the diversity indexes and in the presence or absence of macrofauna groups. Among the studied hybrids, those from Eucalyptus urophylla (seminal, 1335 and 1249) promote greater macrofauna diversity and favor the occurrence of detritivores organisms, suggesting the occurrence of better quality and more palatable litter for the edaphic fauna.

RESUMO: O fracionamento químico de carbono (C) por um gradiente crescente de oxidação, tem se mostrado uma metodologia rápida e promissora para detectar alterações na labilidade de C. Os objetivos do presente estudo foram: avaliar o nível de labilidade do C orgânico do solo após a conversão de pastagens degradadas em leguminosas; avaliar a influência da profundidade do solo na labilidade do C orgânico do solo. A área experimental consistiu em plantios puros de Acacia auriculiformis, Mimosa caesalpiniifolia e Inga sp., uma pastagem e uma mata secundária. O carbono orgânico oxidável foi determinado por oxidação úmida e permitiu a separação de quatro frações de acordo com o nível de labilidade (lábil, moderadamente lábil, moderadamente recalcitrante, recalcitrante). A fração lábil foi a fração predominante em todas as coberturas vegetais e profundidades. A conversão de pastagens degradadas em leguminosas florestais e a profundidade do solo promoveram mudanças na composição química do C. A deposição contínua de resíduos vegetais por 13 anos de leguminosas favoreceu a distribuição das frações lábil e moderadamente lábil ao longo do perfil do solo e da fração recalcitrante na camada superficial do solo. As coberturas de referência contribuíram para a fração recalcitrante no solo abaixo de 20 cm de profundidade.

ABSTRACT: The chemical fractionation of C by an increasing oxidation gradient, has shown to be a fast and promising methodology to detect changes in C lability. The objectives of the present study presents were: to evaluate the level of lability of soil organic C after conversion of degraded pasture into leguminous trees; evaluate the influence of soil depth on the lability of soil organic C. The experimental area consisted of pure plantations of Acacia auriculiformis, Mimosa caesalpiniifolia and Inga sp., a pasture and a secondary forest. The oxidizable organic carbon was determined by wet oxidation and allowed separation of four fractions according to the lability level (labile, moderately labile, moderately recalcitrant, recalcitrant). Labile fraction was the predominant fraction in all vegetation covers and depths. The conversion of degraded pasture into forest legume plantations and the soil depth promoted changes in the chemical composition of C. The continuous deposition of vegetable residues 13 years of leguminous trees favored the distribution of labile and moderately labile fractions along the soil profile and the recalcitrant fraction in the topsoil. The reference covers contributed to the recalcitrant fraction in the soil below 20 cm depth.

Abstract Understanding the effects of different production systems on arbuscular mycorrhizal fungi (AMF) can help to interpret interactions between their components and to define management strategies. As a result, our study was conducted on soils under three coffee production systems (one homogeneous and two heterogeneous) and in a native forest located in the Bahia state, Brazil. This study aimed to answer the following questions: 1) Does the organization and management of the coffee production system affect the occurrence and diversity of AMF?; and 2) Is the seasonality effect similar between systems? To do so, soil samples (0-10 cm depth) were collected at two times of the year (rainy and dry). Number of spores (NS) and average richness did not show differences between the systems, only between seasons. There was a reduction in NS in the dry season (1.4 and 2.7 spores g-1 soil) in relation to the rainy season (3.8 to 12.5 spores g-1 soil). The influence of coffee production systems was observed in the presence and absence of some AMF species. The AMF community was shown to be related to the plant species composition of the system, which was reflected in the dissimilarity of heterogeneous systems in relation to the coffee monoculture system.

ABSTRACT The muscular performance of the lumbar spine is frequently assessed in studies that compare populations with and without low back pain. However, the gold standard equipment used to evaluate the strength of these muscles has a high cost. Therefore, rarely used in the clinical practice of health professionals, being the handheld dynamometer an accessible alternative for use in clinical practice. Therefore, this study aimed to determine the reliability of the handheld dynamometer in the measurement of maximum voluntary isometric contraction of trunk extensors in healthy adults. Twenty-six healthy adults of both sexes (21.53± 1.88 years old) performed the test and retest with a 1-week interval. The comparison between test-retest demonstrated high and very high intraclass correlation coefficient for peak strength (0.82; 0.60 to 0.92) and mean strength (0.90; 0.76 to 0.95), respectively. Also, the Bland-Altman analyses indicate an error of 5.10 kg for peak strength and 5.7 kg for mean strength. In addition, the minimum detectable change for peak strength was 6.03kg (16.18%) and 5.92 kg for mean strength (20.95%). In conclusion, the test presents high reliability for the extensor muscles of the trunk in healthy adults. Therefore, the use of the handheld dynamometer can be indicated for clinical practice.

Resumo O processo de decomposição da serapilheira regula o acúmulo de matéria orgânica no solo e a ciclagem de nutrientes, desempenhando importante papel na manutenção de ecossistemas florestais. Objetivou-se avaliar a decomposição da fração foliar da serapilheira de plantios homogêneos de Bambusa vulgaris, Azadirachta indica e de Eucalyptus urophylla, utilizando como referência uma área de Floresta Estacional Semidecidual. As áreas de estudo estão localizadas no município de Vitória da Conquista, Bahia, Brasil. Para a avaliação da decomposição utilizou-se o método dos litterbags, sendo as coletas realizadas aos 30, 75, 120, 180, 240 e 350 dias. A partir dos resultados de massa remanescente, estimou-se a constante de decomposição (k) e o tempo de meia-vida. A serapilheira foliar foi submetida à análises químicas para determinação dos teores de carbono, nitrogênio, polifenóis, celulose e lignina. Ao final de um ano, bambu e nim indiano tiveram mais de 65% da sua serapilheira decomposta, com constantes k iguais a 0,0033 e 0,0069 g g-1 dia, respectivamente. O plantio de eucalipto e a floresta nativa apresentaram perdas de massa inferiores a 50% e valores de k menores que 0,0020 g g-1 dia. A serapilheira foliar do bambu e do nim indiano mostra-se mais propensa à decomposição, com taxas superiores ao eucalipto e à floresta nativa, o que proporciona a estas duas espécies uma maior capacidade de reciclar matéria orgânica e nutrientes.

Abstract The litter decomposition process regulates the accumulation of organic matter in the soil and the cycling of nutrients, playing an important role in the forest ecosystems maintenance. The objective of this study was to evaluate the decomposition of the leaf fraction in the litter from homogeneous plantations of Bambusa vulgaris, Azadirachta indica, and Eucalyptus urophylla, using as reference an area of seasonal semi-deciduous forest. The study areas are located in the city of Vitória da Conquista, Bahia, Brazil. To evaluate the decomposition, we used the litterbags method, collecting specimens on days 30, 75, 120, 180, 240, and 350. From the results of the remaining mass, we estimated the decomposition constant (k) and the half-life time. The leaf litter was submitted to chemical analyses to determine the contents of carbon, nitrogen, polyphenols, cellulose, and lignin. By the end of one year, more than 65% of the litter from bamboo and Indian neem had decomposed with constants k equal to 0.0033 and 0.0069 g g-1 day, respectively. The Eucalyptus plantation and the native forest presented a mass loss lower than 50% and k values below 0.0020 g g-1 day. The leaf litter from bamboo and Indian neem is more prone to decomposition, with rates higher compared to eucalyptus and the native forest, which gives these two species a greater capacity to recycle organic matter and nutrients.

RESUMO OBJETIVO Identificar o uso, abuso e dependência de álcool em idosos do ambulatório do Iamspe, por meio da aplicação do Audit, através da caracterização socioeconômica dos idosos e dos problemas associados pelo consumo e pesar se há relação entre depressão e uso abusivo ou dependência de álcool. MÉTODOS Trata-se de um estudo de corte transversal, exploratório e descritivo de abordagem quantitativa. Foram entrevistados cem pacientes idosos para aplicação de um formulário socioeconômico e de avaliação do consumo de álcool, a partir da Audit. RESULTADOS Verificou-se correlação entre o consumo de álcool e sexo feminino (p=0,021). A maioria dos participantes estava na faixa etária entre 60 e 79 anos, era do sexo feminino, tinha companheiro(a), com ensino fundamental completo, renda e casa próprias, era aposentada e desocupada. CONCLUSÃO No presente estudo não verificamos correlação entre abuso de álcool e depressão; somente foi encontrada a correlação entre sexo masculino e maior uso abusivo de álcool. No entanto, encontrou-se prevalência significativa de uso moderado a alto de álcool (3,9% em mulheres e 21,7% em homens), o que, por si, traz risco para a saúde de idosos.

SUMMARY OBJECTIVE To identify or use alcohol abuse and abuse in the IAMSPE elderly, through the application of AUDIT, socioeconomic characterization of the elderly, and problems associated with drinking and weight, if there is a relationship between depression and alcohol abuse. METHODS This is a cross-sectional, exploratory, and descriptive study with a quantitative approach. One hundred elderly patients were interviewed to apply a socioeconomic form and to assess alcohol consumption from AUDIT. RESULTS correlation between alcohol consumption and female gender (p = 0.021). Most of the participants were between 60 and 79 years old, were female, had a partner, had completed elementary school, had income and selected house, were retired and unemployed. CONCLUSION In the present study, we found no correlation between alcohol abuse and depression; Only one correlation was found between male gender and higher alcohol abuse. However, a significant prevalence of moderate use of high alcohol was found (3.9% in women and 21.7% in men), i.e., it poses a risk to the health of the elderly.

OBJECTIVES: To evaluate the effect of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous parasacral stimulation on the treatment of overactive bladder (OAB) in elderly people and to compare the final results between groups. METHODS: Fifty female volunteers, mean age 68.62 (±5.9) years, were randomly allocated into two groups: those receiving TTNS (G1, N=25) and those receiving transcutaneous parasacral stimulation (G2, N=25). The primary outcome was the International Consultation on Incontinence Questionnaire (ICIQ-OAB) score, and secondary outcomes were the International Consultation on Incontinence Questionnaire - short form (ICIQ-SF) score and 3-day bladder diary measurements. Volunteers were assessed before and after the treatment. Clinical Trials (ReBeC): RBR-9Q7J7Y. RESULTS: Both groups’ symptoms improved as measured by the ICIQ-OAB (G1 = <0.001; G2 = <0.001) and ICIQ-SF (G1 = <0.001; G2 = <0.001). In the 3-day bladder diary assessments after treatment, G1 showed a reduced number of nocturia (p<0.001), urgency (p<0.001) and urge urinary incontinence episodes (p<0.001), whereas G2 showed only a reduced number of nocturia episodes (p<0.001). No difference between groups was found. CONCLUSION: Both of the proposed treatments were effective in the improvement of OAB symptoms, but TTNS showed a reduction in a greater number of symptoms as measured by the 3-day bladder diary. No differences were found between groups.

Abstract There have been several transformations in the work environment and they have impacted the health of the worker. The hospital environment, recognized as an infectious-contagious and unhealthy environment, is also a place where there are professionals working with repetitive activities, prolonged use of the same positioning, exhaustive rhythm of work, including on-call duty, night shift, overload, productivity charge, accident risk, anti-allergic activities, and other working conditions that can cause several functional losses in the medium and long term. The Hospital implemented a Physical Exercise Program within the Worker's Health project, aimed at hospital employees, composed of periodic physical evaluation to monitor body composition and Pilates exercises and circuit to improve the quality of life and conducting scientific research in the interdisciplinary environment. This article is a report of experience to disseminate the interdisciplinary performance of the physical Education professional in a university hospital and the importance of the association of Professional Practice with science.

Resumo Nas últimas décadas ocorreram diversas transformações no ambiente de trabalho que têm repercutido na saúde do trabalhador. O ambiente hospitalar, reconhecido como um ambiente infectocontagioso e insalubre, é também um local em que profissionais trabalham desenvolvendo atividades repetitivas, uso prolongado de um mesmo posicionamento, ritmo exaustivo de trabalho, inclusive com regime de plantões, carga horária elevada, turno noturno, sobrecarga de trabalho e outras condições de trabalho, que em médio e longo prazo podem causar diversos prejuízos funcionais. Nesse sentido, foi planejado e implementado um programa de exercícios físicos para saúde do trabalhador, com a supervisão de um profissional de educação física, direcionado aos funcionários do hospital, composto por avaliação física periódica para acompanhamento da composição corporal e exercícios Pilates e Circuito para melhoria da qualidade de vida no trabalho e realização de pesquisa científica no ambiente interdisciplinar. Esse artigo é um relato de experiência para divulgação da atuação do profissional de educação física em um hospital universitário.