A atividade física promove o comportamento adaptativo, aptidão física e qualidade de vida de adultos com dificuldade intelectual e desenvolvimental?

Diz, Susana; Gomes, Fernando; Santos, Sofia

doi:10.1590/rbce.43.e001621

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ORIGINAL ARTICLE • Rev. Bras. Ciênc. Esporte 43 • 2021 • https://doi.org/10.1590/rbce.43.e001621 linkcopiar

A atividade física promove o comportamento adaptativo, aptidão física e qualidade de vida de adultos com dificuldade intelectual e desenvolvimental?

Autoria SCIMAGO INSTITUTIONS RANKINGS

Os efeitos de um programa de atividade física no comportamento adaptativo, proficiência motora, aptidão física e qualidade de vida de 16 adultos com dificuldade intelectual foram analisados. As versões Portuguesas das Escalas de Comportamento Adaptativo, Pessoal de Resultados, Teste de Proficiência Motora Bruininsky-Oseretsky e Fullerton foram aplicada antes, após e um mês após o programa. Os testes de Mann-Whitney e Wilcoxon foram aplicados, com correção manual de Bonferroni. O grupo de controlo estabilizou o desempenho, o grupo experimental melhorou na maioria dos domínios, como a socialização (p<0.005), a responsabilidade (p<0.005) e a flexão do antebraço (p<0.01). Resultados pedem intervenções personalizadas para melhorar os níveis de AF dos adultos com DI.

Palavras-chave:
Atividade moderada; Saúde; Aprendizagem em adultos; Bem-estar; Qualidade de vida

PABS – domains	GC vs. GE Mann-Whitney Test			Control Group (Wilcoxon test)		Experimental Group (Wilcoxon test)
PABS – domains	BAS	FEv	REv	BAS vs. FEv	FEv vs. REv	BAS vs. FEv	FEv vs. REv
Independent Functioning	.59	.59	.75	1.00	1.00	.32	.18
Physical Development	.19	.22	.79	.03	.06	.52	1.00
Economic Activity	.59	.71	.71	1.00	1.00	.18	1.00
Language Development	1.00	1,00	1.00	.32	.32	.56	.32
Numbers/Time	.92	.92	.92	1.00	1.00	1.00	1.00
Domestic Activity	.43	.49	.49	.32	.32	.07	1.00
Pre-Professional Activity	.79	.79	.71	1.00	.32	1.00	1.00
Self-Direction	.63	.32	.34	.32	.32	.03	.32
Responsibility	.56	.48	.83	.05	.02	.03	.005 (r=.35)
Socialization	.19	.37	.37	.046	.005 (r=.35)	.03	.005 (r=.35)
Social Behavior	.15	.11	.11	.66	1.00	1.00	1.00
Conformity	.18	.18	.18	.32	.32	1.00	1.00
Trustworthiness	.92	.96	.92	.18	.16	1.00	1.00
Stereotyped & Hyperactive Behavior	1.00	.92	.96	.32	1.00	.32	.32
Sexual Behavior	.24	.24	.24	1.00	1.00	1.00	1.00
Self-abusive Behavior	.70	.70	.45	1.00	1.00	1.00	.32
Social Engagement	.25	.25	.25	1.00	1.00	1.00	1.00
Disturbing Interpersonal Behavior	.46	.46	.34	1.00	.049	1.00	.26
Total	.92	.75	.80	.67	.39	.01 (r=.32)	.016

Areas	Control vs. Experimental Group MW			Control Group (W)		Experimental Group (W)
Areas	BAS	FEv	REv	BAS vs. FEv	FEv vs. REv	BAS vs. FEv	FEv vs. REv
Fine Manual Precision	.19	.15	.20	.71	.16	.46	.16
Fine Motor Integration	.15	.08	.08	.48	.19	.66	.10
Manual Dexterity	.31	.17	.22	.16	.53	.06	.16
Upper Limbs Coordination	.53	.06	.12	.32	1.00	.03	.03
Balance	.75	.04	.03	.053	.21	.04	.04
Run Speed/ Agility	.33	.87	.33	.16	.16	.50	.50
Strenght	1.00	.07	.02	.71	.06	.018	.16
Total	.56	.12	.09	.57	.61	.016	.53
Attention	.25	.02	.03	.32	.56	.08	.32
Fluidity of Movement	.37	.03	.03	1.00	1.00	.03	1.00
Effort	.009	.008(r=.21)	.003(r=.19)	1.00	.32	.32	.32
Comprehension	.32	.32	.32	1.00	1.00	1.00	1.00

Items	Control vs. Experimental Group (MW)			Control Group (W)		Experimental Group (W)
Items	BAS	FEv	REv	BAS vs. FEv	FEv vs. Rev	BAS vs. FEv	FEv vs. Rev
Weight_kg	.46	.46	.46	.26	.04	.67	.48
30s chair stand	.29	.007(r=.17)	.009(r=.16)	.06	1.0	.38	.22
Arm curl	.71	.01 (r=.15)	.01 (r=.16)	.34	.047	.01(r=.32)	.046
sit&reach_left leg	.56	.15	.20	.88	.07	.07	.26
sit&reach_right leg	.24	.10	.12	.60	.20	.20	.33
2.44 up & go	.25	.09	.07	.78	.04	.16	.16
Back scratch_left arm	.88	.09	.25	.40	.05	.09	.22
Back_scratch right arm	.40	.14	.14	.18	.89	.01(r=.32)	.14
6min/m walk	.23	.08	.04	.05	.02	.33	.01 (r=.31)

Self-Report	CG vs. EG (MW)			CGroup (W)		EG (W)
Self-Report	BAS	FEv	REv	BAS vs. FEv	FEv vs. REv	BAS vs. FEv	FEv vs. REv
PD	.30	.96	.56	.18	.18	.02	.56
SD	.14	.59	.71	.71	.32	.07	.10
IR	.20	.67	.19	.02	.26	.26	.56
SI	.59	.91	.96	.06	1.00	.04	1.00
R	.52	.63	.63	1.00	1.00	.08	1.00
EWB	.08	.25	.21	.56	.32	.41	1.00
PWB	.79	.23	.16	.58	.16	.02	.32
MWB	.26	.20	.20	.16	1.00	.19	1.00
QoL_SR	.88	.60	.49	.03	.10	.02	.20
Proxy
PD	.49	.96	.71	.18	.16	.03	.16
SD	.34	.33	.55	.56	1.00	.08	.16
IR	.36	.15	.11	.32	.32	.10	1.00
SI	.52	.83	.70	.32	1.00	.05	.32
R	.55	.83	.83	.17	1.00	.32	1.00
EWB	.26	.52	.60	.60	.32	.10	1.00
PWB	.28	.75	.52	.10	.18	.03	.16
MWB	.30	.33	.33	.30	1.00	1.00	1.00
QoL_PR	.40	.75	.92	.91	.18	.01 (r=.32)	.03

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[1] p <.0126; BAS = baseline; FEv = Final evaluation; REv = Retention evaluation; r = effect size; GC = Control Group; GE = Experimental Group