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Percorrer por autor "Pais, Sandra"

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  • 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis
    Publication . Osthoff, Anne-Kathrin Rausch; Niedermann, Karin; Braun, Juergen; Adams, Jo; Brodin, Nina; Dagfinrud, Hanne; Duruoz, Tuncay; Esbensen, Bente Appel; Guenther, Klaus-Peter; Hurkmans, Emailie; Juhl, Carsten Bogh; Kennedy, Norelee; Kiltz, Uta; Knittle, Keegan; Nurmohamed, Michael; Pais, Sandra; Severijns, Guy; Swinnen, Thijs Willem; Pitsillidou, Irene A.; Warburton, Louise; Yankov, Zhivko; Vlieland, Theodora P. M. Vliet
    Regular physical activity (PA) is increasingly promoted for people with rheumatic and musculoskeletal diseases as well as the general population. We evaluated if the public health recommendations for PA are applicable for people with inflammatory arthritis (iA; Rheumatoid Arthritis and Spondyloarthritis) and osteoarthritis (hip/knee OA) in order to develop evidence-based recommendations for advice and guidance on PA in clinical practice. The EULAR standardised operating procedures for the development of recommendations were followed. A task force (TF) (including rheumatologists, other medical specialists and physicians, health professionals, patient-representatives, methodologists) from 16 countries met twice. In the first TF meeting, 13 research questions to support a systematic literature review (SLR) were identified and defined. In the second meeting, the SLR evidence was presented and discussed before the recommendations, research agenda and education agenda were formulated. The TF developed and agreed on four overarching principles and 10 recommendations for PA in people with iA and OA. The mean level of agreement between the TF members ranged between 9.8 and 8.8. Given the evidence for its effectiveness, feasibility and safety, PA is advocated as integral part of standard care throughout the course of these diseases. Finally, the TF agreed on related research and education agendas. Evidence and expert opinion inform these recommendations to provide guidance in the development, conduct and evaluation of PA-interventions and promotion in people with iA and OA. It is advised that these recommendations should be implemented considering individual needs and national health systems.
    2018-09Artigo científico Acesso aberto Ver mais
  • 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older
    Publication . Adams, Jo; Wilson, Nicky; Hurkmans, Emalie; Bakkers, Margot; Balážová, Petra; Baxter, Mark; Blavnsfeldt, Anne-Birgitte; Briot, Karine; Chiari, Catharina; Cooper, Cyrus; Dragoi, Razvan Gabriel; Gäbler, Gabriele; Lems, Willem; Mosor, Erika; Pais, Sandra; Simon, Cornelia; Studenic, Paul; Tilley, Simon; de la Torre-Aboki, Jenny; Stamm, Tanja A
    Objective To establish European League Against Rheumatism (EULAR) points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older. Methods Points to consider were developed in accordance with EULAR standard operating procedures for EULAR-endorsed recommendations, led by an international multidisciplinary task force, including patient research partners and different health professionals from 10 European countries. Level of evidence and strength of recommendation were determined for each point to consider, and the mean level of agreement among the task force members was calculated. Results Two overarching principles and seven points to consider were formulated based on scientific evidence and the expert opinion of the task force. The two overarching principles focus on shared decisions between patients and non-physician health professionals and involvement of different non-physician health professionals in prevention and management of fragility fractures. Four points to consider relate to prevention: identification of patients at risk of fracture, fall risk evaluation, multicomponent interventions to prevent primary fracture and discouragement of smoking and overuse of alcohol. The remaining three focus on management of fragility fractures: exercise and nutritional interventions, the organisation and coordination of multidisciplinary services for post-fracture models of care and adherence to anti-osteoporosis medicines. The mean level of agreement among the task force for the overarching principles and the points to consider ranged between 8.4 and 9.6. Conclusion These first EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older serve to guide healthcare practice and education.
    2021Artigo científico Acesso aberto Ver mais
  • AB1258­HPR pilot study: does a mediterranean diet­based weight loss programme improve health outcomes in overweight older women with knee osteoarthritis?
    Publication . Caixinha, Mónica; Mateus, Maria Palma; Pais, Sandra; Pinto, Ezequiel
    Osteoarthritis (OA) is one of the leading causes of pain and disability among older adults, particularly women. Pain and mobility disability are major consequences of knee OA which and can interfere with the functional autonomy of elderly and thus, making it difficult to perform activities of daily living. Evidence suggests that obesity is strongly linked to knee OA and that non­pharmacological therapy should be based on physical activity and weight loss in case of overweight and obesity. A positive relationship between adherence to the Mediterranean diet and health outcomes has been widely discussed in scientific literature, including its potential benefits in weight loss.
    2015Documento de conferência Acesso aberto Ver mais
  • Ageing, Health-Related Quality of Life and Physical Activity – Evidence Based on the EQ-5D-5L
    Publication . Ferreira, Lara; Pais, Sandra; Ilchuk, Kateryna; Custódio Santos, Margarida
    As a result of increasingly senior populations worldwide, healthy ageing is becoming an important factor that can help reduce the burden of disease and disability and related healthcare costs. Previous research has shown that physical activity (PA) is crucial for healthier ageing and a better quality of life. This study sought to measure the PA and health-related quality of life (HRQoL) of people 55 years old or more. A sample of 202 senior adults completed a survey that comprised the EQ-5D-5L and other items assessing PA and activities of daily living (ADL) performance. Descriptive statistical analyses were carried out to characterise the sample and define its HRQoL. Non-parametric tests were used to compare the respondents' HRQoL according to sociodemographic variables and PA and ADL performance. The level of agreement between HRQoL and ADL scores was assessed using Spearman's rho. Sample subgroups were compared according to their age (i.e. nearly senior and senior) and sport and leisure time activities. Results show that HRQoL is lower for respondents with at least one diagnosed disease. Senior adults who take part in sport and leisure activities overall have a higher HRQoL, which is also impacted by the presence of at least one diagnosed disease and individuals' natural age-related issues. The results show the importance of preventing disease by helping senior adults engage in some level of PA given its impact on HRQoL. This research also confirmed that the EQ-5D-5L is a valid tool for measuring senior people's HRQoL.
    2021Artigo científico Acesso restrito Ver mais
  • Alimentação e nutrição na pessoa idosa
    Publication . Mateus, Maria; Popa, Cezara; Correia, Maria Marta; Pinto, Ezequiel; Meireles, Manuela; Braz, Nidia; Pais, Sandra
    Introdução: Com o aumento da esperança média de vida, aumenta a incidência e a prevalência de condições patológicas crónicas. Estas situações podem ser condicionadas pela alimentação e acarretam consequências no estado nutricional. Estas condições podem ser atenuadas com recurso a estratégias alimentares adequadas. Para melhorar a qualidade de vida da população idosa institucionalizada é fundamental a formação e a capacitação dos técnicos de instituições geriátricas sobre as principais condições que podem comprometer o estado nutricional dos seus utentes - desidratação, demência, disfagia e presença de doenças metabólicas crónicas, de forma a assegurar corretamente as suas necessidades nutricionais. Metodologia: A formação consistiu em sessões de 1h dinamizadas por nutricionistas com as seguintes temáticas: “Alimentação no idoso com demência, disfagia e hidratação” e “Doenças Metabólicas: Obesidade, Diabetes mellitus, Doenças cardiovasculares e Hipertensão arterial”. Abordaram-se as implicações destas situações no estado nutricional e apresentaram-se estratégias alimentares e nutricionais, para uma ingestão alimentar e hídrica adequadas. No final aplicaram-se questionários de avaliação dos conhecimentos adquiridos e da qualidade das formações. Resultados: A participação e aceitação nas 2 sessões realizadas (30 formandos) foi bastante positiva. A classificação global das sessões revelou resultados médios com 15,4% dos formandos a classificarem as formações como “Muito boa”, 76,9% “Boa” e 7,7%. “Suficiente”. Em média, 80% dos formandos atingiram os objetivos da sessão, conseguindo identificar, pelo menos, 4 estratégias para melhorar as situações apresentadas. Conclusão: Estas formações permitiram sensibilizar e capacitar os técnicos para a importância da alimentação como fator promotor de um envelhecimento com mais qualidade e vida.
    2019Documento de conferência Acesso aberto Ver mais
  • Atividade física e envelhecimento: guia para uma prática segura e regular em casa
    Publication . Pais, Sandra; Guerreiro, Pedro; Santos, Joana; Guerreiro, Carla; Botelho, Marta
    A prática regular de atividade física está associada a um decréscimo da morbilidade e mortalidade, assim como, ao contrário, a inatividade física faz parte dos principais fatores de risco de mortalidade a nível global.
    2021-03Livro Acesso aberto Ver mais
  • Avaliação geriátrica global da população do Algarve
    Publication . Braz, Nídia; Pais, Sandra; Cordeiro, Clara; Conde, Monserrat; Oliveira, Giovanna
    The ageing of population challenges communities to adapt and evolve to accommodate the needs of people that live longer (mostly out of work, either healthy, fragile or with chronic disease). Population ageing in the Algarve is higher than in overall Portugal. Studies on health conditions, frailty risk factors and elderly specific needs are undeveloped in Portugal and unknown in the Algarve. Objective To prepare a tool for Global Geriatric Evaluation, to be used in the “Survey of Health and Ageing in the Region of Algarve - SHARA”, a commitment to “European Innovation Partnership on Active and Healthy Ageing”. Methods A preliminary version of the screening tool, which includes well-known instruments to measure health condition (EASY-care), risk of fall (Tinetty), physical activity (Baecke’s modified questionnaire), nutritional condition (MNA), cognitive and depressive status (MMSE, Yesavage geriatric depression scale), together with socio-demographic characteristics, was applied to an independent sample of subjects from an elderly community centre - ARPI (“Associação de Reformados, Pensionistas e Idosos do Concelho de Faro”), with ages between 55 and 89. Results ARPI is mostly frequented by women, who either have risk of malnutrition or malnutrition incidence, a relevant risk of fall or are physically active. Those who live alone, show a higher risk of fall. Conclusions ARPI members are active, but with risk of malnutrition and fall, suggesting the relevance and importance of future interventions in these areas. The proposed screening tool showed to be adequate for the SHARA study, suitable to provide wider information on frailty.
    2014-05-09Outro Acesso aberto Ver mais
  • Building bridges for innovation in ageing: synergies between action groups of the EIP on AHA
    Publication . Bousquet, J.; Bewick, M.; Cano, A.; Eklund, P.; Fico, G.; Goswami, N.; Guldemond, N. A.; Henderson, D.; Hinkema, M. J.; Liotta, G.; Mair, A.; Van Ganse, E.; Nadif, R.; Vera-Munoz, C.; Nalin, M.; Navarro-Pardo, E.; Malva, J.; Nekam, K.; Ninot, G.; Bousquet, P. J.; Kuna, P.; Magnan, A.; Paccard, D.; Pais, Sandra; Palummeri, E.; Panzner, P.; Van Hage, M.; Avignon, A.; Papadopoulos, N. K.; Schmid-Grendelmeier, P.; Papanikolaou, C.; Visser, F.; D'Angelantonio, M.; Pavlickova, A.; Passalacqua, G.; Pastorino, M.; Pastor, E.; Perrot, M.; Plavec, D.; Popov, T. A.; Postma, D. S.; Van den Berge, M.; Schulz, H.; De Carlo, G.; Price, D.; Farrell, J.; Bachert, C.; Raffort, N.; Reuzeau, J. C.; Robalo-Cordeiro, C.; Robine, J. M.; Ventura, M. T.; Schunemann, H. J.; Serrano, E.; Cholley, D.; Fiocchi, A.; Macnee, W.; Correia-Da-Sousa, J.; Sheikh, A.; Bel, E.; Shields, M.; Siafakas, N.; Scichilone, N.; Siciliano, P.; Skrindo, I.; Chorin, F.; Ranberg, K. Andersen; Vergara, I.; Wagner, A.; Dedeu, T.; Smit, H. A.; Sruk, V.; Sourdet, S.; Sousa-Costa, E.; Spranger, O.; Benson, M.; Gouder, C.; Sooronbaev, T.; Carriazo, A. M.; Vezzani, G.; Vidal, D.; Ferrando, M.; Fletcher, M.; Koppelman, G. H.; Blasi, F.; Siciliano, P.; Viegi, G.; Combe, B.; Wagemann, M.; Whalley, B.; Wickman, M.; Wilson, N.; Yiallouros, P. K.; Ferri, M.; Zagar, M.; Fonseca, J.; Zaidi, A.; Crooks, G.; Compas, B.; Kotska, T.; Teixeira, A. M.; Zidarn, M.; Molloy, W.; Hoogerwerf, E. J.; Usero, J.; Bernard, P. L.; Zuffada, R.; Senn, A.; Marcucci, M.; Camuzat, T.; De Oliveira-Alves, B.; Gutter, Z.; Iaccarino, G.; Manuel De Keenoy, E.; Tsartara, S. I.; Kovac, M.; Moda, G.; Fokkens, W. J.; Rodriguez-Manas, L.; Barbara, C.; Baroni, I.; Vontetsianos, T.; Fougere, B.; Abreu, C.; Alonso, J.; Alonso-Bouzon, C.; Ankri, J.; Arredondo, M. T.; Valiulis, A.; Garcia-Lizana, F.; Avolio, F.; Bergmann, K. C.; Kull, I.; Bedbrook, A.; Bialoszewski, A. Z.; Gamkrelidze, A.; Blain, H.; Vasankari, T.; Guerin, O.; Hellings, P. W.; Rodenas, F.; Valero, A. L.; Costa, D. J.; Haahtela, T.; Kvedariene, V.; Illario, M.; Inzerilli, M. C.; Carlsen, K. C. Lodrup; Kardas, P.; Keil, T.; Bonini, S.; Vellas, B.; Robusto, F.; Costa, E.; Maggio, M.; Murray, R.; Mendez-Zorrilla, A.; Menditto, E.; Mercier, J.; Lepore, V.; Michel, J. P.; Branchini, B.; Vollenbroek-Hutten, M.; Wickman, M.; Coste, O.; Roche, N.; Sterk, P. J.; Roller-Wirnsberger, R. E.; Garces, G.; Yorgancioglu, A.; Zuberbier, T.; Barbagallo, M.; Canonica, G. W.; Klimek, L.; Maggi, S.; Coupet, A. -L.; Aberer, W.; Romano, A.; Akdis, C.; Brightling, C. E.; Todo-Bom, A.; Garcia-Aymeric, J.; Adcock, I. M.; Apostolo, J.; Agache, I.; Albera, C.; Majer, I.; Alonso-Trujillo, F.; Angel Guarcia, M.; Vandenplas, O.; Annesi-Maesano, I.; Bruguiere, V.; Bunu, C.; Bush, A.; Garcia-Zapirain, B.; Touchon, J.; Monaco, A.; Nizinska, A.; Caimmi, D. P.; Maggio, M.; Calderon, M. A.; Romano, V.; Canovas, G.; Cardona, V.; Carlsen, K. H.; Cesario, A.; Chkhartishvili, E.; Gemicioglu, B.; Crepaldi, G.; Chiron, R.; Tramontano, D.; Chivato, T.; Chung, K. F.; Rosado-Pinto, J.; Monsonis-Paya, I.; Hellquist-Dahl, B.; Custovic, A.; Dahl, R.; Bourret, R.; Samolinski, B.; Dahlen, S. E.; Triggiani, M.; Demoly, P.; Devillier, P.; Didier, A.; Dinh-Xuan, A. T.; Djukanovic, R.; Manning, P.; Hermosilla-Gimeno, I.; Cabrera-Umpierrez, M. F.; Dokic, D.; Emuzyte, R.; Papadopoulos, H.; Du Toit, G.; Dubakiene, R.; Tsartara, S. I.; Dupeyron, A.; Marti, T.; Heve, D.; Holland, C.; Catala, A.; Nogues, M.; Bescos, C.; Roubille, F.; Humbert, M.; Pecorelli, S.; Hyland, M.; Johnston, S. L.; Just, J.; Jutel, M.; Kaidashev, I. P.; O'Caoimh, R.; Khaitov, M.; Masoli, M.; O'Byrne-Maguire, I.; Ruiz, F.; Kalayci, O.; Kowalski, M.; Kalyoncu, A. F.; Keijser, W.; Kerstjens, H.; Prados-Torres, A.; Vandenplas, O.; Knezovic, J.; Melen, E.; Miculinic, N.; Mihaltan, F.; Ryan, D.; Pappa, D.; Arshad, S. H.; Somekh, D.; Valovirta, E.; Milenkovic, B.; Cesari, M.; Millot-Keurinck, J.; Mlinaric, H.; Momas, I.; Montefort, S.; Morais-Almeida, M.; Salcedo, T.; Moreno-Casbas, T.; Parent, A. S.; Moesges, R.; Mullol, J.; Chavannes, N. H.; Attalin, V.
    The Strategic Implementation Plan of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) proposed six Action Groups. After almost three years of activity, many achievements have been obtained through commitments or collaborative work of the Action Groups. However, they have often worked in silos and, consequently, synergies between Action Groups have been proposed to strengthen the triple win of the EIP on AHA. The paper presents the methodology and current status of the Task Force on EIP on AHA synergies. Synergies are in line with the Action Groups' new Renovated Action Plan (2016-2018) to ensure that their future objectives are coherent and fully connected. The outcomes and impact of synergies are using the Monitoring and Assessment Framework for the EIP on AHA (MAFEIP). Eight proposals for synergies have been approved by the Task Force: Five cross-cutting synergies which can be used for all current and future synergies as they consider overarching domains (appropriate polypharmacy, citizen empowerment, teaching and coaching on AHA, deployment of synergies to EU regions, Responsible Research and Innovation), and three cross-cutting synergies focussing on current Action Group activities (falls, frailty, integrated care and chronic respiratory diseases).
    2017-01Artigo científico Acesso aberto Ver mais
  • Can osteoarthritis, sarcopenia and body composition predict loss of function?
    Publication . Pais, Sandra; Botelho, Marta; Moreira, Rita; Guerreiro, Carla
    Background: Elderly populations e growing in the majority of Countries in the World. Portugal in currently among the 5 most aged counties with 23,4% of it´s population over 65 and an ageing index of 182[1]. Osteoarthritis is the 3rd cause of responsible for severe disability in adults over 60 years in developed and developing countries[2]. Lack of data at a national or regional level in Portugal compromises the ability to prepare for both health and care need of aged population. Simultaneously the region of Algarve has particular geographic characteristics with 49% of the population living within 2 km from the cost (in 9% of the Algarve’s Territory). Objectives: Are aim was to study our regional population, namely the incidence of Osteoarthritis (OA) and the relation of function ability with OA, Sarcopenia and Body composition.
    2023-06Artigo científico Acesso restrito Ver mais
  • Caraterização do circuito do medicamento em Instituições Geriátricas na Região do Algarve: Estudo piloto
    Publication . Espírito Santo, Margarida; Tãnia, Nascimento; Flávia, Lima; Pais, Sandra
    Este estudo teve como objetivo a caraterização do circuito do medicamento em instituições de cuidados geriátricos da região do Algarve: estrutura residencial para idosos (ERPI), centros de dia (CD) e serviço de apoio domiciliário (SAD).
    2020-11Documento de conferência Acesso aberto Ver mais