Maciel, Álvaro Campos CavalcantiVieira, Mariana Carmem Apolinário2021-03-222021-03-222020-02-27VIEIRA, Mariana Carmem Apolinário. História reprodutiva, risco cardiovascular e desempenho físico em mulheres de meia-idade e idosas: um estudo transversal. 2020. 148f. Tese (Doutorado em Fisioterapia) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2020.https://repositorio.ufrn.br/handle/123456789/31971Introduction: The aging process can be associated with an increase in the number of health problems, which may be related to events in the course of life, such as reproductive history. Among them, there is an increase in the prevalence of cardiovascular diseases and a decrease in physical performance, which may be responsible for reducing quality of life and increasing health-related costs. Objectives: To analyze the relationship between reproductive history, cardiovascular risk and physical performance in middle-age and elderly women. Materials and Methods: This is a cross-sectional and epidemiologic analytic observational study. The sample is composed by 40 to 80-years old women from Parnamirim and Santa Cruz, Rio Grande do Norte. The reproductive history variables (age of menarche, maternal age at first birth, parity and menopausal status) were self-reported. Physical performance was measured by the Short Physical Performance Battery, sit-to-stand test and unilateral stance test. The cardiovascular risk was determined by the Framingham Cardiovascular Risk Score. Information regarding sociodemographic, socioeconomical, body mass index, biochemical parameters and practice of physical activity were also collected. Multiple linear regression was performed among the variables that showed a statistical significance of p<0,20 in the bivariate analysis and Framingham Cardiovascular Risk Score for the first article. For the second articles, a multiple linear regression adjusted by age, years of study and physical activity was performed to estimate the relationship between the physical performance variables and the Framingham Cardiovascular Risk Score. Results: The sample was composed by 623 women. Regarding the first article, the participants presented a mean age of 53.4 (±9.1) years and 56.5% was in post-menopause. The mean of parity, age of menarche and maternal age at first childbirth were 3.26 (±2.21) children, 13.29 (±1.63) years old and 22.02 (±5.57) years old. The mean of the Framingham Cardiovascular Risk Score was 11.92 (±5.45) points. Number of children (β = 0.199, p = 0.01) and post-menopause (β = -1.601, p = 0.002) were associated to Framingham Cardiovascular Risk Score in linear regression. In the second article, 96 (15.2%) women were classified as high cardiovascular risk. Cardiovascular risk was statically significant for all physical performance variables in linear regression, in which those women classified as high cardiovascular risk presented lower scores in Short Physical Performance Battery (β = -0.30, CI 95% -0.643 : -0.007), chair stand test (β= 0.70, CI 95% 0.030 : 1.364) and unipodal balance test with eyes open (β= -3.50, CI 95% -5.525 : -0.446) when compared to the women classified as low cardiovascular risk. Conclusion: The present study observed that women with greater parity and who were in the post-menopause had higher scores for cardiovascular risk. In addition, those with high cardiovascular risk had worse physical performance. Thus, the need to investigate these factors is reinforced, through the implementation of new strategies for their prevention and reversion, seeking to reduce physical impairment and disability in middle-aged and elderly women.Acesso AbertoEnvelhecimentoDoenças cardiovascularesHistória reprodutivaDesempenho físico funcionaldoctoralThesis