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UNIVERSIDADE ESTADUAL DE CAMPINAS Faculdade De Educação Física

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UNIVERSIDADE ESTADUAL DE CAMPINAS Faculdade De Educação Física UNIVERSIDADE ESTADUAL DE CAMPINAS Faculdade de Educação Física HÉLIO JOSÉ COELHO JUNIOR FRAILTY: PREVALENCE, ASSOCIATED FACTORS AND TREATMENT THROUGH RESISTANCE TRAINING FRAGILIDADE: PREVALÊNCIA, FATORES ASSOCIADOS E TRATAMENTO ATRAVÉS DO TREINAMENTO DE FORÇA CAMPINAS 2019 HÉLIO JOSÉ COELHO JUNIOR FRAILTY: PREVALENCE, ASSOCIATED FACTORS AND TREATMENT THROUGH RESISTANCE TRAINING FRAGILIDADE: PREVALÊNCIA, FATORES ASSOCIADOS E TRATAMENTO ATRAVÉS DO TREINAMENTO DE FORÇA Thesis presented to the Faculty of Physical Education of the University of Campinas in partial fulfillment of the requirements for the degree of Doctor, in the area of adapted physical activity. Supervisor: MARCO CARLOS UCHIDA Co-supervisor: BRUNO RODRIGUES ESTE TRABALHO CORRESPONDE À VERSÃO FINAL DA TESE DEFENDIDA PELO ALUNO HÉLIO JOSÉ COELHO JUNIOR, E ORIENTADA PELO PROF. DR. MARCO CARLOS UCHIDA CAMPINAS 2019 Comissão Examinadora Marco Carlos Uchida (Presidente) Emanuele Marzetti Reury Frank Pereira Bacurau Eduardo Lusa Cadore Lígia de Moraes Antunes Correa A Ata da defesa com as respectivas assinaturas dos membros encontra-se no SIGA/Sistema de Fluxo de Dissertação/Tese e na Secretaria do Programa da Unidade. AGRADECIMENTOS Prof. Dr. Marco Carlos Uchida. Sensei, há quase 10 anos o senhor me acolheu como um filho e me ajudou na escolha dos caminhos ao longo dessa jornada. Que orgulho em dizer que o senhor é, não só o meu orientador, mas o meu mentor: um pai científico, seja lá o que isso queira dizer. Obrigado por todo o companheirismo e carinho, por ter aceitado dividir comigo momentos em que o senhor podia apenas se abster. Obrigado pelas conversas incansáveis e por me presentear com uma amizade muita sincera, aceitando as minhas limitações. Aliás, me desculpe pelos momentos de fraqueza. Um doutor é muito mais que um “paper”, certo? Obrigado pelas reflexões em relação às minhas quedas, erros e fracassos, evitando que estes se tornassem motivo de autopiedade, e construindo um caráter mais resiliente. Eu me sinto treinado por um antigo samurai, o qual me ensinou o Bushidô, e cabe a mim usá-lo. É como se a primeira parte do treinamento tivesse terminado e agora receberei minha katana ou minha armadura de ouro para assim trilhar o meu caminho. Não sozinho! Porque sei que o senhor continuará comigo e sua sapiência e ensinamentos estarão comigo em minhas atitudes. Como Dohko de libra, o senhor me ensinou que o equilíbrio é necessário, a balança não pode pender muito para um lado, nem para o outro. A última década me moldou e o senhor é um dos responsáveis por isso. Muito obrigado! Oss! Mãe, Edna Antônia Refundine. Exemplo de garra, de trabalho, de foco. Uma ótima cozinheira, sempre me deixou muita claro a receita para conquistar os meus desejos: “Acordar muito cedo, trabalhar muito durante o dia, conversar pouco com aqueles que não tem o que fazer, e dormir muito tarde”. Minha primeira fornecedora de livros e café. Sr. Geraldo Refundine (Nego), in memorian. Meu primeiro orientador: passava horas me ensinando coisas que eu só consegui (creio eu) entender muito mais tarde. Que falta o senhor me faz. Gostaria de escutar sua reflexão sobre a minha tese. Infelizmente, foi o máximo que consegui, me desculpe. Obrigado por ainda hoje ser o meu Norte. A Heloá Cataria Coelho (Chata). Obrigado por toda a força! Não teria feito sem você. A Dejanira Terezinha dos Santos Refundine. Vó, o que seria de mim sem as suas orações? Tenho certeza de que são elas que me levam para frente. Muito obrigado por ser a minha amigona, “pau para toda obra”. Sei que posso contar sempre com a senhora. Dott. Emanule Marzetti, Bazzi, Heeman, Ema! Dai, Bazzi! Mamma mia, come sei stato carino con me. Mi hai abbracciato e capito i miei momenti de debolezze e necessità, anche se sono brasiliano, nero, povero e grasso. Grazie per me avermi ascoltato e rispettato sempre. Grazie per i viaggi, le cene, le chiacchierate. Non lo sai quanto mi hai fatto crescere “alla clinica” e come ricercatore. Grazie per la opportunità che mi hai regalato di lavorare con tante cose diversi, come i pazienti con Down. Grazie per la pazienza di insegnarmi e di scrivere insieme a me. Lo sai che quando sono tornato in Brasile, non riuscivo a scrivere senza ascoltare “ma si vede che si fa capire bene quando vuole...; tutte le sere ne accompagna a casa una diversa...”. Sarò un ricercatore eccezionale come te un giorno, fidati! Sra. Simone Malfatti Ganade Ide, responsável pela secretaria do PPG/FEF. Mais uma vez, não tenho palavras para agradecê-la por toda a atenção e paciência durante todo o meu doutorado. A senhora merece um busto na FEF. Muito obrigado por tudo, de coração. Prof. Ms. Samuel da Silva Aguiar. Negão, parceiro, você estava aqui desde o começo e sempre me ensinou muito. Obrigado não só pela ajuda nas coletas, mas pelos cafés e conversas. No fim, toda nossa filosofia e pragmatismo não nos levarão a lugar nenhum, mas nos fazem rir bastante. Muito obrigado, irmão. Prof. Marcos Cenedeze, amigo, tio, parceiro de documentários sobre a segunda guerra, pizzas, e vinho barato. Obrigado por todos os conselhos e força que o senhor me deu durante esse período. Seu acolhimento meu deu suporte nos momentos mais difíceis. Dott.ssa Picca, Pikles, Nanno di giardino! Come faceva bene arrivare lì e vedere il tuo sorriso. Sei sicuramente la dottoressa più bella e più bassa al sud di Roma. Grazie per la tua pazienza (o no) con me. Anche se con tutta questa cattiveria nel cuore, mi hai regalato momenti felicissimi. Grazie mille per tutto. Sei stata essenziale! Dott. Riccardo Calvani, Mano, Luigi! Ricca, mano, ma che figata conoscerti. Sempre preoccupato se io avevo da mangiare, se io avevo preso il caffè, se era tutto apposto. Grazie per insegnarmi il romano proprio, quello di Roma sud, le parolacce, e certo, come possiamo dimenticarci delle bestemmie. Madonna, come mi piacevano le nostre lezioni. Ricca, grazie per la pazienza con me. Grazie per fidarti del mio lavoro. Dott. Luca Mariotti. Dai che questa è tua, Lucca! Alla fine, sono sicuro che nessuno di noi è rimasto con la sfortuna delle suore. Principalmente perché io andavo sempre con la mano in tasca. Lucca, grazie mille per tutto che hai fatto per me. Sempre preoccupato se era tutto apposto, se io stavo conoscendo le cose che io dovevo. Se crescevo anche culturalmente. Sei troppo bravo, Lucca! Dott.ssa. Giulia Severa (Freeddeericcoooo) e Dott. Damiano Biscotti! Ma che coppia, Dio mio! Allora, voi siete stati bravissimi con me. Grazie per le cene, le chiacchierate, le serrate. Giulietta, grazie per la confidenza, per le sigarette, per ricordarmi di quello che io non potevo fare dopo il secondo bicchieri di vino. Bomberone, grazie per tutto! Che giocatore che sei! Non perdi questa l’anima per niente, va bene? “Mi dispiace devo andare...” o pure “ Mi ricordi che rivivo in tante cose...nananana“. Dott. Matteo Tosato. Grandissimo! Sempre pronto per un caffè. Matt, sempre carino con me. Grazie per tutti i caffè e chiacchierate. Ancora mancha la serata del vino... Dott.ssa. Marianna Broccatelli e Dott.ssa. Marihelena. Prima che siete bellissimi, e questo già mi faceva bene nella mattina. Grazie per tutte i momenti che mi avete scaldato il cuore e preso cura di me. Dott. Angelo Carfi. Grazie per la pazienza e per avermi insegnato tanto sui pazienti con Down. Porterò sempre con me il rispetto e la umanità che hai con i pazienti. Sicuramente, sei il dottore più bravo che io ho mai visto. Dott.ssa. Daniela Ronconi. Oh Dio! Va bene, è un po’ difficile ringraziarti dopo tutti gli schiaffi e calci che mi hai dato. Però, già che hai scelto io mio nome per tuo figlio ti perdono. Grazie per i momenti de risate e lavoro insieme. Signora Anna Maria. Ma come mi mancano questi bracci grassi, Mamma mia! Grazie per tutte le cose belli che mi dicevi. Grazie per tutto il cibo anche se errano per Riccardo, ma non mi importa. Claudio, Nonno. AVE CLAUDIUS! Nonno, vabbè, quante persone si conosci al mondo con 147 anni che ancora lavorano come te? Allora, guarda, mi Raccomando con troppo caffè che tu non sei più un ragazzino, ok? Prendi il vino, mangia la carbonara e non pensi tanto su le cose. Grazie per tutto! Dott.ssa. Cipriani, Dott.ssa. Lo Monaco, e Dott. Fusco, grazie per avermi accettato in quella stanza. Grazie per sempre avermi trattato con il massimo di rispetto. Siete sempre stati carinissimi con me. Dott. Graziano Onder. Grazie per permettere che io vedesse i pazienti con Down. Dott. Augusto. Augusto, sempre con una parolaccia nella mattina. Grazie per tutto! Prof. Francesco Landi. Grazie per avermi ricevuto e per tutto il rispetto che mi hai dato. Prof. Roberto Bernarbei. Professore, grazie mille per avere accettato la mia richiesta per studiare a Gemelli. Sono stato contentissimo nel suo dipartimento. La ringrazio per questa opportunità. Ai colleghi del dipartimento, ai baristi e a tutti quelli che mi hanno regalato momenti di felicità. Prof. Dr. Bruno Rodrigues. Obrigado pela confiança e pelas oportunidades que o senhor me deu no começo dessa jornada. O senhor foi um grande motivador para que eu crescesse. Que tenhamos aprendido com os erros e possamos amadurecer sempre, não só naquilo que diz respeito à pesquisa científica, mas como seres humanos. Prof. Edison Duarte. Obrigado pela honra em tê-lo na minha qualificação e obrigado pelas considerações na minha tese. Dra. Juliana Costa Zwarg, fisioterapeuta do Lar Mãe Mariana. Passamos das discussões acaloradas para uma homeostase relativa, verdade? Obrigado por todo o seu carinho comigo, desde o café que você me trazia até as exaustivas coletas de dados. Obrigado por toda a paciência, ensinamentos e motivação.
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