ASSOBRAFIR Ciência
https://assobrafirciencia.org/article/5ddfc5ad0e882544784ce1d5
ASSOBRAFIR Ciência
Artigo Original

Relação entre o nível de atividade física e o grau de obstrução das vias aéreas em pacientes com doença pulmonar obstrutiva crônica

Relation between physical activity level and degree of airway obstruction in patients with chronic obstructive pulmonary disease

Bruna da Silva Pinto Pinheiro Vieira, Filipe Tadeu Sant’Anna Athayde, Nathália Silveira e Silva, Ana Paula Moreira, Isabela Maria Braga Sclauser Pessoa, Marcelo Velloso

Downloads: 2
Views: 655

Resumo

Introdução: A utilização isolada de parâmetros espirométricos pode não ser apropriada para inferir sobre os diferentes componentes da funcionalidade dos pacientes com Doença Pulmonar Obstrutiva Crônica, de acordo com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Objetivo: Analisar a relação entre o grau de obstrução ao fluxo aéreo, medido por meio de variáveis espirométricas e o nível de atividade física em pacientes com DPOC, medido pelo questionário perfil de atividade humana (PAH). Métodos: Vinte pacientes com DPOC foram convidados a responder o questionário PAH por meio de entrevista. Em seguida, foram obtidos os valores espirométricos a partir dos prontuários fornecidos pelo hospital. A associação entre as variáveis foi analisada por correlações lineares por meio do coeficiente de Spearman. Considerou-se significativo um p<0,05. Resultados: Detectou-se correlação significativa entre o escore ajustado de atividade (EAA) e o volume expiratório forçado no primeiro segundo (VEF1 ), tanto em valor absoluto (r=0,568) quanto em percentual do previsto (r=0,524). No entanto, não houve correlação entre o fluxo expiratório forçado entre 25 e 75% da capacidade vital forçada (FEF25-75%) e os escores do PAH. Conclusão: O presente estudo apresenta correlações significativas, de fraca à moderada magnitude, entre os valores de VEF1 e os escores do PAH, sugerindo que quanto maior o grau de obstrução das vias aéreas, menor o nível funcional e nível de atividade física em pacientes com DPOC.

Palavras-chave

Reabilitação; Fisioterapia; Atividade Motora; Doença Pulmonar Obstrutiva Crônica.

Abstract

Background: The use of isolated spirometric parameters may not be appropriate to infer about the different components of functionality in patients with chronic obstructive pulmonary disease (COPD), according to the International Classification of Functioning, Disability and Health (ICF). Objective: To analyze the relationship between the degree of airflow obstruction, measured by spirometric variables, and the level of physical activity in patients with COPD, measured by the human activity profile questionnaire (HAP). Methods: Twenty patients with COPD were asked to answer the HAP questionnaire by interviews. Then, spirometric values were obtained from the records provided by the hospital. The association between variables was analyzed by linear correlations using the Spearman correlation coefficient. Statistical significance was set at p<0.05. Results: There was a significant correlation between adjusted activity score (AAS) and forced expiratory volume in the first second (FEV1 ), both in absolute value (r=0.568) and in percentage of predicted (r=0.524). However, there was no correlation between forced expiratory flow between 25% and 75% of forced vital capacity (FEF25-75%) and scores of HAP. Conclusion: This study presents significant correlations, from weak to moderate magnitude, between FEV1 values and the scores of HAP, suggesting that the higher the degree of airway obstruction, the lower the functional level and the level of physical activity in patients with COPD.

Keywords

Rehabilitation; Physiotherapy; Motor Activity; Pulmonary Disease, Chronic Obstructive.

Referências

1. Global Initiative for Chronic Obstructive Pulmonary Disease. Global Strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (update 2014). Available from: http://www.goldcopd.com

2. Sociedade Brasileira de Pneumologia e Tisiologia. II Consenso Brasileiro sobre Doença Pulmonar Obstrutiva Crônica. J Bras Pneumol. 2004 Nov;30(Supl 5):S1-S42.

3. Celli B, Goldstein R, Jardim J, Knobil K. Future perspectives in COPD. Respir Med. 2005 Dec;99(Suppl B):S41-8.

4. Miravitles M. Economic evaluation of the impact of chronic obstructive pulmonary disease and its acute exacerbations on Latin America. J Bras Pneumol. 2004 May-Jun;30(3):274-285.

5. Velloso M, Jardim JR. Functionality of patients with chronic obstructive pulmonary disease: energy conservation techniques. J Bras Pneumol. 2006 Nov-Dec;32(6):580-6.

6. Watz H, Waschki B, Meyer T, Magnussen H. Physical activity in patients with COPD. Eur Respir J. 2009 Feb;33(2):262-72.

7. Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005 May 1;171(9):972-7.

8. Pitta F, Troosters T, Probst VS, Spruit MA, Decramer M, Gosselink R. Physical activity and hospitalization for exacerbation of COPD. Chest. 2006 Mar;129(3):536-44.

9. Ong KC, Lu SJ, Soh CS. Does the multidimensional grading system (BODE) correspond to differences in health status of patients with COPD? Int J Chron Obstruct Pulmon Dis. 2006;1(1):91–6.

10. Sampaio RF, Mancini MC, Gonçalves GGP, Bittencourt NFN, Miranda AD, Fonseca ST. Aplicação da CIF na Prática Clínica do Fisioterapeuta. Rev Bras Fisioter. 2005 maio-ago;9(2):129-136.

11. Eisner MD, Iribarren C, Yelin EH, Sidney S, Katz PP, Ackerson L et al. Pulmonary function and the risk of functional limitation in chronic obstructive pulmonary disease. Am J Epidemiol. 2008 May 1;167(9):1090-1101.

12. Daughton DM, Fix AJ, Kass I, Bell CW, Patil KD. Maximum oxygen consumption and the ADAPT quality-of-life scale. Arch Phys Med Rehabil. 1982 Dec;63(12):620-2.

13. Souza AC, Magalhaes LC, Teixeira-Salmela LF. Cross-cultural adaptation and analysis of the psychometric properties in the Brazilian version of the Human Activity Profile. Cad Saude Publica. 2006 Dec;22(12):2623-36.

14. Almeida OP. Mini-exame do estado mental e o diagnóstico de demência no Brasil. Arq Neuropsiquiatr. 1998 set;56(3B):605-12.

15. Lourenco RA, Veras RP. Mini-Mental State Examination: psychometric characteristics in elderly outpatients. Rev Saude Publica. 2006 Aug;40(4):712-9. Portuguese.

16. Davidson M, de Morton N. A systematic review of the Human Activity Profile. Clin Rehabil. 2007 Feb;21(2):151-62.

17. Portney LG, Watkins MP. Single Subject Designs. In: Portney LG, Watkins MP, editors. Foundations of Clinical Research: Applications to Practice. New Jersey: Prentice-Hall; 2000. Chapter 12, p. 223-264.

18. Hajiro T, Nishimura K, Tsukino M, Ikeda A, Koyama H, Izumi T. Analysis of clinical methods used to evaluate dyspnea in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1998;158(4):1185-9.

19. Vilaró J, Resqueti VR, Fregonezi GAF. Clinical assessment of exercise capacity in patients with chronic obstructive pulmonary disease. Rev Bras Fisioter. 2008 Jul-Aug;12(4):249-59.

20. Pitta F, Troosters T, Probst VS, SpruiT MA, Decramer M, Gosselink R. Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur Respir J. 2006 May;27(5):1040-55.

21. Steele BG, Belza B, Cain K, Warms C, Coppersmith J, Howard J. Bodies in motion: Monitoring daily activity and exercise with motion sensors in people with chronic pulmonary disease. J Rehabil Res Dev. 2003 Sep-Oct;40(5 Suppl 2):45-58.

22. Daughton D, Fix AJ, Kass I, McDonald T, Stevens C. Relationship between a pulmonary function test (FEV1) and the ADAPT quality-of-life scale. Percept Mot Skills. 1983 Oct;57(2):359-62.

23. Nield M, Hoo GS, Roper J, Santiago S, Dracup K. Usefulness of the human activity profile, a functional performance measure, in people with chronic obstructive pulmonary disease. J Cardiopulm Rehabil. 2005 Mar-Apr;25(2):115-21.

24. Dourado VZ, Tanni SE, Vale SA, Faganello MM, Sanchez FF, Godoy I. Systemic manifestations in chronic obstructive pulmonary disease. J Bras Pneumol. 2006 Mar-Apr;32(2):161-71.

25. Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, et al. Interpretative Strategies for lung function tests. Eur Respir J. 2005 Nov;26(5):948-68.

26. Pitta F, Troosters T, Spruit MA, Decramer M, MD, Gosselink R. Activity Monitoring for Assessment of Physical Activities in Daily Life in Patients With Chronic Obstructive Pulmonary Disease. Arch Phys Med Rehabil. 2005 Oct;86(10):1979-85.

27. American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998 Jun;30(6):975–91.

28. Cooper CB. Airflow obstruction and exercise. Respir Med. 2009 Mar;103(3):325-34.

29. Garcia-Aymerich J, Farrero E, Félez MA, Izquierdo J, Marrades RM, Antó JM. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study.Thorax. 2003 Feb;58(2):100-5.

30. Marín Royo M, Pellicer Císcar C, González Villaescusa C, Bueso Fabra MJ, Aguar Benito C, Andreu Rodríguez AL, et al. Physical activity and its relationship with the state of health of stable copd patients. Arch Bronconeumol. 2011 Jul;47(7):335-42.

31. Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007 May;131(5 Suppl):4S-42S.

5ddfc5ad0e882544784ce1d5 assobrafir Articles
Links & Downloads

ASSOBRAFIR Ciência

Share this page
Page Sections