Obesidade e asma: associação ou epifenômeno?

Andrade, Larissa Smiljanic; Araújo, Andrea Cristina T. B.; Cauduro, Tatiana Moraes; Watanabe, L.A.; Castro, Ana Paula Beltran Moschione; Jacob, Cristina Miuki Abe; Pastorino, Antônio Carlos

doi:10.1590/s0103-05822013000200002

Cited by 9 publications

(9 citation statements)

References 27 publications

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“…Perimeters of waist and hip: We will measure perimeters of waist and hip following the specific method [56]. An inextensible flexible tape 0.5 cm wide x 2 m long with an accuracy of 0.1 cm will be used.…”

Section: Methodsmentioning

confidence: 99%

Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial

Galiano‐Castillo

Ariza-García

Cantarero‐Villanueva

et al. 2013

Trials

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BackgroundBreast cancer survivors suffer physical impairment after oncology treatment. This impairment reduces quality of life (QoL) and increase the prevalence of handicaps associated to unhealthy lifestyle (for example, decreased aerobic capacity and strength, weight gain, and fatigue). Recent work has shown that exercise adapted to individual characteristics of patients is related to improved overall and disease-free survival. Nowadays, technological support using telerehabilitation systems is a promising strategy with great advantage of a quick and efficient contact with the health professional. It is not known the role of telerehabilitation through therapeutic exercise as a support tool to implement an active lifestyle which has been shown as an effective resource to improve fitness and reduce musculoskeletal disorders of these women.Methods / DesignThis study will use a two-arm, assessor blinded, parallel randomized controlled trial design. People will be eligible if: their diagnosis is of stages I, II, or IIIA breast cancer; they are without chronic disease or orthopedic issues that would interfere with ability to participate in a physical activity program; they had access to the Internet and basic knowledge of computer use or living with a relative who has this knowledge; they had completed adjuvant therapy except for hormone therapy and not have a history of cancer recurrence; and they have an interest in improving lifestyle. Participants will be randomized into e-CUIDATE or usual care groups. E-CUIDATE give participants access to a range of contents: planning exercise arranged in series with breathing exercises, mobility, strength, and stretching. All of these exercises will be assigned to women in the telerehabilitation group according to perceived needs. The control group will be asked to maintain their usual routine. Study endpoints will be assessed after 8 weeks (immediate effects) and after 6 months. The primary outcome will be QoL measured by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 version 3.0 and breast module called The European Organization for Research and Treatment of Cancer Breast Cancer-Specific Quality of Life questionnaire. The secondary outcomes: pain (algometry, Visual Analogue Scale, Brief Pain Inventory short form); body composition; physical measurement (abdominal test, handgrip strength, back muscle strength, and multiple sit-to-stand test); cardiorespiratory fitness (International Fitness Scale, 6-minute walk test, International Physical Activity Questionnaire-Short Form); fatigue (Piper Fatigue Scale and Borg Fatigue Scale); anxiety and depression (Hospital Anxiety and Depression Scale); cognitive function (Trail Making Test and Auditory Consonant Trigram); accelerometry; lymphedema; and anthropometric perimeters.DiscussionThis study investigates the feasibility and effectiveness of a telerehabilitation system during adjuvant treatment of patients with breast cancer. If this treatment option is effective, telehealth syst...

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Section: Methodsmentioning

confidence: 99%

Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial

Galiano‐Castillo

Ariza-García

Cantarero‐Villanueva

et al. 2013

Trials

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“…Die Literatur zu diesem Artikel finden Sie online unter www.adipositas-journal.de litten (40,41). Eine Studie an erwachsenen Asthmatikern zeigte, dass eutrophe Asthmatiker ein signifikant höheres Level von Kindern signifikant häufiger positive Reaktionen auf hypertone Kochsalzlösung als bei einer normalgewichtigen Vergleichsgruppe festgestellt (39).…”

Section: Interessenkonfliktunclassified

Stellt Übergewicht ein Risiko für die Entwicklung von Asthma bronchiale im Kindes- und Jugendalter dar?

Gramß¹,

Hiemisch²,

Kieß³

2016

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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ZusammenfassungIn den letzten beiden Jahrzehnten stiegen die Prävalenzen von Asthma bronchiale und Übergewicht parallel an. Für beide Erkrankungen werden ähnliche Ursachen diskutiert: umweltbezogene, genetische, sozioökonomische Faktoren und sogar die Einflussnahme durch Adipokine. Außerdem rückte das Übergewicht als potenzieller Auslöser und begünstigender Faktor von Asthma bronchiale in den Fokus der Forschung. Der BMI ist sowohl mit der Diagnose Asthma als auch mit dem Symptom „wheezing” positiv korreliert. Übergewichtige Kinder weisen größere IgESpiegel und häufiger Atopien auf. Jedoch zeigen Kinder mit größerem BMI häufiger nichtatopisches als atopisches Asthma bronchiale. Zudem sind allergische Tests wie bronchiale Hyperreagibilität und Skin Prick Tests bei adipösen Kindern nicht häufiger positiv als bei normalgewichtigen Kindern. Die Lungenfunktionswerte bei Übergewicht werden häufig als Minderung des Tiffeneau-Index (FEV1/FVK) beschrieben. Allerdings ist auch hier der Zusammenhang noch unklar, vor allem die Reaktion adipöser Kinder auf medikamentöse Broncholyse als Bestandteil der Spirometrie-Testung. Die nicht durchgängig einheitlichen und teilweise nicht signifikanten Studienergebnisse lassen daher nicht auf eine unmittelbare Verbindung von Asthma und Adipositas oder auf den Einfluss von Kovariablen auf deren Verhältnis schließen. Die LIFE Child-Kohorte soll zur Klärung offener Fragen beitragen.

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“…É uma das mais comuns condições crônicas que afetam tanto crianças quanto adultos, sendo um problema mundial de saúde, acometendo cerca de 300 milhões de indivíduos, com elevada prevalência na infância. O projeto International Study of Asthma and Allergies in Childhood (ISAAC), em sua fase III, incluiu dados de várias cidades brasileiras entre os anos de 2001 e 2005, identificando prevalência de asma entre 21-22% em adolescentes de 13 a 14 anos [2].…”

Section: Introductionunclassified

Estado nutricional antropométrico e qualidade de vida em escolares com asma

Mendes

Strassburger

Franz

et al. 2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. . Comparando a qualidade de vida entre os grupos, no grupo com asma foram observados escores menores no domínio bem-estar físico (p<0,001) e no escore total de qualidade de vida (p=0,003). Nos escolares com asma e sobrepeso/obesidade, a média do escore no domínio bem-estar físico apresentou-se menor quando comparado ao grupo sem asma e eutrófico (p=0,010). Conclusões: Quando comparados escolares entre sete e 18 anos com e sem história de asma, a asma associou-se com pior qualidade de vida. Considerando-se sobrepeso e obesidade como comorbidades, a qualidade de vida foi pior para esse grupo de escolares no domínio bem-estar físico.DESCRITORES: asma; antropometria; saúde do adolescente; qualidade de vida. ABSTRACTAims: To investigate the relationship between anthropometric status and quality of life in children with asthma. Methods: Case-control study, including students from third to eighth grade of elementary school at the city of Ijuí, Rio Grande do Sul, Brazil. The first phase of the study consisted of a cross-sectional study, when a questionnaire of screening was sent to the students' homes to be completed by the parents or guardians, aiming to identify children with asthma, which were allocated to the group of cases (positive responses to cough, wheezing without colds, use of any medication for asthma in the last 12 months and/or medical diagnosis of asthma). For the control group, students matched by sex and age whose responses were negative for asthma were selected, at the rate of two controls for each case. The children received home visits from trained researchers, who presented to the participants and their parents/guardians a questionnaire about health related quality of life. Evaluation of anthropometric status was carried out at the schools by the researchers. Results: In the first phase od the study 1,691 students were investigated, and 184 (10.8%) were classified as having asthma. Of these, 486 students responded to the questionnaire of quality of life: 122 with asthma and 364 controls. Anthropometric assessment was performed in 414 children (106 cases and 308 controls). Eutrophic children totaled 237 (57.2%), low weight 8 (1.9%), overweight 90 (21.7%) and obese 79 (19.1%). Overweight/obesity was observed in 49 (46.2%) students of the group with asthma and in 120 (38.9%) in the control group (p<0.001). When comparing the quality of life between the groups, lower scores were observed among the asthma group in the physical well-being domain (p<0.001) and in the total score of quality of life (p=0.003). In children with asthma plus overweight/obesity, the mean score on the physical well-being domain was lower when compared to the group without asthma and eutrophic (p=0.010). Conclusions: When comparing students between seven and 18 years with or without history of asthma, ast...

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Obesidade e asma: associação ou epifenômeno?

Abstract: In this study, no significant correlation was found between overweight/obesity and asthma using clinical, anthropometric and spirometric parameters.

Cited by 9 publications

References 27 publications

Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial

Telehealth system (e-CUIDATE) to improve quality of life in breast cancer survivors: rationale and study protocol for a randomized clinical trial

Stellt Übergewicht ein Risiko für die Entwicklung von Asthma bronchiale im Kindes- und Jugendalter dar?

Estado nutricional antropométrico e qualidade de vida em escolares com asma

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