Assessment of functional performance in Chagas heart disease by Human Activity Profile questionnaire

Costa, Henrique Silveira; Lima, Márcia Maria Oliveira; Vieira, Carlos Filipe Delmondes; Silva, Whesley T.; Nunes, Maria do Carmo Pereira; Rocha, Manoel Otávio Costa; Lima, Vanessa Pereira de; Lacerda, Ana Cristina Rodrigues; Mendonça, Vanessa Amaral; Figueiredo, Pedro Henrique Scheidt

doi:10.1080/09638288.2019.1653999

Cited by 7 publications

(5 citation statements)

References 29 publications

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“…Nesse contexto, insere-se o exercício físico como alterativa favorável à melhora da capacidade funcional desses indivíduos [7][8][9] . Utilizando-se do Questionário de Perfil de Atividade Humana, Costa et al, em 2019, avaliaram a associação entre essa ferramenta, a capacidade funcional, a classe funcional e função sistólica em indivíduos com CC7 Sexo, idade mais avançada, classe funcional (NYHA II e III), pressão sistólica e diastólica, índice de massa corporal e o baixo consumo de oxigênio foram associados com menores valores obtidos no questionário, demonstrando o impacto da doença sobre a capacidade para realização de atividades de vida diária (AVDs) por esses indivíduos 7 .…”

Section: Introductionunclassified

Estilo de vida e nível de atividade física de indivíduos portadores de miocardiopatia chagásica

et al. 2021

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INTRODUÇÃO: A doença de Chagas (DC) constitui uma infecção parasitária causada pelo protozoário flagelado Tripanosoma cruzi. Estimativas apontam a existência de, aproximadamente, cinco milhões de indivíduos infectados, principalmente, na América Latina, com o Brasil datando entre 1,9 a 4,6 milhões de indivíduos sob o mesmo aspecto infeccioso. O desfecho cardíaco configura um dos aspectos mais importantes, com manifestações condizentes à disfunção ventricular sistólica ou diastólica, disfunção autonômica cardíaca e morte súbita. OBJETIVO: correlacionar o estilo de vida e o nível de atividade física de indivíduos portadores de miocardiopatia chagásica (MC). MATERIAL E MÉTODOS: Realizou-se um estudo analítico, de corte transversal, em ambulatório de referência para Miocardiopatias, com abrangência estadual. Utilizou-se formulário próprio construído pelas autoras, o qual contemplava além das variáveis clínicas e demográficas, variáveis relativas à análise do estilo de vida e atividade física dos participantes, sendo esse aplicado em sala de espera, enquanto os sujeitos aguardavam atendimento médico. RESULTADOS: Foram selecionados 74 indivíduos portadores de MC. A média de idade da amostra foi de 61,2 ± 8,5 anos, sendo que 50 (68,0%) indivíduos eram do sexo feminino. Em relação ao nível de atividade física, houve predomínio da categoria “não ativo”, correspondendo a 60 indivíduos (71,0%). O estilo de vida foi classificado como “muito bom” para 41 (55,0%) participantes e “bom” para 22 (30,0%) participantes, não havendo indivíduos alocados na categoria “necessita melhorar” do questionário. CONCLUSÃO: Os resultados obtidos permitem concluir que, de modo geral, o estilo de vida e o nível de atividade física de indivíduos portadores de MC caracterizaram-se como “bom” / “muito bom” e não ativos, respectivamente.

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Section: Introductionunclassified

Estilo de vida e nível de atividade física de indivíduos portadores de miocardiopatia chagásica

et al. 2021

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“…The HAP is a self-reported questionnaire composed of 94 activities that exhibit variable low- to high-energy requirements, in which the order of the activities is based on their estimated metabolic equivalents. Higher scores were associated with higher physical activity levels 20 . The HAP has been used to evaluate physical activity in research and clinical settings for a variety of health conditions, including ChC 19 , 20 .…”

Section: Methodsmentioning

confidence: 96%

“…Higher scores were associated with higher physical activity levels 20 . The HAP has been used to evaluate physical activity in research and clinical settings for a variety of health conditions, including ChC 19 , 20 .…”

Section: Methodsmentioning

confidence: 96%

Prevalence and determinants of depressive symptoms in patients with Chagas cardiomyopathy and predominantly preserved cardiac function

Silva

Ávila

Oliveira

et al. 2020

Rev. Soc. Bras. Med. Trop.

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Introduction: Chagas cardiomyopathy (ChC) is highly stigmatized, and the presence of depressive symptoms may be a common feature. However, its determinants remain unclear. Therefore, the present study aimed to verify the prevalence of depression and the clinical, echocardiographic, functional, and quality of life factors associated with depressive symptoms in patients with ChC and predominantly preserved cardiac function. Methods: Thirty-five patients with ChC (aged 40 to 60 years, 66% men, NYHA I-III) were evaluated by echocardiography, cardiopulmonary exercise testing, 6-minute walk test (6MWT), and Mini-Mental State Examination. Physical activity level was assessed using the Human Activity Profile (HAP) and health-related quality of life was assessed using the Short-Form Health Survey (SF-36). Depressive symptoms were evaluated using the Beck Depression Inventory. A cutoff point greater than 9 was indicative of depression. Results: Depression was detected in 13 patients (37%). In the univariate analysis, female sex, NYHA functional class, body mass index, HAP score, mental summary of SF-36, peak oxygen uptake, and 6MWT distance were associated with depressive symptoms. The final model showed that only the HAP score (B =-0.533; 95% confidence interval [CI]:-0.804 to-0.262) and SF-36 mental summary (B =-0.269; 95% CI:-0.386 to-0.153) remained as independent predictors of depressive symptoms in patients with ChC. Conclusions: Depression was prevalent in patients with ChC and predominantly preserved cardiac function. Physical activity and mental health were independent risk factors for depressive symptoms.

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“…The patient's physical activity level was classified according to the maximum score in 'inactive' (score lower than 53), 'moderately active' (score between 53 and 74), and 'active' (score higher than 74). The instrument has already been used in patients with ChC, showing a significant correlation with VO2peak [25]. The higher the score, the better the physical profile of the patients.…”

Section: Human Activity Profile (Hap)mentioning

confidence: 99%

Assessment of health‐related quality of life in patients with Chagas cardiomyopathy using Minnesota living with heart failure questionnaire: A validation study

Trindade,

Silva,

Lima

et al. 2023

Tropical Med Int Health

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ObjectiveChagas cardiomyopathy (ChC) is the most severe clinical form of Chagas disease and, in association with psychosocial factors, can compromise the health‐related quality of life (HRQoL) of affected patients. To date, there is no specific instrument to assess the HRQoL of these patients, and the Minnesota Living with Heart Failure Questionnaire (MLwHFQ), specific for heart failure, is being used both in research and current clinical practice. Therefore, we aimed to verify the validity of the MLwHFQ in the assessment of HRQoL of patients with ChC.MethodsFifty patients with ChC (50.6 ± 10.1 years, NYHA I‐III) were evaluated. The MLwHFQ, Short‐Form of Health Survey (SF‐36), Beck Depression Inventory (BDI), and Human Activity Profile (HAP) were applied. All patients underwent echocardiography and Cardiopulmonary Exercise Testing (CPET).ResultsThe MLwHFQ score correlated with almost all SF‐36 domains (with r‐value ranging from −0.38 to −0.69), except pain (p = 0.118). The MLwHFQ score also correlated with the BDI score (r = 0.748; p < 0.001), HAP score (r = −0.558; p = 0.001), peak oxygen uptake (r = −0.352; p = 0.01), and left ventricular ejection fraction (r = −0.329; p = 0.021). There was no significant difference in the score found on the MLwHFQ among NYHA classes (p = 0.101), as well as between patients with systolic dysfunction (n = 30) and preserved cardiac function (n = 20) (p = 0.058). Similarly, there was no significant difference in the score found on the physical (p = 0.423) and mental (p = 0.858) components of SF‐36 between patients with systolic dysfunction and preserved cardiac function (p = 0.271 and p = 0.609, respectively). There was also no difference in the mental component of SF‐36 among NYHA classes (p = 0.673). However, the HRQoL using the physical component of SF‐36 was worse in advanced NYHA classes (p = 0.014).ConclusionMLwHF correlated with most SF‐36 HRQoL domains, depressive symptoms, physical activity, and systolic function and seems to be valid in assessing the HRQoL of ChC patients.

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Assessment of functional performance in Chagas heart disease by Human Activity Profile questionnaire

Cited by 7 publications

References 29 publications

Estilo de vida e nível de atividade física de indivíduos portadores de miocardiopatia chagásica

Estilo de vida e nível de atividade física de indivíduos portadores de miocardiopatia chagásica

Prevalence and determinants of depressive symptoms in patients with Chagas cardiomyopathy and predominantly preserved cardiac function

Assessment of health‐related quality of life in patients with Chagas cardiomyopathy using Minnesota living with heart failure questionnaire: A validation study

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