Avaliação do desempenho físico e funcional respiratório em obesos

Abstract

a correlação do HAQ-20 com TC6' e o SWT, esta foi constatada apenas para o domínio vestir-se com os resultados do TC6. Conclusão: Com base nesses resultados, conclui-se que a distância percorrida no TC6' foi maior que no SWT, o que sugere melhor aplicabilidade do TC6' em obesos, sendo, nesse caso, possivelmente mais sensível na avaliação da capacidade funcional que o SWT. Os resultados do HAQ-20 foram pouco discriminadores, pois um domínio entre oito mostrou-se significativo quando correlacionado com as distâncias percorridas. [ # ] [P] Palavras-chave: Obesidade. Teste de esforço. Caminhada. Qualidade de vida. Espirometria. [ # ] [B]Abstract Introduction: The physical performance has become an important object of study in obese people for the preoperative evaluation of bariatric surgery. However, there is still lack of studies, especially those regarding field tests or functional capacity. Objective: to compare the results of the Six Minute Walk Test (6MWT) and the Shuttle Walk Test (SWT) in obese women, along with the answers in Health Assessment Questionnaire . Methodology: Thirteen women with mean age of 44 ± 11 years and mean body mass index (BMI) of 43 ± 5 kg/m² were evaluated and submitted, randomly and consecutively, to the 6MWT, SWT, spirometry, strength respiratory muscle and HAQ-20 questionnaire. Results: We found that the distances were significantly different (6MWT = 489 ± 129 m and ± 161 m SWT = 244), and the score of the HAQ-20 showed a median of 1.125. When verified the correlation of the HAQ-20 with 6MW and the SWT, this was only observed for the field dressing with the 6MWT. Conclusion: Based on these results it is concluded that the distance covered in 6MWT was higher than in SWT, which suggests a better applicability of the 6MWT in obese and in this case, possibly more sensitive in the assessment of functional capacity than the SWT. The results of the HAQ-20 were less discriminating as one field of eight was significant when correlated with the walked distances. [ # ] [K]

Correlation of lung function and respiratory muscle strength with functional exercise capacity in obese individuals with obstructive sleep apnea syndrome

“…(29) Factors such as dyspnea, abnormalities in respiratory mechanics, respiratory muscle dysfunction, and arterial hypoxemia contribute to limiting exercise tolerance in OSAS patients. (14) In our study, the distance covered on both walk tests was lower than the reference distance for healthy individuals in the Brazilian population, (30)(31)(32) indicating that exercise tolerance was below normal in our obese patients with OSAS. The patients in our sample also had comorbidities such as hypertension and type 2 diabetes mellitus.…”

Pulmonary function in patients with pandemic H1N1

“…Obesity can in luence the measure of lung volumes because it interferes in the diaphragmatic movement such as the chest wall, leading to the reduction of the maximum voluntary ventilation (13,23,24). The predisposition to infections which obese individuals posses has been described in research, however regarding the respiratory system, precise data has not yet been disclosed, making more research necessary (25).…”

Estudo do sono e função pulmonar em pacientes obesos mórbidos

“…De acordo com o estudo de Soares et al (28), com a submissão aos testes espirométricos, verificou-se que os pacientes obesos não apresentaram características obstrutivas ou restritivas avaliados pela CVF e VEF1, uma vez que os volumes e capacidades estão adequados quando comparados aos de indivíduos normais. Esse resultado se contrapõe aos obtidos pelo estudo de Ogunnaike et al (29).…”