Correlation between pulmonary function, posture, and body composition in patients with asthma

Almeida, Vivian Pinto de; Guimarães, Fernando Silva; Moço, V.J.R.; Menezes, Sara L. S.; Mafort, Thiago Thomáz; Lopes, Agnaldo José

doi:10.1016/j.rppnen.2013.03.005

Cited by 12 publications

(10 citation statements)

References 30 publications

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“…Previous study reported that lung capacity decreased by 19.9% in healthy individuals with forward head posture compared to a neutral, standing position. 30 Similarly, Almeida et al 31 In the present study, the CVA of the experimental group significantly increased from 46.00° pre-exercise to 51.14° post-exercise.…”

Section: Discussionsupporting

confidence: 73%

The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

2019

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Purpose: This study sought to investigate the effects of the McKenzie exercise program on forward head posture and respiratory function. Methods: Thirty adult men and women with forward head posture, aged 20-29 years, were randomly assigned to the experimental group (N=15) or the control group (N=15). Subjects in the experimental group performed the McKenzie exercises three times a week for four weeks, while subjects in the control group did not receive any intervention. Craniovertebral angle (CVA) was measured to quantify forward head posture, and forced vital capacity (FVC), FVC % predicted, forced expiratory volume at one second (FEV1), and FEV1 % predicted were measured to determine changes in respiratory function. The Mann-Whitney U-test was used to analyze pre-test differences in forward head posture and respiratory function between the two groups, and the Wilcoxon signed-rank test was used to analyze differences in forward head posture and respiratory function within the groups before and after intervention. The significance level (α) was set to 0.05. Results: A comparison of pre-and post-test measures showed that CVA significantly increased in the experimental group (p= 0.001) denoting postural improvement, whereas no significant difference was found in the control group (p = 0.053). All respiratory measures, i.e.,FVC, FVC %pred, FEV1, and FEV1 %pred, were significantly improved in the experimental group, whereas there were no significant differences in the control group. Conclusions: McKenzie exercise can be effective in improving forward head posture and respiratory function.tion of abdominal muscles, decreasing lung capacity. 12 Moreover, forward head posture leads to thoracic elevation as muscle tone of the sternocleidomastoid is increased. Subsequently the mobility of

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Section: Discussionsupporting

confidence: 73%

The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

2019

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“…Para avaliar capacidade funcional, realizou-se o Teste de Caminhada de Seis Minutos (TC6) [16][17][18] , sendo desenvolvido com base no estudo de Holland et al (2014). Além das avaliações antropométricas obtidas pelo índice de massa corporal (IMC) classificados de acordo com Cuppari (2002), circunferência da cintura (CC) e relação cintura-quadril (RCQ) através da razão entre CC e circunferência do quadril (CQ) 7,19 , sendo a CC obtida no ponto mais estreito entre a última costela e a crista ilíaca, enquanto a CQ é aferida na maior circunferência glútea 19 , relação cintura-estatura (RCEst), obtida pela divisão da CC pela estatura, sendo seu valor de ponto de corte 0,5 20,21 .Ainda, avaliou-se as variáveis hemodinâmicas de frequência cardíaca (FC), pressão arterial sistólica (PAS), pressão arterial diastólica (PAD), duplo produto (DP), consumo de oxigênio pelo miocárdio (mVO 2 ); escala de dispneia e índice de sobrevida Body Mass-Index Airflow Obstruction, Dyspnea and Exercise Capacity (BODE), é composto por componentes que abrangem o grau de comprometimento a partir do Volume Expiratório Forçado no Primeiro Segundo (VEF1), escala de dispneia Medical Research Council (MRC) e dois componentes independentes dos efeitos sistêmicos da DPOC: TC6 e IMC30. Na MRC, o paciente escolhe apenas uma entre cinco alternativas (variando de zero a quatro), em relação à dispneia, e os escores mais altos referem-se a maior incapacidade 22 .…”

Section: Variáveis Analisadas No Estudounclassified

Há efeitos da reabilitação pulmonar sobre o risco cardiovascular em pacientes com doença pulmonar obstrutiva crônica?

et al. 2019

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Objetivo: Identificar os efeitos do programa de reabilitação pulmonar (PRP) sobre os fatores de risco cardiovascular e de mortalidade em portadores de DPOC. Métodos: Avaliamos 26 portadores de DPOC antes e após oito semanas de Reabilitação Pulmonar (RP), através de volumes pulmonares pela espirometria, Teste de Caminhada de Seis Minutos (TC6), índice tornozelo braquial (ITB), além das avaliações antropométricas, variáveis hemodinâmicas e índice de sobrevida. Resultados: Dos 26 pacientes, 76,9% (n=20) apresentaram estadiamento da DPOC grave ou muito grave. Constatada correlação significativa entre BODE e ITB pré PRP (p=0,03; r=-0,41) com redução significativa do BODE entre o pré e pós PRP (p=0,03). Não houve diferença significativa nas variáveis cardiovasculares analisadas: ITB, RCQ, DP, FC, PAS, PAD, CC, RCEst e mVO2 entre o período pré e pós PRP, bem como na capacidade funcional avaliada através do TC6. Conclusão: Foi evidenciada redução do risco de mortalidade após PRP nos portadores de DPOC.

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“…Señalan también que el índice de masa corporal se correlaciona directamente con la función pulmonar y la disminución de peso, con su mejoría. 7 Cuando la obesidad y el asma coexisten provocan daños individuales, económicos y sociales severos. Ambas enfermedades parecen estar ligadas por diversos mecanismos que incluyen, entre otros: exposiciones comunes, factores genéticos, hormonales, inflamación y comorbilidad.…”

Section: Asmaunclassified

Factores comunes e inductores de inflamación en asma y obesidad

Vega-Robledo

Velasco

Rico-Rosillo

2016

RAM

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Artículo de revisión Factores comunes e inductores de inflamación en asma y obesidad ResumenLa incidencia de asma y obesidad está en aumento, por lo que se han catalogado como problemas de salud pública. Los datos epidemiológicos sugieren una relación entre ellas y se ha detectado una asociación entre el índice de masa corporal y la función pulmonar. Diversos estudios demuestran una correlación directa entre este índice y el asma. Mediante la búsqueda de referencias en bases de datos médicos de artículos publicados en revistas indizadas, con las palabras clave asma y obesidad: patogénesis, inflamación, adipocinas, hipoxia, nutrición, embarazo, este artículo profundiza en el conocimiento de los elementos básicos que interrelacionan el asma con la obesidad. Se encontró que la asociación existente entre el índice de masa corporal y el asma es más evidente en el sexo femenino. El asma y la obesidad pueden estar influidas por elementos genéticos y programación fetal. A su vez, la obesidad puede incidir en el asma por diversos mecanismos, como los mecánicos, hormonales o inflamatorios. La coincidencia existente entre varios inductores y elementos que exacerban a estas enfermedades, así como en algunas vías moleculares, ponen de manifiesto una relación potencial entre ambas afecciones. Common and inductors factors of inflammation in asthma and obesity. AbstractThe incidence of asthma and obesity is increasing, therefore they have been classified as public health problems; epidemiology suggests a link between these diseases. It has been detected a relationship between the body mass index and lung function, moreover some works show a direct correlation between the aforementioned index and severity of asthma. By a search for articles in indexed journals from medical databases with the key words asthma and obesity: pathogenesis, inflammation, adipokines, hypoxia, nutrition, pregnancy, this paper deeps in the knowledge about basic elements that offer an asthma and obesity link. It was found that the association between body mass index and asthma is more frequent in women. Asthma and obesity might be influenced by genetic elements and fetal programming; at the same time obesity could influence asthma by several mechanisms such as inflammation, hormones and mechanical respiratory dysfunction. The existing coincidence between several inducers and factors which exacerbate these diseases as well as in some molecular routes shows a potential relation between both pathological entities.

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Correlation between pulmonary function, posture, and body composition in patients with asthma

Cited by 12 publications

References 30 publications

The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

Há efeitos da reabilitação pulmonar sobre o risco cardiovascular em pacientes com doença pulmonar obstrutiva crônica?

Factores comunes e inductores de inflamación en asma y obesidad

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