Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral
Ano de defesa: | 2020 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de São Carlos
Câmpus São Carlos |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Fisioterapia - PPGFt
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://repositorio.ufscar.br/handle/ufscar/17426 |
Resumo: | Molecular biomarkers have proved important biological signalers, potential markers in the diagnosis and prognosis of stroke. More common in ischemic than hemorrhagic form, generalizing metabolomics and proteomics in both types of stroke can be a mistake, making biomarkers studies for each of them important. Present in biological fluids, such as blood, urine, cerebrospinal fluid and saliva, the biomarker when identified in the acute or chronic phase can assist in immediate actions and in directing the treatment of the disease and in functional physical recovery. Studies had shown that high levels of adiponectin are relayed with sarcopenia and cardiovascular diseases, without strokes, their levels were high in post-stroke levels compared to non-strokes, but it was not associated with skeletal muscle mass. Objectives: To investigate adiponectin levels in body composition, lipid levels and physical activity in chronic stroke. Searching in the literature biomarkers hemorrhagic stroke predictors of prognosis of functional physical recovery. Methodology: Two studies were conducted: 1) A correlational cross-sectional pilot study with chronic hemipartic (stroke ≥ 6 months), age ≥ 18 years, for analysis of body mass by electrical bioimpedance (InBody® 720) and lipid profile with analysis by automated method (CELL-DYN Ruby); activity level measured by accelerometer (StepWatch®) and serum adiponectin concentration using enzyme immunoabsorption assay kit (ELISA). 2) Systematic peer review, following prisma recommendations in PubMed, CINAHL, Web OF Science and EMBASE databases. A search was made for studies with hemorrhagic stroke and molecular biomarkers present in the blood, urine, saliva and cerebrospinal fluid, collected up to 72 hours post-icto, linked to functional recovery. Results: The ADPc study included 21 post-stroke participants who had the biomarker correlated with: weight (rs = -0.73), body mass index (rs = -0.50), skeletal muscle mass (rs = -0.78), skeletal muscle mass index (rs = -0.75) and high-density lipoprotein (rs = 0.43). The search for a systematic review gathered 61 studies and 79 biomarkers, 52 biomarkers considered predictors, 18 non-predictors and 9 with controversial results. Conclusion: Adiponectin at high levels is related to decreased skeletal muscle mass and a higher level of high-density lipoprotein in chronic post-stroke individuals. Most of the biomarkers found with the possibility of predicting functional recovery after hemorrhagic stroke did not present clear recommendations for the identification of the most promising and consistent biomarker due to the heterogeneity of the molecules studied. |
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Saade-Pacheco, Cássia ReginaRusso, Thiago Luizhttp://lattes.cnpq.br/2755480908047791http://lattes.cnpq.br/28323150039019532023-02-28T15:02:13Z2023-02-28T15:02:13Z2020-12-15SAADE-PACHECO, Cássia Regina. Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17426.https://repositorio.ufscar.br/handle/ufscar/17426Molecular biomarkers have proved important biological signalers, potential markers in the diagnosis and prognosis of stroke. More common in ischemic than hemorrhagic form, generalizing metabolomics and proteomics in both types of stroke can be a mistake, making biomarkers studies for each of them important. Present in biological fluids, such as blood, urine, cerebrospinal fluid and saliva, the biomarker when identified in the acute or chronic phase can assist in immediate actions and in directing the treatment of the disease and in functional physical recovery. Studies had shown that high levels of adiponectin are relayed with sarcopenia and cardiovascular diseases, without strokes, their levels were high in post-stroke levels compared to non-strokes, but it was not associated with skeletal muscle mass. Objectives: To investigate adiponectin levels in body composition, lipid levels and physical activity in chronic stroke. Searching in the literature biomarkers hemorrhagic stroke predictors of prognosis of functional physical recovery. Methodology: Two studies were conducted: 1) A correlational cross-sectional pilot study with chronic hemipartic (stroke ≥ 6 months), age ≥ 18 years, for analysis of body mass by electrical bioimpedance (InBody® 720) and lipid profile with analysis by automated method (CELL-DYN Ruby); activity level measured by accelerometer (StepWatch®) and serum adiponectin concentration using enzyme immunoabsorption assay kit (ELISA). 2) Systematic peer review, following prisma recommendations in PubMed, CINAHL, Web OF Science and EMBASE databases. A search was made for studies with hemorrhagic stroke and molecular biomarkers present in the blood, urine, saliva and cerebrospinal fluid, collected up to 72 hours post-icto, linked to functional recovery. Results: The ADPc study included 21 post-stroke participants who had the biomarker correlated with: weight (rs = -0.73), body mass index (rs = -0.50), skeletal muscle mass (rs = -0.78), skeletal muscle mass index (rs = -0.75) and high-density lipoprotein (rs = 0.43). The search for a systematic review gathered 61 studies and 79 biomarkers, 52 biomarkers considered predictors, 18 non-predictors and 9 with controversial results. Conclusion: Adiponectin at high levels is related to decreased skeletal muscle mass and a higher level of high-density lipoprotein in chronic post-stroke individuals. Most of the biomarkers found with the possibility of predicting functional recovery after hemorrhagic stroke did not present clear recommendations for the identification of the most promising and consistent biomarker due to the heterogeneity of the molecules studied.Biomarcadores moleculares tem se mostrado importantes sinalizadores biológicos, marcadores em potencial no diagnóstico e prognóstico do acidente vascular cerebral (AVC). Mais incidente na forma isquêmica que hemorrágica, generalizar a metabolômica e proteônica do AVC pode ser um erro, o que torna importante os estudos de biomarcadores direcionados para cada tipo de AVC. Presentes nos fluídos biológicos, os biomarcadores identificados no sangue, urina, líquido cerebroespinal e saliva podem auxiliar nas ações imediatas após o AVC, no direcionamento do tratamento da doença e na possível recuperação física funcional. Estudos mostraram que níveis elevados da adiponectina estão relacionados com a sarcopenia nas doenças cardiovasculares, porém em pessoas acometidas pelo AVC, seu nível mais elevado não foi associado a massa muscular esquelética, quando comparado indivíduos pós-AVC e saudáveis. Objetivos: Investigar os níveis da adiponectina na composição corporal, nos níveis lipídicos e atividade física no AVC crônico. Buscar na literatura os biomarcadores no AVC hemorrágico preditores de prognóstico da recuperação física funcional. Metodologia: Foram realizados dois estudos: 1) Estudo piloto transversal correlacional, com hemiparético crônico (AVC ≥ 6 meses), idade ≥ 18 anos, para análise da massa corporal por bioimpedância elétrica (InBody® 720) e perfil lipídico com análise pelo método automatizado (CELL-DYN Ruby); nível de atividade mensurada por acelerômetro (StepWatch®) e a concentração de adiponectina sérica utilizando kit de ensaio de imunoabsorção enzimática (ELISA). 2) Revisão Sistemática, aos pares, seguindo as recomendações PRISMA nas bases PubMed, CINAHL, Web OF Science e EMBASE. Feita uma busca de estudos com AVC hemorrágico e biomarcadores moleculares presentes no sangue, urina, saliva e líquido cerebroespinal, coletado até 72 horas pós icto, ligados a recuperação funcional. Resultados: O estudo da ADPc reuniu 21 participantes pós-AVC que tiveram o biomarcador correlacionado com: peso (rs = -0,73), índice de massa corporal (rs = -0,50), massa muscular esquelética (rs = -0,78), índice de massa muscular esquelética (rs = -0,75) e lipoproteína de alta densidade (rs = 0,43). A busca da revisão sistemática reuniu 61 estudos e 79 biomarcadores, sendo 52 biomarcadores considerados preditores, 18 não-preditores e 9 com resultados controversos. Conclusão: A adiponectina em níveis elevados está relacionada a diminuição da massa muscular esquelética e à um nível mais alto de lipoproteína de alta densidade em indivíduos crônicos pós-AVC. Grande parte dos biomarcadores encontrados com possibilidade de prever a recuperação funcional após o AVC hemorrágico, não apresentou recomendações claras na identificação do biomarcador mais promissor e consistente devido à heterogeneidade das moléculas estudadas.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Fisioterapia - PPGFtUFSCarAttribution-ShareAlike 3.0 Brazilhttp://creativecommons.org/licenses/by-sa/3.0/br/info:eu-repo/semantics/openAccessBiomarcadorAdiponectinaAcidente vascular cerebralPrognósticoFuncionalidadeMúsculo esqueléticoLipoproteínas de alta densidade lipídicaAtividade físicaBiomarkerAdiponectinStrokePrognosisFunctionalitySkeletal muscleHigh-density lipoproteinsPhysical activityCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALBiomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebralMolecular biomarkers and functional recovery after strokeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81030https://repositorio.ufscar.br/bitstream/ufscar/17426/2/license_rdfc6e5ca9ee4112329286834c9257d9d4cMD52ORIGINALTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdfTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdfTeseapplication/pdf4104188https://repositorio.ufscar.br/bitstream/ufscar/17426/1/TESE_SAADE-PACHECO-Cassia%20Regina-UFSCAR.pdf1547ada25bb968e0f788d41a9f5a0ee5MD51TEXTTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdf.txtTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdf.txtExtracted texttext/plain257770https://repositorio.ufscar.br/bitstream/ufscar/17426/3/TESE_SAADE-PACHECO-Cassia%20Regina-UFSCAR.pdf.txt2df2716c8f93e2c3ba8f50ac1d16f19fMD53THUMBNAILTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdf.jpgTESE_SAADE-PACHECO-Cassia Regina-UFSCAR.pdf.jpgIM Thumbnailimage/jpeg8676https://repositorio.ufscar.br/bitstream/ufscar/17426/4/TESE_SAADE-PACHECO-Cassia%20Regina-UFSCAR.pdf.jpgc1d4282c52151206ec5b833d47d5a989MD54ufscar/174262023-03-01 03:20:15.308oai:repositorio.ufscar.br:ufscar/17426Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-05-25T13:05:28.263699Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
dc.title.alternative.eng.fl_str_mv |
Molecular biomarkers and functional recovery after stroke |
title |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
spellingShingle |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral Saade-Pacheco, Cássia Regina Biomarcador Adiponectina Acidente vascular cerebral Prognóstico Funcionalidade Músculo esquelético Lipoproteínas de alta densidade lipídica Atividade física Biomarker Adiponectin Stroke Prognosis Functionality Skeletal muscle High-density lipoproteins Physical activity CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
title_full |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
title_fullStr |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
title_full_unstemmed |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
title_sort |
Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral |
author |
Saade-Pacheco, Cássia Regina |
author_facet |
Saade-Pacheco, Cássia Regina |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/2832315003901953 |
dc.contributor.author.fl_str_mv |
Saade-Pacheco, Cássia Regina |
dc.contributor.advisor1.fl_str_mv |
Russo, Thiago Luiz |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2755480908047791 |
contributor_str_mv |
Russo, Thiago Luiz |
dc.subject.por.fl_str_mv |
Biomarcador Adiponectina Acidente vascular cerebral Prognóstico Funcionalidade Músculo esquelético Lipoproteínas de alta densidade lipídica Atividade física |
topic |
Biomarcador Adiponectina Acidente vascular cerebral Prognóstico Funcionalidade Músculo esquelético Lipoproteínas de alta densidade lipídica Atividade física Biomarker Adiponectin Stroke Prognosis Functionality Skeletal muscle High-density lipoproteins Physical activity CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.eng.fl_str_mv |
Biomarker Adiponectin Stroke Prognosis Functionality Skeletal muscle High-density lipoproteins Physical activity |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Molecular biomarkers have proved important biological signalers, potential markers in the diagnosis and prognosis of stroke. More common in ischemic than hemorrhagic form, generalizing metabolomics and proteomics in both types of stroke can be a mistake, making biomarkers studies for each of them important. Present in biological fluids, such as blood, urine, cerebrospinal fluid and saliva, the biomarker when identified in the acute or chronic phase can assist in immediate actions and in directing the treatment of the disease and in functional physical recovery. Studies had shown that high levels of adiponectin are relayed with sarcopenia and cardiovascular diseases, without strokes, their levels were high in post-stroke levels compared to non-strokes, but it was not associated with skeletal muscle mass. Objectives: To investigate adiponectin levels in body composition, lipid levels and physical activity in chronic stroke. Searching in the literature biomarkers hemorrhagic stroke predictors of prognosis of functional physical recovery. Methodology: Two studies were conducted: 1) A correlational cross-sectional pilot study with chronic hemipartic (stroke ≥ 6 months), age ≥ 18 years, for analysis of body mass by electrical bioimpedance (InBody® 720) and lipid profile with analysis by automated method (CELL-DYN Ruby); activity level measured by accelerometer (StepWatch®) and serum adiponectin concentration using enzyme immunoabsorption assay kit (ELISA). 2) Systematic peer review, following prisma recommendations in PubMed, CINAHL, Web OF Science and EMBASE databases. A search was made for studies with hemorrhagic stroke and molecular biomarkers present in the blood, urine, saliva and cerebrospinal fluid, collected up to 72 hours post-icto, linked to functional recovery. Results: The ADPc study included 21 post-stroke participants who had the biomarker correlated with: weight (rs = -0.73), body mass index (rs = -0.50), skeletal muscle mass (rs = -0.78), skeletal muscle mass index (rs = -0.75) and high-density lipoprotein (rs = 0.43). The search for a systematic review gathered 61 studies and 79 biomarkers, 52 biomarkers considered predictors, 18 non-predictors and 9 with controversial results. Conclusion: Adiponectin at high levels is related to decreased skeletal muscle mass and a higher level of high-density lipoprotein in chronic post-stroke individuals. Most of the biomarkers found with the possibility of predicting functional recovery after hemorrhagic stroke did not present clear recommendations for the identification of the most promising and consistent biomarker due to the heterogeneity of the molecules studied. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-12-15 |
dc.date.accessioned.fl_str_mv |
2023-02-28T15:02:13Z |
dc.date.available.fl_str_mv |
2023-02-28T15:02:13Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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dc.identifier.citation.fl_str_mv |
SAADE-PACHECO, Cássia Regina. Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17426. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/17426 |
identifier_str_mv |
SAADE-PACHECO, Cássia Regina. Biomarcadores moleculares e a recuperação funcional no pós-acidente vascular cerebral. 2020. Tese (Doutorado em Fisioterapia) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/17426. |
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https://repositorio.ufscar.br/handle/ufscar/17426 |
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por |
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Attribution-ShareAlike 3.0 Brazil http://creativecommons.org/licenses/by-sa/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-ShareAlike 3.0 Brazil http://creativecommons.org/licenses/by-sa/3.0/br/ |
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openAccess |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Fisioterapia - PPGFt |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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