Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2282 |
Resumo: | Background: Heart rate recovery (HRR) has been used to assess autonomic dysfunction, which increases the risk of cardiovascular, cardiometabolic and mortality events in several chronic diseases, in addition to being a non-invasive, low-cost and high prognostic power. Asthma is a chronic inflammatory disease that may to autonomic nervous sistem (ANS) imbalance and more sedentary behavior, however, there is a lack of evidence on the HRR in this population. Aims: To compare the HRR and functional capacity in asthmatic children and adolescents and their healthy pairs and to correlate in Asthma Group the heart rate recovery delta (ΔHRR) with age, perceived exertion, functional capacity, gravity and control of the disease. Method: Cross-sectional study. We included 77 patients diagnosed with asthma (Asthma Group - AG), with GINA 1 to 5, without hospitalization in the last four weeks and in regular treatment. Other 44 previously healthy volunteers were matched by age and gender to the AG, called the Control Group (CG). All volunteers underwent spirometry at the beginning of the protocol. Functional capacity was evaluated by the modified Shuttle test (MST) in a 10-m-long corridor. HRR was defined as heart rate (HR) at peak exercise (at the end of the MST) minus HR in the second minute after the end of the same (recovery moment), i.e., ΔRFC = HRPeak – HRrecovery. The outcome variables were: distance walked (DW) in percentage of predicted in the MST and ΔHRR. Results: The mean age of the sample was AG 11 [9-13] and CG 12 [10-14]. GA was classified as mild to moderate asthma, Step 3 [2-4] according to GINA. The pulmonary function, although different between the two groups, was within the limits of normality in both. There was delayed HRR in AG in relation to CG with significant statistical difference (ΔHRR AG = 69 ± 12 versus CG = 79 ± 15, p = 0.001). The GA had a lower percentage of predicted percentage than the predicted GC (83 ± 18% versus 95 ± 19%, p <0.001). No correlations were found between age, perceived exertion, DW in the STM, gravity and control of the disease with ΔHRR. Conclusion: we observed that asthmatic children and adolescents, even in regular control and follow-up of the disease, presented worse HRR and reduced functional capacity in relation to their healthy pairs. This information is suggestive of ANS imbalance. |
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Lanza, Fernanda de CordobaLanza, Fernanda de CordobaGazzotti, Mariana RodriguesCorso, Simone Dalhttp://lattes.cnpq.br/5959598203153521Silva, Élida Pereira da2020-10-27T21:21:37Z2018-11-30Silva, Élida Pereira da. Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo. 2018. 68 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2282Background: Heart rate recovery (HRR) has been used to assess autonomic dysfunction, which increases the risk of cardiovascular, cardiometabolic and mortality events in several chronic diseases, in addition to being a non-invasive, low-cost and high prognostic power. Asthma is a chronic inflammatory disease that may to autonomic nervous sistem (ANS) imbalance and more sedentary behavior, however, there is a lack of evidence on the HRR in this population. Aims: To compare the HRR and functional capacity in asthmatic children and adolescents and their healthy pairs and to correlate in Asthma Group the heart rate recovery delta (ΔHRR) with age, perceived exertion, functional capacity, gravity and control of the disease. Method: Cross-sectional study. We included 77 patients diagnosed with asthma (Asthma Group - AG), with GINA 1 to 5, without hospitalization in the last four weeks and in regular treatment. Other 44 previously healthy volunteers were matched by age and gender to the AG, called the Control Group (CG). All volunteers underwent spirometry at the beginning of the protocol. Functional capacity was evaluated by the modified Shuttle test (MST) in a 10-m-long corridor. HRR was defined as heart rate (HR) at peak exercise (at the end of the MST) minus HR in the second minute after the end of the same (recovery moment), i.e., ΔRFC = HRPeak – HRrecovery. The outcome variables were: distance walked (DW) in percentage of predicted in the MST and ΔHRR. Results: The mean age of the sample was AG 11 [9-13] and CG 12 [10-14]. GA was classified as mild to moderate asthma, Step 3 [2-4] according to GINA. The pulmonary function, although different between the two groups, was within the limits of normality in both. There was delayed HRR in AG in relation to CG with significant statistical difference (ΔHRR AG = 69 ± 12 versus CG = 79 ± 15, p = 0.001). The GA had a lower percentage of predicted percentage than the predicted GC (83 ± 18% versus 95 ± 19%, p <0.001). No correlations were found between age, perceived exertion, DW in the STM, gravity and control of the disease with ΔHRR. Conclusion: we observed that asthmatic children and adolescents, even in regular control and follow-up of the disease, presented worse HRR and reduced functional capacity in relation to their healthy pairs. This information is suggestive of ANS imbalance.Introdução: A recuperação da frequência cardíaca (RFC) vem sendo usada para avaliar disfunção autonômica, que aumenta o risco de eventos cardiovasculares, cardiometabólicos e mortalidade em diversas doenças crônicas, além de ser um método não invasivo, de baixo custo e de alto poder prognóstico. A asma é uma doença inflamatória crônica que pode levar ao desequilíbrio do sistema nervoso autônomo (SNA) e ao comportamento mais sedentário, contudo, faltam evidências sobre a RFC nessa população. Objetivo: comparar a RFC e a capacidade funcional em crianças e adolescentes asmáticos e seus pares saudáveis e, correlacionar no Grupo Asma (GA) o delta de recuperação da frequência cardíaca (ΔRFC) com idade, capacidade funcional, percepção de esforço, gravidade e controle da doença. Método: Estudo transversal. Foram incluídos no GA 77 pacientes com diagnóstico de asma, com GINA 1 a 5, sem hospitalização nas últimas 4 semanas e em tratamento regular da doença. Outros 44 voluntários previamente hígidos, pareados por idade e gênero ao GA, foram chamados de Grupo Controle (GC). Todos voluntários realizaram a espirometria ao início do protocolo. A capacidade funcional foi avaliada pelo Shuttle Teste Modificado (STM) em um corredor de 10m. A RFC foi definida como a frequência cardíaca (FC) no pico do exercício (ao término do STM) menos a FC no segundo minuto após o término do mesmo (momento de recuperação), ou seja, ΔRFC = FC pico – FC recuperação. As variáveis desfecho foram: distância percorrida (DP) em porcentagem do previsto no STM e o ΔRFC. Resultados: A média de idade da amostra foi GA 11 [9-13] e GC 12 [10-14]. O GA foi classificado como leve a moderado Step 3 2-4 segundo GINA. A função pulmonar, apesar de diferente entre os dois grupos, esteve dentro dos limites de normalidade em ambos. Houve atraso na RFC no GA em relação ao GC com diferença estatística significante (ΔRFC GA = 69±12bpm versus GC = 79±15bpm, p=0,001). O GA apresentou DP em porcentagem do previsto menor em relação ao GC (83±18% versus 95±19%, p<0,001). Não foram encontradas correlações entre idade, percepção de esforço, DP no STM, gravidade e controle da doença com ΔRFC. Conclusão: Observamos que as crianças e adolescentes asmáticos mesmo em controle e acompanhamento regular da doença apresentam lentificação da RFC e redução da capacidade funcional em relação aos seus pares saudáveis. Essa informação é sugestiva de desequilíbrio do SNA.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-27T21:21:37Z No. of bitstreams: 1 ELIDA PEREIRA DA SILVA.pdf: 2187620 bytes, checksum: 863ca66894d8f13d2eed57ff55d87452 (MD5)Made available in DSpace on 2020-10-27T21:21:37Z (GMT). No. of bitstreams: 1 ELIDA PEREIRA DA SILVA.pdf: 2187620 bytes, checksum: 863ca66894d8f13d2eed57ff55d87452 (MD5) Previous issue date: 2018-11-30application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúderecuperação da frequência cardíacaasmacapacidade funcionalheart rate recoveryasthmafunctional capacityCIENCIAS DA SAUDERecuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campoHeart rate recovery in asthmatic children and adolescents after clinical field testinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALELIDA PEREIRA DA SILVA.pdfELIDA PEREIRA DA SILVA.pdfapplication/pdf2187620http://localhost:8080/tede/bitstream/tede/2282/2/ELIDA+PEREIRA+DA+SILVA.pdf863ca66894d8f13d2eed57ff55d87452MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2282/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22822020-10-27 19:21:37.714oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-10-27T21:21:37Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
dc.title.alternative.eng.fl_str_mv |
Heart rate recovery in asthmatic children and adolescents after clinical field test |
title |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
spellingShingle |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo Silva, Élida Pereira da recuperação da frequência cardíaca asma capacidade funcional heart rate recovery asthma functional capacity CIENCIAS DA SAUDE |
title_short |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
title_full |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
title_fullStr |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
title_full_unstemmed |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
title_sort |
Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo |
author |
Silva, Élida Pereira da |
author_facet |
Silva, Élida Pereira da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.referee1.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.referee2.fl_str_mv |
Gazzotti, Mariana Rodrigues |
dc.contributor.referee3.fl_str_mv |
Corso, Simone Dal |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5959598203153521 |
dc.contributor.author.fl_str_mv |
Silva, Élida Pereira da |
contributor_str_mv |
Lanza, Fernanda de Cordoba Lanza, Fernanda de Cordoba Gazzotti, Mariana Rodrigues Corso, Simone Dal |
dc.subject.por.fl_str_mv |
recuperação da frequência cardíaca asma capacidade funcional |
topic |
recuperação da frequência cardíaca asma capacidade funcional heart rate recovery asthma functional capacity CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
heart rate recovery asthma functional capacity |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Background: Heart rate recovery (HRR) has been used to assess autonomic dysfunction, which increases the risk of cardiovascular, cardiometabolic and mortality events in several chronic diseases, in addition to being a non-invasive, low-cost and high prognostic power. Asthma is a chronic inflammatory disease that may to autonomic nervous sistem (ANS) imbalance and more sedentary behavior, however, there is a lack of evidence on the HRR in this population. Aims: To compare the HRR and functional capacity in asthmatic children and adolescents and their healthy pairs and to correlate in Asthma Group the heart rate recovery delta (ΔHRR) with age, perceived exertion, functional capacity, gravity and control of the disease. Method: Cross-sectional study. We included 77 patients diagnosed with asthma (Asthma Group - AG), with GINA 1 to 5, without hospitalization in the last four weeks and in regular treatment. Other 44 previously healthy volunteers were matched by age and gender to the AG, called the Control Group (CG). All volunteers underwent spirometry at the beginning of the protocol. Functional capacity was evaluated by the modified Shuttle test (MST) in a 10-m-long corridor. HRR was defined as heart rate (HR) at peak exercise (at the end of the MST) minus HR in the second minute after the end of the same (recovery moment), i.e., ΔRFC = HRPeak – HRrecovery. The outcome variables were: distance walked (DW) in percentage of predicted in the MST and ΔHRR. Results: The mean age of the sample was AG 11 [9-13] and CG 12 [10-14]. GA was classified as mild to moderate asthma, Step 3 [2-4] according to GINA. The pulmonary function, although different between the two groups, was within the limits of normality in both. There was delayed HRR in AG in relation to CG with significant statistical difference (ΔHRR AG = 69 ± 12 versus CG = 79 ± 15, p = 0.001). The GA had a lower percentage of predicted percentage than the predicted GC (83 ± 18% versus 95 ± 19%, p <0.001). No correlations were found between age, perceived exertion, DW in the STM, gravity and control of the disease with ΔHRR. Conclusion: we observed that asthmatic children and adolescents, even in regular control and follow-up of the disease, presented worse HRR and reduced functional capacity in relation to their healthy pairs. This information is suggestive of ANS imbalance. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-11-30 |
dc.date.accessioned.fl_str_mv |
2020-10-27T21:21:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
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status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Silva, Élida Pereira da. Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo. 2018. 68 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2282 |
identifier_str_mv |
Silva, Élida Pereira da. Recuperação da frequência cardíaca em crianças e adolescentes asmáticos após teste clínico de campo. 2018. 68 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2282 |
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por |
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por |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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