Comparação da aptidão cardiorrespiratória de diabéticos do tipo I e indivíduos saudáveis: revisão sistemática com metanálise

• Ano de defesa: 2017
• Autor(a) principal: Pinezi Junior, Ademar
• Orientador(a): Flores, Lucimar Jupir Forner
• Banca de defesa: Flores, Lucimar Jupir Forner , Nampo, Fernado Kenji , Buzzachera, Cosme Franklim
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual do Oeste do Paraná; Foz do Iguaçu
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Pública em Região de Fronteira
• Departamento: Centro de Educação Letras e Saúde
• País: Brasil
• Palavras-chave em Português: Diabetes do tipo 1; Aptidão cardiorrespiratória; Exercício
• Palavras-chave em Inglês: Fitness cardiorespiratory; Type 1 Diabetes; Exercise
• Palavras-chave em Espanhol: Diabetes del tipo 1; Aptitud cardiorrespiratoria; Ejercicio
• Área do conhecimento CNPq: SAÚDE COLETIVA : SAÚDE PÚBLICA
• Link de acesso: http://tede.unioeste.br/handle/tede/3555

CONTEXT: There is evidence that cardiorespiratory fitness is reduced in young people with type 1 diabetes mellitus (DM1) compared to healthy individuals and others showing that the DM1 group presented cardiorespiratory fitness superior to the control group. There is a need for a systematic and updated presentation of the results in relation to the comparison of the cardiorespiratory fitness of individuals with DM1 and healthy individuals. OBJECTIVES: The objective of this study was to analyze current information on the comparisons of cardiorespiratory fitness of children and adolescents, adults and athletes with DM1 and healthy individuals. METHODS: We performed a systematic review with a meta-analysis based on the Cochrane Collaboration recommendations, and the MEDLINE studies via PubMed, LILACS, SciELO, until June 2017, in addition to the manual search with the proposed theme. The included studies were clinical or cross-sectional studies that assessed as the main or secondary endpoint the cardiorespiratory fitness of people with DM1, without reported health complications, comparing with a group of healthy paired individuals on gender, age and anthropometric data. RESULTS: The first part of the systematic review with children and adolescents was composed of 8 studies, totaling 317 elements in the DM1 group and 274 samples in the control group, aged between 9 and 20 years. In general, the cardiorespiratory fitness of the group of children and adolescents with DM1 was lower than the healthy group (SMD = -0.56, 95% CI = -0.88, -0.24, P = 0.004). Already in the second part of the systematic review with adults and adult athletes was composed of 13 studies, totaling 245 samples in the DM1 group and 240 in the control group, aged between 18 and 50 years. The adult cardiorespiratory fitness of the DM1 group was lower than the group of healthy individuals (MD = -3.51, 95% CI = -6.32, -0.69, P = 0.01). In adult athletes with DM1, no difference in cardiorespiratory fitness was found between groups (MD = -2.18, 95% CI = -5.46, 1.11, P = 0.19). CONCLUSION: Children, adolescents and adults with DM1 presented lower cardiorespiratory fitness than healthy individuals matched in age, gender and anthropometric data. Already in adult athletes with DM1, there was no statistically significant difference with the control group.