Nível de atividade física, força muscular respiratória e periférica de pacientes renais crônicos em hemodiálise: um estudo transversal

• Ano de defesa: 2020
• Autor(a) principal: Marinho Junior, Carlyle
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Cidade de São Paulo; Brasil; Pós-Graduação; Programa de Mestrado e Doutorado em Fisioterapia; UNICID
• Palavras-chave em Português: Insuficiência renal crônica; Diálise renal; Exercício; Dinamômetro de força muscular; Modalidades de fisioterapia; Chronic kidney failure; Renal dialysis; Physical activity; Muscle strength dynamometer; Muscle strength; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/806

INTRODUCTION: Chronic Kidney Disease is a public health problem and worldwide prevalence, with high cost and functional disabilities. There are no data in the literature to explain the influence of kidney disease and hemodialysis on the decline in peripheral and respiratory muscle functionality and performance in these patients. OBJECTIVES: To evaluate the level of physical activity, respiratory and peripheral muscle strength in chronic renal failure patients on hemodialysis. Correlate the level of physical activity, respiratory and peripheral muscle strength, with the time of kidney disease and hemodialysis. METHODS: This cross-sectional study consecutively evaluated patients with chronic kidney disease undergoing hemodialysis at the Santa Casa de Misericórdia de Araçatuba hospital. Physical activity level were evaluated using the Human Activity Profile questionnaire, respiratory muscle strength by analog manovacuometry and peripheral muscle strength assessed by hand grip strength using a manual dynamometer. RESULTS: One hundred functionally independent patients aged 26 to 81 years, 60% men and median body mass index of 26.47 (23 - 29) kg / m2 were evaluated. Half of the sample is away from work or retired due to kidney disease, 22% of patients are smokers. Regarding maximal inspiratory and expiratory pressure, a median of 61.5 (50.2 - 97.6) and 40.3 (31.6 - 58.0) of the predicted percentage were obtained, respectively. Physical inactivity was evidenced in 30.0% of renal patients on hemodialysis, 57.0% moderately active and only 13% as active. The activity level of the patients showed a significant correlation with the time of hemodialysis, body mass index, palm grip and smoking. CONCLUSION: Patients with end-stage renal disease predominantly perform low-level activities by physical activity-adjusted activity score; have lower respiratory and peripheral muscle strength than predicted percentages for gender and age, and can be influenced by the time of 7 hemodialysis. The level of physical activity was also influenced by handgrip strength, body mass index and smoking habits.