Detalhes bibliográficos
| Ano de defesa: |
2020 |
| Autor(a) principal: |
Bini, Viviane Eloisa
 |
| Orientador(a): |
Mascarenhas, Luis Paulo Gomes
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| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Estadual do Centro-Oeste
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| Programa de Pós-Graduação: |
Programa de Pós-Graduação em Desenvolvimento Comunitário (Mestrado Interdisciplinar)
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| Departamento: |
Unicentro::Departamento de Saúde de Irati
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| País: |
Brasil
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| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://tede.unicentro.br:8080/jspui/handle/jspui/1526
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Resumo: |
Chronic kidney disease (CKD) and type 2 diabetes mellitus (DM2) are two of the most prevalent chronic non-communicable diseases in the world. The combination of DM2 can affect about one third of renal patients, generating high morbidity, disabilities and decreased quality of life. However, the functional changes that the association of these pathologies can cause are not well described. The aim of the present study was to identify the influence of CKD and DM2 on the level of functionality of the foot and ankle, explosive muscle strength of the lower limbs and sensitivity. The sample consisted of 44 dialysis individuals, divided into groups, 27 in the group with CKD and the group CKD and DM2 was composed of 17 individuals. In addition, the sample was also separated in relation to plantar sensitivity: CKD group and normal sensitivity with 22 individuals, CKD group and altered sensitivity composed of 5 individuals, CKD and DM2 groups with normal sensitivity formed by 3 individuals and CKD and DM2 with sensitivity constituted by 14 individuals. Lower limb functionality was assessed using a specific Foot and Ankle Ability Measure (FAAM) questionnaire - functional foot and ankle measurement, body composition was measured using tetrapolar bioimpedance (HBF-514C, Omron), plantar sensitivity was assessed using monofilament Semmes Weinstein (SORRI®) 10g orange color, for the analysis of explosive muscle strength / power, the contact mat Jumptest® Platform (Hidrofit) was used and the vertical jump with counter movement applied, yet the biochemical results were collected from the participants' medical records. Statistical analyzes of comparisons between groups were performed using the independent t test and the combination of clusters for plantar sensitivity were compared using the ANOVA and ANCOVA test, considering age as a covariate, and the correlations were made using Pearson's correlation test. Linear regression was used to determine the conditional of the dependent variables on the independent one. All tests adopted significance when p <0.05. Patients with CKD and DM2 showed less functionality (p = 0.001), less explosive strength (p = 0.01), as well as diabetic CKD with altered plantar sensitivity had less function (p = 0.01) and less strength (p = 0.025). Age, foot function, glomerular filtration rate and muscle mass explain 66.7% of the variations in strength, and 68.9% of the variation in power is explained by variation in the FAAM score, BMI and muscle mass. It was concluded that CKD with DM2 presented explosive strength and reduced lower limb functional capacity, positive correlation between explosive strength, function and muscle mass, and negative with body fat, and individuals with CKD only, positive correlation of strength and power with functionality, and power with weight and BMI, the change in plantar sensitivity indicates a contribution to the reduction of lower limb function in diabetic CKD. |
