Artigo Original/Original Article
Influência da função pulmonar e da força muscular na capacidade funcional de portadores de doença pulmonar obstrutiva crónica
The influence of lung function and muscular strength on the functional capacity of chronic obstructive pulmonary disease patients
Sérgio Leite Rodrigues1,*, César Augusto Melo e Silva2, Tereza Lima3, Carlos Alberto de Assis Viegas4, Marcelo Palmeira Rodrigues5, Fernanda Almeida Ribeiro6
1 Mestre em Ciências da Saúde / MSC, Health Sciences, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 - 901 Brasília – DF Brasil
2 Doutor em Ciências Médicas / PhD, Health Sciences, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 - 901 Brasília – DF Brasil
3 Mestre em Clínica Médica / MSC, Internal Medicine, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 - 901 Brasília – DF Brasil
4 Doutor em Fisiopatologia Respiratória / PhD, Respiratory Physiopathology, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 - 901 Brasília – DF Brasil
5 Doutor em Ciências Médicas / PhD, Medical Sciences, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 -901 Brasília – DF Brasil
6 Mestre em Ciências da Saúde / MSC, Health Sciences, Universidade de Brasília – UnB, Hospital Universitário de Brasília – HUB Rua L2 Norte Quadras 605 CEP 70840 -901 Brasília – DF Brasil
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A função pulmonar foi avaliada por espirometria, gasometria arterial e oximetria nocturna. A função muscular pela força muscular do quadricípite femoral e a avaliação da capacidade funcional pelo TC6.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> A análise de regressão bivariada mostrou que a força do quadricípite femoral foi a única variável que se mostrou estatisticamente significativa (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,002) em predizer a distância, sendo responsável por 38% da variância do TC6. Para essas variáveis a relação estabelecida estatisticamente foi que para cada quilo de força do quadricípite femoral, os doentes caminharam 5,9 metros no TC6.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão:</span> Os resultados indicam a importância da força muscular do MI em testes de esforço submáximo. Entre as variáveis estudadas, apenas a força muscular do quadricípite femoral pôde predizer a distância percorrida no TC6 em portadores de doença pulmonar obstrutiva crónica.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 199-214</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim:</span> To determine which variable (forced expiratory volume in 1 second (FEV<span class="elsevierStyleInf">1</span>), partial pressure of oxygen in arterial blood (PaO<span class="elsevierStyleInf">2</span>), nocturnal hypoxaemia and muscular strength of femoral quadriceps) can predict the distance walked in the six-minute walk test (6MWT) by COPD patients.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Methods:</span> A cross-sectional and observational study of thirty patients referred to a pulmonary rehabilitation programme at a university hospital. Lung function was evaluated by spirometry, arterial blood gas analysis and nocturnal oximetry. Muscle function was evaluated by quadriceps strength and functional capacity by the 6MWT.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> Bivariate regression analysis showed that quadriceps strength, was the only variable to correlate significantly with the distance walked in the 6MWT (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.002), accounting for 38% of the 6MWT variance. The statistical relationship established for these variables was 1<span class="elsevierStyleHsp" style=""></span>kg of quadriceps strength equalled 5.9 metres walked in the 6MWT.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions:</span> Our results showed the importance of lower limb muscle strength in submaximal exercise testing. We conclude that femoral quadriceps muscle strength is the only one of the variables studied which can predict the distance COPD patients walk in the 6MWT.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 199-214</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Idiopathic pulmonary fibrosis prognostic value of changes in physiology and six-minute-walk test" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.R. Flaherty" 1 => "A.C. Andrei" 2 => "S. Murray" 3 => "C. Fraley" 4 => "T.V. 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Article information
ISSN: 08732159Original language: Portuguese
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| 2022 December | 27 | 30 | 57 |
| 2022 November | 46 | 30 | 76 |
| 2022 October | 38 | 33 | 71 |
| 2022 September | 26 | 55 | 81 |
| 2022 August | 34 | 41 | 75 |
| 2022 July | 24 | 40 | 64 |
| 2022 June | 23 | 29 | 52 |
| 2022 May | 42 | 37 | 79 |
| 2022 April | 31 | 33 | 64 |
| 2022 March | 22 | 25 | 47 |
| 2022 February | 59 | 35 | 94 |
| 2022 January | 61 | 40 | 101 |
| 2021 December | 28 | 40 | 68 |
| 2021 November | 28 | 34 | 62 |
| 2021 October | 30 | 43 | 73 |
| 2021 September | 38 | 44 | 82 |
| 2021 August | 30 | 17 | 47 |
| 2021 July | 30 | 21 | 51 |
| 2021 June | 23 | 39 | 62 |
| 2021 May | 25 | 34 | 59 |
| 2021 April | 57 | 48 | 105 |
| 2021 March | 94 | 15 | 109 |
| 2021 February | 56 | 19 | 75 |
| 2021 January | 31 | 16 | 47 |
| 2020 December | 33 | 13 | 46 |
| 2020 November | 52 | 11 | 63 |
| 2020 October | 34 | 15 | 49 |
| 2020 September | 67 | 17 | 84 |
| 2020 August | 60 | 34 | 94 |
| 2020 July | 52 | 16 | 68 |
| 2020 June | 62 | 13 | 75 |
| 2020 May | 76 | 29 | 105 |
| 2020 April | 70 | 9 | 79 |
| 2020 March | 84 | 17 | 101 |
| 2020 February | 42 | 21 | 63 |
| 2020 January | 44 | 19 | 63 |
| 2019 December | 40 | 23 | 63 |
| 2019 November | 55 | 24 | 79 |
| 2019 October | 49 | 25 | 74 |
| 2019 September | 40 | 16 | 56 |
| 2019 August | 48 | 20 | 68 |
| 2019 July | 32 | 26 | 58 |
| 2019 June | 44 | 28 | 72 |
| 2019 May | 52 | 48 | 100 |
| 2019 April | 41 | 26 | 67 |
| 2019 March | 93 | 30 | 123 |
| 2019 February | 77 | 39 | 116 |
| 2019 January | 73 | 32 | 105 |
| 2018 December | 49 | 15 | 64 |
| 2018 November | 3 | 1 | 4 |
| 2018 October | 7 | 10 | 17 |
| 2018 September | 15 | 13 | 28 |
| 2018 August | 40 | 26 | 66 |
| 2018 July | 41 | 30 | 71 |
| 2018 June | 66 | 21 | 87 |
| 2018 May | 62 | 19 | 81 |
| 2018 April | 70 | 27 | 97 |
| 2018 March | 60 | 25 | 85 |
| 2018 February | 27 | 5 | 32 |
| 2018 January | 74 | 17 | 91 |
| 2017 December | 35 | 15 | 50 |
| 2017 November | 35 | 24 | 59 |
| 2017 October | 27 | 23 | 50 |
| 2017 September | 23 | 16 | 39 |
| 2017 August | 14 | 19 | 33 |
| 2017 July | 14 | 7 | 21 |
| 2017 June | 23 | 13 | 36 |
| 2017 May | 27 | 12 | 39 |
| 2017 April | 14 | 50 | 64 |
| 2017 March | 15 | 39 | 54 |
| 2017 February | 11 | 7 | 18 |
| 2017 January | 14 | 4 | 18 |
| 2016 December | 11 | 5 | 16 |
| 2016 November | 10 | 4 | 14 |
| 2016 October | 11 | 8 | 19 |
| 2016 September | 2 | 10 | 12 |
| 2016 August | 3 | 4 | 7 |
| 2016 July | 4 | 4 | 8 |
| 2016 June | 2 | 2 | 4 |
| 2016 May | 7 | 0 | 7 |
| 2016 April | 4 | 12 | 16 |
| 2016 March | 4 | 11 | 15 |
| 2016 February | 5 | 8 | 13 |
| 2016 January | 9 | 6 | 15 |
| 2015 December | 6 | 2 | 8 |
| 2015 November | 4 | 1 | 5 |
| 2015 October | 2 | 2 | 4 |
Show all
