Artigo Original\Original Article
O trabalho de caminhada dos seis minutos não se correlaciona com o grau de obstrução do fluxo aéreo em doentes portadores de Doença Pulmonar Obstrutiva Crónica (DPOC)*
Six-minute walk work is not correlated to the degree of airflow obstruction in patients with Chronic Obstructive Pulmonary Disease (COPD)*
Paulo José Zimermann Teixeira1,2,*, Cássia Cínara Costa1,**, Danilo Cortozi Berton2,***, Greice Versa2,****, Otávio Bertoletti1,**, Dáversom Bordin Canterle1,**
* Professor do Centro Universitário Feevale de Novo Hamburgo/ Médico pneumologista do Pavilhão Pereira Filho/ Professor do Programa de Pós Graduação em Ciências Pneumológicas da Universidade Federal do Rio Grande do Sul/Professor at the Centro Universitário Feevale of Novo Hamburgo/ Pulmonologist at Pavilhão Pereira Filho/ Professor on the Pulmonology Sciences Post Graduate Programme at the Universidade Federal do Rio Grande do Sul
** Professores do Curso de Fisioterapia do Centro Universitário Feevale de Novo Hamburgo/Professors on the Physiotherapy Course at the Centro Universitário Feevale of Novo Hamburgo
*** Médico residente em Pneumologia do Pavilhão Pereira Filho – Santa Casa de Porto Alegre/Resident doctor in Pulmonology at the Pavilhão Pereira Filho – Santa Casa de Porto Alegre
**** Fisioterapeuta do Centro de Reabilitação Pulmonar do Pavilhão Pereira Filho – Santa Casa de Porto Alegre/Physiotherapist at the Pulmonary Rehabilitation Centre of the Pavilhão Pereira Filho – Santa Casa de Porto Alegre
1 Trabalho realizado no Programa de Reabilitação Pulmonar do/Study undertaken as part of the Pulmonary Rehabilitation Programme of, Centro Universitário Feevale, Novo Hamburgo – Rio Grande do Sul - Brasil
2 Trabalho realizado no Programa de Reabilitação Pulmonar do/Study undertaken as part of the Pulmonary Rehabilitation Programme of, Pavilhão Pereira Filho – Santa Casa de Porto Alegre – Rio Grande do Sul - Brasil
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Brasil" "etiqueta" => "1" "identificador" => "af0025" ] 5 => array:3 [ "entidad" => "Trabalho realizado no Programa de Reabilitação Pulmonar do/Study undertaken as part of the Pulmonary Rehabilitation Programme of, Pavilhão Pereira Filho – Santa Casa de Porto Alegre – Rio Grande do Sul - Brasil" "etiqueta" => "2" "identificador" => "af0030" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Six-minute walk work is not correlated to the degree of airflow obstruction in patients with Chronic Obstructive Pulmonary Disease (COPD)<a class="elsevierStyleCrossRef" href="#fn0005"><span class="elsevierStyleSup">*</span></a>" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-09-05" "fechaAceptado" => "2006-03-21" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec567780" "palabras" => array:4 [ 0 => "DPOC" 1 => "trabalho de caminhada" 2 => "teste dos seis minutos" 3 => "capacidade de exercício" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec567781" "palabras" => array:4 [ 0 => "COPD" 1 => "six- minute walking test" 2 => "sixminute work walk" 3 => "exercise capacity" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> No teste de caminhada dos seis minutos, o principal parâmetro é a distância percorrida. Não se considera o peso corporal, embora se conheça a sua influência na capacidade de exercício. Por outro</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">lado, existem evidências de que o grau de obstrução não se correlaciona com a distância caminhada. <span class="elsevierStyleBold">Objectivo:</span> Verificar se existe correlação entre o grau de obstrução do fluxo aéreo e o trabalho de caminhar obtido a partir do produto distância x x peso (DxP).</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Materiais e métodos:</span> Foram estudados 60 doentes portadores de doença pulmonar obstrutiva crónica. As variáveis fisiológicas e funcionais foram correlacionadas com a distância percorrida e com o produto distância/peso.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Não se encontraram correlações entre o trabalho de caminhar e o grau de obstrução ao fluxo aéreo, nem com os volumes pulmonares. Encontrou-se correlação positiva e significativa da distância com a difusão de monóxido de carbono (DLCO) (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,6; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) e com a SatO<span class="elsevierStyleInf">2</span> final (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). A correlação da distância foi negativa e significativa com a ∆ da escala Borg (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>- 0,3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05). O trabalho de caminhar correlacionou-se de maneira positiva e significativa com a DLCO (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,7; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) e de maneira negativa e significativa com a escala de Borg inicial (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>- 0,3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,01) e final (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>-0,4; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0,05).</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusões:</span> Não existe correlação entre o grau de obstrução ao fluxo aéreo e o trabalho de caminhar na população estudada. A DLCO foi o único parâmetro funcional respiratório que se correlacionou significativamente com a distância e com o trabalho de caminhar.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006; XII (3): 241-253</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> The six-minute walking test distance, despite being considered the main parameter, does not consider body weight which is known to influence exercise capacity. A body of evidence shows the degree of airflow obstruction does not correlate to walking distance and the body weight affects the work/energy required to perform the walk.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objective:</span> To verify if the degree of airflow obstruction correlates to six-minute walk work obtained by weight – walking distance product. Patient and methods: A total of 60 patients with chronic obstructive pulmonary disease were evaluated. The physiological and functional variables were correlated to distance and body weight – walking distance product (WxW).</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> There were no correlations between sixminute walk work and the degree of airflow obstruction. A positive and significant correlation were observed between the distance and Carbon Monoxide Diffusing Capacity (DLCO) (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.6; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01) and between the distance and final SatO<span class="elsevierStyleInf">2</span> (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.3; p <<span class="elsevierStyleHsp" style=""></span>0.05). Correlation between distance and Borg scale was negative and significant (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>–0.3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05). The six-minute walk work was positive and significantly correlated to DLCO (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.7; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01) and negative but significantly correlated to Borg scale in the initial (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>- 0.3; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.01) and final of the test (r<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>-0.4; p<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05).</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion:</span> Based on this data, there was no correlation between the degree of airflow obstruction and six-minute walk work test. The DLCO was the only respiratory functional parameter significantly correlated to the distance and to the sixminute walk work.</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006; XII (3): 241-253</span></p></span>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara" id="np0005">Professor do Centro Universitário Feevale de Novo Hamburgo/ Médico pneumologista do Pavilhão Pereira Filho/ Professor do Programa de Pós Graduação em Ciências Pneumológicas da Universidade Federal do Rio Grande do Sul/<span class="elsevierStyleItalic">Professor at the Centro Universitário Feevale of Novo Hamburgo/ Pulmonologist at Pavilhão Pereira Filho/ Professor on the Pulmonology Sciences Post Graduate Programme at the Universidade Federal do Rio Grande do Sul</span></p>" "identificador" => "fn0005" ] ] "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:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chronic Obstructive Pulmonary Disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P.J. Barnes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM200007273430407" "Revista" => array:6 [ "tituloSerie" => "New Engl J Med" "fecha" => "2000" "volumen" => "343" "paginaInicial" => "269" "paginaFinal" => "280" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10911010" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Pawels RA, Buist AS, Calverley PMA, Jenkins CR, Hurd SS. Global strategy for the diagnosis, management, and prevention of chronic obstrutctive pulmonary disease: NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. 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Article information
ISSN: 08732159Original language: Portuguese
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