Efeito agudo do exercício físico sobre a temperatura cutânea dos membros inferiores em pacientes com doença pulmonar obstrutiva crônica
DOI:
https://doi.org/10.46919/archv4n3-004Keywords:
DPOC, termografia, temperatura cutânea, membros inferiores, exercício físico, capacidade funcionalAbstract
Introdução: A Doença Pulmonar Obstrutiva Crônica (DPOC) reduz a capacidade de exercício e carece de investigação da temperatura cutânea (tc) durante o mesmo. Objetivo: Avaliar o efeito agudo do exercício físico sobre a variação de tc (∆tc) dos membros inferiores (MMII) em pacientes com DPOC. Métodos: Quase-experimental com pacientes graves (n=8).Variáveis analisadas: índice de massa corporal (IMC); índice tornozelo braquial (ITB); capacidade física (teste do degrau de 6 minutos-TD6m); ∆tc dos MMII pré vs pós-TD6m por termografia infravermelha. Resultados: Pacientes idosos (70,8±6,2 anos), 5 homens, baixa capacidade física (n=7). Vista posterior (VP) da coxa-D (∆tc=-0,8ºC, p=0,05), coxa-E (∆tc=-0,9ºC, p=0,02) e perna-D (∆tc=-0,8ºC, p=0,04). Associações VP: ITB-D vs ∆tc-coxa-D (r=738, p=0,03) e ∆tc- perna-D (r=766, p=0,02); Vista Anterior: IMC vs ∆tc-coxa-D (r=-731, p=0,04) e ∆tc-coxa-E (r=-714, p=0,04). Conclusão: Pacientes com DPOC apresentam redução aguda na ∆tc-coxa- D/E e perna-D pós-TD6m, sendo o peso, IMC e ITB associados a ∆tc.
References
ATS. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. 2002. ATS statement : Guidelines for the six-minute walk test. Am J Respir Crit Care Med 166, 111–117. https://doi.org/10.1164/ajrccm.166.1.at1102
Bimbato, L.D., Pereira, F.L.A., Filho, P.H.P., Creimer, H.P., Silva, V.M., Tieppo, A., Morelato, R.L., 2018. Doença arterial obstrutiva assintomática e Índice Tornozelo-Braquial em pacientes com diabetes mellitus tipo 2. Rev. da Soc. Bras. Clínica Médica 16, 18–20.
Côrte, A.C.R., Hernandez, A.J., 2016. Termografia médica infravermelha aplicada à medicina do esporte. Rev. Bras. Med. do Esporte 22, 315–319. https://doi.org/10.1590/1517-869220162204160783
Cruz, M.M., Pereira, M., 2020. Epidemiology of Chronic Obstructive Pulmonary Disease in Brazil: a systematic review and meta-analysis. Cien. Saude Colet. 25, 4547–4557. https://doi.org/10.1590/1413-812320202511.00222019
Cruz-Jentoft, A.J., Baeyens, J.P., Bauer, J.M., Boirie, Y., Cederholm, T., Landi, F., et al., 2010. Sarcopenia: European consensus on definition and diagnosisReport of the European Working Group on Sarcopenia in Older PeopleA. J. Cruz-Gentoft et al. Age Ageing 39, 412–423. https://doi.org/10.1093/AGEING/AFQ034
Dal Corso, S., Duarte, S.R., Neder, J.A., Malaguti, C., de Fuccio, M.B., de Castro Pereira, C.A., et al., 2007. A step test to assess exercise-related oxygen desaturation in interstitial lung disease. Eur. Respir. J. 29, 330–336. https://doi.org/10.1183/09031936.00094006
Damatto, R.L., Cezar, M.D.M., Dos Santos, P.P., 2019. Control of body temperature during physical exercise. Arq. Bras. Cardiol. 112, 543–544. https://doi.org/10.5935/ABC.20190081
Dempsey, J.A., Romer, L., Rodman, J., Miller, J., Smith, C., 2006. Consequences of exercise-induced respiratory muscle work. Respiratory Physiology & Neurobiology. 151, 242-250. https://pubmed.ncbi.nlm.nih.gov/16616716/
Fernandes, A., Amorim, P.R.S, Brito, C.J., Moura, A.G., Moreira, D.G., Costa, C.M.A., et al., 2014. Measuring skin temperature before, during and after exercise: a comparison ofthermocouples and infrared thermography. Physiol. Meas. 35, 189. https://doi.org/10.1088/0967-3334/35/2/189
Forjaz, C.L. de M., Tricoli, V., 2011. A fisiologia em educação física e esporte. Rev. Bras. Educ. Física e Esporte 25, 7–13. https://doi.org/10.1590/S1807-55092011000500002
Gleeson, M., 1998. Temperature regulation during exercise. Int. J. Sports Med. 19, S96– S99. https://doi.org/10.1055/S-2007-971967/BIB
Gold, 2021. Global strategy for prevention, diagnosis and management of copd. Gold Re- port [s.l: s.n.]. Disponível em: https://goldcopd.org/2021-gold-reports/
Halpin, D.M.G., Criner, G.J., Papi, A., Singh, D., Anzueto, A., Martinez, F.J., et al., 2021. Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease. Am. J. Respir. Crit. Care Med. 203, 24–36. https://doi.org/10.1164/RCCM.202009-3533SO
Hildebrandt, C., Zeilberger, K., Francis, E., Ring, J., Raschner, C., 2012. The Application of medical infrared thermography in sports medicine. Infrared Thermography in Sports Medicine in Austria. Sensors. https://doi.org/10.3390 / s100504700.
Johnson, J.M., 1992. Exercise and the cutaneous circulation. Exerc. Sport Sci. Rev. 20, 59–
https://doi.org/10.1249/00003677-199200200-00003
Lacasse, M., Maltais, F., Poirier, P., Lacasse, Y., Marquis, K., Jobin, J., et al., 2005. Post- exercise heart rate recovery and mortality in chronic obstructive pulmonary disease. Respir. Med. 99, 877–886. https://doi.org/10.1016/J.RMED.2004.11.012
Lauretani, F., Russo, C.R., Bandinelli, S., Bartali, B., Cavazzini, C., Di Iorio, A., et al., 2003. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J. Appl. Physiol. 95, 1851–1860. https://doi.org/10.1152/JAPPLPHYSIOL.00246.2003
Majewski, S., Pietrzak, A., Tworek, D., Szewczyk, K., Kumor-Kisielewska, A., Kurmanowska, Z., et al., 2017. Skin condition and its relationship to systemic inflammation in chronic obstructive pulmonary disease. Int. J. Chron. Obstruct. Pulmon. Dis. 12, 2407. https://doi.org/10.2147/COPD.S141805
Marillier, M., Bernard, A.C., Vergès, S., Neder, J.A., 2020. Locomotor Muscles in COPD: The Rationale for Rehabilitative Exercise Training. Front. Physiol. 10, 1590. https://doi.org/10.3389/FPHYS.2019.01590/BIBTEX
Mazzuco, A., Medeiros, W.M., Souza, A.S. de, Alencar, M.C.N., Neder, J.A., Borghi-Silva, A., 2017. Are heart rate dynamics in the transition from rest to submaximal exercise related to maximal cardiorespiratory responses in COPD? Brazilian J. Phys. Ther. 21, 251–258. https://doi.org/10.1016/J.BJPT.2017.05.002
Mccarthy, B., Casey, D., Devane, D., Murphy, K., Murphy, E., Lacasse, Y., 2015. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst. Rev. 2015. https://doi.org/10.1002/14651858.CD003793.PUB3/INFORMATION/EM
Merla, A., Mattei, P.A., Di Donato, L., Romani, G.L., 2009. Thermal imaging of cutaneous temperature modifications in runners during graded exercise. Ann. Biomed. Eng. 38, 158–
https://doi.org/10.1007/S10439-009-9809-8
Oliveira, M.F., Zelt, J.T.J., Jones, J.H., Hirai, D.M., O’Donnell, D.E., Verges, S., et al., 2015. Does impaired O2 delivery during exercise accentuate central and peripheral fatigue in patients with coexistent COPD-CHF? Front. Physiol. 6, 514. https://doi.org/10.3389/FPHYS.2014.00514/BIBTEX
Pagotto, V.I., Santos, K.F., Malaquias, S.G., Bachion, M.M., Silveira, E.A., 2018. Calf circumference: clinical validation for evaluation of muscle mass in the elderly.. Rev Bras Enferm [Internet] 71, 322–330. https://doi.org/10.1590/0034-7167-2017-0121
Priego-Quesada, J.I., Oficial-Casado, F., Gandia-Soriano, A., Carpes, F.P., 2019. A preliminary investigation about the observation of regional skin temperatures following cumulative training loads in triathletes during training camp. J. Therm. Biol. 84, 431–438. https://doi.org/10.1016/J.JTHERBIO.2019.07.035
Salamunes, S., Stadnik, A.M.W, Neves, E.B., 2017. The effect of body fat percentage and body fat distribution on skin surface temperature with infrared thermography. J. Therm. Biol. 66, 1–9. https://doi.org/10.1016/J.JTHERBIO.2017.03.006
Schwartz, R.G., O’Young, B., Getson, P., Govindan, S., Uricchio, J., Bernton, T., et al., 2015. Guidelines for Neuromusculoskeletal Infrared Thermography Sympathetic Skin Response (SSR) Studies. Pan Am. J. Med. Thermol. 2, 35–43. https://doi.org/10.18073/2358-4696/PAJMT.V2N1P35-43
Silverthorn, D.U. Ribeiro, M.F.M. Silva, M. Schenkel, K.P.C., 2017. Fisiologia Humana: Uma Abordagem Integrada. 7º edição. Porto Alegre: Artemed, 2017.
Sociedade Brasileira de Cardiologia/ Sociedade Brasileira de Hipertensão/ Sociedade Brasileira de Nefrologia, 2010. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 95(1 supl.1), 1-51.
http://publicacoes.cardiol.br/consenso/2010/Diretriz_hipertensao_associados.pdf
Vanzella, L.M., Bernardo, A.F.B., De Carvalho, T.D., Vanderlei, F.M., Da Silva, A.K.F., Vanderlei, L.C.M., 2018. Complexidade do sistema nervoso autônomo em indivíduos com DPOC. J. Bras. Pneumol. 44, 24–30. https://doi.org/10.1590/S1806-37562017000000086
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