Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-01-24T12:18:39Z No. of bitstreams: 1 IngridGuerraAzevedo_TESE.pdf: 2139562 bytes, checksum: 19866686d49a9d3fd4d3cc1df330d9bd (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-01-26T14:29:01Z (GMT) No. of bitstreams: 1 IngridGuerraAzevedo_TESE.pdf: 2139562 bytes, checksum: 19866686d49a9d3fd4d3cc1df330d9bd (MD5) / Made available in DSpace on 2018-01-26T14:29:01Z (GMT). No. of bitstreams: 1 IngridGuerraAzevedo_TESE.pdf: 2139562 bytes, checksum: 19866686d49a9d3fd4d3cc1df330d9bd (MD5) Previous issue date: 2017-10-19 / Introdu??o: A hist?ria reprodutiva feminina e disfun??es do assoalho p?lvico tem contribu?do para as altera??es f?sicas que aparecem no envelhecimento, como as altera??es precoces na capacidade funcional de mulheres. Desta forma, investigar a hist?ria reprodutiva feminina e prolapso de ?rg?os p?lvicos (POP) sintom?tico, e sua rela??o coma for?a muscular respirat?ria se torna de grande necessidade para a institui??o de tratamento e acompanhamento adequado dessa musculatura. Objetivo: Avaliar a rela??o da for?a muscular respirat?ria com vari?veis da hist?ria reprodutiva e POP sintom?tico, em mulheres de meia idade e idosas residentes na comunidade. M?todos: Foram estudadas 208 mulheres entre 41-80 anos, nas cidades de Santa Cruz - RN. Os sujeitos foram recrutados por conveni?ncia e ap?s consentimento, a avalia??o foi realizada. Foram coletados dados sociodemogr?ficos, medidas antropom?tricas, h?bitos de vida, hist?ria reprodutiva, altera??es de assoalho p?lvico (todas essas vari?veis por question?rio estruturado para esta pesquisa), avalia??o do desempenho f?sico (atrav?s do IPAQ ? vers?o curta) e avalia??o da for?a muscular respirat?ria (manovacuometria), atrav?s das press?es inspirat?ria m?xima (PIm?x) e expirat?ria m?xima (PEm?x). Resultados: Mais de noventa porcento (90,4%) das mulheres com com sete ou mais filhos tiveram menos que escolaridade b?sica, enquanto 80,8% desse grupo recebiam menos que tr?s sal?rios m?nimos. Aproximadamente 44,1% da amostra tiveram tr?s gesta??es ou menos, 30,4% tiveram 4-6 gesta??es e 25,5% tiveram mais que sete gesta??es. As mulheres com sete gesta??es ou mais s?o mais velhas que as mulheres do grupo com tr?s filhos ou menos gesta??es. Quanto ? PIm?x, aquelas que tiveram sete ou mais gesta??es tinham mais de 12 cmH2O a menos quando comparadas a aquelas que tiveram sete gesta??es ou mais (?=-12,29; p=0,233). Considerando a PEm?x, aquelas que tiveram sete ou mais gesta??es tinham mais de 21 cmH2O a menos quando comparadas a aquelas que tiveram sete gesta??es ou mais (?= -21,69; p<0,001). Com rela??o ao POP, 14,7% das mulheres apresentaram prolapso de ?rg?o p?lvico (POP) sintom?tico. O POP sintom?tico n?o foi associado ? PIm?x. As vari?veis idade, escolaridade, IMC, tabagismo e paridade foram associadas ? PIm?x na an?lise univariada, mas apenas idade, IMC e tabagismo s?o determinantes de PIm?x no modelo multivariado. No modelo univariado, POP sintom?tico, idade, escolaridde, IMC e paridade foram associados ? PEm?x. As mulheres com POP sintom?tico apresentaram PEm?x mais baixa quando comparadas ?s mulheres sem esta condi??o (? = -14,78; p = 0,014). As mulheres com maior idade e maior n?mero de filhos (? 5 crian?as) obtiveram piores valores de PEm?x, e aquelas com maior IMC e mais anos de estudos (> 7 anos), valores mais elevados, na an?lise univariada. No modelo multivariado, apenas idade, IMC e POP sintom?tico s?o determinantes para a PEm?x. Conclus?o: Este estudo traz evid?ncias de que as m?ltiplas gesta??es e POP sintom?tico influenciam a for?a muscular respirat?ria, uma vez que mulheres com maior n?mero de gesta??es e com POP sintom?tico t?m valores mais baixos de press?es respirat?rias m?ximas. Ainda, outras vari?veis, como o IMC e o tabagismo possuem rela??o com a capacidade de gerar press?es respirat?rias. / Background: Female reproductive history and pelvic floor dysfunction have contributed to the physical changes that appear in aging, such as early changes in the functional capacity of women. Thus, investigating the female reproductive history and symptomatic pelvic organ prolapse (POP), and its relationship with respiratory muscle strength, becomes a great necessity for the institution of treatment and adequate monitoring of this musculature. Objective: To assess the relationship of respiratory muscle strength with variables of reproductive history and pelvic floor prolapse in middle-aged and elderly women living in the community. Methods: A total of 208 women aged 41-80 years were studied in the cities of Santa Cruz - RN. The subjects were recruited for convenience and after consentment, the evaluation was performed. Socio-demographic data, anthropometric measures, life habits, reproductive history, pelvic floor changes (all variables by structured questionnaire for this research), physical performance evaluation (through IPAQ - short version) and respiratory muscle strength (manovacuometry), through maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP). Results: More than ninety percent (90.4%) of the women with seven or more children had less than basic education, while 80.8% of this group received less than three minimum wages. Approximately 44.1% of the sample had three pregnancies or less, 30.4% had 4-6 pregnancies and 25.5% had more than seven pregnancies. Women with seven or more pregnancies are older than women in the group with three children or fewer pregnancies. As for MIP, those who had seven or more pregnancies had more than 12 cmH2O less when compared to those who had seven or more pregnancies (? = -12.29; p = 0.233). Considering MEP, those who had seven or more pregnancies had more than 21 cmH2O less when compared to those who had seven or more pregnancies (? = -21.69, p <0.001). Regarding POP, 14.7% of the women presented symptomatic POP, which was not associated with MIP. The variables age, schooling, BMI, smoking and parity were associated with MIP in the univariate analysis, but only age, BMI and smoking are determinants of MIP in the multivariate model. In the univariate model, symptomatic POP, age, schooling, BMI and parity were associated with MEP. Women with symptomatic POP presented lower MEP when compared to women without this condition (? = -14.78; p = 0.014). Women with greater age and greater number of children (? 5 children) had worse values of MEP, and those with higher BMI and more years of studies (> 7 years), higher values, in the univariate analysis. In the multivariate model, only age, BMI and symptomatic POP are determinants for MEP. Conclusion: This study provides evidence that multiple pregnancies and symptomatic POP influence the respiratory muscle strength, since women with more gestations and with symptomatic POP have lower values of maximum respiratory pressures. Still, other variables such as BMI and smoking are related to the capacity to generate respiratory pressures.

Made available in DSpace on 2014-12-17T14:10:24Z (GMT). No. of bitstreams: 1 ThiagoCVN_DISSERT.pdf: 3967132 bytes, checksum: 808ab0fb6d42acf030afd829319cfe49 (MD5) Previous issue date: 2012-03-30 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / The human respiratory system was so designed that would allow efficient ventilation, regardless of variations in the external environment that may hinder the act of breathing, such an act involves dozens of variables, among them we find the respiratory depression, which is nothing more than respiratory muscle strength. The pressures are widely used in several cases: Neuro-muscular; evolution of pulmonary dysfunction and a predictor for discontinuation of mechanical ventilation. Therefore it was proposed to carry out evaluations of these respiratory pressures for children and adolescents aged 10 to 16 years and propose a predictive equation that involves the anthropometric variables age (A, years), body mass (BM, kilograms) and height (H, meters) with maximal respiratory pressures (maximum inspiratory and expiratory pressure). Evaluations were performed in this age group of students in public and private schools of the Grande Natal , measurements were performed using the analogue manometer, were children and adolescents and their parents gave informed consent. 517 samples were taken, and 250 for males (M), 255 for females (F) and 12 were excluded according to our exclusion criteria. The sample was subdivided into three age groups (10-11, 12-13 and 14 to 16 years old). It was found through the student s t test (p &#8804; 0.05) for all variables studied, children and male adolescents had higher means than females, except for the MC. For the correlation between the variables found significant correlation (p <0.05) among all the variables when analyzed as pairs except between MIP and height for females. The development of predictive equations (for p &#8804; 0.05) based on three types of strategies adopted were restricted to two association between anthropometric variables isolated, resulting in: for males: MIP = -32.29 + (-2.11*A) + (-0.52*BM), MIP = 9.99 + (-0.36*BM) + (-49.40*H); MEP = 18.54 + 3.53*A + 0, 42*BM, MEP = -33.37 + 2.78*A + 52.18* H, MEP = -17.39 + 0.33*BM + 55.04*H; and, for females we find: MEP = 24.32 + 2.59 * A + 0.24*BM / O sistema respirat?rio do ser humano foi concebido de maneira que possibilitasse uma ventila??o eficiente, independente das varia??es do meio externo que possam vir a dificultar o ato da respira??o, tal ato envolve dezenas de vari?veis, dentre elas encontramos a press?o respirat?ria, que nada mais ? do que a for?a muscular respirat?ria. As press?es s?o amplamente utilizadas em diversos casos: Doen?as neuro-musculares; evolu??o de disfun??es pulmonares e par?metro preditivo para a descontinuidade da ventila??o mec?nica. Assim sendo foi proposto a realiza??o de avalia??es dessas press?es respirat?rias para as crian?as e adolescentes de 10 aos 16 anos e propor uma equa??o preditiva que envolvesse as vari?veis antropom?tricas idade (ID, anos); massa corporal (MC, Kilogramas) e estatura (E, metros) com as press?es respirat?rias m?ximas (press?o inspirat?ria e expirat?ria m?xima). Foram realizadas as avalia??es nessa faixa et?ria em estudantes de escolas p?blicas e privadas da grande natal, as mensura??es foram realizadas atrav?s da manovacuometria anal?gica, as crian?as e adolescentes foram informadas e seus respons?veis deram o consentimento. Foram realizadas 517 coletas, sendo 250 para o g?nero masculino (M), 255 para o g?nero feminino (F) e 12 foram exclu?dos de acordo com nossos crit?rios de exclus?o. A amostra foi subdividida em 3 faixas et?rias (10 a 11; 12 a 13 e 14 a 16 anos de idade). Constatou-se atrav?s do teste t de student (p&#8804;0,05) que para todas as vari?veis pesquisadas, as crian?as e adolescentes do g?nero masculino apresentaram m?dias superiores aos do g?nero feminino, exceto para a MC. Para a correla??o entre as vari?veis encontramos significativa correla??o (p<0,05) entre todos as vari?veis quando analisadas par a par exceto entre Estatura e a PIm?x para o g?nero feminino. A elabora??o das equa??es preditivas (para p&#8804;0,05) baseadas nos 3 tipos de estrat?gias adotadas ficaram restritas a associa??o entre duas vari?veis antropom?tricas isoladas, resultando em: para o g?nero masculino: PIm?x= -32,29 + (-2,11*ID) + (-0,52*MC); PIm?x= 9,99 + (-0,36*MC) + (-49,40*E); PEm?x= 18,54 + 3,53*ID + 0,42*MC; PEm?x= -33,37 + 2,78*ID + 52,18*E e PEm?x= -17,39 + 0,33*MC + 55,04*E; para o g?nero feminino encontramos: PEm?x= 24,32 + 2,59*ID + 0,24*MC

Made available in DSpace on 2014-12-17T15:16:09Z (GMT). No. of bitstreams: 1 PalommaRSA_DISSERT.pdf: 871286 bytes, checksum: 4918cb8370bc81a4276c15ef2770900e (MD5) Previous issue date: 2010-05-19 / Universidade Federal do Rio Grande do Norte / The strength of respiratory muscle are frequently assessed by maximal inspiratory and expiratory pressure, however, the maneuvers to assess PImax and PEmax are difficult for many patients. The sniff nasal inspiratory pressure (SNIP) is a simple and noninvasive technique use to assess inspiratory muscles strength. Reference values have been previous established for SNIP in adults but no previous studies have provided reference values for SNIP in adult Brazilian population. The main objective of this study were propose reference values of SNIP for Brazilian population through establishment of relationship between anthropometric measurements, physical activity profile and SNIP and at the same time compare the values obtained with reference values previously published. We studied 117 subjects (59 male and 58 female) distributed in different age grouped 20-80 years old. The results showed on significant positive relationship between SNIP and height and negative correlation with age (p<0.05). In the multiple linear regression analysis only age continued to have an independent predictive role for the two dependent variables that correlated with SNIP. The values of SNIP found in Brazilian population were higher when compared with predict values of previous studies. The results of this study provide reference equations of SNIP for health Brazilian population from 20 to 80 years old / Os testes de avalia??o da fun??o muscular respirat?ria como as medidas de press?o respirat?ria m?xima (Press?o Inspirat?ria m?xima - PIm?x e Press?o Expirat?ria m?xima - PEm?x) s?o testes cl?ssicos de for?a muscular respirat?ria, por?m alguns indiv?duos podem expressar certa dificuldade para a execu??o dessas manobras. A Press?o Inspirat?ria Nasal Sniff (Sniff Nasal Inspiratory Pressure - Pnsn), por se tratar de uma t?cnica f?cil e n?o-invasiva, tem sido utilizada para avaliar a for?a muscular inspirat?ria. Alguns estudos determinaram valores de refer?ncia de Pnsn em adultos, por?m n?o h? relatos na popula??o brasileira. Os principais objetivos desse estudo foram propor equa??es de refer?ncia para Pnsn na popula??o brasileira para homens e mulheres, a partir da investiga??o da rela??o entre Pnsn e idade, peso, altura, ?ndice de Massa Corp?rea - IMC e padr?o de atividade f?sica habitual, bem como avaliar a Pnsn numa amostra de volunt?rios saud?veis e comparar com os valores preditos em outras popula??es. A amostra foi composta de 117 indiv?duos (59 homens e 58 mulheres), estratificados em grupos et?rios entre 20-80 anos. Os resultados evidenciaram valores significativamente maiores da Pnsn com o aumento da altura e significativamente menores com o aumento da idade (p<0,05). Ao analisar as equa??es de regress?o linear m?ltipla, apenas a idade permaneceu exercendo influ?ncia na predi??o da Pnsn e os valores obtidos de Pnsn foram superiores quando comparados aos valores preditos em outras popula??es adultas. Nesse contexto, sugere-se equa??es preditivas para Pnsn em indiv?duos brasileiros saud?veis na faixa et?ria entre 20 e 80 anos, com o intuito de minimizar discrep?ncias diagn?sticas ao comparar indiv?duos