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Previous issue date: 2009-03-31 / The restriction of physical fitness is directly related with hypertension and sleep disorders, while the respiratory muscle strength is associated with hypertension, but the literature is scarce regarding its relationship with sleep disorders and particularly with excessive daytime sleepiness. Objectives: To compare physical fitness and strength of respiratory muscles between people with hypertension with excessive daytime sleepiness (EDS) and non EDS people, those who do not feel excessive daytime sleepiness, in addition to relate aerobics resistance and functional mobility of patients. Methods: An observational, analytical and transversal study, evaluated 32
elderly with hypertension, divided into two groups (EDS and non EDS), in which the following topics were measured; respiratory muscular strength, functional fitness, level of
physical activity, level of excessive daytime sleepiness, quality of sleep and intensity of the patients snoring. Results: There was a significant difference in the level of EDS
(P=0,00) and quality of sleep (p=0,03), however, the data related to snoring intensity (p=0,18), maximum inspiratory pressure PImax (p=0,39) and maximum expiratory
pressure PEmax (p=0,98) did not show any difference. Also, no significant difference was observed concerning physical fitness, presenting p=0,08 for the sitting and getting
up test on the chair in 30 ; p=0,54 for the extension and flexing of the elbow test in 30 ; p=0,38 for the walking test 6 ; p=0,38 for the parking gear test 2 , p=0,08 for the
sitting and reaching test; p=0,42 for the scratching the back test; p=0,49 for the getting up and walking test; and p=0,62 for the global rate of activity limitation. There was
moderate positive correlation between 6MWT and 2MST, r=0,54 (p=0,01) and negative moderate correlation between 6MWT and TUG, r=-0,61 (p=0,000) and between 2MST
and TUG, r=-0,60 (p=0,000). Conclusion: The presence of EDS in the hypertension people studied, showed a bad quality of sleep, however this sleepiness did not influence
the strength of the respiratory muscles. The physical fitness came out diminished in all hypertension people, regardless of the presence or non presence of sleep disturbance;
and there is a close relationship between cardiovascular resistance and physical mobility, since when there is less cardiovascular resistance, there is precarious physical
mobility and vice-versa / A limita??o na capacidade funcional relaciona-se diretamente com a hipertens?o e com os dist?rbios do sono, j? a for?a dos m?sculos respirat?rios est? associada com a hipertens?o, mas a literatura ? escassa quanto sua rela??o com os dist?rbios do sono e, principalmente, com a sonol?ncia diurna excessiva. Objetivos: Comparar capacidade funcional e for?a dos m?sculos respirat?rios entre hipertensas com sonol?ncia diurna excessiva (SDE) e hipertensas sem SDE, al?m de relacionar resist?ncia aer?bica e mobilidade funcional das pacientes. M?todos: Estudo observacional, anal?tico e transversal, avaliou 32 idosas hipertensas, divididas em dois
grupos (com SDE e sem SDE), nos quais foram mensurados for?a muscular respirat?ria, capacidade funcional, n?vel de atividade f?sica, grau de sonol?ncia diurna excessiva, qualidade do sono e intensidade do ronco. Resultados: Houve diferen?a significativa no grau de SDE (p=0,00) e qualidade do sono (p=0,03), por?m os dados relativos ? intensidade do ronco (p=0,18), press?o inspirat?ria m?xima - PIm?x
(p=0,39), e press?o expirat?ria m?xima - PEm?x (p=0,98) n?o apresentaram diferen?as significativas. Tamb?m n?o foi observada diferen?a significativa quanto ? capacidade
funcional, apresentando p=0,08 para o teste sentar e levantar da cadeira em 30 ; p=0,54 para o teste extens?o e flex?o do cotovelo em 30 ; p=0,38 para o teste da
caminhada de 6 (TC6 ); p=0,38 para o teste da marcha estacion?ria dos 2 (TME2 ); p=0,08 para o teste sentar e alcan?ar; p=0,42 para o teste co?ar as costas; p=0,49
para o teste levantar e caminhar (TUG); e p=0,62 para o ?ndice global de limita??o das atividades. Houve correla??o positiva moderada entre TC6 e TME2 , r=0,36 (p=0,04) e
correla??o negativa moderada entre TC6 e TUG, r=-0,59 (p=0,000) e entre TME2 e TUG, r=-0,66 (p=0,000). Conclus?o: A presen?a de SDE, nas hipertensas estudadas,
demonstrou uma qualidade de sono ruim, entretanto essa sonol?ncia n?o influenciou a for?a dos m?sculos respirat?rios. A capacidade funcional apresentou-se diminu?da em
todas as hipertensas, independentemente da presen?a ou n?o de dist?rbios do sono; e, foi ainda demonstrada a rela??o entre resist?ncia cardiovascular e mobilidade funcional,
de modo que havendo menor resist?ncia cardiovascular, h? mobilidade funcional prec?ria e vice-versa
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/16666 |
| Date | 31 March 2009 |
| Creators | Pedrosa, Rafaela |
| Contributors | CPF:21268843334, http://lattes.cnpq.br/4934425482168899, Nogueira, Patr?cia Ang?lica de Miranda Silva, CPF:02545172421, http://lattes.cnpq.br/1788918737416095, Dias, Jo?o Marcos Domingues, CPF:13376926620, http://lattes.cnpq.br/3544167405058064, Ferreira, Gard?nia Maria Holanda |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Fisioterapia, UFRN, BR, Movimento e Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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