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Previous issue date: 2015-03-20 / Introdu??o: A determina??o da qualidade de vida (QV) de crian?as asm?ticas
? importante, pois, a asma grave ou com sintomas mal controlados, pode
impedir a participa??o em atividades esportivas, prejudica o sono e o
rendimento escolar, o que contribui para uma qualidade de vida ruim9
.
Objetivos: Avaliar a rela??o entre qualidade de vida, capacidade de exerc?cio,
e qualidade de sono de crian?as asm?ticas. Materiais e m?todos: Trata-se de
um estudo observacional do tipo anal?tico transversal. A dispneia e a fadiga de
membros inferiores foi alvaliada atrav?s da Escala 10-point Borg category-ratio
(CR10); a espirometria, utilizando um espir?metro port?til digital KOKO?
(Longmont, Estados Unidos da Am?rica); a qualidade de sono e presen?a de
dist?rbios do sono, utilizando a Escala de dist?rbio de sono para crian?as
(EDSC); a capacidade funcional, pelo teste do degrau de 6 minutos (TD6); e a
qualidade de vida pelo Question?rio sobre a Qualidade de Vida na Asma
Pedi?trica (QQVAP). O aceler?metro Actilife GT3X foi usado para classifica??o
do n?vel de atividade f?sica. Foi utilizado o SPSS 17, n?vel de signific?ncia de
5%, e o teste de Kolmogorov-Smirnov para normalidade de dados. A estat?stica
descritiva se deu atrav?s de m?dias, desvio padr?o e porcentagem. Os testes
?t? e ANOVA oneway foram usados para an?lises comparativas da qualidade
de vida. O coeficiente de correla??o de Pearson foi utilizado entre as vari?veis
quantitativas e os escores do QQVAP. Foram realizadas an?lises de regress?o
linear m?ltipla (m?todo backward) entre as vari?veis que se correlacionaram.
Resultados: Participaram 45 crian?as asm?ticas de ambos os sexos (60% -
masculino), de faixa et?ria entre 7-12 anos. Dentre elas, 51,1% tinham asma de
intermitente ? leve, e 48,9% tinham asma moderada ? grave. Os dist?rbios
observados foram: Dist?rbio respirat?rio de sono (n=20), Hiperhidrose do sono
(n=12), e Dist?rbio de in?cio e manuten??o do sono (n=2). A amostra foi
composta por 71,1% de crian?as sedent?rias ou com n?vel de atividade f?sica
leve. A m?dia de TD6-T foi 175,9?32,9. As m?dias do QQVAP para o escore
Total, e dom?nios: sintomas (S), limita??o de atividades (LA) e Fun??o
emocional (FE), foram respectivamente, 5,5?1,2; 5,6?1,3; 4,9?1,4; 5,7?1,3. A
gravidade da asma, a qualidade de sono, e ? dispneia sentida ap?s o TD6,
explicaram 31% da varia??o do escore total do QQVAP, e 35,6% do dom?nio de sintomas. A dispneia ap?s o 60 minuto de TD6 explicou a 7,2% para o
dom?nio LA, e a gravidade em conjunto com o sono, explicaram 16,2% para o
escore FE. Conclus?o: Os achados do presente estudo sugerem que em
crian?as asm?ticas, a qualidade de vida pode estar relacionada ? gravidade da
asma, a qualidade de sono, e ? dispneia sentida ap?s exerc?cios f?sicos. / Introduction: The determination of the quality of life (QoL) of asthmatic children
is important because, severe or poorly controlled asthma symptoms, may
prevent participation in sports activities, impairs sleep and school performance,
which contributes to worse quality of life. Objectives: To evaluate the
relationship between quality of life, exercise capacity, and quality of asthmatic
children sleep. Objectives: To avaluate the relationship between quality of life,
exercise capacity and capacity of sleep of asthmatic children. Methods: This
study is an observational cross sectional. Dyspnea and fatigue of the lower
limbs were assessed by the 10-point Borg scale category-ratio (CR 10);
spirometry, using a digital portable spirometer KOKO? (Longmont, United
States of America); quality of sleep and presence of sleep disorders, using The
Sleep Disturbance Scale for Children (SDSC); for functional capacity, the 6MST
was used; and for quality of life, the Pediatric Asthma Quality of Life
Questionnaire (PAQLQ). The accelerometer Actilife GT3X was used for
physical activity level classification. We used the SPSS 17, assigning the
significance level of 5%, and Kolmogorov-Smirnov test for normality of data.
Descriptive statistics are given as mean, standard deviation and percentage.
The "t" test and oneway ANOVA were used for comparative analysis of the
quality of life. The Pearson correlation coefficient was used between
quantitative variables and PAQLQ scores. Multiple linear regression analysis
(backward method) between the variables that correlated were made. Results:
were 45 asthmatic children of both sexes (60% - male), at age 7-12 years.
Among them, 51.1% had asthma intermittently to light, and 48.9% had
moderate to severe asthma. The following sleep disorders were observed:
sleep-disordered breathing (n = 20), sleep hyperhydrosis (n = 12), and
disorders of initiating and maintaining sleep (n = 2). The sample consisted of
71.1% of sedentary children or with low physical activity level. The 6MST-T
average was 175.9 ? 32.9. QQVAP mean for the Total score and domains:
symptoms, activity limitation (AL) and emocional function (EF) were,
respectively, 5.5?1.2; 5.6?1.3; 4.9?1.4; 5.7?1.3. Asthma severity, sleep quality,
and dyspnea felt after 6MST, explained 31% of the change in total score
QQVAP, and 35.6% of domain symptoms. Dyspnea after 6 minutes of TD6, 7.2% for the AL field and gravity level in combination with sleep, to 16.2%
explained EF score. Conclusion: The findings of this study suggest that in
asthmatic children, the quality of life may be related to asthma severity, sleep
quality, and dyspnea felt after exercise.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/20340 |
| Date | 20 March 2015 |
| Creators | Furtado, Priscilla Rique |
| Contributors | 72298863415, http://lattes.cnpq.br/1736384836028397, Silva, Baldomero Antonio Kato da, 63747235115, http://lattes.cnpq.br/6675687901015335, Ferreira, Gard?nia Maria Holanda, 21268843334, http://lattes.cnpq.br/4934425482168899, Mendon?a, Karla Morganna Pereira Pinto de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| 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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