Artigo

Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids

Introduction: Physical activity can be an ally to minimize the appearance of lipodystrophy and its deleterious effects. Objective: To analyze the relationship between physical activity level (PAL) and lipodystrophy syndrome with body composition and quality of life (QOL) of patients with HIV/Aids. M...

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Autor principal: SILVA, Luiz Fernando Gouvêa e
Outros Autores: SAID, Renato do Carmo, KIETZER, Kátia Simone, FREITAS, Jofre Jacob da Silva, XAVIER, Marília Brasil
Grau: Artigo
Idioma: por
Publicado em: Universidade Federal do Pará 2017
Assuntos:
Acesso em linha: http://repositorio.ufpa.br/jspui/handle/2011/7386
id ir-2011-7386
recordtype dspace
spelling ir-2011-73862018-01-17T15:48:10Z Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids Level of physical activity and lipodystrophy syndrome in patients with HIV/Aids SILVA, Luiz Fernando Gouvêa e SAID, Renato do Carmo KIETZER, Kátia Simone FREITAS, Jofre Jacob da Silva XAVIER, Marília Brasil Lipodistrofia Atividade física HIV (Vírus) Qualidade de vida Introduction: Physical activity can be an ally to minimize the appearance of lipodystrophy and its deleterious effects. Objective: To analyze the relationship between physical activity level (PAL) and lipodystrophy syndrome with body composition and quality of life (QOL) of patients with HIV/Aids. Methods: The study included 120 patients with HIV/Aids (38.55±11.47 years). They were evaluated for body mass index, body composition, basal metabolic rate, waist-hip ratio, QOL, presence, type, and location of lipodystrophy, hand grip strength, and PAL. Results: It was found that 70% were sedentary; in addition, lean body mass was 9.5% higher in active patients, as well as muscle strength of right hand grip (11%) and left hand grip (12%) and basal metabolic rate (6.9%). Regarding the association between QOL and PAL, a weak correlation was noted only in relation to confidentiality (r=0.2160, p=0.0210), and active patients showed better results than sedentary ones (p<0.05). Of the patients with lipodystrophy, 66% were sedentary; the predominant type was mixed lipodystrophy (46%) and the most common regions were face and abdomen. It is noteworthy that in patients without the syndrome, the basal metabolic rate was higher (p=0.0175) and the time of infection (p=0.0020) and HAART (p=0.0002) were lower. Conclusion: We conclude, according to the methodology, that sedentary life was predominant, PAL showed positive association only with the concern with confidentiality and the sedentary patients showed two domains below the score of 50 (financial concern and confidentiality), in relation to one domain of active patients. Lipodystrophy was present in 37% of the sample, being the most prevalent type the mixed lipodystrophy, and the main sites of occurrence were face and abdomen. For this group PAL was not positive for body composition and the presence of lipodystrophy did not influence QOL. Introdução: A atividade física pode ser uma aliada para minimizar o surgimento da lipodistrofia e seus efeitos deletérios. Objetivo: Analisar a relação do nível de atividade física (NAF) e a síndrome lipodistrófica com a composição corporal e a qualidade de vida (QV) de portadores do HIV/Aids. Métodos: Participaram do estudo 120 pacientes com HIV/Aids (38,55 ± 11,47 anos). Foram avaliados quanto ao índice de massa corporal, composição corporal, taxa metabólica basal, índice cintura-quadril, QV, presença, tipo e local de lipodistrofia, força de preensão manual e NAF. Resultados: Constatou-se que 70% eram sedentários; além disso, a massa magra foi 9,5% maior nos pacientes ativos, bem como a força muscular de preensão com a mão direita (11%) e esquerda (12%) e a taxa metabólica basal (6,9%). Quanto à associação da QV ao NAF, foi notada correlação fraca apenas para a preocupação com o sigilo (r = 0,2160; p = 0,0210), bem como, os pacientes ativos demonstraram melhor resultado que os sedentários (p < 0,05). Dos pacientes que apresentaram lipodistrofia, 66% eram sedentários; o tipo predominante foi a lipodistrofia mista (46%) e as regiões mais comuns foram a face e abdome. Ressalta-se que nos pacientes sem a síndrome a taxa metabólica basal foi maior (p = 0,0175) e o tempo de infecção (p = 0,0020) e de TARV (p = 0,0002) foram menores. Conclusão: Conclui-se, conforme metodologia adotada, que o sedentarismo predominou, o NAF apresentou associação positiva somente com a preocupação com o sigilo e os sedentários apresentaram dois domínios abaixo do escore de 50 (preocupação financeira e com o sigilo), com relação a um domínio dos pacientes ativos. A lipodistrofia esteve presente em 37% da amostra, sendo o tipo mais presente a lipodistrofia mista, e os locais de maior ocorrência foram a face e o abdome. Para esse grupo o NAF não se apresentou positivo para a composição corporal e a presença da lipodistrofia não influenciou na QV. 2017-01-26T11:45:01Z 2017-01-26T11:45:01Z 2016-04 Artigo de Periódico SILVA, Luiz Fernando Gouvea e et al. Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids. Revista Brasileira de Medicina do Esporte, São Paulo, v. 22, n. 2, p. 147-152, abr. 2016. Disponível em: <http://www.scielo.br/pdf/rbme/v22n2/1517-8692-rbme-22-02-00147.pdf>. Acesso em: 25 jan. 2017. <http://dx.doi.org/10.1590/1517-869220162202138767>. 1806-9940 http://repositorio.ufpa.br/jspui/handle/2011/7386 por Revista Brasileira de Medicina do Esporte Acesso Aberto application/pdf Universidade Federal do Pará Brasil UFPA
institution Repositório Institucional - Universidade Federal do Pará
collection RI-UFPA
language por
topic Lipodistrofia
Atividade física
HIV (Vírus)
Qualidade de vida
spellingShingle Lipodistrofia
Atividade física
HIV (Vírus)
Qualidade de vida
SILVA, Luiz Fernando Gouvêa e
Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
topic_facet Lipodistrofia
Atividade física
HIV (Vírus)
Qualidade de vida
description Introduction: Physical activity can be an ally to minimize the appearance of lipodystrophy and its deleterious effects. Objective: To analyze the relationship between physical activity level (PAL) and lipodystrophy syndrome with body composition and quality of life (QOL) of patients with HIV/Aids. Methods: The study included 120 patients with HIV/Aids (38.55±11.47 years). They were evaluated for body mass index, body composition, basal metabolic rate, waist-hip ratio, QOL, presence, type, and location of lipodystrophy, hand grip strength, and PAL. Results: It was found that 70% were sedentary; in addition, lean body mass was 9.5% higher in active patients, as well as muscle strength of right hand grip (11%) and left hand grip (12%) and basal metabolic rate (6.9%). Regarding the association between QOL and PAL, a weak correlation was noted only in relation to confidentiality (r=0.2160, p=0.0210), and active patients showed better results than sedentary ones (p<0.05). Of the patients with lipodystrophy, 66% were sedentary; the predominant type was mixed lipodystrophy (46%) and the most common regions were face and abdomen. It is noteworthy that in patients without the syndrome, the basal metabolic rate was higher (p=0.0175) and the time of infection (p=0.0020) and HAART (p=0.0002) were lower. Conclusion: We conclude, according to the methodology, that sedentary life was predominant, PAL showed positive association only with the concern with confidentiality and the sedentary patients showed two domains below the score of 50 (financial concern and confidentiality), in relation to one domain of active patients. Lipodystrophy was present in 37% of the sample, being the most prevalent type the mixed lipodystrophy, and the main sites of occurrence were face and abdomen. For this group PAL was not positive for body composition and the presence of lipodystrophy did not influence QOL.
format Artigo
author SILVA, Luiz Fernando Gouvêa e
author2 SAID, Renato do Carmo
KIETZER, Kátia Simone
FREITAS, Jofre Jacob da Silva
XAVIER, Marília Brasil
author2Str SAID, Renato do Carmo
KIETZER, Kátia Simone
FREITAS, Jofre Jacob da Silva
XAVIER, Marília Brasil
title Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
title_short Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
title_full Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
title_fullStr Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
title_full_unstemmed Nível de atividade física e síndrome lipodistrófica em pacientes com HIV/Aids
title_sort nível de atividade física e síndrome lipodistrófica em pacientes com hiv/aids
publisher Universidade Federal do Pará
publishDate 2017
url http://repositorio.ufpa.br/jspui/handle/2011/7386
_version_ 1787149469812260864
score 11.674752