INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/4254 |
Resumo: | Introduction: The limits for the viability of survival in preterm births have increased. Complications inherent to the immaturity of the systems lead to metabolic alterations. Physical activity programs have been applied in neonatal ICUs, seeking improvement in bone mineralization, weight gain and increase in leptin levels. Objectives: To analyze the serum levels of leptin and bilirubin in premature infants exposed to phototherapy, in order to establish a safe practice of joint mobilization. Method: Analytical, longitudinal, prospective cohort study with a sample composed of 108 parturients and their respective PTNBs arranged in 2 groups: control group 28 NBs and study group 23 NBs. The variables studied were: weight, gestational age, BMI, sex, serum levels of leptin in the placenta, serum levels of bilirubin, reticulocytes, 12 h, 24 h and rebound leptin, nutrition, body mass index. Results: Regarding weight, gestational age, BMI and sex, the sample was homogeneous. Regarding the concentration of leptin in the placenta and in the 12 h NB, there were no statistically significant differences. When the leptin concentrations were analyzed at the different evaluation moments of the study group, a statistically 3 significant difference (p<0.001) was found between all moments. Comparing assessment 2 to 2 of the study group, a statistically significant difference was found between placentas at all times. There was a trend of difference between 24 h with phototherapy and rebound, the same observed in the control group. There was no difference in leptin distributions in relation to placental time and 12 h between groups. Comparing each group with a leptin value lower than 0.1 the placental time and 12 h showed difference. There was a difference between 24 h with phototherapy and rebound. As for reticulocytes, there was a tendency to decrease in relation to the beginning/rebound (p<0.004). There was no correlation between leptin/bilirubin, leptin/reticulocytes, onset of nutrition and BMI/leptin. Conclusion: Phototherapy does not increase serum leptin levels in PTNBs, making joint mobilization a safe practice in this group. |
id |
SCI-1_94b639f91813ea9f86f6433699a55d26 |
---|---|
oai_identifier_str |
oai:ops.preprints.scielo.org:preprint/4254 |
network_acronym_str |
SCI-1 |
network_name_str |
SciELO Preprints |
repository_id_str |
|
spelling |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPYINDICAÇÃO DA TÉCNICA DE MOBILIZAÇÃO ARTICULAR APÓS ANÁLISE DA BILIRRUBINA VS. LEPTINA EM RECÉM NATOS PRÉ-TERMO SUBMETIDOS À FOTOTERAPIAUnidade de terapia intensiva neonatalPrematuridadeLeptinaHiperbilirrubinemiaDoença metabólica ósseaMobilização articularObesidade infantilNeonatal intensive care unitPrematurityLeptinHyperbilirubinemiaMetabolic bone diseaseArticular mobilizationChild obesityIntroduction: The limits for the viability of survival in preterm births have increased. Complications inherent to the immaturity of the systems lead to metabolic alterations. Physical activity programs have been applied in neonatal ICUs, seeking improvement in bone mineralization, weight gain and increase in leptin levels. Objectives: To analyze the serum levels of leptin and bilirubin in premature infants exposed to phototherapy, in order to establish a safe practice of joint mobilization. Method: Analytical, longitudinal, prospective cohort study with a sample composed of 108 parturients and their respective PTNBs arranged in 2 groups: control group 28 NBs and study group 23 NBs. The variables studied were: weight, gestational age, BMI, sex, serum levels of leptin in the placenta, serum levels of bilirubin, reticulocytes, 12 h, 24 h and rebound leptin, nutrition, body mass index. Results: Regarding weight, gestational age, BMI and sex, the sample was homogeneous. Regarding the concentration of leptin in the placenta and in the 12 h NB, there were no statistically significant differences. When the leptin concentrations were analyzed at the different evaluation moments of the study group, a statistically 3 significant difference (p<0.001) was found between all moments. Comparing assessment 2 to 2 of the study group, a statistically significant difference was found between placentas at all times. There was a trend of difference between 24 h with phototherapy and rebound, the same observed in the control group. There was no difference in leptin distributions in relation to placental time and 12 h between groups. Comparing each group with a leptin value lower than 0.1 the placental time and 12 h showed difference. There was a difference between 24 h with phototherapy and rebound. As for reticulocytes, there was a tendency to decrease in relation to the beginning/rebound (p<0.004). There was no correlation between leptin/bilirubin, leptin/reticulocytes, onset of nutrition and BMI/leptin. Conclusion: Phototherapy does not increase serum leptin levels in PTNBs, making joint mobilization a safe practice in this group.Introdução: Os limites para a viabilidade de sobrevida em nascimentos prematuros têm aumentado. As complicações inerentes à imaturidade dos sistemas acarreta alterações metabólicas. Programas de atividade física têm sido aplicados em UTIs neonatais, buscando melhora na mineralização óssea, ganho de peso e aumento dos níveis de leptina. Objetivos: Analisar os níveis séricos de leptina e bilirrubina em prematuros expostos à fototerapia, a fim de estabelecer prática segura de mobilização articular. Método: Estudo analítico, longitudinal, prospectivo do tipo coorte com amostra composta por 108 parturientes e seus respectivos RNPT dispostos em 2 grupos: grupo controle 28RNs e grupo estudo 23RNs. As variáveis estudadas foram: peso, idade gestacional, IMC, sexo, dosagem sérica de leptina na placenta, dosagem sérica de bilirrubina, reticulócitos, leptina de 12 h, 24 h e rebote,nutrição, índice de massa corporal. Resultados: Quanto ao peso, idade gestacional, IMC e sexo, houve homogeneidade da amostra. Quanto à concentração de leptina na placenta e no RN 12 h não houve diferenças estatisticamente significativas. Quando analisadas as concentrações de leptina nos diferentes momentos de avaliação do grupo estudo, encontrou-se diferença estatisticamente significativa (p<0,001) entre todos os momentos. Comparando avaliação 2 a 2 do grupo estudo, encontrou-se diferença estatisticamente significativa entre placenta em todos os momentos. Verificou-se tendência de diferença entre 24 h com fototerapia e rebote, o mesmo observado no grupo controle. Não houve diferença nas distribuições da leptina em relação ao momento placenta e 12 h entre os grupos. Comparando cada grupo com o valor de leptina inferior a 0,1 o momento placenta e 12 h apresentaram diferença. Houve diferença entre 24 h com fototerapia e rebote. Quanto aos reticulócitos ocorreu tendência à diminuição em relação ao início/rebote (p<0,004). Não houve correlação entre leptina/bilirrubina, leptina/reticulócitos, início da nutrição e IMC/leptina. Conclusão: A fototerapia não aumenta níveis séricos de leptina em RNPT, tornando a mobilização articular prática segura neste grupo.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-06-10info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/425410.1590/SciELOPreprints.4254porhttps://preprints.scielo.org/index.php/scielo/article/view/4254/8068Copyright (c) 2022 Samira Said Lançoni, Paulo Afonso Nunes Nassif, Marcos Fabiano Sigwalt, Jocilene Pedroso Albuquerque, Bruno de Faria Melquíades da Rocha, João Gabriel Cavazzani Doubekhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLançoni, Samira SaidNassif, Paulo Afonso NunesSigwalt, Marcos FabianoAlbuquerque, Jocilene PedrosoRocha, Bruno de Faria Melquíades daDoubek, João Gabriel Cavazzanireponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-06-09T19:10:45Zoai:ops.preprints.scielo.org:preprint/4254Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-06-09T19:10:45SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY INDICAÇÃO DA TÉCNICA DE MOBILIZAÇÃO ARTICULAR APÓS ANÁLISE DA BILIRRUBINA VS. LEPTINA EM RECÉM NATOS PRÉ-TERMO SUBMETIDOS À FOTOTERAPIA |
title |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
spellingShingle |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY Lançoni, Samira Said Unidade de terapia intensiva neonatal Prematuridade Leptina Hiperbilirrubinemia Doença metabólica óssea Mobilização articular Obesidade infantil Neonatal intensive care unit Prematurity Leptin Hyperbilirubinemia Metabolic bone disease Articular mobilization Child obesity |
title_short |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
title_full |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
title_fullStr |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
title_full_unstemmed |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
title_sort |
INDICATION OF THE JOINT MOBILIZATION TECHNIQUE AFTER BILIRUBIN VERSUS LEPTIN ANALYSIS IN PTNB SUBMITTED TO PHOTOTHERAPY |
author |
Lançoni, Samira Said |
author_facet |
Lançoni, Samira Said Nassif, Paulo Afonso Nunes Sigwalt, Marcos Fabiano Albuquerque, Jocilene Pedroso Rocha, Bruno de Faria Melquíades da Doubek, João Gabriel Cavazzani |
author_role |
author |
author2 |
Nassif, Paulo Afonso Nunes Sigwalt, Marcos Fabiano Albuquerque, Jocilene Pedroso Rocha, Bruno de Faria Melquíades da Doubek, João Gabriel Cavazzani |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lançoni, Samira Said Nassif, Paulo Afonso Nunes Sigwalt, Marcos Fabiano Albuquerque, Jocilene Pedroso Rocha, Bruno de Faria Melquíades da Doubek, João Gabriel Cavazzani |
dc.subject.por.fl_str_mv |
Unidade de terapia intensiva neonatal Prematuridade Leptina Hiperbilirrubinemia Doença metabólica óssea Mobilização articular Obesidade infantil Neonatal intensive care unit Prematurity Leptin Hyperbilirubinemia Metabolic bone disease Articular mobilization Child obesity |
topic |
Unidade de terapia intensiva neonatal Prematuridade Leptina Hiperbilirrubinemia Doença metabólica óssea Mobilização articular Obesidade infantil Neonatal intensive care unit Prematurity Leptin Hyperbilirubinemia Metabolic bone disease Articular mobilization Child obesity |
description |
Introduction: The limits for the viability of survival in preterm births have increased. Complications inherent to the immaturity of the systems lead to metabolic alterations. Physical activity programs have been applied in neonatal ICUs, seeking improvement in bone mineralization, weight gain and increase in leptin levels. Objectives: To analyze the serum levels of leptin and bilirubin in premature infants exposed to phototherapy, in order to establish a safe practice of joint mobilization. Method: Analytical, longitudinal, prospective cohort study with a sample composed of 108 parturients and their respective PTNBs arranged in 2 groups: control group 28 NBs and study group 23 NBs. The variables studied were: weight, gestational age, BMI, sex, serum levels of leptin in the placenta, serum levels of bilirubin, reticulocytes, 12 h, 24 h and rebound leptin, nutrition, body mass index. Results: Regarding weight, gestational age, BMI and sex, the sample was homogeneous. Regarding the concentration of leptin in the placenta and in the 12 h NB, there were no statistically significant differences. When the leptin concentrations were analyzed at the different evaluation moments of the study group, a statistically 3 significant difference (p<0.001) was found between all moments. Comparing assessment 2 to 2 of the study group, a statistically significant difference was found between placentas at all times. There was a trend of difference between 24 h with phototherapy and rebound, the same observed in the control group. There was no difference in leptin distributions in relation to placental time and 12 h between groups. Comparing each group with a leptin value lower than 0.1 the placental time and 12 h showed difference. There was a difference between 24 h with phototherapy and rebound. As for reticulocytes, there was a tendency to decrease in relation to the beginning/rebound (p<0.004). There was no correlation between leptin/bilirubin, leptin/reticulocytes, onset of nutrition and BMI/leptin. Conclusion: Phototherapy does not increase serum leptin levels in PTNBs, making joint mobilization a safe practice in this group. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/4254 10.1590/SciELOPreprints.4254 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/4254 |
identifier_str_mv |
10.1590/SciELOPreprints.4254 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/4254/8068 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
publisher.none.fl_str_mv |
SciELO Preprints SciELO Preprints SciELO Preprints |
dc.source.none.fl_str_mv |
reponame:SciELO Preprints instname:SciELO instacron:SCI |
instname_str |
SciELO |
instacron_str |
SCI |
institution |
SCI |
reponame_str |
SciELO Preprints |
collection |
SciELO Preprints |
repository.name.fl_str_mv |
SciELO Preprints - SciELO |
repository.mail.fl_str_mv |
scielo.submission@scielo.org |
_version_ |
1797047828659306496 |