Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica

Detalhes bibliográficos
Autor(a) principal: Andrade, Carlos Henrique Silva de
Data de Publicação: 2010
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/tede/handle/tede/823
Resumo: Background: Step test has been used to assess physical capacity in chronic pulmonary diseases. Objective: To compare the metabolic, cardiovascular and ventilatory responses, at the peak of exercise, between two step test protocols: Chester step test (CST) and modified incremental step test (MIST); secondarily to correlate the Work (number of steps x weight, kg x 0.20) on CST and MIST with pulmonary function, metabolic, cardiovascular and ventilatory variables and perception of effort. Methods: Thirty-two patients with COPD (FEV1: 50.34  15.40% of predicted) underwent the CST and MIST at the same day, an hour apart. Both tests were performed on a single step (20 cm of high) and were externally paced by sonorous stimulus previously recorded on a CD. CST started with a rhythm of 15 steps/minute and increments of five steps were performed every two minutes, with a total time of ten minutes. MIST started with 10 steps/minute and increments of one step every 30 seconds until the tolerance limit. Results: There was no significant difference between the CST and MIST at peak exercise: VO2 (1.22  0.59 L/min vs. 1.24  0.55 L/min, respectively), VE/MVV (0.63  0.14 vs. 0.61  0.14), HR (85.69  12.66% vs. 84.66  12.85%, respectively) and SpO2 (87.28  6.64% vs. 86.56  5.62%, respectively). The duration of the test (241.16  123.35 s vs. 360.31  171.05 s, respectively) and total number of steps differed significantly between CST and MIST (76.88  50.62 vs. 103.38  60.00, respectively). In MIST, the Work was significantly correlated to FEV1 (r = 0.54), FVC (r = 0.45), VE (r = 0.72) and VO2 (r = 0.84). The Work performed on CST presented significant correlations with FEV1 (r = 0.60), FVC (r = 0.52) and VO2 (r = 0.90). Conclusion: The metabolic, cardiovascular and ventilatory responses at peak of exercise were similar between CST and MIST. However, the duration of the test and total number of steps were higher in MIST than CST. In both tests, the work performed was related to the pulmonary function and variables at peak exercise.
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spelling Dal Corso, SimoneCPF:00000000000http://lattes.cnpq.br/9690847988531306Malaguti, CarlaCPF:00000000000http://lattes.cnpq.br/0074687127503338Sampaio, Luciana Maria Malosáhttp://lattes.cnpq.br/2970138065407046CPF:04010334495http://lattes.cnpq.br/4571365027205687Andrade, Carlos Henrique Silva de2015-04-22T17:20:25Z2011-07-012010-12-14ANDRADE, Carlos Henrique Silva de. Comparison of responses to exercise between two incremental step test in patients with chronic obstructive pulmonary disease. 2010. 48 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2010.http://bibliotecatede.uninove.br/tede/handle/tede/823Background: Step test has been used to assess physical capacity in chronic pulmonary diseases. Objective: To compare the metabolic, cardiovascular and ventilatory responses, at the peak of exercise, between two step test protocols: Chester step test (CST) and modified incremental step test (MIST); secondarily to correlate the Work (number of steps x weight, kg x 0.20) on CST and MIST with pulmonary function, metabolic, cardiovascular and ventilatory variables and perception of effort. Methods: Thirty-two patients with COPD (FEV1: 50.34  15.40% of predicted) underwent the CST and MIST at the same day, an hour apart. Both tests were performed on a single step (20 cm of high) and were externally paced by sonorous stimulus previously recorded on a CD. CST started with a rhythm of 15 steps/minute and increments of five steps were performed every two minutes, with a total time of ten minutes. MIST started with 10 steps/minute and increments of one step every 30 seconds until the tolerance limit. Results: There was no significant difference between the CST and MIST at peak exercise: VO2 (1.22  0.59 L/min vs. 1.24  0.55 L/min, respectively), VE/MVV (0.63  0.14 vs. 0.61  0.14), HR (85.69  12.66% vs. 84.66  12.85%, respectively) and SpO2 (87.28  6.64% vs. 86.56  5.62%, respectively). The duration of the test (241.16  123.35 s vs. 360.31  171.05 s, respectively) and total number of steps differed significantly between CST and MIST (76.88  50.62 vs. 103.38  60.00, respectively). In MIST, the Work was significantly correlated to FEV1 (r = 0.54), FVC (r = 0.45), VE (r = 0.72) and VO2 (r = 0.84). The Work performed on CST presented significant correlations with FEV1 (r = 0.60), FVC (r = 0.52) and VO2 (r = 0.90). Conclusion: The metabolic, cardiovascular and ventilatory responses at peak of exercise were similar between CST and MIST. However, the duration of the test and total number of steps were higher in MIST than CST. In both tests, the work performed was related to the pulmonary function and variables at peak exercise.Introdução: O teste do degrau (TD) tem sido utilizado para avaliar a capacidade física em doenças pulmonares crônicas. Objetivo: Comparar as respostas metabólicas, cardiovasculares e ventilatórias, no pico do exercício, entre dois protocolos de teste do degrau: teste do degrau de Chester (TDC) e teste do degrau incremental modificado (TDIM) e, secundariamente, correlacionar o Trabalho (número de degraus x peso, kg x 0,20) no TDC e TDIM com as variáveis de função pulmonar, metabólicas, cardiovasculares, ventilatórias e de percepção do esforço. Métodos: Trinta e dois pacientes com DPOC (VEF1: 50,34  15,40% do previsto) realizaram o TDC e o TDIM no mesmo dia com uma hora de repouso entre os testes. Os testes foram realizados em um degrau, com 20 cm de altura e cadenciados externamente por estímulos sonoros previamente gravados em um CD. O TDC iniciou com 15 degraus/minuto, com incrementos de cinco degraus a cada dois minutos, com um tempo total de dez minutos. O TDIM iniciou com 10 degraus/minuto, com incrementos de um degrau a cada 30 segundos. Resultados: Não foi observada diferença significante entre o TDC e o TDIM no pico do exercício: VO2 (1,22  0,59 L/min vs 1,24  0,55 L/min, respectivamente), VE/VVM (0,63  0,14 vs 0,61  0,14, respectivamente), FC (85,69  12,66% vs 84,66  12,85%, respectivamente) e SpO2 (87,28  6,64% vs 86,56  5,62 %, respectivamente). A duração do teste (241,16  123,35 s vs 360,31  171,05 s, respectivamente) e o número total de degraus (76,88  50,62 vs 103,38  60,00, respectivamente) diferiu significantemente entre TDC e TDIM. O Trabalho no TDIM correlacionou-se significante com o VEF1 (r = 0,54), CVF (r = 0,45), VE (r = 0,72) e VO2 (r = 0,84). No TDC, o Trabalho correlacionou-se com VEF1(r = 0,60), CVF (r = 0,52) e VO2 (r = 0,90). Conclusão: As respostas metabólicas, cardiovasculares e ventilatórias durante o TDC e o TDIM foram similares no pico do exercício, porém a duração e o NTD foram superiores no TDIM. Em ambos os testes, o Trabalho se correlacionou com a função pulmonar e com as variáveis no pico do exercício.Made available in DSpace on 2015-04-22T17:20:25Z (GMT). No. of bitstreams: 1 B_Carlos Henrique Silva de Andrade.pdf: 392218 bytes, checksum: d537c9e6547573983dae17f42d5ae6ef (MD5) Previous issue date: 2010-12-14application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBRSaúdeDPOCCapacidade funcionalTeste de exercício.COPDFunctional capacityExercise test.CIENCIAS DA SAUDEComparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônicaComparison of responses to exercise between two incremental step test in patients with chronic obstructive pulmonary diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALB_Carlos Henrique Silva de Andrade.pdfapplication/pdf392218http://localhost:8080/tede/bitstream/tede/823/1/B_Carlos+Henrique+Silva+de+Andrade.pdfd537c9e6547573983dae17f42d5ae6efMD51tede/8232022-06-06 15:40:17.904oai:localhost:tede/823Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2022-06-06T18:40:17Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false
dc.title.por.fl_str_mv Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
dc.title.alternative.eng.fl_str_mv Comparison of responses to exercise between two incremental step test in patients with chronic obstructive pulmonary disease
title Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
spellingShingle Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
Andrade, Carlos Henrique Silva de
DPOC
Capacidade funcional
Teste de exercício.
COPD
Functional capacity
Exercise test.
CIENCIAS DA SAUDE
title_short Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
title_full Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
title_fullStr Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
title_full_unstemmed Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
title_sort Comparação das respostas ao exercício entre dois testes do degrau incremental em pacientes com doença pulmonar obstrutiva crônica
author Andrade, Carlos Henrique Silva de
author_facet Andrade, Carlos Henrique Silva de
author_role author
dc.contributor.advisor1.fl_str_mv Dal Corso, Simone
dc.contributor.advisor1ID.fl_str_mv CPF:00000000000
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/9690847988531306
dc.contributor.advisor-co1.fl_str_mv Malaguti, Carla
dc.contributor.advisor-co1ID.fl_str_mv CPF:00000000000
dc.contributor.advisor-co1Lattes.fl_str_mv http://lattes.cnpq.br/0074687127503338
dc.contributor.referee1.fl_str_mv Sampaio, Luciana Maria Malosá
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/2970138065407046
dc.contributor.authorID.fl_str_mv CPF:04010334495
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/4571365027205687
dc.contributor.author.fl_str_mv Andrade, Carlos Henrique Silva de
contributor_str_mv Dal Corso, Simone
Malaguti, Carla
Sampaio, Luciana Maria Malosá
dc.subject.por.fl_str_mv DPOC
Capacidade funcional
Teste de exercício.
topic DPOC
Capacidade funcional
Teste de exercício.
COPD
Functional capacity
Exercise test.
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv COPD
Functional capacity
Exercise test.
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Background: Step test has been used to assess physical capacity in chronic pulmonary diseases. Objective: To compare the metabolic, cardiovascular and ventilatory responses, at the peak of exercise, between two step test protocols: Chester step test (CST) and modified incremental step test (MIST); secondarily to correlate the Work (number of steps x weight, kg x 0.20) on CST and MIST with pulmonary function, metabolic, cardiovascular and ventilatory variables and perception of effort. Methods: Thirty-two patients with COPD (FEV1: 50.34  15.40% of predicted) underwent the CST and MIST at the same day, an hour apart. Both tests were performed on a single step (20 cm of high) and were externally paced by sonorous stimulus previously recorded on a CD. CST started with a rhythm of 15 steps/minute and increments of five steps were performed every two minutes, with a total time of ten minutes. MIST started with 10 steps/minute and increments of one step every 30 seconds until the tolerance limit. Results: There was no significant difference between the CST and MIST at peak exercise: VO2 (1.22  0.59 L/min vs. 1.24  0.55 L/min, respectively), VE/MVV (0.63  0.14 vs. 0.61  0.14), HR (85.69  12.66% vs. 84.66  12.85%, respectively) and SpO2 (87.28  6.64% vs. 86.56  5.62%, respectively). The duration of the test (241.16  123.35 s vs. 360.31  171.05 s, respectively) and total number of steps differed significantly between CST and MIST (76.88  50.62 vs. 103.38  60.00, respectively). In MIST, the Work was significantly correlated to FEV1 (r = 0.54), FVC (r = 0.45), VE (r = 0.72) and VO2 (r = 0.84). The Work performed on CST presented significant correlations with FEV1 (r = 0.60), FVC (r = 0.52) and VO2 (r = 0.90). Conclusion: The metabolic, cardiovascular and ventilatory responses at peak of exercise were similar between CST and MIST. However, the duration of the test and total number of steps were higher in MIST than CST. In both tests, the work performed was related to the pulmonary function and variables at peak exercise.
publishDate 2010
dc.date.issued.fl_str_mv 2010-12-14
dc.date.available.fl_str_mv 2011-07-01
dc.date.accessioned.fl_str_mv 2015-04-22T17:20:25Z
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dc.identifier.citation.fl_str_mv ANDRADE, Carlos Henrique Silva de. Comparison of responses to exercise between two incremental step test in patients with chronic obstructive pulmonary disease. 2010. 48 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2010.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/tede/handle/tede/823
identifier_str_mv ANDRADE, Carlos Henrique Silva de. Comparison of responses to exercise between two incremental step test in patients with chronic obstructive pulmonary disease. 2010. 48 f. Dissertação (Mestrado em Saúde) - Universidade Nove de Julho, São Paulo, 2010.
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