Health status can predict diaphragmatic muscle thickness in COPD: pilot study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/28640 |
Resumo: | Introduction: Among the systemic implications of chronic obstructive pulmonary disease (COPD) there are changes in the diaphragm and impact on health status. However, there are few studies on the possible relationship between these variables, and whether health status could predict diaphragmatic muscle thickness (DMT). Objective: To investigate whether there is a relationship between DMT and the prognostic mortality index Body Mass-Index, Airway Obstruction, Dyspnea and Exercise Capacity (BODE), dyspnea and health status, and to investigate whether health status can predict DMT in patients with COPD entering a pulmonary rehabilitation program. Methods: This is a pilot study with a cross-sectional design. Diaphragmatic muscle thickness was evaluated using ultrasound; health status through the COPD Assessment Test (CAT); the sensation of dyspnea by the modified Medical Research Council scale; and mortality, using the BODE index. Results: The sample consisted of 13 patients (68.69 ± 9.3 years) classified as having moderate to severe COPD. There was a strong and inverse correlation between diaphragmatic muscle thickness and health status (r = -0.735; p = 0.004). Simple regression analysis demonstrated that health status influenced diaphragmatic muscle thickness (β = -0.002; IC 95% - 0.004 to -0.001; p = 0.004), explaining 49% of the variance. However, no correlations were observed between diaphragmatic muscle thickness with dyspnea (r = 0.005; p = 0.985) or with the BODE mortality index (r = -0.219; p = 0.472). Conclusion: This pilot study demonstrated a strong inverse correlation between health status and DMT. In addition, health status was able to predict DMT in patients with COPD. |
id |
PUC_PR-26_f4fbe3dec44fe444782ae8be81bb6faf |
---|---|
oai_identifier_str |
oai:ojs.periodicos.pucpr.br:article/28640 |
network_acronym_str |
PUC_PR-26 |
network_name_str |
Fisioterapia em Movimento |
repository_id_str |
|
spelling |
Health status can predict diaphragmatic muscle thickness in COPD: pilot studyO estado de saúde pode prever a espessura muscular diafragmática na DPOC: estudo-pilotoChronic obstructive pulmonary disease. Diaphragm. Dyspnea. Health evaluation. Ultrasonography.Doença pulmonar obstrutiva crônica. Diafragma. Dispneia. Avaliação em Saúde. Ultrassonografia.Introduction: Among the systemic implications of chronic obstructive pulmonary disease (COPD) there are changes in the diaphragm and impact on health status. However, there are few studies on the possible relationship between these variables, and whether health status could predict diaphragmatic muscle thickness (DMT). Objective: To investigate whether there is a relationship between DMT and the prognostic mortality index Body Mass-Index, Airway Obstruction, Dyspnea and Exercise Capacity (BODE), dyspnea and health status, and to investigate whether health status can predict DMT in patients with COPD entering a pulmonary rehabilitation program. Methods: This is a pilot study with a cross-sectional design. Diaphragmatic muscle thickness was evaluated using ultrasound; health status through the COPD Assessment Test (CAT); the sensation of dyspnea by the modified Medical Research Council scale; and mortality, using the BODE index. Results: The sample consisted of 13 patients (68.69 ± 9.3 years) classified as having moderate to severe COPD. There was a strong and inverse correlation between diaphragmatic muscle thickness and health status (r = -0.735; p = 0.004). Simple regression analysis demonstrated that health status influenced diaphragmatic muscle thickness (β = -0.002; IC 95% - 0.004 to -0.001; p = 0.004), explaining 49% of the variance. However, no correlations were observed between diaphragmatic muscle thickness with dyspnea (r = 0.005; p = 0.985) or with the BODE mortality index (r = -0.219; p = 0.472). Conclusion: This pilot study demonstrated a strong inverse correlation between health status and DMT. In addition, health status was able to predict DMT in patients with COPD.Introdução: Dentre as implicações sistêmicas da doença pulmonar obstrutiva crônica (DPOC), há modificações no diafragma e impacto no estado de saúde; entretanto, são escassos os estudos sobre a possível relação entre essas variáveis e sobre a possibilidade de o estado de saúde prever a espessura muscular diafragmática (EMD). Objetivo: Investigar se há relação entre a EMD com o índice prognóstico de mortalidade Body mass-index, airway Obstruction, Dyspnea and Exercise Capacity (BODE), dispneia e estado de saúde, e investigar se o estado de saúde pode prever a EMD em pacientes com DPOC ingressantes em um programa de reabilitação pulmonar. Métodos: Estudo piloto com delineamento transversal. A EMD foi avaliada através de ultrassonografia; o estado de saúde, através do COPD Assessment Test (CAT); a sensação de dispneia, pela escala modified Medical Research Council; e a mortalidade, por meio do índice BODE. Resultados: A amostra foi composta por 13 pacientes (68,69 ± 9,3 anos) classificados como portadores de DPOC moderada a grave. Houve uma correlação inversa e forte entre a EMD e o estado de saúde (r = -0,735; p = 0,004). A análise de regressão simples demonstrou que o estado de saúde influenciou a EMD (β = -0,002; IC 95% -0,004 a -0,001; p = 0,004), explicando 49% da variância. Entretanto não foram observadas correlações entre EMD e dispneia r = 0,005; p = 0,985) ou com o índice BODE (r = -0,219; p = 0,472). Conclusão: Esse estudo piloto demonstrou uma forte correlação inversa entre estado de saúde e EMD. Ademais, o estado de saúde foi capaz de prever a EMD em pacientes com DPOC.Editora PUCPRESS2021-01-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2864010.1590/fm.2021.34124Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont.Fisioterapia em Movimento; v. 34 (2021): n. cont.1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRengporhttps://periodicos.pucpr.br/fisio/article/view/28640/pdf_1https://periodicos.pucpr.br/fisio/article/view/28640/pdfCopyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessWendpap, Carolina da Rosados Santos, Tamires DarosLüdke, EvertonPasqualoto, Adriane Schmidtda Silveira, Aron Ferreirade Albuquerque, Isabella Martins2022-03-07T19:03:02Zoai:ojs.periodicos.pucpr.br:article/28640Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:03:02Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study O estado de saúde pode prever a espessura muscular diafragmática na DPOC: estudo-piloto |
title |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
spellingShingle |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study Wendpap, Carolina da Rosa Chronic obstructive pulmonary disease. Diaphragm. Dyspnea. Health evaluation. Ultrasonography. Doença pulmonar obstrutiva crônica. Diafragma. Dispneia. Avaliação em Saúde. Ultrassonografia. |
title_short |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
title_full |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
title_fullStr |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
title_full_unstemmed |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
title_sort |
Health status can predict diaphragmatic muscle thickness in COPD: pilot study |
author |
Wendpap, Carolina da Rosa |
author_facet |
Wendpap, Carolina da Rosa dos Santos, Tamires Daros Lüdke, Everton Pasqualoto, Adriane Schmidt da Silveira, Aron Ferreira de Albuquerque, Isabella Martins |
author_role |
author |
author2 |
dos Santos, Tamires Daros Lüdke, Everton Pasqualoto, Adriane Schmidt da Silveira, Aron Ferreira de Albuquerque, Isabella Martins |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Wendpap, Carolina da Rosa dos Santos, Tamires Daros Lüdke, Everton Pasqualoto, Adriane Schmidt da Silveira, Aron Ferreira de Albuquerque, Isabella Martins |
dc.subject.por.fl_str_mv |
Chronic obstructive pulmonary disease. Diaphragm. Dyspnea. Health evaluation. Ultrasonography. Doença pulmonar obstrutiva crônica. Diafragma. Dispneia. Avaliação em Saúde. Ultrassonografia. |
topic |
Chronic obstructive pulmonary disease. Diaphragm. Dyspnea. Health evaluation. Ultrasonography. Doença pulmonar obstrutiva crônica. Diafragma. Dispneia. Avaliação em Saúde. Ultrassonografia. |
description |
Introduction: Among the systemic implications of chronic obstructive pulmonary disease (COPD) there are changes in the diaphragm and impact on health status. However, there are few studies on the possible relationship between these variables, and whether health status could predict diaphragmatic muscle thickness (DMT). Objective: To investigate whether there is a relationship between DMT and the prognostic mortality index Body Mass-Index, Airway Obstruction, Dyspnea and Exercise Capacity (BODE), dyspnea and health status, and to investigate whether health status can predict DMT in patients with COPD entering a pulmonary rehabilitation program. Methods: This is a pilot study with a cross-sectional design. Diaphragmatic muscle thickness was evaluated using ultrasound; health status through the COPD Assessment Test (CAT); the sensation of dyspnea by the modified Medical Research Council scale; and mortality, using the BODE index. Results: The sample consisted of 13 patients (68.69 ± 9.3 years) classified as having moderate to severe COPD. There was a strong and inverse correlation between diaphragmatic muscle thickness and health status (r = -0.735; p = 0.004). Simple regression analysis demonstrated that health status influenced diaphragmatic muscle thickness (β = -0.002; IC 95% - 0.004 to -0.001; p = 0.004), explaining 49% of the variance. However, no correlations were observed between diaphragmatic muscle thickness with dyspnea (r = 0.005; p = 0.985) or with the BODE mortality index (r = -0.219; p = 0.472). Conclusion: This pilot study demonstrated a strong inverse correlation between health status and DMT. In addition, health status was able to predict DMT in patients with COPD. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/28640 10.1590/fm.2021.34124 |
url |
https://periodicos.pucpr.br/fisio/article/view/28640 |
identifier_str_mv |
10.1590/fm.2021.34124 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/28640/pdf_1 https://periodicos.pucpr.br/fisio/article/view/28640/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 34 (2021): n. cont. Fisioterapia em Movimento; v. 34 (2021): n. cont. 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
_version_ |
1799138749545709568 |