Perfil lipídico, capacidade funcional e índice tornozelo-braquial em idosos sedentários e ativos

• Autor(a) principal: Marques, Terezinha Sasaki
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da USC
• Texto Completo: http://tede2.usc.br:8080/jspui/handle/tede/334
• topic: Idosos; Sedentarismo; Lipídeo; Capacidade funcional; Índice tornozelo braquial; Aged; Sedentary; Lipid; Functional capacity; Ankle brachial index; CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL

Introduction: Elderly people generally become less active and decrease their functional capacity. The practice of regular physical activity prevents cardiovascular diseases (CVD) and atherosclerosis, in addition to improving lipid profile and functional capacity. Objective: To evaluate and compare the lipid profile, functional capacity and ankle-brachial index of the sedentary and active elderly. METHODS: This was a comparative and cross-sectional study with 84 elderly (≥ 60 years) of both sexes, divided into two groups: sedentary group (SG, n = 50) and active group (AG, n = 34) according to the International Physical Activity Questionnaire (IPAQ), short version. Evaluations were performed with: individuals data, IPAQ, anthropometry, blood pressure (BP), heart rate (HR), ankle-brachial index (ABI) and functional tests (Short Physical Performance Battery - SPPB and 6-minute walk test - 6MWT). The Shapiro-Wilk normality test was used to present the data in averages (± standard deviations) or median (interquartile range) for the variables of normal or non-normal distribution, respectively. In the comparison between the groups the t-Student test and the Mann Whitney test were used. Fisher's exact test was used for the categorical data. Significance level of p<0.05. Results: Higher values of HDL-c (p = 0.001) and lower triglyceride (p = 0.007) of AG were verified compared to SG. In the ITB evaluation, it was observed that the AG presented better rates of right ABI (p = 0.012), left (p = 0.015) and final (p = 0.004) when compared to SG. There were better results in AG functional performance, in the SPPB evaluation (p = 0.0007) and in the 6MWT with greater distance traveled (p = 0.0027). In the anthropometric measurements, AG had lower body mass index (p = 0.041) and waist circumference (p = 0.029). In the incidence of referred diseases, only hypertension was different between groups (p = 0.029). Conclusion: Active elderly showed better lipid profile, higher levels of ABI, better functional performance, lower anthropometric measurements and lower incidence of hypertension, compared to sedentary ones