Banca de DEFESA: ANTONIO FILIPE PEREIRA CAETANO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANTONIO FILIPE PEREIRA CAETANO
DATE: 20/01/2022
TIME: 09:00
LOCAL: Google Meet
TITLE:

Physical Activity, Quality of Life and Nutritional Profile in Chronic Renal Patients

KEY WORDS:

CKD, Physical Activity, Quality of Life and Nutrition

PAGES: 35
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

INTRODUCTION: Chronic Kidney Disease (CKD) is sustained damage to the renal parenchyma causing deterioration and progressive loss of kidney function that may progress to the end stage. Some studies have shown beneficial results for the practice of physical exercise in the treatment adjunct to various pathologies, especially for metabolic diseases such as obesity, dyslipidemia and diabetes mellitus; and for cardiovascular diseases and Systemic Arterial Hypertension, pathologies that are bases or metabolic alterations associated with the development of CKD. Such benefits can also be observed in aspects of quality of life, especially those focused on emotional, psychosocial and general perception of well-being. OBJECTIVE: To evaluate the level of physical activity, quality of life and nutritional profile; associate and correlate the levels of physical activity, nutritional profile and quality of life level with ckD stages of patients undergoing conservative treatment for Chronic Kidney Disease in a high complexity hospital in a capital of northeastern Brazil. MATERIALS AND METHODS: Observational study and cross-sectional study. The sample was selected by convenience, formed by all patients with CKD assisted by nephrology outpatient clinics (CIN-HUPAA). Patients of both sexes were studied; over 18 years of age; signed the Free Consent and Informed Consent Form (TCLE). The analysis variables were: socioeconomic and outpatient data; nutritional profile data (Body Mass Index, Waist Circumference and Fat Percentage); level of physical activity (from the application of the International Physical Activity Questionnaire, IPAQ-Short Version); quality of life (from the World Health of Quality of Live (WHOQOL-Bref)). All analyses were performed with the aid of software R, with the jasp statistical package version 0.13.1, adopting a confidence level of 95% (p<0.05). The Shapiro-Wilk Test was used to verify the normality of the data. For the association between the variables, the Mann Whitney was used; as well as the R-Spearman correlation was used for the monotonic variables (continuous or ordinal) of the variables QOL, NAF and BMI and GFR. The size of the effect based on D-Cohen's Standardt having as reference 0-0.2 for irrelevant effect; 0.3-0.5 for small effect; 0.6-0.8 average effect; above 0.9 wide effect. Significance levels were considered p= <0.05 and confidence interval at 95%. RESULTS: Fifty-two patients with a mean age of 60.3 years ± 9.11 years participated in the study. Within the social profile and general health aspects were patients 53.84% women, 88.46% mixed color, 63.49% resident in Maceió, 42.3% single, 34.61% with incomplete elementary school, 57.69% with Diabetes Mellitus Type 2, 76.92% with Systemic Arterial Hypertension, 13.47% with dyslipidemia; 86.53% non-smokers and 78.84% non-smokers. Nutritional Profile: 76.73±5.31Kg; 38.46% were obese and 61.53% eutrophic or overweight; 82.69% with elvados DC standards; 15.34±5.02 %G (eutrophic). Level of physical activity: 38% are insufficiently active and 29% sedentary, a sample with low levels of physical activity. Quality of Life level: lower scores in satisfaction with health (2.98± 0.83) and environment (2.75± 0.38); better scores in the psychological domain (3.80± 0.53) and Social Relations (3.58± 0.58), but the sample presents regular levels of perception with quality of life. Only health satisfaction (p=0.043) and BMI (p=0.034) showed a significant difference in the association between ckd stages of patients with levels of physical activity, nutritional profile and quality of life level. The correlation was negative of the CKD stage only with the social relations dimension (0.084) of the quality of life level, but the other variables showed positive correlations. CONCLUSIONS: The subjects presented low levels of physical activity, but these levels did not change in association with ckD stages, but the higher the CKD stage, the lower the levels of physical activity practices recommended by the WHO. Regarding the perception of quality of life, the patients evaluated presented low levels, especially in the context of health satisfaction. The subjects undergoing conservative treatment with GFR < 59ml min revealed lower scores, even though the associations between the groups did not present significant differences. The greatest impact on the stages in the correlation was observed in social relations.

BANKING MEMBERS:
Externo à Instituição - BRAULIO CESAR DE ALCANTARA MENDONCA
Presidente - 3621153 - JULIANA CELIA DE FARIAS SANTOS
Interna - 2370894 - MICHELLE JACINTHA CAVALCANTE OLIVEIRA
Externa à Instituição - SAMARA BOMFIM GOMES CAMPOS
Interno - 1728726 - VALFRIDO LEAO DE MELO NETO