Banca de DEFESA: CAROLINE FERREIRA SCHON

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CAROLINE FERREIRA SCHON
DATE: 27/02/2020
TIME: 14:00
LOCAL: sala 8
TITLE:

MAGNITUDE OF CHANGES IN LONG-TERM CARDIORRESPIRATORY FITNESS AFTER HEART REHABILITATION AND ITS CORRELATED FACTORS

KEY WORDS:

Cardiac rehabilitation; Cardiorespiratory fitness; Task metabolic rate (MET); Long-term monitoring.

PAGES: 46
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Cardiac rehabilitation (CR) promotes a substantial increase in cardiorespiratory fitness (RCA) in the short term associated with a reduction in morbidity and mortality rates. However, evaluation of ACR through MET in long-term follow-up of CR is scarce in the literature. Objective: The objective of this study was to verify the magnitude of cardiorespiratory fitness by measuring the long-term metabolic rate of the task (MET) of patients who underwent cardiac rehabilitation (CR) and to analyze the factors correlated to such changes. Materials and methods: This is a longitudinal retrospective and cross-sectional cohort study carried out between 2015 and 2019 in the cardiac rehabilitation sector (CORE-HUOL). The assessment of cardiorespiratory fitness was collected by reviewing medical records with data from pre and post cardiac rehabilitation and measured in a follow-up of 12 to 24 months after CR through the exercise test (ET) to assess the metabolic equivalent of the task (MET) peak, in addition, through the DASI questionnaire, the peak MET was estimated based on daily life activities. These data were correlated with covariables in the clinical record. Results: The magnitude of ACR modification in METs after CR was 3.43, while the follow-up follow-up after CR showed a reduction of 1.87 in the peak MET, but without statistical significance. The MET estimated by the DASI scale showed a moderate and positive correlation (r = 0.63, p = 0.003) with the MET verified in the ET. The variables that showed a moderate and positive correlation to the MET of the follow-up test were the pre-RC MET (r = 0.67, p = 0.004) and the final weekly aerobic training dose (r = 0.66, p = 0.009). The regression model performed was valid only for dose of aerobic training with adjusted r square of 0.43 (p = 0.006). Conclusion: In this study, there was a higher than usual increase in ACR through peak MET and a non-significant but clinically relevant reduction in long-term follow-up MET after cardiac rehabilitation, raising the importance of monitoring ACR that can be performed even with simple prediction tools such as the DASI scale and the need for strategies for maintaining the ACR after CR.

BANKING MEMBERS:
Externo à Instituição - ANTONIO JOSÉ SARMENTO DA NÓBREGA
Externa ao Programa - 2646588 - JOCELINE CASSIA FEREZINI DE SA
Presidente - 1149619 - SELMA SOUSA BRUNO