1
|
de Oliveira TJ, Altoé ID, Arpini LDSB, Liberato FMG, Melotti RDCNC, Wittmer VL, Duarte H, Barbalho-Moulim MC, Paro FM. Clinical and anthropometric evolution of individuals with cystic fibrosis during COVID-19 pandemic: A 24-month cohort study. Pediatr Pulmonol 2024. [PMID: 38712790 DOI: 10.1002/ppul.27027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Revised: 04/05/2024] [Accepted: 04/14/2024] [Indexed: 05/08/2024]
Abstract
OBJECTIVES To analyze the evolution of clinical and anthropometric characteristics of children and adolescents with cystic fibrosis (CF) over 24 months, including the period of the COVID-19 pandemic. METHODS A longitudinal study with data collection from May 2018 to November 2020 in physical and electronic records from a pediatric reference center, including individuals with CF aged up to 18 years. RESULTS The sample encompassed 72 individuals. Weight (p < 0.01), height (p < 0.01), and body mass index (BMI) (p = 0.043) were higher in 2020 than in 2018. There were no significant changes in BMI-Z (p = 0.977) and in percentiles of weight (p = 0.540), height (p = 0.458), and BMI percentile (p = 0.454) between both periods. Pancreatic insufficiency was observed in 91.7% of patients in 2020, and there were twice as many confirmed cases of diabetes compared to 2018. There was a 9.7% increase in individuals colonized by the oxacillin-sensitive Staphylococcus aureus (OSSA) (p = 0.039) and an 11.1% reduction in non-colonized individuals (p = 0.008). CONCLUSION Although there was an increase in weight, height, and BMI from 2018 to 2020, there were no significant changes in BMI-Z and in percentiles of weight, height, and BMI percentile, suggesting that the anthropometric aspects of nutritional status did not change in this period of 2 years. Moreover, there was an increase in the prevalence of individuals colonized by OSSA and a reduction in the prevalence of individuals non-colonized with any bacteria.
Collapse
Affiliation(s)
- Taynara Júlia de Oliveira
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| | - Izabela Dondoni Altoé
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| | | | | | | | - Veronica Lourenço Wittmer
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| | - Halina Duarte
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| | | | - Flavia Marini Paro
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| |
Collapse
|
2
|
Guimarães RF, Barbalho-Moulim MC, Wittmer VL, Serafim LM, Kuster E, Emiliano JRG, Cordeiro JB, Silva MCMD, Lima RT, Zangirolami-Raimundo J, Raimundo RD, Abreu LC, Paro FM. COVID-19: clinical factors associated with functional capacity of hospitalized patients at admission and discharge. J Bras Pneumol 2024; 49:e20230121. [PMID: 38198344 PMCID: PMC10760437 DOI: 10.36416/1806-3756/e20230121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024] Open
Affiliation(s)
- Raiany Franca Guimarães
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | - Marcela Cangussu Barbalho-Moulim
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | - Veronica Lourenço Wittmer
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | - Lais Mello Serafim
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | - Elizângela Kuster
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | | | | | | | - Rozy Tozetti Lima
- . Hospital Universitário Cassiano Antonio de Moraes - HUCAM - Vitória (ES) Brasil
| | - Juliana Zangirolami-Raimundo
- . Laboratório de Delineamento de Estudos e Escrita Científica, Faculdade de Medicina do ABC, Santo André (SP) Brasil
| | - Rodrigo Daminello Raimundo
- . Laboratório de Delineamento de Estudos e Escrita Científica, Faculdade de Medicina do ABC, Santo André (SP) Brasil
| | - Luiz Carlos Abreu
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| | - Flavia Marini Paro
- . Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, Universidade Federal do Espírito Santo - UFES - Vitória (ES) Brasil
| |
Collapse
|
3
|
Capellini VK, Paro FM, Vieira RD, Wittmer VL, Barbalho-Moulim MC, Soares SCS, Oliveira CGTD, Duarte H. Brazilian physiotherapist anxiety and depression during the COVID-19 pandemic: a cross-sectional survey. Cien Saude Colet 2023; 28:2951-2963. [PMID: 37878937 DOI: 10.1590/1413-812320232810.09922023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2022] [Accepted: 06/01/2023] [Indexed: 10/27/2023] Open
Abstract
This study investigated the prevalence and the potential risk factors for anxiety and depression among physiotherapists during the pandemic. Physiotherapists answered a web-based questionnaire including 1) sociodemographic, professional and clinical information; 2) psychosocial demands; and 3) two validated questionnaires to measure anxiety and depression. Binary logistic regression identified the risk factors by means of odds ratio (OR) and 95% confidence interval (CI). In 417 participants, there was a high prevalence of anxiety (48.2%) and depression (53.0%). The risk factors for anxiety were female sex (OR 2.07; 95%CI 1.01-4.24), worsening in sleep patterns (OR 3.78; 95%CI 1.92-7.44), moderate (OR 2.24; 95%CI 1.00-5.00) and extreme concern about financial issues (OR 3.47; 95%CI 1.57-7.65), and extreme loneliness (OR 3.47; 95%CI 1.71-7.07). The risk factors for depression were female sex (OR 2.16; 95%CI 1.03-4.55), low family income (OR 2.43; 95%CI 1.21-4.89), worsening in sleep patterns (OR 5.97; 95%CI 3.02-11.82), extreme concern about financial issues (OR 2.61; 95%CI 1.15-5.94), and extreme loneliness (OR 4.38; 95%CI 2.00-9.63). This study found a high prevalence of anxiety and depression in the studied population and identified risk factors for both.
Collapse
Affiliation(s)
- Verena Kise Capellini
- Departamento de Biociências, Instituto de Saúde e Sociedade, Universidade Federal de São Paulo. R. Silva Jardim 136, Vila Matias. 11015-020 Santos SP Brasil.
| | - Flavia Marini Paro
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | | | - Veronica Lourenço Wittmer
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | - Marcela Cangussu Barbalho-Moulim
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | - Samanta Caroline Santos Soares
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| | | | - Halina Duarte
- Departamento de Educação Integrada em Saúde, Centro de Ciências da Saúde, University Federal do Espírito Santo. Vitória ES Brasil
| |
Collapse
|
4
|
Wittmer VL, Paro FM, Duarte H, Capellini VK, Barbalho-Moulim MC. Early mobilization and physical exercise in patients with COVID-19: A narrative literature review. Complement Ther Clin Pract 2021; 43:101364. [PMID: 33743391 PMCID: PMC7955568 DOI: 10.1016/j.ctcp.2021.101364] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Revised: 02/13/2021] [Accepted: 03/10/2021] [Indexed: 01/15/2023]
Abstract
BACKGROUND Currently, little is known about early mobilization and exercise in individuals with COVID-19. OBJECTIVE To describe the indication and safety of early mobilization and exercises in mild to severe COVID-19 patients and to investigate the use of telerehabilitation to deliver exercise programs to these patients. METHODS This narrative literature review was conducted performing a comprehensive search of databases. RESULTS 32 articles met the established criteria and the main findings were summarized and described, including indication, contraindication and recommendation for early rehabilitation and exercises prescription. CONCLUSIONS The literature suggests that early mobilization and physical exercise are beneficial for individuals with COVID-19. However, much of what has been published is based on expert opinion due to a lack of randomized trials, which are needed.
Collapse
Affiliation(s)
- Veronica Lourenço Wittmer
- Department of Integrated Education on Health, Center of Health Science, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.
| | - Flavia Marini Paro
- Department of Integrated Education on Health, Center of Health Science, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.
| | - Halina Duarte
- Department of Integrated Education on Health, Center of Health Science, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.
| | - Verena Kise Capellini
- Department of Biosciences, Institute of Health and Society, Campus Baixada Santista, Federal University of São Paulo (UNIFESP), Santos, SP, Brazil.
| | - Marcela Cangussu Barbalho-Moulim
- Department of Integrated Education on Health, Center of Health Science, Federal University of Espírito Santo (UFES), Vitória, ES, Brazil.
| |
Collapse
|
5
|
Duarte H, Daros Vieira R, Cardozo Rocon P, Andrade ACDS, Wittmer VL, Capellini VK, Soares SCS, Paro FM. Factors associated with Brazilian physical therapists' perception of stress during the COVID-19 pandemic: a cross-sectional survey. PSYCHOL HEALTH MED 2021; 27:42-53. [PMID: 33487038 DOI: 10.1080/13548506.2021.1875133] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
This study aimed to evaluate the stress perception among Brazilian physical therapists (PTs) during COVID-19 pandemic and to identify which psychosocial demands, sociodemographic, professional and clinical factors do associate with the PTs' stress perception. This cross-sectional survey was based on a convenience sample of PTs, who answered a questionnaire about: 1) sociodemographic and professional characteristics, 2) clinical characteristics and information related to COVID-19, 3) psychosocial demands, and 4) 10-item Perceived Stress Scale (PSS-10). Full responses were obtained from 417 PTs. The average PSS-10 score was 19.2 (95% CI 18.5 to 19.9), which was higher than in other Brazilians before COVID-19 and figured among the highest one observed in healthcare workers from different countries during COVID-19 pandemic. After multivariate analysis, PTs' perceived stress remained associated with female sex, younger age, previous diagnosis of depressive or anxiety disorder, worsening in sleep patterns, large reduction in family income, housework, relationship with the partner, concern about close people/family members being infected by SARS-CoV-2, and loneliness.
Collapse
Affiliation(s)
- Halina Duarte
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Brazil
| | | | - Pablo Cardozo Rocon
- Institute of Collective Health, Federal University of Mato Grosso, Cuiabá, Brazil
| | | | | | - Verena Kise Capellini
- Department of Biosciences, Institute of Health and Society, Federal University of São Paulo, São Paulo, Brazil
| | | | - Flavia Marini Paro
- Department of Integrated Education on Health, Federal University of Espírito Santo, Vitória, Brazil
| |
Collapse
|
6
|
Calenzani G, Santos FFD, Wittmer VL, Freitas GKF, Paro FM. Prevalence of musculoskeletal symptoms in obese patients candidates for bariatric surgery and its impact on health related quality of life. Arch Endocrinol Metab 2017; 61:319-325. [PMID: 28225991 PMCID: PMC10118937 DOI: 10.1590/2359-3997000000237] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Accepted: 11/11/2016] [Indexed: 11/22/2022]
Abstract
OBJECTIVE This study was designed to identify the major musculoskeletal symptoms of individuals with obesity, to assess their health-related quality of life, and to evaluate the correlation between the musculoskeletal symptoms and the individuals' health-related quality of life. MATERIALS AND METHODS Cross-sectional study. INSTRUMENTS USED "Nordic Musculoskeletal Questionnaire" and "The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)". RESULTS In total, 41 subjects were evaluated, of which 90.15% were female. The mean age of the subjects was 40.78 ± 9.85 years and their mean body-mass index was 46.87 ± 8.08. All subjects reported musculoskeletal pain in at least one anatomical region and 80.49% had pain in three or more regions. The activity limitations due to pain were reported by 75.61% of them. The most affected regions by pain were the ankles and/or feet, lower back, knees and wrists/hands/fingers. The most associated regions with activity limitations due to pain were the ankles and/or feet, knees and lower back. The presence of pain showed a negative correlation with the domains physical functioning (PF), role-physical (RP) and body pain (BP). The activity limitations showed a negative correlation with the domains PF, BP, social functioning (SF) and role-emotional (RE). CONCLUSION Our data showed a high prevalence of musculoskeletal pain and limitation in activities due to pain in obese subjects. The musculoskeletal symptoms had negative correlations with physical and mental components of the health-related quality of life, highlighting the importance of ensuring that patients with obesity have access to interdisciplinary care, for the prevention and rehabilitation of musculoskeletal disorders.
Collapse
Affiliation(s)
- Gabriela Calenzani
- Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brasil
| | - Fabiana Ferreira Dos Santos
- Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brasil
| | - Veronica Lourenço Wittmer
- Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brasil
| | | | - Flávia Marini Paro
- Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Vitória, ES, Brasil
| |
Collapse
|