Abstract:
BACKGROUND:The phenotype profiling of individuals with chronic obstructive pulmonary disease (COPD) according to impairments in body composition and level of physical activity in daily life (PADL) needs to be determined. OBJECTIVE:To verify if individuals with COPD classified as physically active/inactive present different characteristics within different body composition phenotypes. METHODS:Individuals with COPD were cross-sectionally stratified into four groups according to fat-free and fat mass indexes: Normal Body Composition (NBC), Obese (Ob), Sarcopenic (Sarc), and Sarcopenic/Obese (Sarc/Ob). Additionally, individuals had their PADL level objectively assessed through activity monitoring during two weekdays for at least 10h/day, and then were classified as physically active (Act) or inactive (Inact) according to international recommendations. Lung function (spirometry), exercise capacity (6-minute walking test [6MWT]) and peripheral muscle strength (1-repetition maximum [1RM]) were also assessed. RESULTS:176 individuals with COPD (mean±standard deviation age: 67±8 years, body mass index 26±6kg/m2, FEV1 47±16%predicted) were classified as: NBC+Act (17%), NBC+Inact (22%), Ob+Act (6%), Ob+Inact (10%), Sarc+Act (12%), Sarc+Inact (9%), Sarc/Ob+Act (8%) and Sarc/Ob+Inact (16%). The Sarc/Ob+Inact group presented lower 6MWT and 1RM for knee extension compared to NBC+Act, NBC+Inact, and Ob+Act groups (p<0.05). The Sarc/Ob+Inact group also presented lower FEV1% predicted, 1RM for elbow flexion and elbow extension compared to the NBC+Act and NBC+Inact groups and lower 1RM for elbow extension compared to Ob+Inact group (p<0.05). CONCLUSION:The combination of sarcopenia, obesity, and physical inactivity was shown to be detrimental in individuals with COPD. Therefore, this profile is a main therapeutic target for improving PADL level and/or body composition.
journal_name
Braz J Phys Therjournal_title
Brazilian journal of physical therapyauthors
Schneider LP,Sartori LG,Machado FVC,Dala Pola D,Rugila DF,Hirata RP,Bertoche MP,Camillo CA,Hernandes NA,Furlanetto KC,Pitta Fdoi
10.1016/j.bjpt.2020.07.005subject
Has Abstractpub_date
2020-07-30 00:00:00eissn
1413-3555issn
1809-9246pii
S1413-3555(20)30291-4pub_type
杂志文章abstract:BACKGROUND:The analysis of the kinetic responses of heart rate (HR) and oxygen consumption (VO(2)) are an important tool for the evaluation of exercise performance and health status. OBJECTIVES:The purpose of this study was to investigate the effects of aging on the HR and VO(2) kinetics during the rest-exercise trans...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000056
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. OBJECTIVES:1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0164
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:It is unclear whether the Physiotherapy Evidence Database (PEDro) is widely and equally used by physical therapists in Brazil. As PEDro is considered a key resource to support evidence-based physical therapy, analyses of PEDro usage could reflect the extent of dissemination of evidence-based practice. OBJEC...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0104
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Radiographs are used to monitor thoracic kyphosis in individuals with certain pathologies (e.g. osteoporosis), exposing patients to potentially harmful radiation. Thus, other measures for monitoring the progression of thoracic kyphosis are desirable. The gravity-dependent inclinometer has been shown to be re...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.02.005
更新日期:2018-01-01 00:00:00
abstract::Systematic reviews aim to summarize all evidence using very rigorous methods in order to address a specific research question with less bias as possible. Systematic reviews are widely used in the field of physical therapy, however not all reviews have good quality. This tutorial aims to guide authors of the Brazilian ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0077
更新日期:2014-11-01 00:00:00
abstract::Our biodynamics laboratory group has conducted large cohort biomechanical-epidemiological studies targeted at identifying the complex interactions among biomechanical, biological, hormonal, and psychosocial factors that lead to increased risk of anterior cruciate ligament (ACL) injuries. The findings from our studies ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0121
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Partial body weight support (BWS) systems have been broadly used with treadmills as a strategy for gait training of individuals with gait impairments. Considering that we usually walk on level ground and that BWS is achieved by altering the load on the plantar surface of the foot, it would be important to in...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0058
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Rasch analysis has been used in recent studies to test the psychometric properties of a questionnaire. The conditions for use of the Rasch model are one-dimensionality (assessed via prior factor analysis) and local independence (the probability of getting a particular item right or wrong should not be condit...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.03.007
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The Back Pain Attitudes Questionnaire (Back-PAQ) was developed to evaluate attitudes and beliefs of the general public, people with back pain, and healthcare professionals about the spine. OBJECTIVES:To translate and cross-culturally adapt the Back-PAQ (34-item and 10-item versions) into Brazilian-Portugues...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.07.001
更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:The use of local muscle vibration is a promising technique to improve motor performance in people with movement impairments. Majority of studies have failed to properly describe the used system and its reliability, making it difficult to transfer this promising technique to clinical practice. OBJECTIVE:To d...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.09.001
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:In Duchenne muscular dystrophy, functional deficits seem to arise from body misalignment, deconditioning, and obesity secondary to weakness and immobility. The question remains about the effects of postural deviations on the functional balance of these children. OBJECTIVES:To identify and quantify postural ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000152
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Previous studies have shown a relationship between shoulder posterior capsule tightness and shoulder pain in overhead athletes. However, this relationship has not been studied in tennis players. OBJECTIVES:Assessment of the shoulder range of motion (ROM), strength and posterior capsule tightness of skilled ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000079
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE:To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late clas...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0130
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Low back pain is a highly prevalent and disabling musculoskeletal disorder. Physical activity is widely used as a prevention strategy for numerous musculoskeletal disorders; however, there is still conflicting evidence as to whether physical activity is a protective or risk factor for low back pain or whethe...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.06.004
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The assessment of strength and its relationships with functional capacity could contribute to more specific and effective disability management of stroke survivors. OBJECTIVE:To compare and investigate associations between measures of strength and functional capacity of 98 chronic stroke survivors, stratifi...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000114
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Kinesio Taping® has been widely used in clinical practice. However, it is unknown whether this type of tape is more effective than placebo taping in patients with chronic lower back pain. OBJECTIVE:To compare the effectiveness of Kinesio Taping® in patients with chronic non-specific low back pain against a ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0128
更新日期:2015-11-01 00:00:00
abstract:Objective:To investigate the acute effects of EPAP on the activity of sternocleidomastoid (SCM), parasternal muscles and ventilatory parameters in COPD patients. Method:Twenty-four patients with COPD were studied using surface electromyography (sEMG) and a ventilometer. Patients were randomly assigned to EPAP 10 cmH2O...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0190
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:The Iconographical Falls Efficacy Scale (Icon-FES) is an innovative tool to assess concern of falling that uses pictures as visual cues to provide more complete environmental contexts. Advantages of Icon-FES over previous scales include the addition of more demanding balance-related activities, ability to as...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.01.003
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:To compare thoracic musculoskeletal static alterations in adolescents born prematurely with those born at term and investigate neonatal and post-neonatal variables associated with thoracic alterations. METHOD:This is a cross-sectional study with 57 adolescents aged 10-15 years born prematurely and 57 adolesc...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0074
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To verify if the relationship between pain catastrophizing and pain worsening would be mediated by muscle weakness and disability in patients with symptomatic knee osteoarthritis. METHODS:This was a cross-sectional study in a hospital out-patient setting. Convenience sampling was used with a total of 50 part...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.08.011
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To assess and compare the sensory processing abilities of children with Attention Deficit/Hyperactivity Disorder (ADHD) and children without disabilities, and to analyze the relationship between sensory processing difficulties and behavioural symptoms presented by children with ADHD. METHOD:Thirty-seven chil...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0043
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of three types of exercise intervention in patients with patellofemoral pain and to verify the contributions of each intervention to pain control, function, and lower extremity kinematics. METHODS:A randomized controlled, single-blinded trial was conducted. Forty women with patellofemo...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.bjpt.2018.03.009
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Hippotherapy uses horseback riding movements for therapeutic purposes. In addition to the horse's movement, the choice of equipment and types of floor are also useful in the intervention. The quantification of dynamic parameters that define the interaction of the surface of contact between horse and rider pr...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0090
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. OBJECTIVE:To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise toleranc...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,meta分析,评审
doi:10.1590/bjpt-rbf.2014.0039
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Compared to eccentric contractions, concentric contractions result in higher cardiovascular stress. However, we do not know how these two types of contractions influence cardiac autonomic modulation during the post-exercise recovery period. OBJECTIVE:to compare the effect of resistance training that is perf...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1590/s1413-35552012005000141
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:To determine the reliability, internal consistency, measurement error, convergent validity, and floor and ceiling effects of three quality assessment tools commonly used to evaluate the quality of diagnostic test accuracy studies in physical therapy. A secondary aim was to describe the quality of a sample of...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2019.01.009
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Joint inflammation is a common clinical problem in patients treated by physical therapists. The hypothesis of this study is that joint inflammation induces molecular and structural changes in the soleus muscle, which is composed mainly of slow-twitch muscle fibers. OBJECTIVE:To study the effect of tibiotars...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000084
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Alterations in respiratory system kinematics in stroke lead to restrictive pattern associated with decreased lung volumes. Chest physical therapy, such as positive expiratory pressure, may be useful in the treatment of these patients; however, the optimum intensity to promote volume and motion changes of the...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.06.006
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system. METHOD:An electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their in...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0153
更新日期:2016-04-01 00:00:00
abstract:Background:Implementation of interprofessional clinical guidelines for the prevention of neuropathic diabetic foot ulceration has demonstrated positive effects regarding ulceration and amputation rates. Current foot care recommendations are primarily based on research regarding the prevention of ulcer recurrence and fo...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0195
更新日期:2016-11-16 00:00:00