Body Composition, Lung Function and Respiratory Muscle Strength in People with Down Syndrome

Abstract

Objective: To investigate whether there is a correlation in the variables of body composition with lung function and respiratory muscle strength in people with Down Syndrome. Method: Cross-sectional analytic, 26 people with Down Syndrome, 14 female and 12 male. Spirometry was performed to obtain the forced expired volume in the first second (FEV1), forced vital capacity (FVC) and peak expiratory flow (PEF); manovacuometry for the measurement of maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) and for the assessment of body fat percentage (% BF) using Dual Energy X-Ray Absormetry (DXA). The Shapiro-Wilk normality test was applied, considering p<0.05 and the parametric test using Pearson's correlation coefficient. Results: Negative correlation (% GC-FEV1), with no significant difference for men (p<0.5244) with highly significant difference for women (p <0.0045); % GC-FVC negative correlation with significant difference (p<0.0137) for women, with no significant difference for men (p<0.4910); PEF negative correlation, without significant difference, in women (p<0.3165) in men (p<0.7165); % GC-PImax negative correlation for women without significant difference (p<0.7871) and positive correlation for men without significant difference (p<0.8307); % GC-PEmax negative correlation, with no significant difference in women (p <0.9070) in men (p <0.11369). Conclusion: People with Down's Syndrome have a higher% BF compared to the reference values ​​for the Brazilian population without Down's Syndrome.

Keywords: Respiratory function tests, Down Syndrome, Breathing exercices, Spirometry, Body composition

References

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166, 111–117. https://doi.org/10.1164/ajrccm.166.1.at1102

Azeredo, C.A.C. (2000). Fisioterapia Respiratória no Hospital Geral. Editora Manole.

Barros, J., Cavalcante, O., e Oliveira, J. (2000). Deficiência mental e atividade cardiorrespiratória. Lecturas: Educación Física e Deportes, 5(25), https://www.efdeportes.com/efd23/defic.htm

Benevides, C.B.L., Cardoso, L.C.B., Rodrigues, T.F.C. da S., Scardoelli, M.G. da C., Charlo, P.B., e Radovanich, C.A.T. (2020). Vivência de mães com filhos diagnosticados com síndrome de Down. Revista Nursing, 23(263), 3745-3450. http://www.revistanursing.com.br/revistas/263/pg88.pdf

Bucci I., Napolitano, G., Giuliani C., Lio, S., Minnucci, A., Di Giacomo, F., Calabres, G., Sabatino, G., e Palka, G. (1999). Zinc sulfate supplementation improves thyroid function in hypozincemic Down children. Biol Trace Elem Res., 67(3), 257-268. https://doi.org/10.1007/BF02784425

Coussa, M., Proietti, S., Spahn, D.R., e Magnusson, L. (2004). Prevention of atelectasis formation during the induction of general anesthesia in morbidly obese patients. Anesth Analg., 98(5), 1491-1495. https://doi.org/10.1213/01.ane.0000111743.61132.99

Domenèch-Clar, R., López Andreu, JA, Compte-Torrero, L., De Diego-Damiá, A., Macián-Gisbert, V., Perpiñá-Tordera, M., e Roqués-Serradilla, JM (2003). Maximal static respiratory pressures in children and adolescents. Pediatr Pulmonal, 35, 126-132. https://doi.org/10.1002/ppul.10217

Enzi, G., Baggio B., e Vianello A. (1990). Respiratory disturbances in visceral obesity. Int J Obesity, 14, 26.

Fernhall, B., Milla, A.L., Tymeson, G.T., e Burkett, L.N. (1990). Maximal exercise testing of mentally retarded adolescents and adults: reliability study. Arch Phys Med Rehabil, 71(13), 1065-1068. https://pubmed.ncbi.nlm.nih.gov/2256807/

Frownfelter, A., e Dean, E. (2004). Fisioterapia Cardiopulmonar: Princípios e Prática (2ª edição). Editora Manole.

Gaudenzi, P., e Ortega, F. (2016). Problematizando o conceito de deficiência a partir das noções de autonomia e normalidade. Ciência & Saúde Coletiva, 21(10), 3061-3070. http://dx.doi.org/10.1590/1413-812320152110.16642016

Godoy, J.R.P. (2004). Avaliação da força de preensão palmar e composição corporal em portadores da Síndrome de Down no Distrito Federal. [Dissertação Mestrado em Ciências da Saúde, Universidade de Brasília, Brasília].

Heyward, V. H. (1997). Advanced fitness assessment & exercise prescription (3rd ed.). Human Kinetics.

Jubber, A.S. (2004). Respiratory complication of obesity. J Clin Pract, 58, 573-580. https://doi.org/10.1111/j.1368-5031.2004.00166.x

Kang, S.C., Kang, Y.S., Sohn, H.S., e Park, J.H. (2006). Respiratory muscle strength and cough capacity in patients with Duchenne Muscular Distrophi. Yonsei Medicine Journal, 47(2), 184-190. https://doi.org/10.3349 /ymj.2006.47.2.184

Knudson, R.J., Lebowitz, M.D., Hoberg, C.J. e Burrows. B. (1983). Changes in the normal maximal expiratory flow-volume curve with growth and aging. Am Rev Respir Dis, 127(6),725-34. https://doi.org/10.1164/arrd.1983.127.6.725

Koening, S.M. (2001). Pulmonary complications of obesity. Am J Med Sci, 321, 249-279. https://doi.org/10.1097/00000441-200104000-00006

Laaban, J.P. (1993). Respiratory function in massive obesity. Rev Prat, 43(15), 1911-1917. https://pubmed.ncbi.nlm.nih.gov/8310244/

Lazarus, R., Sparrow, D., e Weiss, S.T. (1997). Effect of obesity and fat distribution on ventilatory function: the normative aging study. Chest., 111(4), 841-844. https://doi.org/10.1378/chest.111.4.891

Levitzki, F. (2004). Fisiologia Pulmonar. Editora Manole.

Livingston, E.H., Huerta, S., e Lee, S. (2002). Male gender is a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg, 236(5), 576-582. https://doi.org/10.1097/00000658-200211000-00007

Lobenius-Palmér, K., Sjöqvist, B., Hurtig-Wennlöf, A., e Lundqvist, L. (2018). Accelerometer-Assessed Physical Activity and Sedentary Time in Youth With Disabilities. Adapt Phys Activ Q, 35(1), 1-19. https://doi.org/10.1123/apaq.2015-0065

Magee, S.N., O'Neill, K., Shults, J., Stallings, V., e Stettler, N. (2008). Leptin levels among Prepubertal Children with Down Syndrome compared with their siblings. Journal of Pediatrics, 152, 321-326. https://doi.org/10.1016/j.jpeds.2007.08.008

Marques, A., Nahas, M., e Barros, M. (2001). Lifestyle of people with down syndrome, ages 40 and up, in Santa Catarina, Brazil. Medicine & Science ins Sports & Exercise, 33(5), (Suppl. 1), S126. https://doi.org/10.1097 / 00005768-200105001-00715

McGrother, C.W., e Marshall, B. (1990). Recent trends in incidence, morbidity and survival in Down's syndrome. J Ment Defic Res, 34, 49-57. https://doi.org/10.1111/j.1365-2788.1990.tb01514.x

Mercer, V.C., e Lewis, C.L. (2001). Hip Abductor and Knee Extensor muscle strength of children with and without Down Syndrome. Pediatrics Physical Therapy, 13, 18-26. https://pubmed.ncbi.nlm.nih.gov/17053646/

Miranda, A.C.R.L., e Barreto, M.S. (2019). Crianças com síndrome de Down: experiências quotidianas vivenciadas pelas famílias. REPENF – Rev Par Enferm., 2(1), 13-22. http://seer.fafiman.br/index.php/REPEN/article/view/517

Mota, C.G. (2017). Avaliação do impacto de um programa de exercícios físicos para pessoas com síndrome de Down [Dissertação Mestrado em Ciências, Universidade de São Paulo, São Paulo]. https://doi.org/10.11606/D.5.2018.tde-31012018-084833

Neder, J.A., Andreoni, S., Lerario, M.C., e Nery, L.E. (1999). Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Brazilian Journal of Medical and Biological Research, v. 32(6), 719-727. https://doi.org/10.1590/S0100-879X1999000600007

Paisani, D., Chiavegato, L., e Faresin, S. (2005). Volumes, capacidades pulmonares e força muscular respiratória no pós-operatório de gastroplastia. Jornal Brasileiro de Pneumologia, 31(2), 125-132. https://doi.org/10.1590/S1806-37132005000200007

Pelosi, P., Croci, M., Tredici, S., Pedoto, A., Lissoni, A., e Gattinoni, L. (1998). The effects of body mass on lung volumes, respiratory mechanics and gas exchange during general anesthesia. Anesth Analg, 87(3), 654-660. https://doi.org/10.1097/00000539-199809000-00031

Pereira, C.A. (2002). Espirometria. J. Pneumol., 28(supl. 3), 1-82.

Queiroz, J.C.F. (2006). Correlação entre força de preensão palmar e a força da musculatura respiratória em sujeitos obesos e não obesos [Dissertação Mestrado em Educação Física, Universidade Católica de Brasília, Brasília]. https://bdtd.ucb.br:8443/jspui/handle/123456789/1058

Ray, C.S., Sue, D.Y., Bray, G., Hansen, J.E., e Wasserman, K. (1983). Effects of obesity on respiratory function. Am Rev Resr Dis, 128, 501-506. https://doi.org/10.1164/arrd.1983.128.3.501

Rimmer, J.H., Heller, T., Wang, E., e Valerio, I. (2004). Improvements in physical fitness in adults with Down syndrome. Am J Ment Retard, 109, 165–174. https://doi.org/10.1352/0895-8017(2004)109<165:IIPFIA>2.0.CO;2

Rodrigues, J.C., Takahashi, A., e Olmos, F.M.A. (2007). Efeito do índice de massa corpórea na gravidade da asma e na reatividade brônquica induzida pelo exercício em crianças asmáticas com sobrepeso e obesas. Ver. Paul. Pediatr., 25(3), https://doi.org/10.1590/S0103-05822007000300003

Reis, J.G., Araújo, S.A., e Glat, R. (2019). Autopercepção de pessoas com deficiência intelectual sobre deficiência, estigma e preconceito. Revista Educação Especial, 32, 1-16. https://doi.org/10.5902/1984686X33882

Sahebjami, H., e Gartside, P. (1996). Pulmonary function in obese subjects with a normal FVE1/CVF ratio. Chest, 110, 1425-1429. https://doi.org/10.1378/chest.110.6.1425

Scanlan, C., Wilkins, R., e Stoller, J.K. (2002). Fundamentos da Terapia Respiratória de Egan. (2ª edição). Editora Manole.

Souza, R.B. (2002). Pressões respiratórias máximas. Jornal Brasileiro de Pneumologia, 28(3), 155-165.

Teixeira, V.S.S., Fonsecal, B.C.A., Pereira, D.M., Silva, B.A.K., e Reis, F.A. (2009). Avaliação do efeito da obesidade infantil e a do adolescente sobre as propriedades ventilométricas e força muscular do sistema respiratório. ConScientiae Saúde, 8(1), 35-40. https://doi.org/10.5585/conssaude.v8i1.1495

Published
2021-03-11
How to Cite
Barros, J. de F., Azevedo, M. de, Costa, V. S. de F., Soares, J. L., Almeida, H. F. R. de, Morais, M. P. S. de, Lima, F. A. S. de, Neto, L. de O., Silva, V. Z. M. da, & Silva, A. R. da. (2021). Body Composition, Lung Function and Respiratory Muscle Strength in People with Down Syndrome. Lecturas: Educación Física Y Deportes, 25(274), 77-95. https://doi.org/10.46642/efd.v25i274.2282
Section
Research Articles