Exercise Tolerance in Individuals Post-Treatment of Pulmonary Tuberculosis: an Observational Study
Abstract
Background: Pulmonary tuberculosis (PTB) can cause injuries and deficits in physical functions, which can damage the health of the individual after healing. Objective: To analyze exercise tolerance (ET) of pharmacological post-treatment of PTB in the city of Coari (Brazil) through a 6-minute walk test (6MWT). Materials and methods: Observational, cross-sectional study, which studied 9 male participants. First, there was an assessment of the socioeconomic profile, health and body composition of the participants. The individuals were submitted to the 6MWT, to obtain a distance covered (6MWD). Pearson's correlation and the one-tailed paired T test were used, with a significance level of 5%. Results: The participants had a mean age of 42.4 ± 12.89 years, height of 163.44 ± 2.95 cm, weight 68.99 ± 8.71 kg and a body mass index (BMI) of 25.32 ± 3.07 kg/m². A 6MWD of the individuals surveyed was 460.19 ± 62.93 m. A reduction in the TE of the participants was observed through an analysis between 6MWD and predicted distance (460.19 ± 62.93m/585,07 ± 39.18 m; p = 0.0006), with 55.55% (5/9) showing values below the lower limit of normality. Conclusion: It was found that post-TBP participants studied reducing ET in relation to the predicted values.
References
American Thoracic Society (2002). ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166, 111–117. https://doi.org/10.1164/rccm.166/1/111
Bemba, E LP, Moyikoua, R., Ouedraogo, AR, Bopaka, RG, Koumeka, PP, Abacka, KBO, e Mboussa, J. (2017). Profil spirométrique et radiographique des patients anciens tuberculeux pulmonaires traités et guéris au service de pneumologie du CHU de Brazzaville. Revue de Pneumologie Clinique, 73(5), 217–224. https://doi.org/10.1016/j.pneumo.2017.08.009
Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14(5), 377–381. https://doi.org/10.1249/00005768-198205000-00012
Britto, R.R., e de Sousa, L.A.P. (2006). Teste de caminhada de seis minutos uma normatização brasileira. Fisioterapia em movimento, 19(4). 49-54. https://periodicos.pucpr.br/index.php/fisio/article/view/18789
Daniels, K.J., Irusen, E., Pharaoh, H., e Hanekom, S. (2019). Post-tuberculosis health-related quality of life, lung function and exercise capacity in a cured pulmonary tuberculosis population in the Breede Valley District, South Africa. The South African Journal of Physiotherapy, 75(1). https://doi.org/10.4102/sajp.V75i1.1319
De Grass D., Manie S., e Amosun S., (2014). Effectiveness of a home-based pulmonary rehabilitation programme in pulmonary function and health-related quality of life for patients with pulmonary tuberculosis: A pilot study. African Health Sciences 14(4), 866–872. https://doi.org/10.4314/ahs.v14i4.14
Du Bois, RM, Weycker, D., Albera, C., Bradford, WZ, Costabel, U., Kartashov, A., Lancaster, L., Noble, PW, Sahn, SA, Szwarcberg, J., Thomeer,M., Valeyre, D., e King, T. E. Jr. (2011). Six-minute-walk test in idiopathic pulmonary fibrosis: test validation and minimal clinically important difference. American Journal of Respiratory and Critical Care Medicine, 183(9), 1231-1237. https://doi.org/10.1164/rccm.201007-1179OC
Fiogbe, AA, Agodokpessi, G., Tessier, JF, Affolabi, D., Zannou, DM, Ade, G., Anagonou, S., Raherison-Semjen, C., e Marcy, O. (2019). Prevalence of lung function impairment in cured pulmonary tuberculosis patients in Cotonou, Benin. The International Journal of Tuberculosis and Lung Disease, 23(2), 195–202. https://doi.org/10.5588/ijtld.18.0234
Foro Internacionales de las Sociedades Respiratorias (2017). El impacto global de la Enfermedad Respiratoria (2ª ed.). Asociación Latinoamericana de Tórax. Recuperado em: https://www.who.int/gard/publications/The_Global_Impact_of_Respiratory_Disease.pdfGodoy, M D, Mello, FC, Lopes, AJ, Costa, W., Guimarães, FS, Pacheco, AG, Castanho, IA, e Menezes, SL (2012). The functional assessment of patients with pulmonary multidrug-resistant tuberculosis. Respiratory care, 57(11), 1949-54. https://doi.org/10.4187/respcare.01532
Gupte, AN, Paradkar, M., Selvaraju, S., Thiruvengadam, K., Shivakumar, SVBY, Sekar, K., Marinaik, S., Momin, A., Gaikwad, A., e Natrajan, P. (2019). Assessment of lung function in successfully treated tuberculosis reveals high burden of ventilatory defects and COPD. PloS One, 14(5), e0217289. https://doi.org/10.1371/journal.pone.0217289
Mancuzo, EV, Martins Netto, E., Sulmonett, N., Viana, V. de S., Croda, J., Kritski, AL, Mello, FC de Q., Nihues, S. de SE, Azevedo, KRS, e Miranda, SS de (2020). Spirometry results after treatment for pulmonary tuberculosis: comparison between patients with and without previous lung disease: a multicenter study. Jornal Brasileiro de Pneumologia, 46(2). https://doi.org/10.36416/1806-3756/e20180198
Meghji, J., Lesosky, M., Joekes, E., Banda, P., Rylance, J., Gordon, S., Jacob, J., Zonderland, H., MacPherson, P., Corbett, EL, Mortimer, K., e Bertel Squire, S. (2020). Patient outcomes associated with post-tuberculosis lung damage in Malawi: a prospective cohort study. Thorax, 75, 269-278. http://dx.doi.org/10.1136/thoraxjnl-2019-213808
Morales-Blanhir, J.E., Palafox Vidal, C.D., Rosas Romero M. de J., García Castro, M.M., Londoño Villegas, A., e Zamboni, M. (2011). Six-minute walk test: a valuable tool for assessing pulmonary impairment. Jornal Brasileiro de Pneumologia, 37(1), 110–117. https://doi.org/10.1590/S1806-37132011000100016
Muñoz-Torrico, M., Rendon, A., Centis, R., D’Ambrosio, L., Fuentes, Z., Torres-Duque, C., Mello, F., Dalcolmo, M., Pérez-Padilla, R., e Spanevello, A. (2016). Is there a rationale for pulmonary rehabilitation following successful chemotherapy for tuberculosis? Jornal Brasileiro de Pneumologia, 42(5), 374–385. https://doi.org/10.1590/S1806-37562016000000226
Pontororing, GJ, Kenangalem, E., Lolong, DB, Waramori, G., Sandjaja, S., Tjitra, E., Price, RN, Kelly, PM, Anstey, NM, e Ralph, AP (2010). The burden and treatment of HIV in tuberculosis patients in Papua Province, Indonesia: a prospective observational study. BMC infectious diseases, 10, 362. https://doi.org/10.1186/1471-2334-10-362
Praygod, G., Range, N., Faurholt-Jepsen, D., Jeremiah, K., Faurholt-Jepsen, M., Aabye, M. G., Jensen, L., Jensen, AV, Grewal, HMS, Magnussen, P., Changalucha, J., Andersen, AB, e Friis, H. (2011). Weight, body composition and handgrip strength among pulmonary tuberculosis patients: a matched cross-sectional study in Mwanza, Tanzania. Transactions of the Royal Society of Tropical Medicine and Hygiene, 105(3), 140–147. https://doi.org/10.1016/j.trstmh.2010.11.009
Santos, C.L.S., Santos, F.C., Neto, M.G., de Morais, L.H., e de Araújo Nazaré, M. (2016). Avaliação da capacidade funcional em pacientes com tuberculose pulmonar. Fisioterapia Brasil, 13(1), 4–8. https://doi.org/10.33233/fb.v13i1.442
Sarkar, M., Madabhavi, I., e Kumar, K. (2017). Tuberculosis associated chronic obstructive pulmonary disease. The Clinical Respiratory Journal, 11(3), 285-295. https://doi.org/10.1111/crj.12621
Schwenk, A., Hodgson, L., Wright, A., Ward, LC, Rayner, CFJ, Grubnic, S., Griffin, GE, e Macallan, DC (2004). Nutrient partitioning during treatment of tuberculosis: gain in body fat mass but not in protein mass. The American Journal of Clinical Nutrition, 79(6), 1006–1012. https://doi.org/10.1093/ajcn/79.6.1006
Soares, M.R., e Pereira, C.A. de C. (2011). Six-minute walk test: reference values for healthy adults in Brazil. Jornal Brasileiro de Pneumologia, 37(5), 576-583. https://doi.org/10.1590/S1806-37132011000500003
Van Remoortel, H., Raste, Y., Louvaris, Z., Giavedoni, S., Burtin, C., Langer, D., Wilson, F., Rabinovich, R., Bogiatzis, I., Hopkinson, NS, Troosters, T., e PROactive Consortium. (2012). Validity of six activity monitors in chronic obstructive pulmonary disease: a comparison with indirect calorimetry. PloS One, 7(6), e39198. https://doi.org/10.1371/journal.pone.0039198
World Health Organization (2019). Global tuberculosis report 2019. https://www.who.int/tb/publications/global_report/en/
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