Identification of peripheral arterial disease in diabetic patients and its association with quality of life, physical activity and body composition

作者: Ana Tereza do Nascimento Sales , Guilherme Augusto de Freitas Fregonezi , Ana Gabriela Câmara Batista Silva , Cibele Teresinha Dias Ribeiro , Mario Emílio Teixeira Dourado-Junior

DOI: 10.1590/1677-5449.20140043

关键词: Bioelectrical impedance analysisInternal medicinePhysical therapyPopulationMedicineDiabetes mellitusRisk factorAsymptomaticQuality of lifeBlood pressurePeripheral

摘要: BACKGROUND: Diabetes mellitus (DM) is a risk factor for peripheral arterial disease (PAD). Neither the prevalence of PAD in type 2 (T2) DM nor its detrimental effects on quality life (QoL) or physical activity (PA) have been well described Brazilian population. OBJECTIVES: To evaluate newly diagnosed and associations with QoL, PA body composition sample T2DM patients from University Hospital. METHODS: Seventy-three (73) without previous diagnoses major complications related to were enrolled. was assessed using ankle-brachial index (ABI); QoL measured translated validated SF-36 questionnaire; modified Baecke by segmental multi-frequency bioelectrical impedance. RESULTS: 13.7%, predominantly mild severity (ABI between 0.8-0.9). The ABI results correlated age (ρ=-0.26, P=0.03), duration (ρ=-0.28, P=0.02) systolic diastolic blood pressure (ρ=-0.33, P=0.007 ρ=-0.28, P=0.02; respectively). Scores component summary (PCS) below normal range, but no negative impact identified PCS scores (normal-ABI 42.9±11.2 vs. PAD-ABI 38.12±11.07) results. Body analysis detected excessive fat, especially women, there difference groups. CONCLUSIONS: previously undiagnosed this population asymptomatic forms, not yet associated worsened levels variables.

参考文章(30)
Ivone Meinao, Rozana Mesquita Ciconelli, Marcos Bosi Ferraz, Marina Rodrigues Quaresma, Wilton Santos, Traducao para a lingua portuguesa e validacao do questionario generico de avaliacao de qualidade de vida SF-36 (Brasil SF-36) Revista Brasileira De Reumatologia. ,vol. 39, pp. 143- 150 ,(1999)
Joshua Long, J.Gregory Modrall, Betty J Parker, Ann Swann, M.Burress Welborn, Thomas Anthony, Correlation between ankle-brachial index, symptoms, and health-related quality of life in patients with peripheral vascular disease Journal of Vascular Surgery. ,vol. 39, pp. 723- 727 ,(2004) , 10.1016/J.JVS.2003.12.006
J.C. Breek, J.F. Hamming, J. De Vries, D.P.van Berge Henegouwen, G.L. van Heck, The impact of walking impairment, cardiovascular risk factors, and comorbidity on quality of life in patients with intermittent claudication Journal of Vascular Surgery. ,vol. 36, pp. 94- 99 ,(2002) , 10.1067/MVA.2002.124369
Faisal A. Arain, Leslie T. Cooper, Peripheral arterial disease: diagnosis and management. Mayo Clinic proceedings. ,vol. 83, pp. 944- 950 ,(2008) , 10.4065/83.8.944
Saskia H. Meves, Curt Diehm, Klaus Berger, David Pittrow, Hans-Joachim Trampisch, Ina Burghaus, Gerhart Tepohl, Jens-Rainer Allenberg, Heinz G. Endres, Markus Schwertfeger, Harald Darius, Roman L. Haberl, Peripheral arterial disease as an independent predictor for excess stroke morbidity and mortality in primary-care patients: 5-year results of the getABI study. Cerebrovascular Diseases. ,vol. 29, pp. 546- 554 ,(2010) , 10.1159/000306640
Wouter T. Meijer, Arno W. Hoes, Dominique Rutgers, Michiel L. Bots, Albert Hofman, Diederick E. Grobbee, Peripheral Arterial Disease in the Elderly The Rotterdam Study Arteriosclerosis, Thrombosis, and Vascular Biology. ,vol. 18, pp. 185- 192 ,(1998) , 10.1161/01.ATV.18.2.185
Ji Hee Yu, Jenie Yoonoo Hwang, Mi-Seon Shin, Chang Hee Jung, Eun Hee Kim, Sang Ah Lee, Eun Hee Koh, Woo Je Lee, Min-Seon Kim, Joong-Yeol Park, Ki-Up Lee, The prevalence of peripheral arterial disease in korean patients with type 2 diabetes mellitus attending a university hospital. Diabetes & Metabolism Journal. ,vol. 35, pp. 543- 550 ,(2011) , 10.4093/DMJ.2011.35.5.543
M. R. Nehler, W. R. Hiatt, K. A. Harris, J. A. Dormandy, R. B. Rutherford, Lars Norgren, F. G. R. Fowkes, Inter-society consensus for the management of peripheral arterial disease International Journal of Angiology. ,vol. 26, pp. 81- 157 ,(2007)
E. B. Jude, S. O. Oyibo, N. Chalmers, A. J.M. Boulton, Peripheral Arterial Disease in Diabetic and Nondiabetic Patients: A comparison of severity and outcome Diabetes Care. ,vol. 24, pp. 1433- 1437 ,(2001) , 10.2337/DIACARE.24.8.1433
Michael H. Criqui, John K. Ninomiya, Deborah L. Wingard, Ming Ji, Arnost Fronek, Progression of Peripheral Arterial Disease Predicts Cardiovascular Disease Morbidity and Mortality Journal of the American College of Cardiology. ,vol. 52, pp. 1736- 1742 ,(2008) , 10.1016/J.JACC.2008.07.060