Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492012000300005
Jornal Vascular Brasileiro
Artigo Original

Triagem pré-participação em exercício físico em pacientes com doença arterial periférica

Exercise pre-participation screening in patients with peripheral arterial disease

Pollianny Ramos Lopes; João Paulo dos Anjos Souza Barbosa; Aluísio Henrique Rodrigues de Andrade Lima; Alessandra de Souza Miranda; Lausanne Barreto de Carvalho Cahú Rodrigues; Sérgio Luiz Cahú Rodrigues; Raphael Mendes Ritti Dias

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Resumo

CONTEXTO: Os indivíduos com doença arterial periférica (DAP) apresentam alto risco de doença cardiovascular. Dessa forma, é imprescindível que os instrumentos de triagem pré-participação em exercício indiquem quais pacientes com DAP devem realizar avaliação cardiovascular antes de iniciar o programa de exercício. OBJETIVO: Comparar a sensibilidade de dois instrumentos de triagem pré-participação em exercício para identificação de indivíduos com DAP. MÉTODOS: Vinte e oito pacientes com DAP de ambos os sexos responderam ao questionário de prontidão para a atividade física (PAR-Q) e um questionário de estratificação do risco cardiovascular (QERC) baseado nas diretrizes do American College of Sports Medicine. RESULTADOS: O PAR-Q mostrou que a questão seis (Algum médico já recomendou o uso de medicamentos para a sua pressão arterial ou condição cardiovascular?) foi a que apresentou maior frequência de respostas positivas (82,1%). Considerando todas as respostas, cinco indivíduos não tiveram nenhuma positiva ao questionário (17,9%), indicando que estariam aptos para a prática de atividade física. Os resultados do QERC mostraram que as questões 11 (Você sente queimação ou sensação de câimbras em suas pernas quando faz caminhada?) e 2 (Algum médico já falou que você tem pressão alta?) apresentaram a maior frequência de respostas positivas (82,1%). CONCLUSÕES: Segundo o QERC, todos os indivíduos da amostra foram considerados com alto risco cardiovascular. O PAR-Q não foi sensível o suficiente para identificar todos os sujeitos, ao passo que o QERC identificou todos os indivíduos. Assim, sugere-se a utilização do QERC para identificação de indivíduos com DAP.

Palavras-chave

doença arterial periférica, exercício, saúde, avaliação, validade dos testes

Abstract

BACKGROUND: Exercise has been recommended as the main treatment for individuals with peripheral artery disease (PAD). However, since these individuals have increased cardiovascular risk, a cardiovascular assessment before onset of exercise program must be performed. OBJECTIVE: The purpose of this study was to compare the efficacy of two screening tools for identifying individuals with PAD. METHODS: Twenty-eight men and women with PAD, who answered the Physical Activity Readiness Questionnaire (PAR-Q) and the stratification of cardiovascular risk questionnaire (SCRQ). RESULTS: The PAR-Q results showed that question six (Has any physician recommended the use of blood pressure or cardiovascular medications?) had higher frequency of positive responses (82.1%). Considering all responses, five individuals had all negative answers (17.9%). The results of the SCRQ showed that the question 11 (Do you have leg cramps or burning sensation cramp when you walk?) and the 2nd (Have you ever been told by a physician you have high blood pressure?) showed higher frequency of positive responses (82.1%). According to the criteria for cardiovascular risk stratification, all individuals were considered to be at high cardiovascular risk. CONCLUSION: The PAR-Q questionnaire was not sensitive enough to identify all subjects with PAD. On the other hand, the SRCQ was more efficient in identifying the subjects with PAD. Therefore, the use of SRCQ for screening PAD patients is suggested.

Keywords

peripheral arterial disease, exercise, health, evaluation, validity of tests

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