ANDREY WIRGUES DE SOUSA
Projetos de Pesquisa
Unidades Organizacionais
LIM/54 - Laboratório de Bacteriologia, Hospital das Clínicas, Faculdade de Medicina
3 resultados
Resultados de Busca
Agora exibindo 1 - 3 de 3
- Barriers to daily life physical activities for Brazilian children with asthma: a cross-sectional study(2020) SOUSA, Andrey Wirgues; CABRAL, Anna Lucia Barros; MARTINS, Milton Arruda; CARVALHO, Celso R. F.Background Objective: To identify barriers to daily life physical activities (DLPA) and to evaluate physical activity levels for children with asthma and without asthma. Method: This is a cross-sectional study that enrolled 130 children with asthma and 54 non-asthma, from 7 to 12 years old. All of the children in both groups used an accelerometer for 6 consecutive days to assess DLPA and completed a questionnaire to evaluate barriers to physical activity. Accelerometer was used to measure each child's total number of steps, as well as the number of steps and the time spent in moderate-to-vigorous physical activity (MVPA). The barrier questionnaire to DLPA included 11 questions, divided into three domains: personal, social and environmental. Results: The most commonly described barrier to DLPA in the asthma and non-asthma groups was an unsafe environment (23.6% vs 28.5%, respectively). The asthma group reported having asthma (19%) and lack of parental encouragement (17.3%) as being other important barriers to DLPA. It was also observed that the asthma and non-asthma groups presented similar values for the total number of steps (13,379 +/- 3,837 vs 14,055 +/- 3,914, respectively, p > 0.05), number of steps in MVPA (5,654 +/- 1,988 vs. 6,025 +/- 2,058, p > 0.05), and time spent in MVPA (46 +/- 16 min vs. 50.8 +/- 14.7 min, p > 0.05). Conclusions: An unsafe environment is the main barrier to physical activity for Brazilian children. Moreover, a lack of parental encouragement and having asthma were considered to be barriers to physical activity. And lastly, children have similar levels of physical activity whether they have asthma or do not have asthma.
- The effect of aerobic and breathing exercises on clinical control and psychosocial status in patients with moderate and severe asthma: a RCT(2020) KIM, Fabiana; ROCHA, Jaqueline; BOS, Denielli Da Silva Goncalves; BERTO, Cibele; LUNARDI, Adriana; WIRGUES, Andrey; FREITAS, Patricia Duarte; STELMACH, Rafael; CUKIER, Alberto; CARVALHO, Celso
- Risk factors for fixed airflow obstruction in children and adolescents with asthma: 4-Year follow-up(2020) SOUSA, Andrey W.; CABRAL, Anna L. Barros; MARTINS, Milton Arruda; CARVALHO, Celso R. F.Background Asthma is a disease with reversible bronchoconstriction; however, some patients develop fixed airflow obstruction (FAO). Previous studies have reported the incidence and risk factors of FAO in adults; however, the corresponding factors in children remain poorly understood. Aim To evaluate the incidence and risk factors of FAO in children and adolescents with asthma. Method Observational and prospective cohort study with a 4-year follow-up of clinically stable patients with asthma (from 6-8 years old). Anthropometric data, history of asthma, number of hospitalizations, frequent exacerbations, asthma severity, asthma control, inhaled corticosteroid dose, atopy, and lung function were analyzed as potential risk factors for FAO. FAO was defined by a ratio of the forced expiratory volume in the first second to the forced vital capacity below the lower limit of normal, even after inhaled and oral corticosteroid treatment. Results Four hundred and twenty-eight patients were recruited, and 358 were analyzed. The FAO incidence in children and adolescents with asthma was 9.5% (n = 34), starting at 10 years of age. Age, body mass index, hospitalizations for asthma, bronchodilator response, frequent exacerbations, length of exacerbations, and asthma severity were associated with FAO. Frequent exacerbations (odds ratio [OR] = 4.0; 95% confidence interval [CI] = 1.3-11.7) and asthma severity categorized as steps 4 to 5 (OR = 3.5; 95% CI = 1.6-7.6) remained risk factors. Conclusions Frequent exacerbations and asthma severity are the risk factors for FAO in children and adolescents with asthma.