GABRIEL GRIZZO CUCATO
Projetos de Pesquisa
Unidades Organizacionais
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
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conferenceObject PHYSICAL ACTIVITY LEVEL CHANGES AND THE OCCURRENCE OF NON-ALCOHOLIC FATTY-LIVER DISEASE: A PROSPECTIVE LONGITUDINAL FOLLOW UP STUDY(2017) BITTENCOURT, Marcio Sommer; RITTI-DIAS, Raphael M.; GERAGE, Aline; CUCATO, Gabriel G.; CONCEICAO, Raquel; SANTOS, Raul- Impact of obesity on walking capacity and cardiovascular parameters in patients with peripheral artery disease: A cross-sectional study(2020) KANEGUSUKU, Helcio; CUCATO, Gabriel G.; DOMICIANO, Romulo M.; LONGANO, Paulo; PUECH-LEAO, Pedro; WOLOSKER, Nelson; RITTI-DIAS, Raphael M.; CORREIA, Marilia A.Background: Patients with peripheral artery disease (PAD) present a high prevalence of obesity and metabolic syndrome, as well as diseases related to cardiovascular dysfunction. However, whether obesity influences walking capacity and cardiovascular function in patients with PAD is poorly understood. Objectives: The objective of this study was to analyze the impact of obesity on walking capacity and cardiovascular parameters in patients with PAD. Design: This is a cross-sectional study. Setting: Patients were recruited from public hospitals of Sao Paulo. Methods: One-hundred two patients with PAD and symptoms of intermittent claudication were recruited and divided into 2 groups according to their body mass index: normal weight (<25 kg/m(2)) and overweight/obese ($25 kg/m(2)). Patients were submitted to objective (6-minute walk test) and subjective measurements of walking capacity (Walking Impairment Questionnaire). In addition, cardiovascular parameters (office blood pressure, resting heart rate, arterial stiffness, vascular function, and heart rate variability) were obtained. Results: The speed domain of the Walking Impairment Questionnaire was lower in the overweight/obese group compared to the normal weight group (32 +/- 20 vs 21 +/- 16, respectively, P < .01). Resting heart rate was higher in overweight/obese patients (61 +/- 10 vs 70 +/- 12, respectively, P < .01). However, no other walking capacity or cardiovascular parameter variables were related to obesity in patients with PAD. Conclusion: Obesity influences resting heart rate and walking speed in patients with PAD.
- Symptoms of anxiety and depression and their relationship with barriers to physical activity in patients with intermittent claudication(2021) RAGAZZO, Luciana; PUECH-LEAO, Pedro; WOLOSKER, Nelson; LUCCIA, Nelson de; SAES, Glauco; RITTI-DIAS, Raphael M.; CUCATO, Gabriel Grizzo; KAMIKAVA, Debora Yumi Ferreira; ZERATI, Antonio EduardoOBJECTIVES: Although the practice of physical exercise in patients with intermittent claudication (IC) is often encouraged, adherence is low. The difficulty in performing physical training may be related to the psychological characteristics of patients with claudication. To verify the association between anxiety and depression symptoms and barriers to physical exercise and walking capacity in patients with IC. METHODS: One-hundred and thirteen patients with a clinical diagnosis of IC were included in the study. Patients underwent clinical evaluation by a vascular surgeon, answered the Beck Depression Inventory, and Beck Anxiety Inventory tests were applied by the psychologist. The patients performed the 6-minute test and reported their barriers to physical activity practice in a questionnaire. RESULTS: Patients with signs of depression had a shorter pain-free walking distance (p=0.015) and total walking distance (p=0.035) compared to patients with no signs of depression. Pain-free walking distance (p=0.29) and total walking distance (p=0.07) were similar between patients with and without signs of anxiety. Patients with symptoms of moderate to severe depression reported more barriers to physical activity practice compared to patients without signs of depression. CONCLUSION: Symptoms of anxiety and depression are prevalent among patients with peripheral arterial occlusive disease (PAD). Depression symptoms are associated with personal barriers to exercise, while anxiety symptoms are not. The main barriers to physical activity among patients with IC are exercise-induced pain and the presence of other diseases.