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    Histórico da atividade física habitual dos pacientes com esclerose lateral amiotrófica
    (Universidade Federal de São Paulo (UNIFESP), 2016-03-30) Pereira, Roberto Dias Batista [UNIFESP]; Oliveira, Acary Souza Bulle [UNIFESP]; http://lattes.cnpq.br/3911841387107665; http://lattes.cnpq.br/4044980759880943; Universidade Federal de São Paulo (UNIFESP)
    Objective: To identify the historical profile of habitual physical activity in people with Motor Neurone Disease / Amyotrophic Lateral Sclerosis (MND/ALS) and compared to healthy subjects. Methods: 202 subjects were selected, these 71 diagnosed with ALS, 18 with Paralysis Progressive Bulbar (PBP) and 8 with Family ELA (FAMILY), of the remaining 105 consisted of healthy individuals as a control group. The patients underwent medical evaluation, physiotherapy and all participants responded to the questionnaire on habitual physical activity Baecke, for periods from 10 to 20 years, 21 to 30 years, the last 12 months; and related will MND/ALS the last two years before the first symptom. Results: When comparing the scores of the questionnaire was shown that patients with MND/ALS, regardless of the type of disease evolution, performed more habitual physical activity (HPA) from 10 to 20 years, especially the occupational physical activity (OPA), and OPA from 21 to 30 years compared with the control group. The OPA more strongly related with the development of the disease was the Farmer (30% of patients), regardless of subtype classification, in the period from 10 to 20 years old. Earlier detection of initial symptoms was more related to HPA more intense, between 21 and 30 years, in patients with Family ALS, and OPA more intense in the last two years before the appearance of symptoms. Greater physical activity in leisure and locomotion (LLA) in the period from 10 to 20 years, especially men, was related to the need to use a wheelchair later. The HPA most intense the last 12 months was related to an earlier need to use wheelchair and installation of noninvasive mechanical ventilation and percutaneous endoscopic gastrostomy. Conclusions: The history of habitual physical activity most intense in patients with MND/ALS, especially OPA, has a direct bearing on the development of the disease, in anticipation of need for special care.