Estudo da associação entre Diabetes Mellitus na flexibilidade do ombro e da coluna lombar em indivíduos nipo-brasileiros residentes na cidade de Bauru - 2005
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2013
Autores
Silva, Alexandre Kikuti da [UNIFESP]
Orientadores
Andreoni, Solange [UNIFESP]
Tipo
Dissertação de mestrado
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Objetivo: O objetivo deste estudo com a populacao adulta Nipo-Brasileira residente na cidade de Bauru/SP-2005 foi de comparar a flexibilidade media, minima e,maxima dos ombros e coluna lombar entre individuos portadores e nao portadoresmde diabetes mellitus em funcao da idade, controlado por sexo, nivel de atividade fisica, e obesidade. Metodos: Atraves de estudo transversal 639 individuos (397 mulheres e 308 homens) com idade entre 30 e 90 anos, foram classificados em quatro grupos: ativo nao diabetico, insuficientemente ativo nao diabetico, ativo diabetico e insuficientemente ativo diabetico onde foi comparada entre eles a flexibilidade da coluna lombar e a flexibilidade maxima, minima e media dos ombros controlando-se por sexo, diabetes, inatividade fisica, idade, indice de massa corporal, perimetro de cintura. Resultados: O nivel de flexibilidade da coluna lombar nos individuos insuficientemente ativos apresenta em media 4,09 (p=0,004) graus a menos de flexibilidade quando comparados aos individuos ativos independentemente de sexo, diabetes, idade e perimetro de cintura. Nas mulheres a cada ano de idade a flexibilidade da coluna lombar diminui de 0,143 graus (p=0,082), enquanto que nos homens a flexibilidade da coluna lombar diminui a cada ano de idade de 0,519 (p=0,001). Observa-se que o aumento de uma unidade no perimetro da cintura diminui a flexibilidade da coluna lombar de 0,482 graus (p<0,001) nos individuos nao diabeticos independentemente de idade, sexo, inatividade fisica. Ja nos individuos diabeticos, cada aumento de uma unidade no perimetro de cintura diminui a flexibilidade da coluna lombar em 0,153 graus (p=0,019). A flexibilidade dos ombros no grupo de mulheres, apesar de apresentar menor grau de amplitude quando comparado aos grupos de homens, nao apresentou significancia. Diferente do esperado, o grupo dos homens ativos diabeticos foi o grupo que apresentou maior nivel da flexibilidade media dos ombros em funcao da idade quando comparado aos outros tres grupos citados. Conclusao: A limitacao da amplitude articular gerando menores niveis de flexibilidade e descrita na literatura como uma comum manifestacao associada ao diabetes, porem, em nosso estudo essa situacao nao se mostrou estabelecida. Uma das explicacoes pode ser a ausencia de informacoes, como o tempo de diabetes e o controle glicemico. Ja a presenca da atividade fisica apresentou importante papel na flexibilidade, independentemente da presenca ou nao do diabetes. Ser mais ativo mostrou fundamental importancia no nivel de flexibilidade da coluna lombar, principalmente no grupo dos homens
Objective: The objective of this study with the Japanese-Brazilian adult population resident in the city of Bauru/SP-2005 was to compare the flexibility average, minimum and maximum shoulder and lumbar spine among individuals with and without diabetes mellitus according to age controlled for gender, level of physical activity, and obesity. Methods: A cross-sectional study of 639 individuals (397 women and 308 men) aged between 30 and 90 years were classified into four groups: Active non-diabetic, non-diabetic insufficiently active, insufficiently active and active diabetic diabetic among them which has been compared to flexibility of the lumbar spine and maximum flexibility,minimum and medium shoulder controlling for sex, diabetes, physical inactivity, age, body mass index, waist circumference. Results: The level of flexibility of the lumbar spine in insufficiently active individuals has averaged 4.09 (p = 0.004) degrees less flexibility when compared to active individuals regardless of gender, diabetes, age and waist circumference. In women every year-old lumbar flexibility decreases 0.143 degrees (p = 0.082), whereas in men lumbar flexibility decreases each year-old 0.519 (p = 0.001). It is observed that the one-unit increase in waist circumference decreases the flexibility of the lumbar spine of 0.482 degrees (p <0.001) in nondiabetic individuals regardless of age, sex, physical inactivity. In subjects with diabetes, each one-unit increase in waist circumference decreases the flexibility of the lumbar spine in 0,153 degrees (p = 0.019). The flexibility of the shoulders, in the group of women though have lower amplitude than groups of men, was not significant. Different than expected, the group of active men with diabetes was the group with the highest average level of flexibility of the shoulders due to the age when compared to the other three groups mentioned. Conclusion: The limited range of motion generating lower levels of flexibility are 17 described in the literature as a common manifestation associated with diabetes, however, in our study this situation was not established. One explanation may be the absence of information, such as diabetes duration and glycemic control. The presence of physical activity had an important role in flexibility, regardless of the presence or absence of diabetes. Being more active showed fundamental importance at the level of flexibility of the lumbar spine, especially in males
Objective: The objective of this study with the Japanese-Brazilian adult population resident in the city of Bauru/SP-2005 was to compare the flexibility average, minimum and maximum shoulder and lumbar spine among individuals with and without diabetes mellitus according to age controlled for gender, level of physical activity, and obesity. Methods: A cross-sectional study of 639 individuals (397 women and 308 men) aged between 30 and 90 years were classified into four groups: Active non-diabetic, non-diabetic insufficiently active, insufficiently active and active diabetic diabetic among them which has been compared to flexibility of the lumbar spine and maximum flexibility,minimum and medium shoulder controlling for sex, diabetes, physical inactivity, age, body mass index, waist circumference. Results: The level of flexibility of the lumbar spine in insufficiently active individuals has averaged 4.09 (p = 0.004) degrees less flexibility when compared to active individuals regardless of gender, diabetes, age and waist circumference. In women every year-old lumbar flexibility decreases 0.143 degrees (p = 0.082), whereas in men lumbar flexibility decreases each year-old 0.519 (p = 0.001). It is observed that the one-unit increase in waist circumference decreases the flexibility of the lumbar spine of 0.482 degrees (p <0.001) in nondiabetic individuals regardless of age, sex, physical inactivity. In subjects with diabetes, each one-unit increase in waist circumference decreases the flexibility of the lumbar spine in 0,153 degrees (p = 0.019). The flexibility of the shoulders, in the group of women though have lower amplitude than groups of men, was not significant. Different than expected, the group of active men with diabetes was the group with the highest average level of flexibility of the shoulders due to the age when compared to the other three groups mentioned. Conclusion: The limited range of motion generating lower levels of flexibility are 17 described in the literature as a common manifestation associated with diabetes, however, in our study this situation was not established. One explanation may be the absence of information, such as diabetes duration and glycemic control. The presence of physical activity had an important role in flexibility, regardless of the presence or absence of diabetes. Being more active showed fundamental importance at the level of flexibility of the lumbar spine, especially in males
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SILVA, Alexandre Kikuti da. Estudo da associação entre Diabetes Mellitus na flexibilidade do ombro e da coluna lombar em indivíduos nipo-brasileiros residentes na cidade de Bauru - 2005. 2013. 102 f.
Dissertação (Mestrado) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2013.