NÍVEIS DE ATIVIDADE FÍSICA PRÉ-OPERATÓRIA E PROGNÓSTICO PÓS-CIRÚRGICO EM DOENTES ONCOLÓGICOS: UM ESTUDO OBSERVACIONAL PROSPETIVO

  • Rodrigo Cardoso Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
  • Mariana Guedes Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
  • Nicolle Pauli Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
  • Gabriela Ehrenbrink Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
  • Keily Poças Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
  • Carolina Castro Experimental Pathology and Therapeutics Group, Portuguese Oncology Institute of Porto FG, EPE (IPO-Porto), Porto, Portugal http://orcid.org/0000-0001-8156-4470
  • Carla Salomé Santos Experimental Pathology and Therapeutics Group, Portuguese Oncology Institute of Porto FG, EPE (IPO-Porto), Porto, Portugal
  • Cristine Schmidt Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal; Cardiovascular R& D Center (UnIC) and Department of Physiology and Cardiothoracic Surgery, Faculty of Medicine, University of Porto, Porto, Portugal http://orcid.org/0000-0002-8090-2068
  • Daniel Moreira-Gonçalves Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal; Experimental Pathology and Therapeutics Group, Portuguese Oncology Institute of Porto FG, EPE (IPO-Porto), Porto, Portugal http://orcid.org/0000-0002-7404-7405

Resumo




Introdução: Há um interesse crescente em entender o impacto dos níveis de atividade física (AF) pré-operatória na morbimortalidade pós-operatória. O presente trabalho teve como objetivo avaliar os níveis de AF em doentes com cancro da cabeça/pescoço ou estômago e comparar o desfecho pós-operatório entre aqueles que “aderem” ou “não aderem” às recomendações de AF. 





Métodos: Foi realizado um estudo observacional, longitudinal e prospetivo em doentes recém-diagnosticados com cancro da cabeça/pescoço ou estômago, recrutados no IPO-Porto. Os níveis de AF foram avaliados por acelerometria. Os dados sobre o desfecho pós-operatório (complicações, tempo de internamento e mortalidade) foram consultados nos registos clínicos.


Resultados: Foram recrutados 81 doentes, a maioria homens (76,5%), com idade média de 61,8 ± 11,55 anos, peso de 69,08 ± 15,55 kg e IMC de 25,82 ± 5,29 kg / m2. Cinquenta e quatro doentes tinham diagnóstico de cancro do estômago (66,7%) e 27 tinham cancro da cabeça/pescoço (33,3%). Os doentes passaram 54% do tempo de uso em comportamento sedentário, 42% em AF leve e 4% em AF moderada a vigorosa (AFMV). A mediana semanal de AFMV foi de 132 (3-1860) min, e apenas 46,9% dos doentes cumpriram as recomendações mínimas de AFMV / semana. Não foram observadas diferenças entre os doentes cancro da cabeça/pescoço ou estômago. Em relação ao desfecho pós-operatório, 23,4% dos doentes apresentaram complicações minor e 12,5%, complicações major. O tempo de internamento hospitalar foi de 13,86 ± 15,58 dias e ocorreram 9,9% mortes no período pós-operatório. A mortalidade pós-operatória foi superior entre os doentes que ou “não aderem” as recomendações internacionais de AF (7 vs. 1 óbito).


Conclusão: Os nossos dados sugerem que níveis elevados de AF no pré-operatório reduzem o risco de mortalidade pós-operatória. A avaliação dos níveis de AF pré-operatória poderá auxiliar na identificação dos doentes com maior risco cirúrgico e orientá-los para intervenções de otimização pré-operatória, como a pré-habilitação.







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Publicado
2022-02-02
Como Citar
CARDOSO, Rodrigo et al. NÍVEIS DE ATIVIDADE FÍSICA PRÉ-OPERATÓRIA E PROGNÓSTICO PÓS-CIRÚRGICO EM DOENTES ONCOLÓGICOS: UM ESTUDO OBSERVACIONAL PROSPETIVO. Revista Portuguesa de Cirurgia, [S.l.], n. 51, p. 53-61, feb. 2022. ISSN 2183-1165. Disponível em: <https://revista.spcir.com/index.php/spcir/article/view/932>. Acesso em: 25 mar. 2023. doi: https://doi.org/10.34635/rpc.932.
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