ALBUMINURIA IS ASSOCIATED WITH LESS EFFORT TOLERANCE IN HYPERTENSION AND DIABETES
ALBUMINURIA

Palavras-chave

albuminuria, hypertension, diabetes, Borg scale.

Como Citar

Maria Rodrigues Daniel, J. ., Roberto Neres Meira, T. ., de Fatima Meira, M., Garcia Zanati Bazan, S. ., Jorge da Silva Franco, R., Barretti, P. ., & Cuadrado Martin, L. . (2024). ALBUMINURIA IS ASSOCIATED WITH LESS EFFORT TOLERANCE IN HYPERTENSION AND DIABETES. Health and Society, 4(02), 106–115. https://doi.org/10.51249/hs.v4i02.1971

Resumo

Introduction: The presence of albuminuria is an adverse marker of renal dysfunction progression. Hypertension and diabetes mellitus predispose to albuminuria. However, not all hypertensive and diabetic patients have albuminuria, so it is relevant to identify risk factors associated to this abnormality. The acute effect of intense physical activity may lead to transient albuminuria. On the other hand, physical inactivity is associated with risk factors for albuminuria Objective: To analyze the association between activity levels or physical performance and albuminuria in hypertensive and/or diabetic patients treated at basic health services. Methodology: A prospective cross-sectional study with hypertensives and/or diabetics subjects. The patients were evaluated in regard of albuminuria, clinical, laboratory and physical test performance variables. Results: There was no association between the degree of albuminuria and demographic, anthropometric, laboratory variables, functional capacity and level of physical activity. The degree of albuminuria was associated with systolic blood pressure, as well as the perception of effort, obtained by Borg Scale during the test in univariate analysis (odds ratio 4.11 with 95% confidence interval from 1.18 to 14.37, p = 0.027) and adjusted for systolic blood pressure and diabetes (odds ratio 3.02 with 95% confidence interval from 1.35 to 6.75; p = 0.007). Conclusion: there was association between albuminuria and perceived effort, as well with systolic blood pressure. There was not with association physical performance or level of activity. Further studies are needed to elucidate the association of albuminuria with Borg Scale.

https://doi.org/10.51249/hs.v4i02.1971
ALBUMINURIA

Referências

Costa P, Ramôa A. Renal injury in patients with hypertension: study in primary health care in the Braga region. Rev Port Med General Fam. 2018; 34: 242-6.

Stevens PE, Levin A. Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group Members. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med. 2013; 158: 825-30.

Crestani Filho VJ, Rodrigues RAC. Progression of chronic kidney disease: outpatient experience in Santarém - Pará. J Bras Nefrol. 2013; 35: 99-106.

Felix KT., et al. Individual long-term albuminuria exposure during angiotensin receptor blocker therapy is the optimal predictor for renal outcome. Nephrol Dial Transplant. 2016; 31: 471–77.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011; 8: 8-15.

Matsudo S, Araujo T, Matsudo V., et al. Questionario Internacional de Atividade Física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física & Saúde. 2001; 5: 5-18.

ATS. Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166: 111–17.

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14: 377-81.

Poortmans, JR. Exercise and renal function. Sports Med. 1984; 1:125-33.

Saeed F Pavan PN, Devaki K, Mahendrakar L, Holley JL. Exercise-induced proteinuria?

The of family practice. 2012; 61:23-6.

Zanella MT. Microalbuminuria: cardiovascular and renal risk factor underestimated in clinical practice. Arq Bras Endocrinol Metab. 2006; 50: 313-321.

Moraes CE, Cerolli CF, Silva, VS, Franco RJS, Habermann, F, Matsubara, BB, Martin, LC. Predictors of chronic renal failure in patients in a hypertension center. Rev Assoc Med Bras. 2009; 55: 257-62.

Salermo FR, Parraga G, Mclntyre CW. Why Is Your Patient Still Short of Breath? Understanding the Complex Pathophysiology of Dyspnea in Chronic Kidney Disease. Semin Dial. 2017; 30: 50-7.

Silva RP., et al. Microalbuminuria dosage in hypertensive patients and in patients with coronary disease. Arq. Bras. Cardiol. 2008; 90: 108-113.

Gipson GT, Carbone S, Wang J. Impaired delivery of cholesterol effluxed from macrophages to hepatocytes by serum from CKD patients may underlie increased CVD risk. Journal Pre-proof. 2019; 19: 1-36.

Katz DH, Selva VRAJ, Aguilar FG., et al. Association of low-grade albuminuria with adverse cardiac mechanics: findings from the hypertension genetic epidemiology network (HyperGEN) study. Circulation. 2014; 129: 42-50.

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Juliana Maria Rodrigues Daniel, Tani Roberto Neres Meira, Marcia de Fatima Meira, Silméia Garcia Zanati Bazan, Roberto Jorge da Silva Franco, Pasqual Barretti, Luis Cuadrado Martin

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...