ABSTRACT
Resumen Introducción. La fibrosis pulmonar idiopática (FPI) es un tipo de enfermedad intersticial, crónica y progresiva que suele manifestarse con disnea y deterioro progresivo de la tolerancia al ejercicio y a las actividades de la vida diaria, llegando a comprometer el nivel psicológico y la interacción social. Objetivos. Seleccionar y sintetizar información acerca de la respuesta de la capacidad funcional, la función pulmonar y la calidad de vida relacionada con la salud en pacientes con FPI luego de ser sometidos a un programa de rehabilitación pulmonar. Materiales y métodos. Revisión de la literatura desde 2000 a 2016, utilizando las bases de datos PubMed y ScienceDirect. Resultados. Se seleccionaron 10 ensayos clínicos randomizados. Se observó tendencia al aumento significativo en la distancia recorrida en test de marcha de 6 minutos. Respecto a la función pulmonar, los resultados variaron entre las poblaciones estudiadas. En la calidad de vida relacionada con la salud se observó mejora en los pacientes sometidos a rehabilitación, pero los niveles de disnea mostraron resultados discordantes. Conclusión. Se evidenciaron beneficios en términos de capacidad funcional y calidad de vida relacionada con la salud, pero los estudios siguen siendo escasos y con poblaciones pequeñas; los efectos de los programas de rehabilitación no se mantienen a los 6 meses de evaluación post-entrenamiento.
Abstract Introduction: Idiopathic pulmonary fibrosis (IPF) is an interstitial, chronic and progressive disease that usually appears with dyspnea and progressive deterioration of exercise tolerance and activities of daily living, compromising psychological well-being and social interaction. Objectives: To select and summarize information about functional capacity response, pulmonary function and health-related quality of life in patients with IPF after being subjected to a pulmonary rehabilitation program. Materials and methods: Literature review from 2000 to 2016, using the PubMed and ScienceDirect databases. Results: 10 randomized clinical trials were selected. A tendency to a significant increase in the distance traveled in the 6-minute walk test was found. Regarding pulmonary function, results were variable among the studied populations. Quality of life related to health improvement was observed in all patients undergoing rehabilitation, but dyspnea levels showed discordant results. Conclusion: The trials show benefits in terms of functional capacity and health-related quality of life; however, studies are still scarce, done on small populations, and the effects of rehabilitation programs are not sustained 6 months after post-training evaluation.
ABSTRACT
Background: There is no conclusive evidence about the association between physical fitness (PF) and health related quality of life (HRQOL) in older adults. Aim: To seek for an association between PF and HRQOL in non-disabled community-dwelling Chilean older adults. Material and Methods: One hundred and sixteen subjects participated in the study. PF was assessed using the Senior Fitness Test (SFT) and hand grip strength (HGS). HRQOL was assessed using eight dimensions provided by the SF-12v2 questionnaire. Binary multivariate logistic regression models were carried out considering the potential influence of confounder variables. Results: Non-adjusted models, indicated that subjects with better performance in arm curl test (ACT) were more likely to score higher on vitality dimension (OR > 1) and those with higher HGS were more likely to score higher on physical functioning, bodily pain, vitality and mental health (OR > 1). The adjusted models consistently showed that ACT and HGS predicted a favorable perception of vitality and mental health dimensions respectively (OR > 1). Conclusions: HGS and ACT have a predictive value for certain dimensions of HRQOL.