RESUMO
O diabetes mellitus (DM) é decorrente de um inadequado funcionamento metabólico crônico, caracterizado por hiperglicemia com distúrbio dos carboidratos, gordura e metabolismo da proteína. O DM tem impacto substancial no perfil físico-funcional dos pacientes, entre os quais se destaca o teste de caminhada de seis minutos (TC6'). O objetivo do estudo foi analisar a capacidade funcional, por meio da distância percorrida no TC6', dos pacientes com DM tipo 1 (DM1) e 2 (DM2) cadastrados em Estratégias de Saúde da Família (ESFs) e Programas de Agentes Comunitários de Saúde (PACS) do município de Matinhos, Paraná. De 800 pacientes cadastrados nas ESF e PACS, foram contatados 497, e 153 participaram do estudo, sendo 1,30% com DM1 e 98,69% com DM2. Os avaliados tiveram média de 60,49±11,24 anos, a glicemia foi 173,18 mg/dL e as médias de massa corporal, estatura e índice de massa corpórea foram respectivamente: 76,69±14,07 kg, 1,62±0,08 m e 29,11±4,61 kg/m2. Não houve correlação entre nível glicêmico e idade (r=0,023), entre idade e TC6' (r=-0,056), e nível glicêmico e TC6' (r=0,11). Observou-se que 28,10% apresentavam doença cardiovascular, 60,13% eram hipertensos e 16,99% tabagistas. O tratamento medicamentoso prevaleceu sobre os tratamentos dieta e exercício. Houve diferença estatística (p<0,0001) entre a distância prevista e a percorrida no TC6', indicando que os pacientes com DM não atingiram os níveis esperados neste teste. Seria necessário realizar um programa multidisciplinar direcionado a essa população, com ações em atividade física e dieta, com o intuito de minimizar os efeitos do DM sobre os aspectos funcionais desses pacientes.
Diabetes mellitus (DM) occurs due to an inadequate chronic metabolic dysfunction, characterized by hyperglycemia with carbohydrate, fat and protein metabolism disorders. The DM has an important impact on physical and functional profiles of the subjects; among these variables, there is the Six-Minute Walk Test (6MW). The aim of this study was to analyze the functional capacity, by distance walked in 6MW, of subjects with DM types 1 (DM1) and (DM2) 2 from Health Family Strategy (HFSs) of Community Health Agent Program (CHAP) in Matinhos city, Paraná. From 800 patients registered at the HFS's and CHAP, 497 were contacted, and 153 were included in this study, of which 1.30% with DM1 and 98.69% with DM2. Their mean age was 60.49±11.24 years, the mean blood glucose was 173.18 mg/dL and mean body mass, height and body mass index were respectively: 76.69±14.07 kg, 1.62±0.08 m and 29.11±4.61 kg/m2. There was no correlation between blood glucose and age (r=0.023), age and 6MW (r=-0.056) and blood glucose and 6MW (r=0.11). We observed that 28.10% of patients had cardiovascular disease, 60.13% had hypertension and 16.99% were smokers. We found that drug treatment was the most common among the treatments diet and exercise. Regarding the 6MW test, it was found a significant difference (p<0.0001) between the distance specified by the equation of reference and the distance obtained by the participants, demonstrating that patients with DM did not reach the expected grades. Thus, it would be necessary to perform a multidisciplinary program aimed at this population, in order to include physical activities and diet to minimize the effects of DM on the functional aspects of these patients.