Banca de DEFESA: RENCIO BENTO FLORENCIO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RENCIO BENTO FLORENCIO
DATE: 23/02/2022
TIME: 08:30
LOCAL: Remoto - Google Meet
TITLE:

Hospitalization and mortality rate due to Diabetes Mellitus in Brasil and Cardiovascular Reabilitation

KEY WORDS:

Diabetes mellitus, cardiac rehabilitation, virtual reality, health-related quality of life.

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Diabetes mellitus (DM) is characterized by a metabolic and chronic disorder, constituting an important public health problem, being important the need for epidemiological updates regarding the situation of involvement and hospitalizations in the national territory. As it is associated with a large number of complications, the literature already exposes the regular and individualized practice of physical exercise for its control, highlighting Cardiovascular Rehabilitation as an important measure in treatment and prevention. The use of virtual reality (VR) has been used for some time in the rehabilitation process, mainly for neurological patients, but little is known about the effects of VR in cardiovascular rehabilitation programs. Aim: To analyze the incidence of hospitalizations and mortality rate due to DM in the Brazilian territory and to propose a Cardiovascular Rehabilitation protocol adapted to virtual reality in patients with type 2 DM. Methodology: Study 01 is characterized as a longitudinal descriptive in which all data referring to hospital admissions registered in the Brazilian System of Hospital Information of the Unified Health System by DM ( CID-10) were included. Comparisons between groups were performed by an unpaired Student's t test, two-way ANOVA with Tukey post hoc test (p < 0.05). Study 02 is a protocol for a controlled, randomized and blinded evaluator clinical trial, with an intervention period of 12 weeks and follow-up  evaluation in the 16th week.  The evaluations will involve anthropometry, glycemic profile, quality of life assessment, physical exercise perception and tolerance questionnaire, peripheral muscle strength for upper and lower limbs (1 repetition maximum test) and evaluation of functional capacity (Six-minute step test – TD6m). The resistance exercise protocols will be the same for the subjects allocated in Conventional Cardiovascular Rehabilitation and Cardiovascular Rehabilitation programs adapted to virtual reality. The sample size calculation was stipulated using GPower program, with the following parameters: alpha of 0.5, statistical power of the study of 80% and effect size of 0.77. 16 subjects with DM were estimated. As losses or refusals can occur in the development of the research, the sample was increased by 30%, totaling a sample of 21 subjects in each group. Results: Study 01 observed that there was a 1.83% increase in hospitalizations for DM between 2008 and 2019 in Brazil. It also showed that there was a progressive increase in hospitalizations and in the mortality rate according to age groups, as well as a greater number of hospitalizations in the Southeast region of the country (p<0.0001). The Cardiovascular Rehabilitation protocol for DM built in study 02 is currently being evaluated by the REBEC clinical trials platform. Conclusion: Hospitalizations for DM in Brazil showed a significant increase in the last 12 years, requiring preventive and rehabilitative interventions to help reduce these complications, such as the development of a cardiovascular rehabilitation protocol associated with virtual reality specific to this population aiming to reduce absenteeism and the improvement of primary outcomes.

BANKING MEMBERS:
Presidente - 2211046 - LUCIEN PERONI GUALDI
Interna - 2211023 - ILLIA NADINNE DANTAS FLORENTINO LIMA
Externa à Instituição - ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES - UEPB