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BACKGROUND: The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge. METHODOLOGY: This was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team. RESULTS: Data were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01). CONCLUSION: In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.
RESUMO
A associação dos benefícios da prática regular da atividade física a indicadores de saúde encontra-se amplamente discutida na literatura evidenciando a relação de um estilo de vida sedentário comas doenças crônicas degenerativas. Objetivo: Descrever a prevalência de doenças venosas entre jovens e sua associação com a atividade física. Materiais e métodos: Corte transversal. Amostra: jovens voluntários.Os indivíduos responderam a uma ficha clínica e foram examinados por meio do sistema de classificação clínica, etiológica, anatômica e patofisiológica (CEAP), que classifica a gravidade e a incapacidade para o trabalho de pessoas com doenças venosas; eles responderam também ao questionário internacional de atividade física (IPAQ). Resultados: Participaram 95 indivíduos, sendo 57,9% (55) mulheres, tendo como média de idade 26,12 ± 4,5 (18 ���� 35). De acordo com o IPAQ, os indivíduos foram classificados em categoria1 (inativos): 41,1%; categoria 2 (moderadamente ativos): 49,5%; e categoria 3 (ativos): 9,5%. Houve diferença entre os níveis de atividade física entre homens e mulheres (p = 0,02). Na classificação da CEAP foram encontrados: classe 0 = 43,2%; classe 1 = 45,3%; classe 2 = 11,6%, já as demais classes não apareceram na amostra. Mulheres apresentaram maior frequência de doenças vasculares que homens (p < 0,001).O maior nível de atividade física esteve associado com a menor prevalência de doenças venosas periféricas(p = 0,02). Conclusões: Na amostra foi encontrada prevalência elevada de doenças venosas, maior entre mulheres. Foi elevado o número de indivíduos considerados sedentários pelo IPAQ, sendo os homens mais ativos quando comparados às mulheres. Os indivíduos com maior nível de atividade física apresentaram menor frequência de doenças venosas.
INTRODUCTION: The association of the benefits of regular physical activity to health indicators is widely discussed in the literature demonstrating the relationship between a sedentary lifestyle and chronic diseases. OBJECTIVE: To describe the prevalence of venous diseases among young person and their association with physical activity. MATERIALS AND METHODS: Cross-section. Sample: young volunteers. Individuals responded to a medical record and were examined through a system of clinical classification, etiologic, anatomic and pathophysiologic (CEAP) which classifies the severity and incapacity to work of people with venous disease, and responded to the international physical activity questionnaire (IPAQ ).RESULTS: 95 subjects participated, 57.9% (55) women. Mean age of 26.12 ± 4.5 (18-35), according to the IPAQ individuals were classified in category 1 (inactive): 41.1%; category 2 (moderately active): 49.5 %; and category 3 (active): 9.5%. Difference between physical activity levels between men and women (p = 0.02). In the CEAP classification were found: class 0 = 43.2%; class 1 = 45.3%; class 2 = 11.6%; and the other classes did not appear in the sample. Women had a higher frequency of vascular disease than men (p < 0.001). Higher level of physical activity was associated with lower prevalence of peripheral venous disease (p = 0.02). CONCLUSIONS: The sample was found high prevalence of venous disease was higher among women. It was the high number of individuals considered sedentary by IPAQ, men being more active when compared to women. Individuals with higher levels of physical activity had lower prevalence of venous diseases.