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CHAGAS HEART DISEASE IS ASSOCIATED WITH DECREASED PHYSICAL ACTIVITY LEVELS: A CROSS-SECTIONAL ANALYSIS
Author
Ribeiro, Leonardo Gonçalves
Gonçalves, Tatiana Rehder
Paravidino, Vitor Barreto
Costa, Henrique Silveira
Rodrigues Junior, Luiz Fernando
Mazzoli-Rocha, Flavia
Silva, Gilberto Marcelo Sperandio da
Mendes, Fernanda de Souza Nogueira Sardinha
Saraiva, Roberto Magalhaes
Hasslocher-Moreno, Alejandro Marcel
Mediano, Mauro Felippe Felix
Gonçalves, Tatiana Rehder
Paravidino, Vitor Barreto
Costa, Henrique Silveira
Rodrigues Junior, Luiz Fernando
Mazzoli-Rocha, Flavia
Silva, Gilberto Marcelo Sperandio da
Mendes, Fernanda de Souza Nogueira Sardinha
Saraiva, Roberto Magalhaes
Hasslocher-Moreno, Alejandro Marcel
Mediano, Mauro Felippe Felix
Affilliation
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil / Universidade Estácio de Sá. Programa Pesquisa Produtividade. Rio de Janeiro, RJ, Brasil.
Federal University of Rio de Janeiro. Institute of Studies in Collective Health. Rio de Janeiro, RJ, Brazil.
State University of Rio de Janeiro. Institute of Social Medicine Hesio Cordeiro. Rio de Janeiro, RJ, Brazil / Naval Academy. Brazilian Army. Department of Physical Education and Sports. Rio de Janeiro, RJ, Brazil.
Federal University of Vales do Jequitinhonha e Mucuri. Healthy and Biological Sciences Faculty. Physiotherapy Department. Diamantina, MG, Brasil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. Institute of Studies in Collective Health. Rio de Janeiro, RJ, Brazil.
State University of Rio de Janeiro. Institute of Social Medicine Hesio Cordeiro. Rio de Janeiro, RJ, Brazil / Naval Academy. Brazilian Army. Department of Physical Education and Sports. Rio de Janeiro, RJ, Brazil.
Federal University of Vales do Jequitinhonha e Mucuri. Healthy and Biological Sciences Faculty. Physiotherapy Department. Diamantina, MG, Brasil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Abstract
Background: Studies evaluating physical activity (PA) levels in individuals with Chagas disease (CD) are still scarce. The present study aimed to evaluate PA levels in CD individuals and examine their association with Chagas heart disease (ChHD). Methods: We included patients with CD regularly followed in a reference center for treatment of infectious diseases. PA levels were assessed using the short version of the International Physical Activity Questionnaire (IPAQ). ChHD was determined following the Brazilian Consensus on Chagas Disease. The association between ChHD and levels of PA (total, walking, moderate, and vigorous) as a continuous variable was fitted using generalized linear models. Logistic regression models were fitted to evaluate the association between ChHD and meeting WHO's PA recommendations.
Results: Among the 361 participants included in the analysis (60.7 ± 10.7 years; 56.2 % women), 58.1 % (n = 210) complied with the WHO's PA recommendations. After adjustments for potential confounders, regression analyses revealed that ChHD without heart failure was significantly associated with reduced vigorous PA (Exp β 0.32 95 % CI 0.10 to 0.98). ChHD with heart failure had significantly lower levels of total (Exp β 0.61 95 % CI 0.44 to 0.84) and moderate (Exp β 0.59 95 % CI 0.39 to 0.89) PA. ChHD with heart failure had a lower odd of meeting the PA recommendation in comparison to those with no cardiac involvement (OR 0.48 95 % CI 0.24 to 0.97). Conclusions: We found low levels of PA among individuals with CD. Presence of ChHD (mainly with HF) was associated with decreased levels of PA.
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