Background: Cardiovascular autonomic dysfunction is one of the most common complications in rheumatoid arthritis (RA), which can be assessed by heart rate variability (HRV) analysis. Because the autonomic nervous system plays an important role in orchestrating the cardiovascular response to stressors, assessing HRV during exercise is critical. The Glittre Activities of Daily Living test (GA-T) was recently proposed as a multitask field test that requires the performance of the upper and lower limbs, both of which are affected in individuals with RA. Objectives: This study was conducted to evaluate autonomic impairment by HRV in women with RA using the GA-T and to correlate these changes with physical functioning and muscle strength. Methods: This cross-sectional study enrolled 20 women (median [interquartile range]: age 55 [47.5 - 68.8] years) with RA (time since diagnosis: 15 [6.50 - 23.5] years) who underwent HRV assessment during GA-T. They also underwent physical functioning assessment through the Health Assessment Questionnaire Disability Index (HAQ-DI) and handgrip strength (HGS) and quadriceps strength (QS) measures. Results: The GA-T time exhibited significant correlations with the following HRV indices: root mean square of successive differences (RMSSD, rs = -0.451, P = 0.041), proportion of iRR differing by > 50 ms from previous intervals (pNN50, rs = -0.697, P = 0.0006), high frequency (HF, rs = -0.693, P = 0.0007), standard deviation of the points perpendicular to the line-of-identity (SD1, rs = -0.476, P = 0.034), and approximate entropy (ApEn, rs = 0.545, P = 0.013). In addition, the HAQ-DI exhibited significant correlations with the following HRV indices: pNN50 (rs = -0.467, P = 0.038) and HF (rs = -0.444, P = 0.049). We did not observe significant correlation between the HRV indices during the GA-T and the muscle strength measures (HGS and QS). Conclusions: In women with RA, the longer the required to perform the GA-T the worse their parasympathetic modulation, sympathetic-vagal imbalance, and complexity of the autonomic nervous system (i.e., increased index of ApEn) were. Physical functioning level was also related to vagal modulation.

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Introduction Obesity is one of the main public health problem worldwide and it has a negative short- and long-term relationship with women's health. Assessment of this disorder is essential, as is a body composition assessed by dual-energy X-ray absorptiometry (DXA) with the new region of interest as the neck. Objective To verify the association between abdominal and neck fat with sleep quality in obese women. Methods The sample, obtained from a Biomedical Engineering and Health Program database, was characterized by being obese female aged between 20 and 65 years. The tests performed were anthropometric assessment, sleep quality questionnaire, physical activity level, nutritional assessment, and body composition by dual-energy X-ray absorptiometry (DXA). For statistical analysis, the Shapiro-Wilk test, t test for independent samples, Kendall's Tau, linear and multiple regression and ROC curve were used. Results The sample consisted of 15 individuals with a mean age of 45 ± 11.10 years, neck circumference of 41.50 ± 2.61 and abdominal circumference of 128.20 ± 11.62. We found no correlation between the regions of interest and the sleep quality questionnaire. Regression analysis shows non-significant statistical values for abdominal fat. The statistical test proved that the new region of interest in abdominal fat is closer to better sensitivity and has a greater relationship with sleep quality. Conclusion there was no statistically significant correlation between the regions of interest and the sleep quality questionnaire. However, the abdominal fat region of interest was the point that presented the best association with sleep quality assessed by the Pittsburgh questionnaire.

SUMÁRIO agudo do miocárdio (IAM), a insuficiência cardíaca e problemas visuais. Sobre as possíveis sequelas, acredita que houve piora da memória, diminuição da acuidade visual, fadiga, mialgia, inapetência e insônia. I2 referiu acreditar que a alimentação desequilibrada, a falta de exercícios físicos e a obesidade, foram os causadores da agudização da HAS. Como consequência referiu o acidente vascular isquêmico (AVI) e como sequelas, estar acamado desde então. I3 referiu acreditar que a alimentação desequilibrada, o tabagismo, a falta de exercícios físicos e a obesidade, resultaram na agudização da HAS. Como consequência referiu o AVI e como sequelas, a diminuição da acuidade auditiva e visual e a dificuldade de locomoção devido a hemiparesia parcial a esquerda. I4 referiu acreditar que a alimentação desequilibrada, a falta de exercícios físicos e a obesidade, resultaram na agudização da HAS. Como consequência referiu o acidente vascular hemorrágico (AVH) e como sequelas, a diminuição da acuidade auditiva. 4.2 O -DADOS OBJETIVOS Os dados objetivos foram realizados a partir do exame físico realizado em cada entrevistado e descritas as alterações encontradas em cada individuo. 4.2.1 SISTEMA NEUROLÓGICO I1 Indivíduo alerta, conciente, orientado em espaço e tempo, pupilas fotorreagentes. Diminuição da acuidade visual . I2 Indivíduo alerta, consciente, orientado no espaço e tempo, pupilas fotorreagentes. Sem aterações perceptíveis durante o exame físico neurológico. I3 Indivíduo alerta, consciente, orientado no espaço e tempo, pupilas fotorreagentes. Acuidade visual e acuidade auditiva diminuídas. I4 Indivíduo alerta, consciente, orientado no espaço e tempo, pupilas fotorreagentes. Acuidade auditiva diminuída. 4.2.2 SISTEMA TEGUMENTAR E LINFÁTICO Ambos os entrevistados I1, I2, I3 e I4, não apresentaram alterações no sistema tegumentar e linfático. Apresentando pele corada, sem sinais de desidratação e lesões. Sensibilidade preservada. Mucosa 7 REFERÊNCIAS BIBLIOGRÁFICAS