O objetivo do estudo foi analisar os efeitos do exercício físico sobre a aptidão física e a qualidade de vida de pacientes com insuficiência renal crônica em hemodiálise. Trata-se de um estudo de intervenção, com uma amostra de 13 pacientes em hemodiálise. O programa foi aplicado em 2019/2 (agosto a dezembro) e ocorria durante as primeiras duas horas da sessão de hemodiálise (intradialítico), três vezes por semana com duração de 20/70 minutos. O mesmo consistia em alongamento ativo, aquecimento, treinamento em cicloergômetro, treinamento contra resistência e alongamento. A aptidão física foi avaliada por meio do teste de seis minutos de caminhada; do teste de sentar e levantar; do teste de flexibilidade, do teste de flexão de cotovelo e da dinamometria. Para avaliar a qualidade de vida foi utilizado o Questionário de Estado de Saúde SF36-V2. Os participantes do programa de exercícios físicos apresentaram melhora em todas as valências físicas avaliadas, ocorrendo de maneira significativa na resistência de membros superiores (pré-teste = 17,85±4,54; pós-teste = 20,69±7,62; p = 0,034) e na força de preensão manual (pré-teste = 28,15±9,39; pós-teste = 28,62±12,61; p = 0,048), assim como uma melhora significativa na qualidade de vida nos domínio dor (pré-teste = 73,15±26,92; pós-teste = 91,46±18,78; p = 0,016), vitalidade (pré-teste = 78,00±15,48; pós-teste = 90,08±9,03; p = 0,010) e aspectos sociais (pré-teste = 71,31±28,63; pós-teste = 85,92±22,42; p = 0,050). Concluímos que o programa de exercício resistido traz diversos benefícios para pacientes em Hemodiálise.
Practicing physical activity is essential for physical and mental health. In addition, this behavior can be a great way to increase immunity, especially in times of the coronavirus pandemic (COVID-19). In this sense, this study aimed to analyze the practice of physical activities performed by a man with a positive result of COVID-19 during his period of social isolation, as well as his perceptions and difficulties about this practice. Qualitative case study carried out with a man from the northwest region of the state of Rio Grande do Sul with a positive diagnosis of COVID 19. For this, a questionnaire with open / closed questions was used as an instrument for data collection, the same was applied through the whatsapp and interpreted by content analysis. The participant reported that while in social isolation he practiced physical activities with his own body weight and with tools, in addition to abdominals. He performed them in his own room due to social isolation and had no symptoms during practice. In addition, he reported that the greatest difficulty was performing physical activities alone, without company, as usual in the weight training gym. Even in the face of such a singular moment, it is observed that the study participant followed an exercise routine, which can be explained by the adherence to the physical training that he has, and may have benefited in the recovery of the clinical condition during the diagnosis of Covid 19.
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