Avaliação de sarcopenia e funcionalidade de uma paciente com nefropatia diabética

Gabriela Cavalcante Pacífico; Enoly Cristine Frazão da Silva; Lidia Maria Loiola Melo; Daniel Vieira Pinto

doi:10.46642/efd.v30i326.8163

Gabriela Cavalcante Pacífico Universidade Federal do Amazonas (UFAM) https://orcid.org/0000-0003-4155-5099
Enoly Cristine Frazão da Silva Universidade Federal do Amazonas (UFAM) https://www.scopus.com/authid/detail.uri?authorId=59410980800 https://orcid.org/0000-0002-4560-8138
Lidia Maria Loiola Melo Universidade Federal do Amazonas (UFAM) https://orcid.org/0000-0002-1649-2551
Daniel Vieira Pinto Universidade Federal do Amazonas (UFAM) https://orcid.org/0000-0001-7846-7258

DOI: https://doi.org/10.46642/efd.v30i326.8163

Resumen

La nefropatía diabética es una enfermedad crónica derivada de la diabetes mellitus que posteriormente deriva en enfermedad renal crónica y la necesidad de hemodiálisis, lo que aumenta el riesgo de sarcopenia. Este estudio de caso tuvo como objetivo investigar los efectos a largo plazo del ejercicio físico intradiálisis en la mejora de la sarcopenia y la capacidad funcional en un paciente con nefropatía diabética. El paciente participó en un programa de ejercicio intradiálisis durante nueve meses, que incluyó actividades de fuerza, resistencia y flexibilidad, respetando siempre su estabilidad hemodinámica. Se le realizaron evaluaciones antropométricas y de pliegues cutáneos; la primera, mediante la circunferencia de la pantorrilla, permitió evaluar la sarcopenia. Para evaluar mejor las capacidades físicas del paciente, se realizaron cuatro pruebas: la Prueba de marcha de 6 minutos, la Prueba de bipedestación de 1 minuto, la Prueba de fuerza de prensión manual y la Prueba de equilibrio de Berg. Los resultados mostraron efectos prometedores del ejercicio físico en la mejora de la sarcopenia y la capacidad funcional, con cambios positivos en las pruebas neuromotoras. Las mejoras observadas trascendieron el contexto clínico, impactando positivamente en las actividades diarias del paciente y su bienestar físico y mental.

Palabras clave: Nefropatía diabética, Sarcopenia, Ejercicio de resistencia, Capacidad funcional, Hemodiálisis

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