Hazal YAKUT, Musa EYMİR, Sevgi ÖZALEVLİ, Aylin Özgen ALPAYDIN

KRONİK OBSTRÜKTİF AKCİĞER HASTALIĞI OLAN HASTALARIN KAS KUVVETİ VE VÜCUT KOMPOZİSYONUNUN FONKSİYONEL KAPASİTE, FİZİKSEL PERFORMANS VE SAĞLIKLA İLGİLİ YAŞAM KALİTESİ İLE İLİŞKİSİNİN İNCELENMESİ: RETROSPEKTİF ÇALIŞMA

Bu çalışmanın amacı; kronik obstrüktif akciğer hastalığı (KOAH) olan hastaların kas kuvveti ve vücut kompozisyonu ile fonksiyonel kapasite, dispne şiddeti, komorbidite varlığı, fiziksel performans ve sağlıkla ilgili yaşam kalitesi arasındaki ilişkinin incelenmesidir. Retrospektif kesitsel tipte olan araştırmaya 34 KOAH hastası alındı. Hastaların kas kuvveti değerlendirmesi için el kavrama kuvveti ve vücut kompozisyonu değerlendirmesi için vücut kütle indeksi (VKİ), vücut yağ yüzdesi ve yağsız vücut kütlesi ölçümleri kullanıldı. Hastaların bütün ölçüm sonuçları hasta dosyasından alınarak kaydedildi. Hastaların el kavrama kuvveti ortanca değeri 19.66 (14.00-24.37) kg idi ve %58.8’i aşırı kilolu-obezdi. Hastaların kavrama kuvveti ile VKİ(r=-0.548 p=0.002), vücut yağ yüzdesi (r=-0.701 p<0.001) ve yağsız vücut kütlesi (r=-0.640 p<0.001) arasında anlamlı bir ilişki bulundu. El kavrama kuvveti ve vücut kompozisyonu ile fonksiyonel kapasite, dispne şiddeti, komorbidite varlığı, fiziksel performans ve sağlıkla ilgili yaşam kalitesi arasında zayıf ile güçlü düzey arasında değişen anlamlı bir ilişki saptandı (p<0.05). Kas kuvveti ve vücut kompozisyonu KOAH'ta fonksiyonel ve fiziksel sınırlama riskini artıran ve yaşam kalitesini etkileyen birbiri ile ilişkili önemli faktörlerdir. Bu nedenle kas kuvveti ve vücut kompozisyonu; erken dönemden itibaren pulmoner rehabilitasyon uygulamaları kapsamında dikkate alınarak değerlendirilmeli ve bu parametreleri geliştirmeye yönelik egzersiz yaklaşımları, diyet ve yaşam tarzı değişiklikleri gibi terapötik stratejilere birlikte yer verilmelidir.

Anahtar Kelimeler:

Akciğer hastalıkları, beden kitle indeksi, dispne, fiziksel fonksiyonel performans, kaskuvveti

INVESTIGATION OF THE RELATIONSHIP OF MUSCLE STRENGTH AND BODY COMPOSITION WITH FUNCTIONAL CAPACITY, PHYSICAL PERFORMANCE AND HEALTH-RELATED QUALITY OF LIFE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A RETROSPECTIVE STUDY

Aim of this study was to examine the relation ship of musclestrength and body composition with functional capacity, dyspneas everity, co-morbidities, physical performance and health-related quality of life (HRQoL) in patients with chronic obstructive pulmonary disease (COPD). Thirty-four COPD patients were included in the retrospective cross-sectional study. Hand grip strength and body composition (body massindex (BMI), body fat percent age and fat-free mass (FFM)) measurements were used to evaluated. All measurement results were recorded from patient file. The median value of hand grip strength was 19.66 (14.00-24.37) kg and 58.8% were over weight-obese. A significant correlation was found between handgrip strength and BMI (r=-0.548 p=0.002), body fat percent age (r=-0.701 p<0.001), FFM (r=-0.640 p<0.001). A significant correlation was found between hand grip strength and body composition and functional capacity, severity of dyspnea, presence of comorbidity, physical performance, HRQoL, ranging from weak to strong (p<0.05). Muscle strength and body composition are important inter related factors that increase risk of functional and physical limitations and affect HRQoL in COPD. Muscle strength and body composition should be considered with in scope of pulmonary rehabilitation applications from early period, and therapeutic strategies such as exercise approaches, diet and life style changes should be included to gether to improve these parameters.

Keywords:

Lung diseases, body massindex, dyspnea, physical functional performance, muscle strength,

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