Correla????o das concentra????es da hemoglobina glicada com a press??o arterial e for??a de preens??o manual de crian??as e adolescentes com Diabetes Melitos Tipo 1

• Main Author: Oliveira, Sandra de
• Other Authors: Prestes, Jonato
• Format: Others
• Language: Portuguese
• Published: Universidade Cat??lica de Bras??lia 2017
• Subjects: Diabetes; Press??o arterial; Hemoglobina glicada; Crian??as e adolescentes; CIENCIAS DA SAUDE::EDUCACAO FISICA
• Online Access: https://bdtd.ucb.br:8443/jspui/handle/tede/2113

Submitted by Sara Ribeiro ([e-mail]) on 2017-05-10T14:01:11Z No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) === Approved for entry into archive by Sara Ribeiro ([e-mail]) on 2017-05-10T14:01:29Z (GMT) No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) === Made available in DSpace on 2017-05-10T14:01:29Z (GMT). No. of bitstreams: 1 SandradeOliveiraDissertacao2016.pdf: 3477170 bytes, checksum: f9dcd58f0f92b370b721060e6d4c3ead (MD5) Previous issue date: 2016-02-29 === This was a cross-sectional study with the objective to correlate the elevated glycated hemoglobin levels (HbA1) with blood pressure, handgrip strength and the risk of cardiovascular disease in children and adolescents with type 1 diabetes mellitus (T1DM). The sample was composed by approximately 135 volunteers, children and adolescents aged 12 to 16 years, registered in the specialized research center in diabetes mellitus, from the Regional Hospital of Taguatinga of the Health Secretary of Federal District. The anthropometric measures such as: body mass, height and body mass index (BMI) were done in each appointment by using the growing graph from the National Center for Health Statistics (NCHS, 2000). Blood pressure and heart rate were measured by the oscillometric device (Microlife 3AC1-1, Widnau, Switzerland), according to the recommendations of the The Fourth Report on The Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents of 2004. To analyze the handgrip strength the mechanic dynamometer Jamar?? (Sammons Preston Jamar Hand Dynamometer) was used, according to the protocol of Espa??a- Romero and co-workers (2012). The HbA1 and glucose were mesured by high performance liquid chromatography (BioRad, Brazil). The lipid profile was determined by the enzymatic colorimetric method, and the high density lipoproteins were determined by ionic exchange, followed by colorimetric reaction with the Linco Research Inc. kit (St. Louis, EUA). The results demonstrated a correlation between elevated HbA1 levels with alterations in blood pressure, handgrip strength and time of diagnosis in children and adolescents with T1DM. === Esta pesquisa foi do tipo transversal, com o objetivo de comparar os n??veis elevados da hemoglobina glicada (HbA1c) com a press??o arterial, for??a de preens??o manual e o risco de doen??as cardiovasculares em crian??as e adolescentes com diabetes melitos tipo 1 (DM1) . A amostra foi composta de aproximadamente de 135 volunt??rios, crian??as e adolescentes com idade entre 12 a 16 anos, atendidos no polo de pesquisa, especializado em diabetes melitos, do Hospital Regional de Taguatinga, da Secretaria de Sa??de do Distrito Federal. As medidas antropom??tricas como: peso, estatura e ??ndice de massa muscular (IMC) foram realizadas em cada consulta, usando o gr??fico de crescimento da National Center for Health Stattistics (NCHS,2000). A press??o arterial e a frequ??ncia card??aca foram aferidas pelo aparelho oscilom??trico (Microlife 3AC1-1, Widnau, Switzerland), de acordo com as recomenda????es da (The Fourth Report on The Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents, 2004). Para a an??lise da for??a de preens??o manual foi utilizado dinam??metro mec??nico Jamar?? (Sammons Preston Jamar Hand Dynamometer), respeitando o protocolo de Espa??a-Romero e colaboradores Para as an??lises sangu??neas todos pacientes forneceram amostras de sangue, a glicose e a hemoglobina glicada foram medidas por cromatografia l??quida de alta performance (BioRad, Brasil). O perfil lip??dico foi medido por m??todo colorim??trico enzim??tico, equipament, para as lipoprote??nas de alta densidade foram determinadas por troca i??nica, seguidas por rea????o colorim??trica com kit de Linco Research Inc.(St. Louis, EUA). Os resultados demonstram a associa????o das concentra????es elevadas da HbA1c com altera????es na press??o arterial diast??lica, for??a de preens??o manual e tempo de diagn??stico de crian??as e adolescentes DM1.