Métodos de estimativa do gasto energético em amputados de membro inferior: uma revisão sistemática
DOI:
https://doi.org/10.11606/issn.2317-0190.v29i2a181617Palavras-chave:
Amputação, Extremidade Inferior, Metabolismo Energético, Equivalente MetabólicoResumo
Objetivo: Identificar os métodos utilizados para determinar o gasto energético de pessoas com amputação de membro inferior. Método: Revisão sistemática, foram selecionadas as bases de dados MedLine (Medical Literature Analysis and Retrieval System on-line) via Pubmed, Web of Science, Scopus (Elsevier), PsycINFO - APA Psycnet (American Psychological Association) e SPORTDiscus. Foram incluídos estudos originais, observacionais, experimentais, que abordaram a temática do gasto energético em amputados de membro inferior, disponíveis na íntegra, nos idiomas inglês, português e espanhol. Resultados: Os estudos utilizaram principalmente a avaliação do consumo de oxigênio (VO2) por meio do teste de Ergoespirometria e o Índice de Custo Fisiológico através da Frequência Cardíaca. No entanto, algumas pesquisas utilizaram a Escala Subjetiva de Percepção de Esforço, a Escala de aptidão autorreferida e um questionário relacionado a percepção da capacidade de andar. Conclusão: O VO2 é a variável mais fidedigna para avaliação do consumo energético, contudo, testes com medidas diretas podem ser mais difíceis de aplicar, pelas alterações recorrentes à amputação, podendo comprometer o resultado, assim, o uso de variáveis que estimem o consumo energético por meio de medidas indiretas se torna uma alternativa válida, mas é necessário atentar-se no uso da Frequência Cardíaca em populações que utilizem algum tipo de medicamento que possa alterar ou comprometer o resultado.
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