Somatotipo em espondiloartrite: estudo de prevalência em hospital terciário brasileiro
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i3a224792Palavras-chave:
Espondiloartrite Axial, Composição Corporal, SomatotiposResumo
Objetivo: Este estudo avaliou a prevalência do somatotipo em diferentes tipos e subtipos de espondiloartrite com base em dados antropométricos, demográficos e fenotípicos. Método: O método de Heath e Carter foi utilizado para determinar o somatotipo em 61 pacientes com espondiloartrite em tratamento em um hospital universitário no Brasil. Análise de variância e testes exatos de Fisher foram utilizados para análise estatística dos resultados. Resultados: A amostra incluiu indivíduos predominantemente do sexo masculino (68,9%), brancos (63,9%), idade [54,8 ±13,68 anos], altura [1,68 ± 0,1 metros], massa corporal total [81,64 ± 12,59 Kg], índice de massa corporal [29,06 kg/m 2 ± 4,23], percentual de gordura [28,94 ± 5,25], tempo de doença [20,38 ± 10,44 anos] e tempo de diagnóstico [16,6 ± 10,3 anos]. Nos tipos de espondiloartrite, o mesoendomorfo foi mais prevalente [axial= 39 [16 (41%)] e periférico= 22 [10 (45,5%)], sem relação direta entre os subtipos, mas com tendência mesoendomorfo, na entesopática [6 (45,5%)] e fenótipos intestinais [2 (7,7%)]. A espondilite anquilosante foi caracterizada por hipertrofia e magreza, com ausência de fenótipo cutâneo (p< 0,05), espondiloartrite psoriática por hipotrofia e magreza com presença do fenótipo cutâneo (p< 0,05), Mesoendomorfo e mesomorfo endomorfo agregam três fenótipos, enquanto endo-mesomorfo e endomorfo mesomorfo dois. Conclusão: O estudo destaca um espectro heterogêneo na distribuição antropométrica da espondiloartrite, que pode ser considerado para diretrizes e decisões individuais de tratamento.
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