Publications by authors named "Patricia Fernandes Trevizan"

Article Synopsis
  • - The study aims to determine if adding lifestyle education to a physical exercise program improves various health outcomes for individuals with prediabetes or diabetes compared to exercise alone, focusing on areas like functional capacity, disease knowledge, and quality of life.
  • - It is a multicenter, double-blinded, randomized controlled trial lasting 12 weeks, followed by a 6-month assessment, involving adults who meet specific health criteria and are recruited from two Brazilian cities.
  • - Outcomes being measured include improvements in health behaviors, cardiometabolic health parameters, depression, and diet quality, alongside the primary outcomes of functional capacity and disease-related knowledge.
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Article Synopsis
  • This study investigates the information needs of cardiac patients using the Information Needs in Cardiac Rehabilitation short version (INCR-S) scale across different global regions.
  • It involved 1,601 patients from 19 countries and found that while knowledge of cardiac health topics was rated highly important, knowledge sufficiency varied significantly, especially between high- and middle-income countries.
  • The INCR-S scale proved to be a valid and reliable tool, revealing crucial gaps in patients’ knowledge regarding topics like medications, nutrition, and support resources.
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  • Ultramarathon running impacts heart function, with this study analyzing how a single stage affects cardiac performance.
  • The review included 17 studies, showing reductions in key measurements of cardiac function, particularly for the left ventricle after ultramarathons.
  • Results indicate immediate impairment in both the heart's pumping ability and relaxation after the race, although certain measurements did not show significant changes.
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  • Cardiac rehabilitation programs are not widely used, especially among women, prompting a study on the barriers they face across different world regions and how these barriers differ based on enrollment status.* -
  • The study involved over 2,160 patients from 16 countries, revealing that while women's barriers were not significantly higher overall, they were greater in specific regions, particularly due to a lack of awareness about cardiac rehabilitation.* -
  • Key barriers for nonenrolled women included lack of knowledge and program contact, while enrolled women struggled with distance and family responsibilities, indicating the need for tailored support strategies to address these issues, especially for unemployed women.*
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  • Autologous hematopoietic stem cell transplantation (HSCT) patients experience deteriorating cardiac autonomic control during their hospital stay, particularly after high-dose chemotherapy, which is linked to increased mortality risks.
  • A study compared cardiac autonomic control in HSCT patients with cancer-free outpatients and found significant declines in various cardiac metrics during hospitalization, especially at discharge.
  • Results indicated that impaired cardiac autonomic control in HSCT patients correlates with early signs of cardiotoxicity, highlighting the need for monitoring cardiac health during treatment.
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Purpose: To investigate the effect of inspiratory muscle training (IMT) in addition to conventional physical rehabilitation on muscle strength, functional capacity, mobility, hemodynamics, fatigue, and quality of life in hospitalized patients undergoing hematopoietic stem cell transplantation (HSCT).

Methods: We conducted a randomized controlled trial in 57 inpatients with hematological diseases undergoing HSCT. Conventional inpatient physical rehabilitation was delivered to the IMT (n = 27) and control (CON; n = 30) groups according to usual care, and the first group additionally performed IMT.

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This cross-sectional study evaluated the perception of individuals with prediabetes/diabetes about their living conditions during the COVID-19 pandemic to identify the facilitators, barriers, and reasons to remain physically active at home and adhere to recommended exercise. It included individuals with prediabetes/diabetes who had completed an exercise intervention, which started on-site and moved to a remote home-based regime due to the COVID-19 pandemic and were advised to keep exercising at home. The outcomes were assessed by a bespoke questionnaire that was developed by the research team, the Brazilian Portuguese adapted version of the Exercise Adherence Rating scale, and the Motives for Physical Activity Measure-Revised scale.

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Background: Liver cirrhosis (LC) causes several musculoskeletal changes.

Objective: To test the hypothesis that the peripheral and inspiratory muscle endurance are reduced in patients with liver cirrhosis.

Methods: Twenty-one patients with LC (LC group; 61±14 years) and 18 age-matched subjects (control group; 56±17 years) had accepted to participate in this cross-sectional observational study.

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Background: The DiAbeTes Education Questionnaire (DATE-Q) is a self-administered tool developed to evaluate disease-related knowledge and to assess knowledge of five core components of rehabilitation programs: physical exercise, diet, psychosocial well-being, disease self-management, and complications.

Objective: To translate and cross-culturally adapt into Brazilian Portuguese, and to test the psychometric properties of the DATE-Q for its use in Brazil.

Methods: The process of translation and cross-cultural adaptation consisted of five steps: translation into Brazilian Portuguese, synthesis of translation, back translation, expert committee, and pilot test of pre-final version.

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Article Synopsis
  • The study focuses on the management of diabetes through various methods, emphasizing the need for patients to stick to lifestyle changes, particularly exercise, due to low adherence rates among them.
  • The research evaluates the psychometric properties of the Brazilian Portuguese version of Bandura's Exercise Self-Efficacy Scale (BESES) by testing its reliability and validity among diabetes patients, involving initial pilot testing and a larger sample for comprehensive analysis.
  • Results indicated that the BESES demonstrated strong internal consistency and test-retest reliability, with active patients scoring higher in self-efficacy compared to sedentary ones, confirming its validity for assessing exercise self-efficacy in Brazilian diabetes patients.
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Purpose: Chemotherapy treatment can lead to cardiovascular toxicity and physical impairment prior to autologous hematopoietic stem cell transplantation (auto-HSCT). Cardiovascular adjustments during exercise and the exercise capacity remain unknown in patients prior to auto-HSCT. Thus, the hemodynamic responses during exercise and exercise capacity were evaluated using a novel effort test in patients prior to auto-HSCT.

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Purpose: Patients undergoing hematopoietic stem cell transplantation (HSCT) usually experienced respiratory muscle weakness. Inspiratory muscle training (IMT) at HSCT has not been studied yet. Thus, it is important to evaluate the safety, feasibility, and preliminary effectiveness of IMT for hospitalized patients undergoing HSCT with an unstable and acute clinical condition.

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Objective: The aim of the study was to compare the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation who improved their functional capacity during hospitalization (increased functional capacity group) with that of patients who maintained or decreased functional capacity during hospitalization (decreased functional capacity group).

Design: This observational, longitudinal study included 27 hospitalized patients undergoing hematopoietic stem cell transplantation. Patients were divided into increased functional capacity group (16 patients) and decreased functional capacity group (11 patients).

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Impairment of (inspiratory and expiratory) respiratory muscles is a common clinical finding, not only in patients with neuromuscular disease but also in patients with primary disease of the lung parenchyma or airways. Although such impairment is common, its recognition is usually delayed because its signs and symptoms are nonspecific and late. This delayed recognition, or even the lack thereof, occurs because the diagnostic tests used in the assessment of respiratory muscle strength are not widely known and available.

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Background: Obesity can affect the cardiac autonomic modulation, blood lipid levels and the physical capacity.

Objective: To study the effect of obesity on the heart rate variability (HRV), blood lipid levels and physical capacity of obese children.

Methods: Thirty children aged 9 to 11 years were studied, divided in two groups: a) 15 obese children (O) aged 10.

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