RESUMO
HIV infection is a worldwide epidemic. Antiretroviral therapy allows people living with HIV (PLHIV) increased longevity and a better quality of life. Among the various ways of monitoring the clinical evolution of PLHIV, handgrip strength (HGS) is a promising strategy, as this test can be used to assess the health condition quickly and at a low cost. In this sense, the present study aims to describe, through a literature review, the relationship between HGS and the clinical evolution of PLHIV, especially with morbimortality. Initially, it is highlighted that aging, HIV infection, and excess body fat are related to the loss of HGS in PLHIV. Furthermore, PLHIV is more likely to present cardiometabolic diseases that can be aggravated by reduced HGS. Thus, in people without positive HIV serology, low HGS indirectly, through the presence of risk factors or cardiometabolic diseases, or directly increases the chance of mortality. In conclusion, the lack of studies on this topic for PLHIV is highlighted, and more longitudinal studies, including control groups, are needed.
RESUMO
Introduction: The change in handgrip strength (HGS) is an indicator of the emergence of some chronic diseases, such as diabetes mellitus (DM) and systemic arterial hypertension (SAH). Objective: Analyze the relationship between HGS and body composition and laboratory indicators of diabetic and hypertensive patients assisted in Primary Health Care. Methods: The sample consisted of 185 users of a Basic Health Unit in the city of Santarém, Pará, distributed into two groups: control (CTL) users without a diagnosis of DM and/or SAH (n=66); and DM/SAH (n=119) users with DM or SAH or both diseases. Data collection involved sociodemographic, clinical, anthropometric, biochemical, and HGS information. Data were analyzed using descriptive and inferential statistics, adopting p<0.05. Results: It was noted that low HGS in the DM/SAH group was associated with high values of body mass index, abdominal circumference, fat percentage, fat mass, total cholesterol, and triglycerides and with more factors for metabolic syndrome (p<0.05). The CTL group, in relation to DM/SAH for the same HGS classification, demonstrated significance for lower blood pressure values, body mass index, abdominal circumference, fat percentage, and fat mass, as well as a lower chance of developing metabolic syndrome (p<0.05). Conclusion: According to the study proposal, it is concluded that the evaluation and follow-up of HGS in individuals with chronic diseases, especially DM and SAH, is relevant to monitor body adiposity and dyslipidemia and avoid the aggravation of existing diseases or the emergence of new ones (AU).
Introdução: A alteração na força de preensão (FP) manual é indicador para surgimento de algumas doenças crônicas, como a diabetes mellitus (DM) e hipertensão arterial sistêmica (HAS). Objetivo: Analisar a relação da FP com a composição corporal e indicadores laboratoriais de diabéticos e hipertensos assistidos na Atenção Primária à Saúde. Métodos: A amostra foi composta por 185 usuários de uma Unidade Básica de Saúde na cidade de Santarém, Pará, sendo distribuídos em dois grupos: controle (CTL) usuários sem o diagnóstico para DM e/ou HAS (n=66); e DM/HAS (n=119) usuários com DM ou HAS ou as duas doenças. A coleta de dados envolveu informações sócio-demográficas, clínicas, antropométricas, bioquímicas e FP. Os dados foram analisados por estatística descritiva e inferencial, adotando-se p<0,05. Resultados: Notou-se que a FP baixa no grupo DM/HAS apresentou associação com valores elevados do índice de massa corporal, circunferência abdominal, percentual de gordura, massa gorda, colesterol total, triglicerídeos e com mais fatores para a síndrome metabólica (p<0,05). Já o grupo CTL, em rela-ção do DM/HAS para uma mesma classificação de FP, demonstrou significância para menores valores pressóricos, do índice de massa corporal, da circunferência abdominal, percentual de gordura, massa gorda, bem como menor chance para o desenvolvimento da síndrome metabólica (p<0,05). Conclusão: Conclui-se, conforme a proposta do estudo, que é relevante a avaliação e acompanhamento da FP em indivíduos com doenças crônicas, em especial a DM e a HAS, a fim de monitorar a adiposidade corporal e a dislipidemia, evitando o agravo das doenças instaladas ou o surgimento de novas (AU).