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BEHAVIORAL INTERVENTION TO INCREASE THE LEVEL OF PHYSICAL ACTIVITY IN PATIENTS WITH ASTHMA: IDENTIFICATION OF THE RESPONDING PROFILE

Grant number: 21/04198-6
Support Opportunities:Scholarships in Brazil - Post-Doctoral
Effective date (Start): January 01, 2022
Effective date (End): December 31, 2024
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Celso Ricardo Fernandes de Carvalho
Grantee:Fabiano Francisco de Lima
Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Associated research grant:18/17788-3 - Pulmonary rehabilitation: effect of new patient-centered methodologies and technologies in patients with chronic pulmonary diseases, AP.TEM

Abstract

Introduction: Very recent evidence suggests that patients with asthma improve clinical control after a behavioral intervention program aimed improving the physical activity. Although the majority of patients responded to having responded to the intervention, the response of these patients to the behavioral program was quite varied and the characteristics of patients with asthma who have improved behavioral intervention are unknown. In addition, the medium-term response remains unknown. Aims: The aims of the present study are i) To assess the response of patients with asthma to a behavioral intervention to increase the level of physical activity and clinical improvement in the short and medium term; ii) Identify the clinical, personal and anthropometric characteristics of the responder and non-responder patients. Methods: This is a longitudinal study and the sample will consist of 100 adult patients with asthma physically inactive and with uncontrolled asthma. Patients will undergo a behavioral intervention consisting of an educational program and an intervention to increase the practice of physical activity in daily life (PADL) lasting eight weeks (1xweek; 90 min). The intervention will be based on Social Cognitive Theory and behavior change stages. Pre and post-intervention assessments will include the level of PADL (accelerometry), anthropometric measurements, body composition, and assessment of barriers to the practice of PADL, clinical control of asthma (Asthma control questionnaire, ACQ), health factors related to the quality of life in asthma (Asthma quality of life questionnaire), presence of symptoms of anxiety and depression (Hospital anxiety and depression scale- HADS), and exacerbations. Patients will be stratified as "responders" to the intervention by an increase of e2,500 steps and clinical improvement (> 0.5 ACQ). Comparisons between groups will be performed using the t-test or Man-Withney. Linear correlations will be performed using Pearson's or Spearman's coefficient. The level of significance will be adjusted to5% (p <0.05) for all tests.

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Scientific publications (5)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
LIMA, FABIANO FRANCISCO DE; LUNARDI, ADRIANA CLAUDIA; PINHEIRO, DAVID HALEN ARAUJO; CARVALHO-PINTO, REGINA MARIA; STELMACH, RAFAEL; GIAVINA-BIANCHI, PEDRO; AGONDI, ROSANA CAMARA; CARVALHO, CELSO R. F.. Identifying the Characteristics of Responders and Nonresponders in a Behavioral Intervention to Increase Physical Activity Among Patients With Moderate to Severe Asthma: Protocol for a Prospective Pragmatic Study. JMIR RESEARCH PROTOCOLS, v. 12, p. 11-pg., . (18/17788-3, 21/03745-3, 21/04198-6)
DE LIMA, FABIANO FRANCISCO; PINHEIRO, DAVID HALEN ARAUJO; DE CARVALHO, CELSO RICARDO FERNANDES. Physical training in adults with asthma: An integrative approach on strategies, mechanisms, and benefits. FRONTIERS IN REHABILITATION SCIENCES, v. 4, p. 10-pg., . (18/17788-3, 21/03745-3, 21/04198-6)
FABIANO FRANCISCO DE LIMA. Atividade física e sedentarismo: o papel do fisioterapeuta na mudança de comportamento. Fisioter. Pesqui., v. 29, n. 2, p. 111-112, . (21/04198-6)
UZELOTO, J.; DE TOLEDO-ARRUDA, A. C.; SILVA, SPOLADOR DE ALENCAR B.. Effect of physical training on cytokine expression in CD4+ T lymphocytes in subjects with stable COPD (vol 16, pg 1, 2022). THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE, v. 16, p. 1-pg., . (19/16004-1, 17/10145-7, 21/04198-6, 18/04870-3)
DAVID HALEN ARAÚJO PINHEIRO; JOÃO VICTOR HERMÓGENES DE SOUZA; ALBERTO FERNANDO OLIVEIRA JUSTO; REGINA MARIA CARVALHO-PINTO; FABIANO FRANCISCO DE LIMA; CELSO R F CARVALHO. Asthma in the Brazilian Unified Health Care System: an epidemiological analysis from 2008 to 2021. Jornal Brasileiro de Pneumologia, v. 50, n. 2, . (21/14171-8, 21/04198-6, 23/00406-9, 21/03745-3, 18/17788-3)

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