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[Nutritional evaluation and physical functional ability in scleroderma patients].
Valderilio Feijó Azevedo1, Carolina de Souza Müller, Luciane Rinaldi
1Serviço Ambulatório de Espondilartropatias e Esclerodermia do Hospital de Clínicas-UFPR. valderilio@hotmail.com
Acta Reumatologica Portuguesa
|July 3, 2009
Summary
Systemic Sclerosis patients exhibit poor nutritional status and reduced physical function, with many at high risk for malnutrition. Early nutritional guidance and physical activity programs are recommended for improved outcomes.
Area of Science:
- Rheumatology
- Nutrition Science
- Physical Therapy
Context:
- Systemic Sclerosis (SSc) is an inflammatory condition causing muscle atrophy, skin hardening, and joint dysfunction.
- Gastrointestinal issues in SSc patients significantly impair nutritional status and quality of life.
- Movement restrictions are a common complaint among individuals with Scleroderma.
Purpose:
- To assess the physical and nutritional condition of patients diagnosed with Systemic Sclerosis.
- To identify the extent of muscle weakening and malnutrition risk in SSc patients.
Summary:
- A cross-sectional study evaluated 20 SSc patients using Bioimpedance Analysis (BIA), nutritional risk assessments (Determine, Mini Nutritional Assessment), Health Assessment Questionnaire (HAQ), Visual Analogue Scale (VAS) for pain, and isokinetic dynamometry.
- Results indicated poor nutritional status, with 15 out of 20 patients at high risk for malnutrition.
- Isokinetic evaluation revealed significant muscle weakening in elbow flexors and extensors, with an average deficit of 17% and 13%, respectively.
Impact:
- SSc patients demonstrate diminished functional capacity and physical performance due to muscle weakness.
- The findings highlight a critical need for enhanced nutritional counseling and tailored physical activity programs for SSc patients.
- Addressing malnutrition and physical decline can potentially improve the overall quality of life for individuals with Systemic Sclerosis.
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