Dados do Trabalho

Título

Description of clinical conditions, physical activity level, daytime sleepiness and sleep quality in patients with PD during the covid-19 pandemic

Resumo

Introduction: Many patients with Parkinson's disease (PD) had health care impaired due to physical barriers and sanitary conditions imposed by the Government to contain the virus spread. As a result, there were reports of worsening of motor and non-motor symptoms in these patients during the pandemic period. Objectives: Describe clinical conditions, physical activity level, daytime sleepiness and sleep quality in PD outpatients Tertiary hospital Movement Disorders during covid-19 pandemic. Methodology: The study was carried out in the period from May 1st to December 31st, 2020. Eligibility criteria included diagnosis of PD and face-to-face attendance in the previous 12 months and the criteria for exclusion were non-adherence to consultations and lack of technology for communication, unavailability of the caregiver in case of patient with dementia. During the study, patients participated in a teleconsultation and responded to 3 questionnaires: Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS) and International Physical Activity Short Form Questionnaire (IPAQ-SF). Results: 107 patients participated, being 58.9% male, with a mean age of 65.7 (± 17.1) years and mean duration of disease of 10 (± 6.7) years. The most comorbidities prevalent were arterial hypertension (44.9%); depression (32.7%); Type 2 diabetes (24.3%); dyslipidemia (23.4%) and osteoporosis (15%). In the IPAQ-SF there was 41.4% sedentary; 10.3% insufficiently active-A; 9.2% insufficiently active-B; 34.5% active and 4.6% very active; that is, 51.7% of the sample with a significant reduction in physical activity. The PSQI and ESS results were 12.1(± 3.6) and 11.2 (± 5.9), respectively, showing poor sleep quality and increased daytime sleepiness. Conclusion: During the pandemic, the level of physical activity was unsatisfactory, with a predominance of a sedentary lifestyle, as well as poor sleep quality and daytime sleepiness. It is not possible to infer whether the quarantine has aggravated pre-existing conditions or caused these problems, since it is a cross-sectional study, but the results are worrying because they represent a greater risk of sarcopenia, falls, functional impairment and worsening of quality of life.

Palavras Chave

Parkinson Disease; Telemedicine; COVID-19