Análise do impacto da Síndrome pós-Covid-19 sobre a funcionalidade e qualidade de vida de mulheres negras com Doenças Crônicas Não Transmissíveis em Salvador (BA)

Abstract

Introduction: Acute viral diseases may present post-infectious syndromes, such as COVID-19, which can be followed by a condition called Post-COVID syndrome, present in at least 10% of patients with Severe Acute Respiratory Syndrome (SARS) by SARS-CoV-2, mainly affecting individuals with comorbidities, such as Chronic Noncommunicable Diseases (NCDs). In the context of health, factors such as income, education, social class, work, social support networks, access to health services, neighborhood and physical environment influence the appearance of diseases. In addition, racism is a Social Determinant of Health (SDH) and brings with it several impacts on the life of the black population. It is necessary to understand the scenario of coexistence of NCDs and sequelae of Covid-19, in the light of race and gender markers. Objective: To investigate the impact of Post-Covid-19 Syndrome on the functionality and quality of life of black women with Chronic Non-Communicable Diseases in Salvador (BA). Materials and Methods: A mapping of black women with NCDs and sequelae of Covid-19 was carried out in Salvador (BA) through an online survey. Then, functional evaluations were performed through dynamometry, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), peak expiratory flow (PEF), 6-minute walk test (6MWT), 1-minute sit-to-stand test (TSL1) and timed up and go (TUG). In addition, the effect of a rehabilitation protocol based on Inspiratory Muscle Training (IMT) with Powerbreathe® classic medic, aerobic exercises and resistance exercises of the upper limbs (UL) and lower limbs (LL) was analyzed. Results: In the mapping, 93 women were interviewed and of these, 42 performed functional evaluations. Of this quantity, 22 patients were eligible to undergo the intervention. Two articles were generated from this study: Article 1 - FUNCTIONAL PROFILE OF BLACK WOMEN WITH NCDS LIVING IN SALVADOR, IN THE CONTEXT POST-COVID-19 and Article 2 - EFFECTS OF INSPIRATORY MUSCLE TRAINING, AEROBIC EXERCISES AND RESISTANCE EXERCISES ON POST-COVID-19 FUNCTIONAL CONDITIONS IN BLACK WOMEN WITH NCDS. Conclusion: Through the results analyzed, it can be inferred that the proposed protocol in the study acts on the level of tolerance to exercise, peripheral muscle strength and respiratory, however, more studies are necessary to reinforce these findings.