O uso de esteróide anabolizante aliado a reabilitação pulmonar para o tratamento do paciente portador de doença pulmonar obstrutiva crônica

Abstract

Introduction: In patients with COPD is commom loss weight and the incapacity for physical activies. While the loss weight and lower weight are associated with na increase in mortality in patients with COPD.The patients treat with anabolic steriods bacause of their effect in heathly people and atlhetes. Objective: To compare the results of the pulmonary rehabilitation for COPD and the results in pulmonary rehabilitation with anabolic steroids. Materials and methods: This archievement is a review among the research in MEDLINE, Chest, AARC, ATS and others. Results: In pulmonary rehabilitation observed an increase in quality life but there were no changes in spirometry. In pulmonary rehabilitation with anabolic steroids we find out an increase in weight and fat free mass, hypertrophy in periferal muscles, however there weren’t development in strenght of this muscles and in exercise capacity. Conclusion: The advantage to use anabolic steroid is the increase in weight and fat free mass because tha cachexy’s that occurs in these patients. This effect is not observed rehabilitation progam without anabolic steroids.