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Copyright of Fórum Lingüístico is the property of Forum Linguistico and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Contextualization: The quality of life of patients with Systemic Arterial Hypertension (SAH) is an importantpoint, considering the risks that the disease brings and for that to happen it is necessary that the patient adhere to the treatment as a whole, including the medicated. Objective: To assess quality of life and adherence to treatment in patients with SAH. Methods: Cross-sectional and observational study involving individuals diagnosed with SAH, aged 40 or over, of both sexes, with a diagnosis time of more than one year. The data were collected through online questionnaires (Google Forms) referring to personal, sociodemographic, anthropometric and clinical data. Quality of life was assessed by the MINICHAL questionnaire and medication adherence by the MGB questionnaire (Martín-Bayarre-Grau). The results were presented descriptively in absolute (n) and relative (%) frequencies for qualitative variables and, in mean and standard deviation for quantitative variables. Results: This study included 63 patients, age 60.5 ± 10 years, 37 (58.7%) women. Regarding quality of life, we obtained satisfactory results in the two factors of the MINICHAL questionnaire, where 82.5% say they have no difficulty in relating to other people and 77.8% do not feel chest pain without physical effort. As for adherence to treatment, 74.8% of the sample has partial adherence. Conclusion: Individuals with arterial hypertension had a good quality of life, reporting that the disease and treatment do not affect them and that they have partial adherence to treatment. [ABSTRACT FROM AUTHOR]

Copyright of Desenvolvimento e Meio Ambiente is the property of Universidade Federal do Parana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose. To evaluate the influence of previous levels of physical activity on hemodynamic, vascular, ventilatory, and functional outcomes after coronavirus disease 2019 (COVID-19) hospitalization. Methods. Sixty-three individuals with COVID-19 had their clinical status and previous levels (12 month) of physical activity (Baecke Questionnaire of Habitual Physical Activity) assessed at hospital admission. Individuals were then allocated to lower levels of physical activity (ACTLOWER; N = 22), intermediate levels of physical activity (ACTINTERMEDIATE; N = 22), or higher levels of physical activity (ACTHIGHER; N = 19) groups, according to tertiles of physical activity. Resting hemodynamic (heart rate and brachial/central blood pressures) and vascular (carotid-femoral pulse wave velocity, augmentation index, and brachial artery flow-mediated dilation) variables, pulmonary function (spirometry), respiratory muscle strength (maximal respiratory pressures), and functional capacity (handgrip strength, five-time sit-to-stand, timed-up and go, and six-minute walking tests) were measured at 30 to 45 days after hospital discharge. Results. ACTLOWER showed lower levels (P < 0.05) of forced vital capacity, forced expiratory volume in the first second, maximal voluntary ventilation, and maximal expiratory pressure than ACTHIGHER. ACTLOWER also had lower (P = 0.023) walking distance (~21%,) and lower percentage of predicted walking distance (~20%) at six-minute walking test during follow-up than ACTINTERMEDIATE. However, hemodynamic and vascular variables, handgrip strength, five-time sit-to-stand, and timed-up and go were not different among groups. Conclusion. ACTLOWER showed impaired ventilatory parameters and walking performance when compared with ACTHIGHER and ACTINTERMEDIATE, respectively. These results suggest that previous levels of physical activity may impact ventilatory and exercise capacity outcomes 30 to 45 days after COVID-19 hospitalization discharge. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to identify determinants of endothelial dysfunction in patients hospitalized with acute COVID‐19. Methods: A total of 109 hospitalized COVID‐19 patients in noncritical status were cross‐sectionally studied. Clinical data (age, sex, comorbidities, and medications) and BMI were assessed. Laboratory tests included serum hemoglobin, leukocytes, lymphocytes, platelets, C‐reactive protein, ferritin, D‐dimer, and creatinine. Physical status was evaluated using a handgrip dynamometer. Endothelial function was assessed noninvasively using the flow‐mediated dilation (FMD) method. Results: The sample average age was 51 years, 51% of patients were male, and the most frequent comorbidity was obesity (62%). Univariate analysis showed association of lower FMD with higher BMI, hypertension, use of oral antihypertensive, higher blood levels of creatinine, and larger baseline artery diameter. After adjusting for confounders, the multivariate analysis showed BMI (95% CI: −0.26 to −0.11; p < 0.001) as the major factor associated with FMD. Other factors associated with FMD were baseline artery diameter (95% CI: −1.77 to −0.29; p = 0.007) and blood levels of creatinine (95% CI: −1.99 to −0.16; p = 0.022). Conclusions: Increased BMI was the major factor associated with endothelial dysfunction in noncritically hospitalized COVID‐19 patients. This may explain one of the pathways in which obesity may increase the risk for severe COVID‐19. [ABSTRACT FROM AUTHOR]

Copyright of Revista Inspirar Movimento & Saude is the property of Faculdade Inspirar and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Inspirar Movimento & Saude is the property of Faculdade Inspirar and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Fisioterapia e Pesquisa is the property of Universidade de Sao Paulo, Faculdade de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: This study aimed to compare cardiorespiratory effects in men with restrictive lung disorders, according to the abdominal circumference (AC), undergoing respiratory physical therapy. Materials and methods: Quasi-experimental study with a sample 26 men with forced vital capacity (FVC)pred <80%, who were divided into two groups: AC (cm) < 102 (ACfree_risk) and ≥ 102 (ACrisk). Heart rate variability (HRV), peripheral oxygen saturation (SpO2), blood pressure (BP), lung capacities and maximal expiratory pressure (PEmax) were measured at rest (T1), immediately after physical therapy intervention (T2), which consisted of breathing exercises for pulmonary expansion, active kinesiotherapy to lower and upper limbs, and after 30 min (T3). The statistical tests used were ANOVA and independent t tests (p <.05). Results: ACrisk had the highest values for slow vital capacity (SVC), inspiratory capacity (IC), PEmax and systolic BP (p <.05); there was an increase in HRV (T2), SpO2 (%) [95.0 (2.5) to 96.6 (1.4)] and IC (l) [2.4 (0.5) to 2.7 (0.6)] (T3). Conclusions: Men with restrictive respiratory disorders and AC ≥102 has higher values in the inspiratory capacities and arterial pressure level, and benefit from respiratory physiotherapy by differential increase in IC. [ABSTRACT FROM AUTHOR]

Introduction: High‐resolution magic‐angle spinning nuclear magnetic resonance (HR‐MAS NMR) spectroscopy enables the analysis of the metabolic profile of plant and animal tissues under close to natural conditions, as well as of other heterogeneous natural or synthetic materials. Neither sample pretreatment is required after fragmentation nor powdering of the sample before insertion into the rotor. However, the efficiency of the method depends strongly on the sample preparation, rotor insertion procedure, and analysis conditions. Objective: To identify some of the variables that affect the spectral data and to propose solutions that minimise their impact on the quality of the analyses and results. Methods: Dried plant tissues were powdered, weighed, and homogenised in a 50 μL rotor with an optimised volume of deuterated solvent and sample in order to prevent material from escaping during spacer insertion, avoiding variations in magnetic susceptibility. Factors affecting the quality of HR‐MAS NMR analysis such as particle size, sample and solvent amounts, solvent polarity, swelling time, rotor manipulation and pulse sequence setting were evaluated. Results: A strong correlation was observed between the signal area and the particle size of the powdered sample. The spectral profile varied depending on the deuterated solvent used. An incubation period was necessary to achieve adequate swelling of the sample and to ensure good data reproducibility. Proper sealing of the rotor, number of cycles and τ time on cpmgpr1d pulse sequence were found to affect the signal areas. Conclusion: The study highlights the need for standardised sample preparation and instrumental setup protocols in order to achieve high reproducibility and obtain reliable data from HR‐MAS NMR analyses. HR‐MAS NMR is a useful tool for plant tissues analysis, since it permits chemical insights directly of samples in their natural swollen state, avoiding extractions and purifications procedures, and thus drastically minimises the use of solvents. In this work, several issues on sample preparation and instrumental setup are examined, in order to assure reproducibility and reliable data are addressed. It was found that different aspects of sample preparation, rotor insertion procedure and spectra acquisition should be carefully observed to obtain reliable data by this methodology. [ABSTRACT FROM AUTHOR]

Copyright of Fisioterapia Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: To examine the effect of respiratory physiotherapy among men with obstructive respiratory disorder, in relation to abdominal circumference (AC). Methods: Quasi-experimental study including 26 men split into two groups according to AC(cm): 1) < 102 (ACrisk-free); and 2) ≥ 102 (ACrisk). Heart rate variability (HRV), diastolic blood pressure (DBP), oxygen saturation (SpO2), FEV1/FVC, slow vital capacity (SVC), inspiratory capacity (IC), maximal inspiratory pressure (PImax), thoracoabdominal amplitude (AI) were measured: before (M1); 5 min after the physiotherapy (i.e. breathing exercises for airway clearance and active kinesiotherapy) (M2); and at follow-up, 30 min after physiotherapy (M3). Results: The groups differed in age, body mass index and body fat %. At M2 IC was different between groups (ACrisk-free< ACrisk). There was an increase in HRV indexes, PImax, SpO2, axillary AI, FEV1/FVC, and reduction in HR for ACrisk-free. There was a decrease in AI and an increase in DBP for ACrisk. Conclusion: In men with obstructive respiratory disorder, increased AC measurement limited the thoracoabdominal expansibility and induced a rise of the DBP. Respiratory physiotherapy promotes an increase of cardiac modulation and inspiratory capacity for men with obstructive respiratory disorder. [ABSTRACT FROM AUTHOR]

Copyright of Ciência & Saúde is the property of Revista Ciencia & Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Metabolic syndrome (MetS) is a prevalent condition in the elderly and it is associated with a high risk of systemic atherosclerosis. The ankle-brachial index (ABI) is used to identify atherosclerotic obstructions in lower limbs, which might be associated with a decreased functional capacity due to blood flow limitation. Objective: This study aimed to investigate whether older adults with MetS present alterations in ABI values and whether these alterations are associated with impairments in functional performance. Design: Cross-sectional clinical study with a convenience sample. Methods: Older adults (> 60 years) of both genders were divided into two groups: Control group (CG, n = 34)--patients without MetS, and MetS group (MetSG, n = 32)--patients with MetS. Both groups were subjected to the following evaluations: (1) ABI (Doppler method) and (2) 6-minute walk test (6MWT). Intergroup comparison was performed using the t test and the Mann-Whitney U test . The association between the ABI and the distance walked in the 6MWT was calculated by the Pearson correlation test. In all analyses, P < .05 was considered as significant. Results: When compared with CG, the MetSG group showed lower ABI (P = .007) and lower distance walked in 6MWT (P = .000). In the MetSG, a positive correlation was observed (r = 0.460; P = .008) between ABI values and the distance walked in 6MWT. Conclusion: Older adults with MetS present lower ABI, a measure considered a predictor for peripheral arterial obstructive processes. This result is associated with a poor functional performance, which can be due to a circulatory deficit in the lower limbs. [ABSTRACT FROM AUTHOR]

The Salusvita Magazine presents scientific research in the fields of dentistry, medicine, and physiotherapy. The studies address topics such as cavities, molding, contact lenses, recording of conduct, and root resorption. A highlight is the systematic review with meta-analysis on molding techniques in dental prostheses, comparing intraoral scanning systems with conventional systems. Other studies investigate childhood cavities, recording of activities by dentists, professionals' positioning regarding the use of fluoridated products, among other topics. The magazine also features clinical case reports and studies in the field of physiotherapy. The editorial team reaffirms its commitment to science and research. [Extracted from the article]

Copyright of Fisioterapia e Pesquisa is the property of Universidade de Sao Paulo, Faculdade de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this editorial of Salusvita Magazine, Prof. Dr. Eduardo Aguilar Arca, director of the Health Sciences Center at UNISAGRADO, is interviewed about his professional trajectory and work in the administrative sphere. The edition includes original articles on medicine and biomedicine, reviews on COVID-19, doctor-patient communication, dentistry, and aesthetic procedures, as well as case reports on tuberous sclerosis and osteonecrosis. Topics such as self-perception and psychological symptoms of medical and dental students, the commercialization of honey in street markets, and the doctor-patient relationship are also addressed. Studies on COVID-19 and physical activity during pregnancy are also mentioned. [Extracted from the article]

Copyright of Revista Brasileira de Medicina do Esporte is the property of Redprint Editora Ltda. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Intramunicipal decentralization process in São Paulo and Rio de Janeiro, Brazil, is analyzed, its course is identified and hypotheses on the flaws in its implementation are investigated from the relationships between politics and management. Analysis of the literature revealed that two periods related to the decentralization process were identified, or rather, between 1960 and 1970 in which experiences on decentralization were predominate, and in the 1980s when decentralization experiences coupled to initiatives for the population's participation in government decisions emerged. Failures in the articulation between politics and administration, fundamental for the success of decentralization, occurred. Further studies are required on administration reforms in Brazilian municipalities for normative and theoretical exigencies. [ABSTRACT FROM AUTHOR]

The study evaluated the impact of lumbar vertebral mobilization on the cardiorespiratory parameters of patients with Chronic Obstructive Pulmonary Disease (COPD). Assessments of respiratory function were performed before and after the lumbar-sacral vertebral release intervention. However, no significant changes in lung function were observed after the intervention. The study concluded that lumbar mobilization does not promote alterations in respiratory function in patients with COPD. [Extracted from the article]

Copyright of Brazilian Journal of Cardiovascular Surgery is the property of Sociedade Brasileira de Cirurgia Cardiovascular and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Diabetes mellitus (DM) is a chronic disease caused by genetic, metabolic and/or acquired factors that cause insulin deficiency or resistance that result in hyperglycemia. Objective: to characterizing pharmaceutical drugs profile in that concerns the frequency of use, pharmacological classes and possible associations and interactions Method: This prospective study was done by applying a questionnaire to 62 individuals with diabetes mellitus 2 (DM2) that have been watched by educational activities at Bauru's Diabetics Association (BDA. ATC classification (Anatomical Therapeutic Classification/2008) was used for pharmaceutic drug classification. Results: The group A (alimentary tract and metabolism) showed to be the most used (54%), followed by group C (cardiovascular) (33%). Metformin (52%) and glyburide (25%) were the most used oral hypoglycemic agents (OHA), with only 10% being in use of insulin, alone or associated with other drugs. Metformin was the most used in multiple therapies. Discussion: Although the assessment of pharmacotherapeutic follow-up of patients were observed 23 potential drug interactions between combinations of drugs used. The need of different therapies for DM2 is justified by the occurrence of other comorbidities such as hypertension, obesity and dyslipidemia. However, in many cases, the use of all these drugs together can lead to drugs interactions deteriorating patient's quality of life. Conclusion: the multidisciplinary team approach is to be aware of the prescribed drugs to DM2 and teach them the correct use these drugs in such a way that patient's quality of life not be endangered or worsened. [ABSTRACT FROM AUTHOR]

Abstract Objective  To evaluate the T2 mapping of patellar articular cartilage in patients with osteoarthritis using gradient and spin-echo (GRASE) magnetic resonance (MR) imaging. Materials and methods  After the imaging of a phantom consisting of two sealed 50-ml test objects with different concentrations (30% and 90% weight/volume) of copper sulphate, the T2 mapping of patellar articular cartilage was performed in 35 patients (21 male and 14 female; mean age ± SD 42 ± 17 years) with moderate degree of patellar osteoarthritis. Turbo-spin-echo (TSE) (TR milliseconds/minimum–maximum TE milliseconds 3,000/15–120; total acquisition time 5 min 52 s) and GRASE (TR milliseconds/minimum–maximum TE milliseconds 3,000/15–120; total acquisition time 1 min 51 s) were employed. In each patient patellar cartilage was segmented at nine locations (three superior, three central, and three inferior) by manually defined regions of interest. T2 relaxation times were calculated using a linear fit applied to the logarithm of signal intensity decay. Results  In the phantom the T2 values measured by GRASE were similar to those measured by MR spectroscopy (test object 1: 48.1 ms vs 51 ms; test object 2: 66.8 ms vs 71 ms; P > 0.05, Wilcoxon test). In patients GRASE and TSE-derived T2 values demonstrated good agreement (mean difference ± SD, 1.81 ± 3.63 ms). The within-patient coefficient of variation was 22% for TSE and 23% for GRASE. Conclusion  Fast T2 mapping of the patellar articular cartilage can be performed with GRASE within a third of the time of that of standard sequences. [ABSTRACT FROM AUTHOR]

High-resolution magic-angle spinning nuclear magnetic resonance spectroscopy (HR-MAS NMR) for the identification of the metabolic profile of plants under conditions very close to that in which the compounds are present in the matrix, the herbal medicines in this case. This enables selectivity in the determination of the active principle and other biomarkers present in the complex matrix, avoiding degradation products, which may occur in the extractive processes required in several analytical methods. In this study, HR-MAS analysis was applied in the quality control of seven Passiflora- based herbal medicines, using metabolic fingerprinting to confirm plant species and identify biomarkers. Vitexin and isovitexin were identified as major compounds in three of these herbal medicines (0.17 to 0.55%), while salicin was the majority in two others. On the other hand, no significant flavonoid contents were observed in the remaining two. In addition, it was possible to detect ethanol, a non-target compound, in all herbal medicines in concentrations varying between 0.009 and 0.342%. In this way, combined with chemometrics 1H HR-MAS NMR proved to be suitable for the qualitative and quantitative study of Passiflora biomarkers, using a minimal pre-treatment of the sample. Unlabelled Image • HR-MAS NMR on Passiflora biomarkers identification and quantification. • HR-MAS NMR for phytotherapeutics quality control. • HR-MAS NMR on authenticity of the Passiflora raw material. • HR-MAS NMR on qualitative and quantitative metabolic profile without extraction. [ABSTRACT FROM AUTHOR]

Introdução: A hipertensão arterial é um dos principais problemas de saúde, levando muitos indivíduos à morbidade e mortalidade. O exercício é considerado um coadjuvante no tratamento da hipertensão por seu efeito hipotensor. Objetivo: verificar o efeito hipotensor do exercício aeróbio agudo sobre a pressão arterial sistólica (PAS), diastólica (PAD), frequência cardíaca (FC) e duplo produto (DP) em hipertensos e diabéticos, utilizando a medida residencial da pressão arterial (MRPA). Métodos: Participaram 17 hipertensos (G1) e 16 diabéticos hipertensos (G2) do programa da Universidade Sagrado Coração (USC) e Associação dos Diabéticos de Bauru (ADB). Foi avaliada a PA, FC e antropometria. A intensidade do exercício foi 70% a 85% da FC máx.. A MRPA foi realizada a cada 60 minutos, por 7 horas, sendo a cada hora os momentos M1, M2, M3, M4, M5, M6 e M7, no dia controle (dc - sem exercício) e no dia de exercícios (de). Utilizou-se o teste ANOVA de medidas repetidas com post hoc de Tukey (p<0,05). Resultados: A PAS do G1 no dia de exercício diminuiu em M2 e M3, a PAD em M1, M2 e M4, a FC em M3 e o DP em M2 e M3. A PAS do G2 no dia de exercício diminuiu no M1 e M2, a FC no M3 e o DP no M1, M2 e M3. Não houve diminuição da PAD. Conclusão: O exercício proporcionou reduções da PA em comparação ao dia controle, sugerindo que em uma única sessão de exercício reduz os níveis pressóricos na recuperação em hipertensos e/ou diabéticos, indistintamente. [ABSTRACT FROM AUTHOR]

Introduction: Diabetes mellitus is a condition characterized by hyperglycemia resulting from defects in insulin secretion and/ or resistance to its action. Diabetes control is related to the emotional status consisting of psychological aspects that may alter or aggravate this condition. Objective: the study aims to identify and analyze main emotional characteristics that can affect the psychic functioning of adolescents with Diabetes Mellitus 1 (DM1). Methods: participants were 8 adolescents with DM1 attended by the Diabetes Association in the city of Bauru. Qualitative research of descriptive and exploratory nature was used as methodological strategy. A semi-structured interview was applied with questions regarding the perception of past history and the future, meta-perception and body image, which comprise aspects related to the adolescents' identity. Results: results support the view that DM1 alters family dynamics as to biological, psychological and social features, which represent elements that interfere with fighting the disease. This generates conflict, fear, insecurity and overprotection, interfering with the individual's identity. Conclusions: DM1 was not identified as a central factor, not directly interfering with dreams, planning, self-perception and self-image. [ABSTRACT FROM AUTHOR]

Introduction: Aquatic physiotherapy is indicated for the improvement of functional health and quality of life (QoL) in older people with noncommunicable chronic diseases (NCD). Objective: To investigate the influence of the aquatic physiotherapy program (AFP) on balance, flexibility, muscle strength and endurance (MSE), and QoL in older people with NCD. Method: Assessments of balance, risk of falls, flexibility, QoL, and MSE were carried out. All volunteers underwent an eight-week AFP, two days a week, and with a gradual increase of the load. Results: There was an increase in flexibility and MSE, a decrease in TUG and risk of falls, and an improvement in the psychological, social, and environmental domain. Conclusion: after nine weeks of AFP, there was an increase in flexibility and MSE, a reduction in the risk of falls, an improvement of balance and in most domains of QoL in the elderly with CNCD. [ABSTRACT FROM AUTHOR]

Diabetes mellitus (DM) may be treated by various types of insulin, including inhaled. Objective: Identify and assign the main positive and negative aspects of the use of inhaled insulin (Iin). Method: Literature review study, articles available between 2000 to 2015, in Scielo, PubMed and PEDro databases; language: Portuguese and English; key words: Diabetes, Iin, pulmonary absorption, Pulmonary Function, nebulizers and sprays, combined by operators (AND and OR). Results: 16 studies were selected. The Iin is more effective and safe alternative to insulin therapy in diabetic adults, available in powder form for use inhalable manner. This can offer relative advantages with respect to therapeutic patient comfort because it is less invasive, it has an effect faster than other routes of administration of insulin, in addition to its increased bioavailability of absorption. The disadvantages are high cost, availability in the market and the lack of studies comparing the ratio of Iin with the onset of cancer. Conclusion: The insulin with pulmonary route is viable offering benefits in reducing blood sugar levels, but there are practical, marketing and clinical limitations that compromise its expansion and use. [ABSTRACT FROM AUTHOR]