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Silva SLAD, Brito GEGD, Ygnatios NTM, Mambrini JVDM, Lima-Costa MF, Torres JL. [Differences between men and women in the prevalence of frailty and associated factors among older adults: evidence from ELSI-Brazil]. CAD SAUDE PUBLICA 2024; 40:e00144923. [PMID: 38656069 PMCID: PMC11034629 DOI: 10.1590/0102-311xpt144923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 11/10/2023] [Accepted: 11/16/2023] [Indexed: 04/26/2024] Open
Abstract
Based on a national representative sample of the population aged 50 years or older, this study aimed to estimate the prevalence of frailty among men and women, identify associated sociodemographic and health factors, and estimate the population attributable fraction. Data from the second wave (2019-2021) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were used. Frailty was classified based on the number of positive items among unintentional weight loss, exhaustion, low level of physical activity, slow gait, and weakness. The main analyses were based on multinomial logistic regression stratified by sex. The prevalence of frailty was lower in men (8.6%; 95%CI: 6.9; 10.7) than in women (11.9%; 95%CI: 9.6; 14.8), with the most frequent item being the low level of physical activity in both. Age and schooling level were the sociodemographic factors associated with pre-frailty and fragility among men and women. The population attributable fraction was different for frailty between genders. In men, the highest population attributable fraction was due to not having a partner (23.5%; 95%CI: 7.7; 39.2) and low schooling level (18.2%; 95%CI: 6.6; 29,7). In women, higher population attributable fraction values were due to memory deficit (17.1%; 95%CI: 7.6; 26.6), vision deficit (13.4%; 95%CI: 5.1; 21.7), and diabetes mellitus (11.4%; 95%CI: 4.6; 18,1). Similar population attributable fraction levels were observed for heart disease (8.9%; 95%CI: 3.8; 14.1 in women and 8.8%; 95%CI: 2.0; 15.6 in men). Strategies aimed at physical activity have the potential to prevent frailty in both men and women, and the prevention of chronic conditions is more important in women.
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Affiliation(s)
| | | | - Nair Tavares Milhem Ygnatios
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | | | - Maria Fernanda Lima-Costa
- Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz/Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
- Programa de Pós-graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Orbolato R, Fernandes RA, Turi-Lynch BC, Araujo MYC, Ferro IDS, Gobbo LA, Zanuto EAC, Codogno JS. Impact of cycling and walking on adiposity and healthcare costs among adults: longitudinal study. CAD SAUDE PUBLICA 2024; 40:e00102623. [PMID: 38422248 PMCID: PMC10896485 DOI: 10.1590/0102-311xen102623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 10/23/2023] [Accepted: 12/01/2023] [Indexed: 03/02/2024] Open
Abstract
Leisure-time physical activity seems relevant to prevent the development of chronic diseases and obesity. However, not much is known about the economic burden of these healthy behaviors, mainly in longitudinal designs. This study aimed to analyze the impact of walking and cycling on leisure-time on adiposity and healthcare costs among adults. This longitudinal study was conducted at a medium-size Brazilian city and included 198 participants with no missing data attended in the Brazilian Unified National Health System. Cycling and walking were assessed by a questionnaire with a face-to-face interview at four time-points (baseline, 6-month, 12-month, and 18-month). Healthcare costs were assessed using medical records. Adiposity markers included waist circumference and body fatness. Over the follow-up period, participants who were more engaged in cycling presented lower body fatness (p-value = 0.028) and healthcare costs (p-value = 0.038). However, in the multivariate model, the impact of cycling on costs was not significant (p-value = 0.507) due to the impact of number of chronic diseases (p-value = 0.001). Cycling on leisure-time is inversely related to adiposity in adults, whereas its role on preventing chronic diseases seems the main pathway linking it to cost mitigation.
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Affiliation(s)
- Rafael Orbolato
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
| | | | - Bruna Camilo Turi-Lynch
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
- Lander University, Greenwood, U. S. A
| | | | | | - Luis Alberto Gobbo
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
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Oliveira MCDP, Costa EC, Silva LMPD, Barbosa LNV, Barros MVGD, Mota Filho JHC, Correia Junior MADV. Journalistic media and adolescents in the COVID-19 pandemic: a documental analysis. Rev Paul Pediatr 2023; 42:e2023041. [PMID: 38126600 PMCID: PMC10742345 DOI: 10.1590/1984-0462/2024/42/2023041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 09/03/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To analyze how the journalistic media has described the issues of quality of life (QoL), physical activity (PA) and mental health (MH) of adolescents during the COVID-19 pandemic. METHODS This is a descriptive and qualitative study that used content analysis. Sixty-two journalistic publications were analyzed from a total of 8211 published by the most read newspapers in each Brazilian region between December 2019 and August 2021. RESULTS The results were grouped and evaluated in three categories: QoL (n=11), PA (n =9) and MH (n=42). In the analyzed period, the adolescents had more time of exposure to screens, contributing to an inadequate diet, a decrease in PA and impairments in QoL. According to the media publications, the pandemic has also contributed to an increase in anxiety, depression, loneliness and fear resulting from the mental and emotional disorganization caused by the abrupt change in routine. Social vulnerability was presented as an aggravating factor in this context. The journalistic media did not pay the necessary attention to adolescents regarding the negative consequences of the pandemic on QoL, PA and MH. CONCLUSIONS The analyzed reports showed that the pandemic caused a decrease in social interaction, feelings of uncertainty, fear and the appearance/exacerbation of symptoms of anxiety, stress and depression. Social vulnerability was presented as another obstacle to be faced in this problem.
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Althoff A, Vieira AM, da Silveira LS, Benetti M, Karsten M. Aerobic Exercise Prescription in Cardiac Rehabilitation Based on Heart Rate from Talk Test Stages and 6-Minute Walk Test. Arq Bras Cardiol 2023; 120:e20230086. [PMID: 37820173 PMCID: PMC10519355 DOI: 10.36660/abc.20230086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 06/12/2023] [Accepted: 07/17/2023] [Indexed: 10/13/2023] Open
Abstract
BACKGROUND Although the Talk Test (TT) is a reliable and low-cost test, its use for aerobic exercise prescription is still limited. OBJECTIVE To analyze the heart rate (HR) in the stages of the TT and at the peak of the 6-minute walk test (6MWT) as a parameter to prescribe aerobic exercise compared with HR at the first and second ventilatory thresholds (VT1 and VT2) of cardiopulmonary exercise test (CPET). METHODS Individuals with cardiovascular disease attended three assessment days: 1) anamnesis and CPET; 2) 6MWT; and 3) TT. One-way repeated measures ANOVA or Friedman's test were used to compare HR at VT1 and VT2 with HR at TT stages: last positive (TT+), first equivocal (TT±), and negative (TT-), and at the peak of the 6MWT. Pearson's or Spearman's test assessed correlations between HR at VTs, TT stages, and 6MWT. Statistical significance was set at 5%. RESULTS The study included 22 cardiac patients (13 men, 61 ± 8 years). HR at VT1 was similar to HR at TT+ (p = 0.987) and TT± (p = 0.154), and moderately correlated with TT+ (r = 0.479, p = 0.024). HR at VT2 was similar to TT- (p = 0.383), with a strong correlation (r = 0.757, p < 0.001). HR at the peak of the 6MWT was significantly different from HR at TT+, TT±, and VT1 (p = 0.001, p = 0.005, and p < 0.001, respectively) but similar to TT- (p = 0.68). CONCLUSIONS HR at TT+ and TT- reflect HR at VT1 and VT2, respectively, differently from 6MWT, which was similar only to VT2. TT may be an objective test to assist aerobic exercise prescription in cardiac rehabilitation.
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Affiliation(s)
- Amanda Althoff
- PPGFTUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilPrograma de Pós-Graduação em Fisioterapia (PPGFT) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
- GEPCardioUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilGrupo de Pesquisa em Saúde Cardiovascular e Exercício (GEPCardio) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
| | - Ariany Marques Vieira
- GEPCardioUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilGrupo de Pesquisa em Saúde Cardiovascular e Exercício (GEPCardio) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
- Montreal Behavioral Medicine CentreCIUSSS du Nord-de-l’Île-de-MontréalMontrealCanadáMontreal Behavioral Medicine Centre, CIUSSS du Nord-de-l’Île-de-Montréal, Montreal – Canadá
| | - Lucas Santos da Silveira
- PPGFTUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilPrograma de Pós-Graduação em Fisioterapia (PPGFT) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
- GEPCardioUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilGrupo de Pesquisa em Saúde Cardiovascular e Exercício (GEPCardio) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
| | - Magnus Benetti
- PPGCMHUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilPrograma de Pós-Graduação em Ciências do Movimento Humano (PPGCMH) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
| | - Marlus Karsten
- PPGFTUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilPrograma de Pós-Graduação em Fisioterapia (PPGFT) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
- GEPCardioUniversidade do Estado de Santa CatarinaFlorianópolisSCBrasilGrupo de Pesquisa em Saúde Cardiovascular e Exercício (GEPCardio) – Universidade do Estado de Santa Catarina (UDESC), Florianópolis, SC – Brasil
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Marques ACF, Rossi FE, Neves LM, Diniz TA, Messias IDA, Barela JA, Horak FB, Júnior IFF. Combined Aerobic and Strength Training Improves Dynamic Stability and can Prevent against Static Stability Decline in Postmenopausal Women: A Randomized Clinical Trial. Rev Bras Ginecol Obstet 2023; 45:e465-e473. [PMID: 37683658 PMCID: PMC10491475 DOI: 10.1055/s-0043-1772178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/07/2023] [Indexed: 09/10/2023] Open
Abstract
OBJECTIVE To analyze the effect of combined training (CT) in postural control and gait parameters in postmenopausal women. METHODS A parallel-group, randomized, control study was conducted with 16 weeks of combined training (n = 16) versus a non-training control group (n = 12) in postmenopausal women (aged 59.3 ± 8.0). Pre and postintervention assessments included postural control (using an AMTI force platform - Advanced Mechanical Technology, Inc., Watertown, MA, USA) and gait impairments (using baropodometry). In addition, the upper limb strength and abdominal tests, as well as aerobic capacity, assessed functional indicators. RESULTS The CT intervention in postmenopausal women resulted in improved gait (stride length (p = 0.006); speed (p = 0.013); double support time (p = 0.045); and improved postural control (displacement area of postural sway in a normal base of support with eyes open (p = 0.006). Combined training increased functional indicators (abdominal - p = 0.031; aerobic capacity - p = 0.002). CONCLUSION In conclusion, combined aerobic plus strength training effectively improved gait and balance control in older women. The postmenopausal women from the CT group walked faster and with bigger steps after the intervention than the control group. In addition, they presented decreased postural sway in standing and decreased the percentage of double support time while walking, which means improved static and dynamic balance control and functional indicators.
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Affiliation(s)
| | - Fabrício Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Universidade Federal do Piauí, Teresina, PI, Brazil
| | - Lucas Melo Neves
- Universidade Santo Amaro, São Paulo, SP, Brazil
- Department of Psychiatry, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Iracimara de Anchieta Messias
- Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
| | - José A. Barela
- Department of Physical Education, Instituto de Biociências, Rio Claro, SP, Brazil
| | - Fay B. Horak
- Department of Neurology, Oregon Health & Science University, Portland, OR, United States
| | - Ismael Forte Freitas Júnior
- Faculty of Science and Technology, Universidade Estadual Paulista “Júlio de Mesquita Filho,” Presidente Prudente, SP, Brazil
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Lima MSM, Dalçóquio TF, Abduch MCD, Tsutsui JM, Mathias W, Nicolau JC. Influence of Physical Training after a Myocardial Infarction on Left Ventricular Contraction Mechanics. Arq Bras Cardiol 2023; 120:e20220185. [PMID: 37098984 PMCID: PMC10263431 DOI: 10.36660/abc.20220185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 11/22/2022] [Accepted: 01/11/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND Exercise plays a positive role in the course of the ischemic heart disease, enhancing functional capacity and preventing ventricular remodeling. OBJECTIVE To investigate the impact of exercise on left ventricular (LV) contraction mechanics after an uncomplicated acute myocardial infarction (AMI). METHODS A total of 53 patients was included, 27 of whom were randomized to a supervised training program (TRAINING group), and 26 to a CONTROL group, who received usual recommendations on physical exercise after AMI. All patients underwent cardiopulmonary stress testing and a speckle tracking echocardiography to measure several parameters of LV contraction mechanics at one month and five months after AMI. A p value < 0.05 was considered statistically significant for the comparisons of the variables. RESULTS No significant difference were found in the analysis of LV longitudinal, radial and circumferential strain parameters between groups after the training period. After the training program, analysis of torsional mechanics demonstrated a reduction in the LV basal rotation in the TRAINING group in comparison to the CONTROL group (5.9±2.3 vs. 7.5±2.9o; p=0.03), and in the basal rotational velocity (53.6±18.4 vs.68.8±22.1 º/s; p=0.01), twist velocity (127.4±32.2 vs. 149.9±35.9 º/s; p=0.02) and torsion (2.4±0.4 vs. 2.8±0.8 º/cm; p=0.02). CONCLUSIONS Physical activity did not cause a significant improvement in LV longitudinal, radial and circumferential deformation parameters. However, the exercise had a significant impact on the LV torsional mechanics, consisting of a reduction in basal rotation, twist velocity, torsion and torsional velocity which can be interpreted as a ventricular "torsion reserve" in this population.
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Affiliation(s)
- Márcio Silva Miguel Lima
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
| | - Talia Falcão Dalçóquio
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
| | - Maria Cristina Donadio Abduch
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
| | - Jeane Mike Tsutsui
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
| | - Wilson Mathias
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
| | - José Carlos Nicolau
- Hospital das ClínicasFaculdade de MedicinaUniversidade de São PauloSão PauloSPBrasilInstituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP – Brasil
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Şahın H, Naz İ, Karadeniz G, Süneçlı O, Polat G, Ediboğlu O. Effects of a home-based pulmonary rehabilitation program with and without telecoaching on health-related outcomes in COVID-19 survivors: a randomized controlled clinical study. J Bras Pneumol 2023; 49:e20220107. [PMID: 36700571 PMCID: PMC9970366 DOI: 10.36416/1806-3756/e20220107] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Accepted: 10/24/2022] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE To compare the effects of a home-based pulmonary rehabilitation (PR) program with and without telecoaching on health-related outcomes in COVID-19 survivors. METHODS A total of 42 COVID-19 patients who completed medical treatment were randomly divided into two groups: the study (telecoaching) group (n = 21) and the control (no telecoaching) group (n = 21). Both groups participated in an 8-week home-based PR program including education, breathing exercises, strength training, and regular walking. The study group received phone calls from a physiotherapist once a week. Both groups of patients were assessed before and after the program by means of the following: pulmonary function tests; the modified Medical Research Council dyspnea scale; the six-minute walk test; extremity muscle strength measurement; the Saint George's Respiratory Questionnaire (to assess disease-related quality of life); the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36, to assess overall quality of life); and the Hospital Anxiety and Depression Scale. RESULTS In both groups, there were significant improvements in the following: FVC; the six-minute walk distance; right and left deltoid muscle strength; Saint George's Respiratory Questionnaire activity domain, impact domain, and total scores; and SF-36 social functioning, role-physical, role-emotional, and bodily pain domain scores (p < 0.05). Decreases in daily-life dyspnea, exertional dyspnea, and exertional fatigue were significant in the study group (p < 0.05), and the improvement in SF-36 social functioning domain scores was greater in the study group (p < 0.05). CONCLUSIONS A home-based PR program with telecoaching increases social functioning and decreases daily-life dyspnea, exertional dyspnea, and exertional fatigue in COVID-19 survivors in comparison with a home-based PR program without telecoaching.
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Affiliation(s)
- Hülya Şahın
- . Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Pulmonary Rehabilitation Unit, Izmir, Turkey
| | - İlknur Naz
- . Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey
| | - Gülistan Karadeniz
- . Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Izmir, Turkey
| | - Onur Süneçlı
- . Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Physiotherapy and Rehabilitation, Izmir, Turkey
| | - Gulru Polat
- . Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Izmir, Turkey
| | - Ozlem Ediboğlu
- . Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Izmir, Turkey
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Montenegro CGDSP, Dourado LOC, Jordão CP, Vieira MLC, Assumpção CRA, Gowdak LHW, Pereira ADC, Negrão CE, de Matos LDNJ. Does Myocardial Injury Occur After an Acute Aerobic Exercise Session in Patients with Refractory Angina? Arq Bras Cardiol 2022; 119:747-753. [PMID: 36453766 PMCID: PMC9750210 DOI: 10.36660/abc.20210564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 03/17/2022] [Accepted: 06/01/2022] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND It is unclear whether exercise is safe in patients with more advanced forms of coronary artery disease, such as those with refractory angina (RA). OBJECTIVE We aimed to determine the effect of an acute aerobic exercise session (AAES) on high-sensitivity cardiac troponin T (hs-cTnT) levels in patients with RA. METHODS This was a longitudinal, non-randomized, and non-controlled clinical study. Participants were recruited from April 2015 to January 2019. On a visual pain scale from 0 to 10, pain rated up to 3 was considered as the top level allowed to continue exercising. We assessed hs-cTnT at baseline and 3 hours after the AAES. The protocol consisted of 5 minutes of warm-up, 30 minutes of continuous aerobic exercise at heart rate corresponding to the anaerobic threshold or angina threshold obtained in the cardiopulmonary exercise testing, and 5 minutes of cooling down. P values less than 0.05 were considered statistically significant. RESULTS Thirty-two patients with RA were included (61 ± 9 years, 59.4% male). The baseline hs-cTnT concentration was 10.9 ng/L (95% confidence interval: 9.1 to 13.0 ng/L). The hs-cTnT collected 3 hours after the AAES was 11.1 ng/L (95% confidence interval: 9.1 to 13.5 ng/L). No difference occurred in hs-cTnT before and after AAES (p = 0.657). CONCLUSIONS A single AAES performed at the angina threshold with corresponding visual pain scale did not alter hs-cTnT in patients with RA, suggesting that no significant myocardial injury was elicited by exercising and that this exercise protocol can be considered safe.
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Affiliation(s)
| | - Luciana Oliveira Cascaes Dourado
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Camila Paixão Jordão
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Marcelo Luiz Campos Vieira
- Hospital Israelita Albert EinsteinSão PauloSPBrasilHospital Israelita Albert Einstein, São Paulo, SP – Brasil
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Camila Regina Alves Assumpção
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Luis Henrique Wolff Gowdak
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Alexandre da Costa Pereira
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
| | - Carlos Eduardo Negrão
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloInstituto do CoraçãoSão PauloSPBrasilInstituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP – Brasil
- Universidade de São PauloEscola de Educação Física e EsporteSão PauloSPBrasilEscola de Educação Física e Esporte, Universidade de São Paulo, São Paulo, SP – Brasil
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Oliveira-Junior SA, Ogura AY, Carvalho MR, Martinez PF. Cardioprotective Effect of Resistance Exercise on Left Ventricular Remodeling Associated with Monocrotaline-Induced Pulmonary Arterial Hypertension. Arq Bras Cardiol 2022; 119:585-586. [PMID: 36287413 PMCID: PMC9563880 DOI: 10.36660/abc.20220638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Silvio A. Oliveira-Junior
- Universidade Federal de Mato Grosso do SulCampo GrandeMSBrasil Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande , MS – Brasil
| | - Alex Y. Ogura
- Universidade Federal de Mato Grosso do SulCampo GrandeMSBrasil Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande , MS – Brasil
| | - Marianna R. Carvalho
- Universidade Federal de Mato Grosso do SulCampo GrandeMSBrasil Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande , MS – Brasil
| | - Paula F. Martinez
- Universidade Federal de Mato Grosso do SulCampo GrandeMSBrasil Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande , MS – Brasil
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Barros FS, Pinheiro BV, Ribeiro HS, Andrade FP, de Souza CR, Amorim ACDN, Lucinda LMF, Reboredo MM. Profile of professionals working in intradialytic exercise programs in Brazil: a national survey. J Bras Nefrol 2022; 44:573-578. [PMID: 35258074 PMCID: PMC9838674 DOI: 10.1590/2175-8239-jbn-2021-0264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 01/25/2022] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVE This survey was designed to assess the profile of professionals working in intradialytic exercise programs (IEPs) in Brazil and reveal the motivators and barriers they face. METHODS The survey was sent to physiotherapists and exercise physiologists working in IEPs in Brazil. Phone interviews and electronic forms were used to collect the answers to the survey questionnaire. RESULTS Forty-one of the 261 included dialysis centers had IEPs; 44 professionals answered the questionnaire over the phone and 26 used the electronic form to do it. A total of 70 professionals (mean age 33.4±7.4 years; 84.3% physiotherapists) answered the questionnaire. Resistance training was the preferred mode of therapy. Most of the IEPs were connected to research and were paid for by private health insurance. The desire to work in a different field (30.0%) and lack of resources (31.4%) were the most prevalent motivator and barrier cited by IEP professionals working in dialysis centers, respectively. CONCLUSION The majority of the few professionals that work in IEPs in Brazil are physiotherapists. Lack of resources was the most commonly reported barrier faced by survey respondents.
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Affiliation(s)
- Fabrício Sciammarella Barros
- Universidade Federal de Juiz de Fora, Núcleo de Pesquisa em
Pneumologia e Terapia Intensiva, Juiz de Fora, MG, Brasil
| | - Bruno Valle Pinheiro
- Universidade Federal de Juiz de Fora, Núcleo de Pesquisa em
Pneumologia e Terapia Intensiva, Juiz de Fora, MG, Brasil.,Universidade Federal de Juiz de Fora, Faculdade de Medicina, Juiz de
Fora, MG, Brasil
| | - Heitor Siqueira Ribeiro
- Universidade de Brasília, Faculdade de Educação Física, Brasília,
DF, Brasil.,Universidade da Maia, Centro de Investigação em Desporto, Saúde e
Desenvolvimento Humano, Porto, Portugal
| | - Francini Porcher Andrade
- Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação
em Ciências Pneumológicas, Porto Alegre, RS, Brasil
| | - Camila Rodrigues de Souza
- Universidade Federal de Juiz de Fora, Núcleo de Pesquisa em
Pneumologia e Terapia Intensiva, Juiz de Fora, MG, Brasil
| | | | - Leda Marília Fonseca Lucinda
- Universidade Federal de Juiz de Fora, Núcleo de Pesquisa em
Pneumologia e Terapia Intensiva, Juiz de Fora, MG, Brasil
| | - Maycon Moura Reboredo
- Universidade Federal de Juiz de Fora, Núcleo de Pesquisa em
Pneumologia e Terapia Intensiva, Juiz de Fora, MG, Brasil.,Universidade Federal de Juiz de Fora, Faculdade de Medicina, Juiz de
Fora, MG, Brasil
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Oliveira GF, Marin TC, Forjaz CLM, Brito LC. Exercise Training and Endothelial Function in Hypertension: Effects of Aerobic and Resistance Training. Arq Bras Cardiol 2021; 116:948-949. [PMID: 34008819 PMCID: PMC8121457 DOI: 10.36660/abc.20210111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Affiliation(s)
- Gustavo F. Oliveira
- Universidade de São PauloEscola de Artes, Ciências e HumanidadesSão PauloSPBrasilEscola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo, SP - Brasil
- Universidade de São PauloGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do ExercícioSão PauloSPBrasilGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do Exercício, Universidade de São Paulo, São Paulo, SP - Brasil
| | - Thais C. Marin
- Universidade de São PauloEscola de Artes, Ciências e HumanidadesSão PauloSPBrasilEscola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo, SP - Brasil
- Universidade de São PauloGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do ExercícioSão PauloSPBrasilGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do Exercício, Universidade de São Paulo, São Paulo, SP - Brasil
| | - Cláudia L. M. Forjaz
- Universidade de São PauloEscola de Educação Física e EsporteLaboratório de Hemodinâmica da Atividade MotoraSão PauloSPBrasilLaboratório de Hemodinâmica da Atividade Motora, Escola de Educação Física e Esporte da Universidade de São Paulo, São Paulo, SP - Brasil
| | - Leandro C. Brito
- Universidade de São PauloEscola de Artes, Ciências e HumanidadesSão PauloSPBrasilEscola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo, SP - Brasil
- Universidade de São PauloEscola de Educação Física e EsporteLaboratório de Hemodinâmica da Atividade MotoraSão PauloSPBrasilLaboratório de Hemodinâmica da Atividade Motora, Escola de Educação Física e Esporte da Universidade de São Paulo, São Paulo, SP - Brasil
- Universidade de São PauloGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do ExercícioSão PauloSPBrasilGrupo de Pesquisa em Cronobiologia Aplicada & Fisiologia do Exercício, Universidade de São Paulo, São Paulo, SP - Brasil
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