Efeito do treinamento aeróbico na modulação autonômica, composição corporal, capacidade funcional e pressão arterial interdialítica 24 horas
Effect of aerobic training on autonomic modulation, body composition, functional capacity and 24-hour interdialytic blood pressure
DOI:
https://doi.org/10.17765/2176-9206.2024v17n1.e12377Palavras-chave:
Exercício, Hemodiálise, Modulação autonômica, Pressão arterialResumo
O objetivo foi analisar o efeito do treinamento aeróbico sobre a modulação autonômica, capacidade funcional, composição corporal e pressão arterial de 24 horas interdiálise. Trata-se de um estudo transversal de intervenção, incluindo 28 pacientes em hemodiálise, divididos em dois grupos: (Exercício, n = 13; Controle n = 15), submetidos a um programa de exercício aeróbico durante 12 semanas. Foram avaliados a Variabilidade da Frequência Cardíaca, Teste de caminhada de 6 minutos (TC6), Pressão arterial de 24 horas interdiálise, e marcadores bioquímicos antes e após o programa de exercício. Pós treinamento de 12 semanas com exercício aeróbico o grupo Exercício apresentou redução no número de batimentos cardíacos em comparação ao grupo Controle (69.86 ± 7.53 vs 74.71 ± 3.3), respectivamente. Além disso, no grupo Exercício, houve diminuição do componente simpático, visto pelo índice 0V (%) (pré 24.85 ± 8.99 vs pós 16.2 ± 12), e incremento no índice parassimpático, observado através de 2V (%) (pré 29.1 ± 5 vs pós 43.5 ± 5). Mais ainda, maior distância no TC6 (pré 489 ± 81 vs pós 607 ± 84), menor pressão arterial de 24 horas interdialítico, e melhora nos marcadores bioquímicos no momento pós em comparação ao grupo controle. Diante disso, após 12 semanas de treinamento aeróbio com intensidade moderada houve melhora nos parâmetros de risco cardiovascular, como modulação autonômica, TC6, pressão arterial sistólica e perfil lipídico nestes pacientes renais crônicos avançado que realizam hemodiálise.Downloads
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