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

Luana Anaisse Azoubel; Erika Carneiro; Carlos José Moraes Dias; Magda Luciene de Sousa Carvalho; Leonardo Hesley Ferraz Durans; Cristiano Teixeira Mostarda

doi:10.17765/2176-9206.2024v17n1.e12377

Authors

Luana Anaisse Azoubel Presidente Dutra University Hospital - Federal University of Maranhão https://orcid.org/0000-0002-0889-9909
Erika Carneiro Presidente Dutra University Hospital - Federal University of Maranhão https://orcid.org/0000-0001-5785-2114
Carlos José Moraes Dias Laboratory of Cardiovascular Adaptations to Exercise – LACORE, Federal University of Maranhão http://orcid.org/0000-0002-0508-0308
Magda Luciene de Sousa Carvalho President Dutra University Hospital, Federal University of Maranhão https://orcid.org/0000-0003-4082-615X
Leonardo Hesley Ferraz Durans Laboratory of Cardiovascular Adaptations to Exercise – LACORE, Federal University of Maranhão, São Luís, Brazil. https://orcid.org/0000-0003-1941-1603
Cristiano Teixeira Mostarda Laboratory of Cardiovascular Adaptations to Exercise – LACORE, Federal University of Maranhão, São Luís, Brazil. https://orcid.org/0000-0002-1305-1697

DOI:

https://doi.org/10.17765/2176-9206.2024v17n1.e12377

Keywords:

Autonomic Modulation, Blood pressure, Exercise, Hemodialysis

Abstract

The aim was to analyze the effect of aerobic training on autonomic modulation, functional capacity, body composition and 24-hour interdialysis blood pressure. This is a cross-sectional intervention study, including 28 hemodialysis patients, divided into two groups: (Exercise, n = 13; Control n = 15), who underwent an aerobic exercise program for 12 weeks. Heart rate variability, 6-minute walk test (6MWT), 24-hour interdialysis blood pressure and biochemical markers were assessed before and after the exercise program. After 12 weeks of aerobic exercise training, the Exercise group showed a reduction in the number of heartbeats compared to the Control group (69.86 ± 7.53 vs 74.71 ± 3.3), respectively. In addition, in the Exercise group, there was a decrease in the sympathetic component, as seen by the 0V (%) index (pre 24.85 ± 8.99 vs post 16.2 ± 12), and an increase in the parasympathetic index, as seen by the 2V (%) index (pre 29.1 ± 5 vs post 43.5 ± 5). What's more, there was a greater distance in the 6MWT (pre 489 ± 81 vs post 607 ± 84), lower 24-hour interdialytic blood pressure, and an improvement in biochemical markers at post compared to the control group. Therefore, after 12 weeks of moderate-intensity aerobic training, there was an improvement in cardiovascular risk parameters such as autonomic modulation, 6MWT, systolic blood pressure and lipid profile in these advanced chronic kidney disease

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Effect of aerobic training on autonomic modulation, body composition, functional capacity and 24-hour interdialytic blood pressure