Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico
Ano de defesa: | 2018 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
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Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
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Departamento: |
Saúde
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País: |
Brasil
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Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2265 |
Resumo: | Systemic arterial hypertension (SAH) is a major risk factor for cardiovascular disease (CVD), affecting approximately one billion people worldwide. It is the most important cause of morbidity and mortality. The blood pressure control has its SNA (sympathetic and parasympathetic). Studies on hypertension have shown that increased sympathetic activity is related to the blood pressure lowering effect, conditioning the most severe forms of the disease. The objective was to verify the SNA behavior through the analysis of Heart Rate Variability - HRV in hypertensive patients undergoing an aerobic training protocol (PPRCV) developed for cardiac rehabilitation. The study hypertensive patients of both genders, age 54.43 ± 8.25. The patients underwent series of tests and pre and post appraisal (medical appraisal; anthropometric measurements; TC6’, biochemical blood tests; measures of HRV, answered the IPAQ). Performed exercises for cardiac and neuromuscular adaptation (PACRNM) for 4 weeks. After adaptation PPRCV applied for 12 weeks. Reviewed anthropometric, biochemical and physiological variables and blood was found to decrease the circumference of the abdomen: 0.99 ± 0.01 (m), to 0.95 ± 0.02 (m); p <0.0001. The TC6’: 398.0 ± 82.0 (m); to 467.0 ± 61.0 (m), p = 0.0052. VO2: 19.7 ± 4.5 and 25.4 ± 5.5, with p = 0.0011. SpO2 showed an increase to 96.9 ± 0.7 97.5 ± 0.3, p = 0.0054. In the biochemistry of blood, with p <0.0001, all variables: Triglycerides: 224.90 ± 41.97 to 174.05 ± 25,24; Total cholesterol: 212.24 ± 13.59; 189.36 ± 12.01; HDL: 35.43 ± 8.55; 45.26 ± 5.55; LDL: 150.70 ± 11.73; 105.77 ± 14.16; VLDL: 26.11 ± 5.57; 38,35 ± 2 29; Fasting Glucose: ± 9.08 107.76; 84.14 ± 9.76. HRV in% AF: 43.5 ± 11.3; to 53.1 ± 14.5 p 0.0276; and % BF: 56.4 ± 11.3; to 46.8 ± 14.5; p 0.0276; in LF / HF ratio: 2.3 ± 1.6; to 1.3 ± 1.0, p 0.0364. The hemodynamic analysis: SBP 128.8 ± 5.0; 118.8 ± 0.7, p <0.0001, 83.9 ± 5.4 DBP; 76.3 ± 0.9 p <0.0001, 98.9 ± 5.1 MBP; 89.3 ± 1.6 p <0.0001; HR: 77.5 ± 2.3; to 75.0 ± 1.5 p <0.0005. DP: 10919.5 ± 1862.06 to 8027.6 ± 353.8, p = 0.0002. Regarding the IPAQ vigorous activity per week (4,1> 6-Km.h-1, 4-11 MET) at the beginning and only 0.095 ± 0 3.85 ± 0 at the end, and a day ± 0.33 0 to 38.57 ± 0.7. The results affirm that there is evidence of improvement in aspects related to physical fitness, quality of life, which showed positive changes, such as in cardiovascular variables, physiological, proposing improvement in cardiovascular function. HRV, the frequency domain, we observed changes in the percentage of AF% (-9.6%) and an increase in LF% (9.6%), which indicates improvement in autonomic modulation and allows us to state that there is a reduction in hyperactivity the sympathetic nervous system, with increased vagal parasympathetic function. These changes reflected beneficially in cardiac autonomic modulation of hypertensive patients. |
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Carvalho, Paulo de Tarso Camillo deOliveira, Luís Vicente Franco deCarvalho, Paulo de Tarso Camillo deJorge, Luciana Maria Malosá SampaioCosta, Ivan PeresCarvalho, Rodrigo Leal de Paivahttp://lattes.cnpq.br/1467586449973313Dias, Ronivaldo Lameira2020-10-26T23:46:40Z2018-07-31Dias, Ronivaldo Lameira. Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico. 2018. 113 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, 2018.http://bibliotecatede.uninove.br/handle/tede/2265Systemic arterial hypertension (SAH) is a major risk factor for cardiovascular disease (CVD), affecting approximately one billion people worldwide. It is the most important cause of morbidity and mortality. The blood pressure control has its SNA (sympathetic and parasympathetic). Studies on hypertension have shown that increased sympathetic activity is related to the blood pressure lowering effect, conditioning the most severe forms of the disease. The objective was to verify the SNA behavior through the analysis of Heart Rate Variability - HRV in hypertensive patients undergoing an aerobic training protocol (PPRCV) developed for cardiac rehabilitation. The study hypertensive patients of both genders, age 54.43 ± 8.25. The patients underwent series of tests and pre and post appraisal (medical appraisal; anthropometric measurements; TC6’, biochemical blood tests; measures of HRV, answered the IPAQ). Performed exercises for cardiac and neuromuscular adaptation (PACRNM) for 4 weeks. After adaptation PPRCV applied for 12 weeks. Reviewed anthropometric, biochemical and physiological variables and blood was found to decrease the circumference of the abdomen: 0.99 ± 0.01 (m), to 0.95 ± 0.02 (m); p <0.0001. The TC6’: 398.0 ± 82.0 (m); to 467.0 ± 61.0 (m), p = 0.0052. VO2: 19.7 ± 4.5 and 25.4 ± 5.5, with p = 0.0011. SpO2 showed an increase to 96.9 ± 0.7 97.5 ± 0.3, p = 0.0054. In the biochemistry of blood, with p <0.0001, all variables: Triglycerides: 224.90 ± 41.97 to 174.05 ± 25,24; Total cholesterol: 212.24 ± 13.59; 189.36 ± 12.01; HDL: 35.43 ± 8.55; 45.26 ± 5.55; LDL: 150.70 ± 11.73; 105.77 ± 14.16; VLDL: 26.11 ± 5.57; 38,35 ± 2 29; Fasting Glucose: ± 9.08 107.76; 84.14 ± 9.76. HRV in% AF: 43.5 ± 11.3; to 53.1 ± 14.5 p 0.0276; and % BF: 56.4 ± 11.3; to 46.8 ± 14.5; p 0.0276; in LF / HF ratio: 2.3 ± 1.6; to 1.3 ± 1.0, p 0.0364. The hemodynamic analysis: SBP 128.8 ± 5.0; 118.8 ± 0.7, p <0.0001, 83.9 ± 5.4 DBP; 76.3 ± 0.9 p <0.0001, 98.9 ± 5.1 MBP; 89.3 ± 1.6 p <0.0001; HR: 77.5 ± 2.3; to 75.0 ± 1.5 p <0.0005. DP: 10919.5 ± 1862.06 to 8027.6 ± 353.8, p = 0.0002. Regarding the IPAQ vigorous activity per week (4,1> 6-Km.h-1, 4-11 MET) at the beginning and only 0.095 ± 0 3.85 ± 0 at the end, and a day ± 0.33 0 to 38.57 ± 0.7. The results affirm that there is evidence of improvement in aspects related to physical fitness, quality of life, which showed positive changes, such as in cardiovascular variables, physiological, proposing improvement in cardiovascular function. HRV, the frequency domain, we observed changes in the percentage of AF% (-9.6%) and an increase in LF% (9.6%), which indicates improvement in autonomic modulation and allows us to state that there is a reduction in hyperactivity the sympathetic nervous system, with increased vagal parasympathetic function. These changes reflected beneficially in cardiac autonomic modulation of hypertensive patients.A hipertensão arterial sistêmica (HAS) é um importante fator de risco para doenças cardiovascular (DCV), afetando aproximadamente um bilhão de pessoas no mundo. É a causa mais importante de morbidade e mortalidade. A pressão arterial tem seu controle SNA (simpático e parassimpático). Estudos sobre a HAS tem demonstrado que o aumento da atividade simpática está relacionado com o efeito hipertensivo, condicionando a formas mais grave da doença. O objetivo foi verificar o comportamento do SNA através da análise da Variabilidade da Frequência Cardíaca - VFC em hipertensos submetidos a um protocolo de treinamento aeróbico (PPRCV) desenvolvido para reabilitação cardiovascular. Participaram deste estudo pacientes hipertensos de ambos os gêneros, idade 54,43±8,25. Os pacientes passaram por bateria de testes e pré e pós avalição (avalição médica; avaliação antropométrica; TC6’, exames bioquímicos do sangue; medidas da VFC, responderam ao IPAQ). Realizados exercícios para adaptação cardiorrespiratória e neuromuscular (PACRNM), durante 4 semanas. Após a adaptação aplicado o PPRCV, durante 12 semanas. Avaliado variáveis antropométricas, fisiológicas e bioquímicas do sangue e verificou-se a diminuição da circunferência do abdome: 0,99±0,01(m), para 0,95 ± 0,02 (m); p<0,0001. O TC6’: 398,0 ± 82,0 (m); para 467,0±61,0(m), p=0,0052. O VO2:19,7±4,5 e 25,4±5,5, sendo o p=0,0011. A SpO2 apresentou incremento 96,9±0,7 para 97,5±0,3, p= 0,0054. Na bioquímica do sangue, apresentaram p<0,0001, todas as variáveis: Triglicerídeos: 224,90±41,97, para 174,05±25,24; Colesterol total: 212,24±13,59; 189,36±12,01; HDL: 35,43±8,55; 45,26±5,55; LDL: 150,70±11,73; 105,77±14,16; VLDL: 26,11± 5,57; 38,35±2,29; Glicemia jejum: 107,76±9,08; 84,14±9,76. A VFC em %AF: 43,5±11,3; para 53,1±14,5 p 0,0276; e %BF: 56,4±11,3; para 46,8±14,5; p 0,0276; na relação BF/AF: 2,3±1,6; para 1,3±1,0, p 0,0364. A análise hemodinâmica: PAS 128,8±5,0; 118,8±0,7, p<0,0001, PAD 83,9±5,4; 76,3±0,9 p<0,0001, PAM 98,9±5,1; 89,3±1,6 p<0,0001; na FC: 77,5±2,3; para 75,0±1,5 p<0,0005. O DP: 10.919,5± 1.862,06, para 8.027,6±353,8, p=0,0002. Quanto ao IPAQ a atividade vigorosa por semana (4,1>6 Km.h-1, 4-11 MET), no início apenas 0,095±0 e no final 3,85±0, e, por dia de 0,33±0,7 para 38,57±0. A partir dos resultados afirmamos que há evidencias de melhora nos aspectos relacionados à aptidão física, a qualidade de vida, as quais mostraram alterações positivas, como nas variáveis cardiovasculares e, fisiológicas, propondo melhora na função cardiovascular. Na VFC, domínio da frequência, verificamos que houve variação no percentual da %AF (-9,6 %) e um incremento no %BF (9,6%), o que denota melhora na modulação autonômica e nos possibilita afirmar que há uma diminuição na hiperatividade do sistema nervoso simpático, com aumento da função vagal, parassimpática. Essas alterações refletiram beneficamente na modulação autonômica cardíaca dos pacientes hipertensos.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-26T23:46:40Z No. of bitstreams: 1 RONIVALDO LAMEIRA DIAS.pdf: 1391765 bytes, checksum: f31ab3239b00ceaa43185b9bcea3516a (MD5)Made available in DSpace on 2020-10-26T23:46:40Z (GMT). No. of bitstreams: 1 RONIVALDO LAMEIRA DIAS.pdf: 1391765 bytes, checksum: f31ab3239b00ceaa43185b9bcea3516a (MD5) Previous issue date: 2018-07-31application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdesistema autonômicohipertensão arterialexercício aeróbicoautonomic systemblood pressureaerobic exerciseCIENCIAS DA SAUDEModulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbicoModulation of the autonomic system in hypertensive patients submited to aerobic traininfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALRONIVALDO LAMEIRA DIAS.pdfRONIVALDO LAMEIRA DIAS.pdfapplication/pdf1391765http://localhost:8080/tede/bitstream/tede/2265/2/RONIVALDO+LAMEIRA+DIAS.pdff31ab3239b00ceaa43185b9bcea3516aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2265/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22652020-10-26 21:46:40.625oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-10-26T23:46:40Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
dc.title.alternative.eng.fl_str_mv |
Modulation of the autonomic system in hypertensive patients submited to aerobic train |
title |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
spellingShingle |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico Dias, Ronivaldo Lameira sistema autonômico hipertensão arterial exercício aeróbico autonomic system blood pressure aerobic exercise CIENCIAS DA SAUDE |
title_short |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
title_full |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
title_fullStr |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
title_full_unstemmed |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
title_sort |
Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico |
author |
Dias, Ronivaldo Lameira |
author_facet |
Dias, Ronivaldo Lameira |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Carvalho, Paulo de Tarso Camillo de |
dc.contributor.advisor-co1.fl_str_mv |
Oliveira, Luís Vicente Franco de |
dc.contributor.referee1.fl_str_mv |
Carvalho, Paulo de Tarso Camillo de |
dc.contributor.referee2.fl_str_mv |
Jorge, Luciana Maria Malosá Sampaio |
dc.contributor.referee3.fl_str_mv |
Costa, Ivan Peres |
dc.contributor.referee4.fl_str_mv |
Carvalho, Rodrigo Leal de Paiva |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1467586449973313 |
dc.contributor.author.fl_str_mv |
Dias, Ronivaldo Lameira |
contributor_str_mv |
Carvalho, Paulo de Tarso Camillo de Oliveira, Luís Vicente Franco de Carvalho, Paulo de Tarso Camillo de Jorge, Luciana Maria Malosá Sampaio Costa, Ivan Peres Carvalho, Rodrigo Leal de Paiva |
dc.subject.por.fl_str_mv |
sistema autonômico hipertensão arterial exercício aeróbico |
topic |
sistema autonômico hipertensão arterial exercício aeróbico autonomic system blood pressure aerobic exercise CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
autonomic system blood pressure aerobic exercise |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Systemic arterial hypertension (SAH) is a major risk factor for cardiovascular disease (CVD), affecting approximately one billion people worldwide. It is the most important cause of morbidity and mortality. The blood pressure control has its SNA (sympathetic and parasympathetic). Studies on hypertension have shown that increased sympathetic activity is related to the blood pressure lowering effect, conditioning the most severe forms of the disease. The objective was to verify the SNA behavior through the analysis of Heart Rate Variability - HRV in hypertensive patients undergoing an aerobic training protocol (PPRCV) developed for cardiac rehabilitation. The study hypertensive patients of both genders, age 54.43 ± 8.25. The patients underwent series of tests and pre and post appraisal (medical appraisal; anthropometric measurements; TC6’, biochemical blood tests; measures of HRV, answered the IPAQ). Performed exercises for cardiac and neuromuscular adaptation (PACRNM) for 4 weeks. After adaptation PPRCV applied for 12 weeks. Reviewed anthropometric, biochemical and physiological variables and blood was found to decrease the circumference of the abdomen: 0.99 ± 0.01 (m), to 0.95 ± 0.02 (m); p <0.0001. The TC6’: 398.0 ± 82.0 (m); to 467.0 ± 61.0 (m), p = 0.0052. VO2: 19.7 ± 4.5 and 25.4 ± 5.5, with p = 0.0011. SpO2 showed an increase to 96.9 ± 0.7 97.5 ± 0.3, p = 0.0054. In the biochemistry of blood, with p <0.0001, all variables: Triglycerides: 224.90 ± 41.97 to 174.05 ± 25,24; Total cholesterol: 212.24 ± 13.59; 189.36 ± 12.01; HDL: 35.43 ± 8.55; 45.26 ± 5.55; LDL: 150.70 ± 11.73; 105.77 ± 14.16; VLDL: 26.11 ± 5.57; 38,35 ± 2 29; Fasting Glucose: ± 9.08 107.76; 84.14 ± 9.76. HRV in% AF: 43.5 ± 11.3; to 53.1 ± 14.5 p 0.0276; and % BF: 56.4 ± 11.3; to 46.8 ± 14.5; p 0.0276; in LF / HF ratio: 2.3 ± 1.6; to 1.3 ± 1.0, p 0.0364. The hemodynamic analysis: SBP 128.8 ± 5.0; 118.8 ± 0.7, p <0.0001, 83.9 ± 5.4 DBP; 76.3 ± 0.9 p <0.0001, 98.9 ± 5.1 MBP; 89.3 ± 1.6 p <0.0001; HR: 77.5 ± 2.3; to 75.0 ± 1.5 p <0.0005. DP: 10919.5 ± 1862.06 to 8027.6 ± 353.8, p = 0.0002. Regarding the IPAQ vigorous activity per week (4,1> 6-Km.h-1, 4-11 MET) at the beginning and only 0.095 ± 0 3.85 ± 0 at the end, and a day ± 0.33 0 to 38.57 ± 0.7. The results affirm that there is evidence of improvement in aspects related to physical fitness, quality of life, which showed positive changes, such as in cardiovascular variables, physiological, proposing improvement in cardiovascular function. HRV, the frequency domain, we observed changes in the percentage of AF% (-9.6%) and an increase in LF% (9.6%), which indicates improvement in autonomic modulation and allows us to state that there is a reduction in hyperactivity the sympathetic nervous system, with increased vagal parasympathetic function. These changes reflected beneficially in cardiac autonomic modulation of hypertensive patients. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-07-31 |
dc.date.accessioned.fl_str_mv |
2020-10-26T23:46:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Dias, Ronivaldo Lameira. Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico. 2018. 113 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, 2018. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2265 |
identifier_str_mv |
Dias, Ronivaldo Lameira. Modulação do sistema autonômico em pacientes hipertensos submetidos ao treinamento aeróbico. 2018. 113 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, 2018. |
url |
http://bibliotecatede.uninove.br/handle/tede/2265 |
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por |
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por |
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8765449414823306929 |
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600 |
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openAccess |
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application/pdf |
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Universidade Nove de Julho |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências da Reabilitação |
dc.publisher.initials.fl_str_mv |
UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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UNINOVE |
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UNINOVE |
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Biblioteca Digital de Teses e Dissertações da Uninove |
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Biblioteca Digital de Teses e Dissertações da Uninove |
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http://localhost:8080/tede/bitstream/tede/2265/2/RONIVALDO+LAMEIRA+DIAS.pdf http://localhost:8080/tede/bitstream/tede/2265/1/license.txt |
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Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE) |
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bibliotecatede@uninove.br||bibliotecatede@uninove.br |
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