Avaliação da cinética on da frequência cardíaca em pacientes asmáticos e em indivíduos saudáveis durante o Endurance Shuttle Walk Test
DOI:
https://doi.org/10.5585/22.2023.23984Palavras-chave:
asma, frequência cardíaca Cinética, exercício físico, Endurance Shuttle Walk TestResumo
Introdução: O comportamento cinético da frequência cardíaca (FC) na transição do repouso para o exercício nos informa sobre a integridade do sistema nervoso autônomo. Recuperações mais lentas associam-se ao risco de mortalidade por eventos cardiovasculares, tornando-se imprescindível sua avaliação.
Objetivo: Avaliar e comparar a resposta da cinética on da FC em pacientes asmáticos e indivíduos saudáveis durante o Endurance Shuttle Walk Test (ESWT).
Métodos: Trata-se de um estudo prospectivo, transversal e controlado, com 14 adultos asmáticos e 8 controles saudáveis. Os indivíduos realizaram as seguintes avaliações: Teste de função pulmonar, Variabilidade da Frequência Cardíaca (VFC) e Incremental Shuttle Walk Test e ESWT.
Resultados: O grupo asmático apresentou um atraso da cinética on da FC na transição do repouso para o teste, e uma correlação negativa moderada (r=-0,60; p<0,05) entre a distância percorrida (m) e o tempo de resposta (TRM) cinética on da FC.
Conclusão: Os pacientes asmáticos apresentaram um atraso da cinética "on", quando comparados ao grupo de indivíduos saudáveis, demonstrando ser um importante marcador na avaliação da performance física.
Downloads
Referências
- Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J. 2008;31(1):143-78.
- Horak F, Doberer D, Eber E, Horak E, Pohl W, Riedler J, et al. Diagnosis and management of asthma - Statement on the 2015 GINA Guidelines. Wien Klin Wochenschr. 2016;128(15-16):541-54.
- França-Pinto A, Mendes FA, de Carvalho-Pinto RM, Agondi RC, Cukier A, Stelmach R, et al. Aerobic training decreases bronchial hyperresponsiveness and systemic inflammation in patients with moderate or severe asthma: a randomised controlled trial. Thorax. 2015;70(8):732-9.
- Mendes FA, Almeida FM, Cukier A, Stelmach R, Jacob-Filho W, Martins MA, et al. Effects of aerobic training on airway inflammation in asthmatic patients. Med Sci Sports Exerc. 2011;43(2):197-203.
- Mendes FA, Gonçalves RC, Nunes MP, Saraiva-Romanholo BM, Cukier A, Stelmach R, et al. Effects of aerobic training on psychosocial morbidity and symptoms in patients with asthma: a randomized clinical trial. Chest. 138(2):331-7.
- Chiappa GR, Borghi-Silva A, Ferreira LF, Carrascosa C, Oliveira CC, Maia J, et al. Kinetics of muscle deoxygenation are accelerated at the onset of heavy-intensity exercise in patients with COPD: relationship to central cardiovascular dynamics. J Appl Physiol (1985). 2008;104(5):1341-50.
- Puente-Maestu L, Sánz ML, Sánz P, Nuñez A, González F, Whipp BJ. Reproducibility of the parameters of the on-transient cardiopulmonary responses during moderate exercise in patients with chronic obstructive pulmonary disease. Eur J Appl Physiol. 2001;85(5):434-41.
- Laveneziana P, Valli G, Onorati P, Paoletti P, Ferrazza AM, Palange P. Effect of heliox on heart rate kinetics and dynamic hyperinflation during high-intensity exercise in COPD. Eur J Appl Physiol. 2011;111(2):225-34.
- Emin O, Esra G, Aysegül D, Ufuk E, Ayhan S, Rusen DM. Autonomic nervous system dysfunction and their relationship with disease severity in children with atopic asthma. Respir Physiol Neurobiol. 2012;183(3):206-10.
- Borghi-Silva A, Arena R, Castello V, Simões RP, Martins LE, Catai AM, et al. Aerobic exercise training improves autonomic nervous control in patients with COPD. Respir Med. 2009;103(10):1503-10.
- Jones AM, McConnell AM. Effect of exercise modality on oxygen uptake kinetics during heavy exercise. Eur J Appl Physiol Occup Physiol. 1999;80(3):213-9.
- Borghi-Silva A, Beltrame T, Reis MS, Sampaio LM, Catai AM, Arena R, et al. Relationship between oxygen consumption kinetics and BODE Index in COPD patients. Int J Chron Obstruct Pulmon Dis. 2012;7:711-8.
- Pereira C, Barreto S, Simões J. Valores de referência para espirometria em uma amostra da população brasileira adulta. J Pneumol. 1992;18:10-22.
- Leite M, Ponte EV, Petroni J, D'Oliveira Júnior A, Pizzichini E, Cruz AA. Evaluation of the asthma control questionnaire validated for use in Brazil. J Bras Pneumol. 2008;34(10):756-63.
- Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax. 1992;47(12):1019-24.
- Hill K, Dolmage TE, Woon L, Coutts D, Goldstein R, Brooks D. A simple method to derive speed for the endurance shuttle walk test. Respir Med. 2012;106(12):1665-70.
- Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81.
- Engelen M, Porszasz J, Riley M, Wasserman K, Maehara K, Barstow TJ. Effects of hypoxic hypoxia on O2 uptake and heart rate kinetics during heavy exercise. J Appl Physiol (1985). 1996;81(6):2500-8.
- Pessoa BV, Beltrame T, Di Lorenzo VA, Catai AM, Borghi-Silva A, Jamami M. COPD patients' oxygen uptake and heart rate on-kinetics at cycle-ergometer: correlation with their predictors of severity. Braz J Phys Ther. 2013;17(2):152-62.
- Hayashi N, Tanaka A, Ishihara M, Yoshida T. Delayed vagal withdrawal slows circulatory but not oxygen uptake responses at work increase. Am J Physiol. 1998;274(5 Pt 2):R1268-73.
- Grassi B, Marconi C, Meyer M, Rieu M, Cerretelli P. Gas exchange and cardiovascular kinetics with different exercise protocols in heart transplant recipients. J Appl Physiol (1985). 1997;82(6):1952-62.
- Hughson RL. Alterations in the oxygen deficit-oxygen debt relationships with beta-adrenergic receptor blockade in man. J Physiol. 1984;349:375-87.
- Sietsema KE, Daly JA, Wasserman K. Early dynamics of O2 uptake and heart rate as affected by exercise work rate. J Appl Physiol (1985). 1989;67(6):2535-41.
- Linnarsson D. Dynamics of pulmonary gas exchange and heart rate changes at start and end of exercise. Acta Physiol Scand Suppl. 1974;415:1-68.
- Bunc V, Heller J, Leso J. Kinetics of heart rate responses to exercise. J Sports Sci. 1988;6(1):39-48.
- Wilkerson DP, Campbell IT, Jones AM. Influence of nitric oxide synthase inhibition on pulmonary O2 uptake kinetics during supra-maximal exercise in humans. J Physiol. 2004;561(Pt 2):623-35.
- Ozyener F, Rossiter HB, Ward SA, Whipp BJ. Influence of exercise intensity on the on- and off-transient kinetics of pulmonary oxygen uptake in humans. J Physiol. 2001;533(Pt 3):891-902.
- Heindl S, Lehnert M, Criée CP, Hasenfuss G, Andreas S. Marked sympathetic activation in patients with chronic respiratory failure. Am J Respir Crit Care Med. 2001;164(4):597-601.
- Simões RP, Bonjorno JC, Beltrame T, Catai AM, Arena R, Borghi-Silva A. Slower heart rate and oxygen consumption kinetic responses in the on- and off-transient during a discontinuous incremental exercise: effects of aging. Braz J Phys Ther. 2013;17(1):69-76.
- Rumenig E, Bertuzzi RCdM, Nakamura FY, Franchini E, Matsushigue KA, Kiss MAPD, et al. Cinética e variabilidade da frequência cardíaca mediante exercício físico predominantemente aeróbio: influência da intensidade e do tempo de análise. 2007. 2007;21(3)
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 ConScientiae Saúde
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
