Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2741 |
Resumo: | Police officers (PO) are exposed to a stressor environment, and stress has an indirect effect as a factor and risk for cardiovascular diseases and a prognostic factor on recurrent event and death. In addition, the stress has a direct effect on vascular pathophysiology, and could affect endothelial function, thus increasing cardiovascular risk. Arterial stiffness and endothelial dysfunction and impairment blood pressure response to exercise are markers of cardiovascular risk. Previous experimental studies have shown that low-level laser therapy (LLLT) promotes increase in flow-mediated dilation (FMD). Thus, we hypotetized that LLLT would improves endothelial function and decrease blood pressure in response to maximum exercise in police officers. METHODS: One group of PO was submitted to LLLT (PO / LLLT, n=11, 39.4±2 years; 91.9±5 kg) for 6 months, while a PO group matched for age and weight that remained without any therapy was characterized as a control group (PO / C, n=7, 38.2±3 years; 83.8±3 kg). LLLT was applied twice weekly in the sublingually, with a maximum of three days between one application and another. Endothelial function was evaluated by brachial artery FMD. Systolic and diastolic blood pressure (BP) Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed during cardiopulmonary exercise test. RESULTS: After 6 months, there was an increase in FMD in the PO / LLLT group, which did not occur in the PO / C group (increase Δ 8.34 ± 1 and 0.33 ± 1%, respectively, P = 0. 001. Interestingly, BP response to maximal exercise decreased only in the PO / LLLT group (pre vs. post, SBP = 202 ± 4 vs. 177 ± 4 mmHg, P = 0.02, DBP = 106 ± 2 vs. 90 ± 2 mmHg, P = 0.01, and there was no change in the PO / C group (P = 0.19). CONCLUSION: Our results demonstrate for the first time that low-intensity laser therapy is able to improve endothelial function and, in addition, decrease systolic and diastolic blood pressures in response to maximal exertion, that is, to physical stress. This important adaptation can confer a cardiovascular protection in the response to mental stress, a frequent condition in the function of the military police. |
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Trombetta, Ivani Credidiohttp://lattes.cnpq.br/6691204901202886Trombetta, Ivani Credidiohttp://lattes.cnpq.br/6691204901202886Dalboni, Maria Aparecidahttp://lattes.cnpq.br/9818040147487320Lemos Junior, José Ribeirohttp://lattes.cnpq.br/3345383074201131http://lattes.cnpq.br/2629336536058547Moura, José Roberto de2021-11-12T19:10:37Z2018-12-05Moura, José Roberto de. Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares. 2018. 52 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2741Police officers (PO) are exposed to a stressor environment, and stress has an indirect effect as a factor and risk for cardiovascular diseases and a prognostic factor on recurrent event and death. In addition, the stress has a direct effect on vascular pathophysiology, and could affect endothelial function, thus increasing cardiovascular risk. Arterial stiffness and endothelial dysfunction and impairment blood pressure response to exercise are markers of cardiovascular risk. Previous experimental studies have shown that low-level laser therapy (LLLT) promotes increase in flow-mediated dilation (FMD). Thus, we hypotetized that LLLT would improves endothelial function and decrease blood pressure in response to maximum exercise in police officers. METHODS: One group of PO was submitted to LLLT (PO / LLLT, n=11, 39.4±2 years; 91.9±5 kg) for 6 months, while a PO group matched for age and weight that remained without any therapy was characterized as a control group (PO / C, n=7, 38.2±3 years; 83.8±3 kg). LLLT was applied twice weekly in the sublingually, with a maximum of three days between one application and another. Endothelial function was evaluated by brachial artery FMD. Systolic and diastolic blood pressure (BP) Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed during cardiopulmonary exercise test. RESULTS: After 6 months, there was an increase in FMD in the PO / LLLT group, which did not occur in the PO / C group (increase Δ 8.34 ± 1 and 0.33 ± 1%, respectively, P = 0. 001. Interestingly, BP response to maximal exercise decreased only in the PO / LLLT group (pre vs. post, SBP = 202 ± 4 vs. 177 ± 4 mmHg, P = 0.02, DBP = 106 ± 2 vs. 90 ± 2 mmHg, P = 0.01, and there was no change in the PO / C group (P = 0.19). CONCLUSION: Our results demonstrate for the first time that low-intensity laser therapy is able to improve endothelial function and, in addition, decrease systolic and diastolic blood pressures in response to maximal exertion, that is, to physical stress. This important adaptation can confer a cardiovascular protection in the response to mental stress, a frequent condition in the function of the military police.Os policiais militares (PM) estão expostos a um ambiente estressor e o estresse tem um efeito indireto como fator e risco para doenças cardiovasculares e um fator prognóstico sobre evento recorrente e morte. Além disso, o estresse tem um efeito direto na fisiopatologia vascular, podendo afetar a função endotelial, aumentando, assim, o risco cardiovascular. A rigidez arterial, a disfunção endotelial e o aumento exacerbado da pressão arterial ao exercício são marcadores de risco cardiovascular. Estudos prévios experimentais mostraram que a terapia com laser de baixa intensidade (TLBI) promove o aumento da dilatação mediada pelo fluxo (DMF). Hipotetizamos que a TLBI melhora a função endotelial e diminui a resposta da pressão arterial ao exercício máximo em PM. MÉTODOS: Um grupo de PM foi submetido à TLBI (PM/TLBI, n=11; 39,4±2 anos; 91,9±5 kg) por 6 meses, enquanto um grupo de PM pareado por idade e peso permaneceu sem nenhuma terapia e foi caracterizado como grupo controle (PM/C, n = 7; 38,3 ± 3 anos; 83,9 ± 3 kg). A TLBI foi aplicada na região sublingual duas vezes por semana, com intervalos máximos de três dias entre as aplicações. A função endotelial foi avaliada pela DMF da artéria braquial. As pressões arteriais sistólicas (PAS) e diastólicas (PAD) foram analisadas durante o teste de esforço cardiopulmonar. RESULTADOS: Após seis meses, houve um aumento da DMF no grupo PM/TLBI, o que não ocorreu no grupo PM/C (Δ de aumento = 8.34±1 e 0.33±1%, respectivamente, P=0.001). Curiosamente, a resposta da PA ao exercício máximo diminuiu apenas no grupo PM/TLBI (pré vs. pós, PAS = 202±4 vs. 177±4 mmHg, P = 0,02; PAD = 106±2 vs. 90±2 mmHg, P=0,01, e não houve alteração no grupo PM/C (P = 0,19). CONCLUSÃO: Os nossos resultados demonstram pela primeira vez que a terapia com laser de baixa intensidade é capaz de melhorar a função endotelial, e, além disso, diminuir as pressões arteriais sistólica e diastólica em reposta ao esforço máximo, ou seja, ao estresse físico. Esta importante adaptação pode conferir uma proteção cardiovascular na reposta ao estresse mental, condição frequente na função do policial militar.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-11-12T19:10:37Z No. of bitstreams: 1 José Roberto De Moura.pdf: 1707184 bytes, checksum: b23a0a664adb74f9dd08089527bac9d9 (MD5)Made available in DSpace on 2021-11-12T19:10:37Z (GMT). No. of bitstreams: 1 José Roberto De Moura.pdf: 1707184 bytes, checksum: b23a0a664adb74f9dd08089527bac9d9 (MD5) Previous issue date: 2018-12-05application/pdfporUniversidade Nove de JulhoPrograma de Mestrado em MedicinaUNINOVEBrasilSaúdeterapia com laser de baixa intensidadepoliciais militarespressão arterialdisfunção endoteliallow-intensity laser therapymilitary policeblood pressureendothelial dysfunctionCIENCIAS DA SAUDETerapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militaresLow-level laser therapy in vascular reactivity and arterial pressure in police officersinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALJosé Roberto De Moura.pdfJosé Roberto De Moura.pdfapplication/pdf1707184http://localhost:8080/tede/bitstream/tede/2741/2/Jos%C3%A9+Roberto+De+Moura.pdfb23a0a664adb74f9dd08089527bac9d9MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2741/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/27412021-11-12 17:10:37.731oai: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:2021-11-12T19:10:37Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
dc.title.alternative.eng.fl_str_mv |
Low-level laser therapy in vascular reactivity and arterial pressure in police officers |
title |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
spellingShingle |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares Moura, José Roberto de terapia com laser de baixa intensidade policiais militares pressão arterial disfunção endotelial low-intensity laser therapy military police blood pressure endothelial dysfunction CIENCIAS DA SAUDE |
title_short |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
title_full |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
title_fullStr |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
title_full_unstemmed |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
title_sort |
Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares |
author |
Moura, José Roberto de |
author_facet |
Moura, José Roberto de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Trombetta, Ivani Credidio |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6691204901202886 |
dc.contributor.referee1.fl_str_mv |
Trombetta, Ivani Credidio |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6691204901202886 |
dc.contributor.referee2.fl_str_mv |
Dalboni, Maria Aparecida |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/9818040147487320 |
dc.contributor.referee3.fl_str_mv |
Lemos Junior, José Ribeiro |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/3345383074201131 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2629336536058547 |
dc.contributor.author.fl_str_mv |
Moura, José Roberto de |
contributor_str_mv |
Trombetta, Ivani Credidio Trombetta, Ivani Credidio Dalboni, Maria Aparecida Lemos Junior, José Ribeiro |
dc.subject.por.fl_str_mv |
terapia com laser de baixa intensidade policiais militares pressão arterial disfunção endotelial |
topic |
terapia com laser de baixa intensidade policiais militares pressão arterial disfunção endotelial low-intensity laser therapy military police blood pressure endothelial dysfunction CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
low-intensity laser therapy military police blood pressure endothelial dysfunction |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Police officers (PO) are exposed to a stressor environment, and stress has an indirect effect as a factor and risk for cardiovascular diseases and a prognostic factor on recurrent event and death. In addition, the stress has a direct effect on vascular pathophysiology, and could affect endothelial function, thus increasing cardiovascular risk. Arterial stiffness and endothelial dysfunction and impairment blood pressure response to exercise are markers of cardiovascular risk. Previous experimental studies have shown that low-level laser therapy (LLLT) promotes increase in flow-mediated dilation (FMD). Thus, we hypotetized that LLLT would improves endothelial function and decrease blood pressure in response to maximum exercise in police officers. METHODS: One group of PO was submitted to LLLT (PO / LLLT, n=11, 39.4±2 years; 91.9±5 kg) for 6 months, while a PO group matched for age and weight that remained without any therapy was characterized as a control group (PO / C, n=7, 38.2±3 years; 83.8±3 kg). LLLT was applied twice weekly in the sublingually, with a maximum of three days between one application and another. Endothelial function was evaluated by brachial artery FMD. Systolic and diastolic blood pressure (BP) Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were analyzed during cardiopulmonary exercise test. RESULTS: After 6 months, there was an increase in FMD in the PO / LLLT group, which did not occur in the PO / C group (increase Δ 8.34 ± 1 and 0.33 ± 1%, respectively, P = 0. 001. Interestingly, BP response to maximal exercise decreased only in the PO / LLLT group (pre vs. post, SBP = 202 ± 4 vs. 177 ± 4 mmHg, P = 0.02, DBP = 106 ± 2 vs. 90 ± 2 mmHg, P = 0.01, and there was no change in the PO / C group (P = 0.19). CONCLUSION: Our results demonstrate for the first time that low-intensity laser therapy is able to improve endothelial function and, in addition, decrease systolic and diastolic blood pressures in response to maximal exertion, that is, to physical stress. This important adaptation can confer a cardiovascular protection in the response to mental stress, a frequent condition in the function of the military police. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-12-05 |
dc.date.accessioned.fl_str_mv |
2021-11-12T19:10:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Moura, José Roberto de. Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares. 2018. 52 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2741 |
identifier_str_mv |
Moura, José Roberto de. Terapia com laser de baixa intensidade na reatividade vascular e na pressão arterial em policiais militares. 2018. 52 f. Dissertação( Programa de Mestrado em Medicina) - Universidade Nove de Julho, São Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/2741 |
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por |
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por |
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8765449414823306929 |
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600 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Nove de Julho |
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Programa de Mestrado em Medicina |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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