Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Heitor Siqueira
Data de Publicação: 2019
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UCB
Texto Completo: https://bdtd.ucb.br:8443/jspui/handle/tede/2625
Resumo: The cardiovascular capacity of the individual with chronic kidney disease (CKD) tends to decline with the natural progression of the disease. In this sense, resistance training (RT) is an important non-pharmacological tool in the control and improvement of cardiovascular (CDV) parameters. However, there is no evidence of isometric handgrip RT in this population. Thus, the present study aimed to verify the effect of different isometric RT intensities on the acute response of CDV variables in CKD patients undergoing hemodialysis (HD). This was an experimental study, with acute intervention, cross-over design and sample of 8 patients, mean age 56.63 ?? 12.66 years, who undergoes HD at a private clinic in the city of Bras??lia ??? DF. The participants were randomly assigned to three different moments to analyze the response of the variables heart rate variability (HRV) and blood pressure (BP), being: 1) control; 2) lowintensity isometric RT; 3) moderate-intensity RT. Variables were collected at the beginning of session 5, 15, 30, 40, 60 minutes and immediately after the end. Isometric RT protocols, regardless of intensity, did not show a significant change for both HRV and BP variables during their performances, nor when compared to the control moment. When the moments immediately before and after exercise were analyzed, a significant increase was observed for SBP and DP in the protocol of moderateintensity, but returning to the normal value 10 minutes later. Therefore, the intradialytic isometric RT is a safe, simple and practical therapeutic tool for the intradialytic control of cardiovascular parameters in this population.
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spelling Rosa, Thiago dos Santoshttp://buscatextual.cnpq.br/buscatextual/busca.do?metodo=apresentarhttp://lattes.cnpq.br/0861783767034817Ribeiro, Heitor Siqueira2019-09-10T18:50:18Z2019-02-25RIBEIRO, Heitor Siqueira. Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?. 2019. 66 f. Disserta????o (Programa Stricto Sensu em Educa????o F??sica) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019.https://bdtd.ucb.br:8443/jspui/handle/tede/2625The cardiovascular capacity of the individual with chronic kidney disease (CKD) tends to decline with the natural progression of the disease. In this sense, resistance training (RT) is an important non-pharmacological tool in the control and improvement of cardiovascular (CDV) parameters. However, there is no evidence of isometric handgrip RT in this population. Thus, the present study aimed to verify the effect of different isometric RT intensities on the acute response of CDV variables in CKD patients undergoing hemodialysis (HD). This was an experimental study, with acute intervention, cross-over design and sample of 8 patients, mean age 56.63 ?? 12.66 years, who undergoes HD at a private clinic in the city of Bras??lia ??? DF. The participants were randomly assigned to three different moments to analyze the response of the variables heart rate variability (HRV) and blood pressure (BP), being: 1) control; 2) lowintensity isometric RT; 3) moderate-intensity RT. Variables were collected at the beginning of session 5, 15, 30, 40, 60 minutes and immediately after the end. Isometric RT protocols, regardless of intensity, did not show a significant change for both HRV and BP variables during their performances, nor when compared to the control moment. When the moments immediately before and after exercise were analyzed, a significant increase was observed for SBP and DP in the protocol of moderateintensity, but returning to the normal value 10 minutes later. Therefore, the intradialytic isometric RT is a safe, simple and practical therapeutic tool for the intradialytic control of cardiovascular parameters in this population.A capacidade cardiovascular do indiv??duo portador de doen??a renal cr??nica tende a declinar com a progress??o natural da doen??a. Nesse sentido, o treinamento de for??a (TF) apresenta-se como uma importante ferramenta n??o farmacol??gica no controle e melhora dos par??metros cardiovasculares (CDV). Todavia, n??o h?? evid??ncias acerca do TF isom??trico com dinam??metro nesta popula????o. Assim, o presente estudo teve como objetivo verificar o efeito de diferentes intensidades do TF isom??trico na resposta aguda de vari??veis CDV em pacientes renais cr??nicos submetidos ?? hemodi??lise (HD). Este foi um estudo experimental, com interven????o aguda, desenho cross-over e amostra de 8 pacientes, com m??dia de idade de 56,63??12,66 anos, que realizam HD em uma cl??nica privada na cidade de Bras??lia ??? DF. Os participantes foram submetidos de forma randomizada a tr??s diferentes momentos para an??lise da resposta das vari??veis variabilidade da frequ??ncia card??aca (VFC) e press??o arterial (PA), sendo estes: 1) controle; 2) TF isom??trico de intensidade baixa; 3) TF isom??trico de intensidade moderada. As vari??veis foram coletadas ao in??cio da sess??o 5, 15, 30, 40, 60 minutos e imediatamente ao t??rmino. Os protocolos de TF isom??trico, independentemente da intensidade, n??o apresentaram altera????o significativa para ambas vari??veis VFC e PA durante as suas execu????es, nem quando comparados ao momento controle. Quando analisados os momentos imediatamente pr?? e p??s exerc??cio, observou-se um aumento significativo para a PA sist??lica e duplo produto no protocolo de intensidade moderada, por??m, retornando ao ideal 10 minutos ap??s. Portanto, o TF isom??trico intradial??tico com dinam??metro apresenta-se como uma ferramenta terap??utica segura no controle intradial??tico dos par??metros cardiovasculares nesta popula????o.Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2019-09-10T18:50:12Z No. of bitstreams: 1 HeitorSiqueiraRibeiroDissertacao2019.pdf: 1641551 bytes, checksum: ee314a18216ed4e802f4313ab23c7e1c (MD5)Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2019-09-10T18:50:18Z (GMT) No. of bitstreams: 1 HeitorSiqueiraRibeiroDissertacao2019.pdf: 1641551 bytes, checksum: ee314a18216ed4e802f4313ab23c7e1c (MD5)Made available in DSpace on 2019-09-10T18:50:18Z (GMT). No. of bitstreams: 1 HeitorSiqueiraRibeiroDissertacao2019.pdf: 1641551 bytes, checksum: ee314a18216ed4e802f4313ab23c7e1c (MD5) Previous issue date: 2019-02-25application/pdfhttps://200.214.135.178:8443/jspui/retrieve/7162/HeitorSiqueiraRibeiroDissertacao2019.pdf.jpgporUniversidade Cat??lica de Bras??liaPrograma Stricto Sensu em Educa????o F??sicaUCBBrasilEscola de Sa??de e MedicinaHemodi??lise.Doen??a renal cr??nicaTreinamento resistidoDoen??as cardiovascularesCardiovascular diseasesChronic kidney diseaseResistance trainingHemodialysisCNPQ::CIENCIAS DA SAUDETreinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UCBinstname:Universidade Católica de Brasília (UCB)instacron:UCBTHUMBNAILHeitorSiqueiraRibeiroDissertacao2019.pdf.jpgHeitorSiqueiraRibeiroDissertacao2019.pdf.jpgimage/jpeg4664https://200.214.135.178:8443/jspui/bitstream/tede/2625/4/HeitorSiqueiraRibeiroDissertacao2019.pdf.jpgba4c571d5445971a2c25b56d9abd56abMD54TEXTHeitorSiqueiraRibeiroDissertacao2019.pdf.txtHeitorSiqueiraRibeiroDissertacao2019.pdf.txttext/plain88231https://200.214.135.178:8443/jspui/bitstream/tede/2625/3/HeitorSiqueiraRibeiroDissertacao2019.pdf.txt0555b23e30d4980a4b728195edef8421MD53LICENSElicense.txtlicense.txttext/plain; charset=utf-81905https://200.214.135.178:8443/jspui/bitstream/tede/2625/1/license.txt75558dcf859532757239878b42f1c2c7MD51ORIGINALHeitorSiqueiraRibeiroDissertacao2019.pdfHeitorSiqueiraRibeiroDissertacao2019.pdfapplication/pdf1641551https://200.214.135.178:8443/jspui/bitstream/tede/2625/2/HeitorSiqueiraRibeiroDissertacao2019.pdfee314a18216ed4e802f4313ab23c7e1cMD52tede/26252020-07-07 16:01:31.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 Digital de Teses e Dissertaçõeshttps://bdtd.ucb.br:8443/jspui/
dc.title.por.fl_str_mv Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
title Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
spellingShingle Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
Ribeiro, Heitor Siqueira
Hemodi??lise.
Doen??a renal cr??nica
Treinamento resistido
Doen??as cardiovasculares
Cardiovascular diseases
Chronic kidney disease
Resistance training
Hemodialysis
CNPQ::CIENCIAS DA SAUDE
title_short Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
title_full Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
title_fullStr Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
title_full_unstemmed Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
title_sort Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?
author Ribeiro, Heitor Siqueira
author_facet Ribeiro, Heitor Siqueira
author_role author
dc.contributor.advisor1.fl_str_mv Rosa, Thiago dos Santos
dc.contributor.advisor1Lattes.fl_str_mv http://buscatextual.cnpq.br/buscatextual/busca.do?metodo=apresentar
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0861783767034817
dc.contributor.author.fl_str_mv Ribeiro, Heitor Siqueira
contributor_str_mv Rosa, Thiago dos Santos
dc.subject.por.fl_str_mv Hemodi??lise.
Doen??a renal cr??nica
Treinamento resistido
Doen??as cardiovasculares
topic Hemodi??lise.
Doen??a renal cr??nica
Treinamento resistido
Doen??as cardiovasculares
Cardiovascular diseases
Chronic kidney disease
Resistance training
Hemodialysis
CNPQ::CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Cardiovascular diseases
Chronic kidney disease
Resistance training
Hemodialysis
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE
dc.description.abstract.eng.fl_txt_mv The cardiovascular capacity of the individual with chronic kidney disease (CKD) tends to decline with the natural progression of the disease. In this sense, resistance training (RT) is an important non-pharmacological tool in the control and improvement of cardiovascular (CDV) parameters. However, there is no evidence of isometric handgrip RT in this population. Thus, the present study aimed to verify the effect of different isometric RT intensities on the acute response of CDV variables in CKD patients undergoing hemodialysis (HD). This was an experimental study, with acute intervention, cross-over design and sample of 8 patients, mean age 56.63 ?? 12.66 years, who undergoes HD at a private clinic in the city of Bras??lia ??? DF. The participants were randomly assigned to three different moments to analyze the response of the variables heart rate variability (HRV) and blood pressure (BP), being: 1) control; 2) lowintensity isometric RT; 3) moderate-intensity RT. Variables were collected at the beginning of session 5, 15, 30, 40, 60 minutes and immediately after the end. Isometric RT protocols, regardless of intensity, did not show a significant change for both HRV and BP variables during their performances, nor when compared to the control moment. When the moments immediately before and after exercise were analyzed, a significant increase was observed for SBP and DP in the protocol of moderateintensity, but returning to the normal value 10 minutes later. Therefore, the intradialytic isometric RT is a safe, simple and practical therapeutic tool for the intradialytic control of cardiovascular parameters in this population.
dc.description.abstract.por.fl_txt_mv A capacidade cardiovascular do indiv??duo portador de doen??a renal cr??nica tende a declinar com a progress??o natural da doen??a. Nesse sentido, o treinamento de for??a (TF) apresenta-se como uma importante ferramenta n??o farmacol??gica no controle e melhora dos par??metros cardiovasculares (CDV). Todavia, n??o h?? evid??ncias acerca do TF isom??trico com dinam??metro nesta popula????o. Assim, o presente estudo teve como objetivo verificar o efeito de diferentes intensidades do TF isom??trico na resposta aguda de vari??veis CDV em pacientes renais cr??nicos submetidos ?? hemodi??lise (HD). Este foi um estudo experimental, com interven????o aguda, desenho cross-over e amostra de 8 pacientes, com m??dia de idade de 56,63??12,66 anos, que realizam HD em uma cl??nica privada na cidade de Bras??lia ??? DF. Os participantes foram submetidos de forma randomizada a tr??s diferentes momentos para an??lise da resposta das vari??veis variabilidade da frequ??ncia card??aca (VFC) e press??o arterial (PA), sendo estes: 1) controle; 2) TF isom??trico de intensidade baixa; 3) TF isom??trico de intensidade moderada. As vari??veis foram coletadas ao in??cio da sess??o 5, 15, 30, 40, 60 minutos e imediatamente ao t??rmino. Os protocolos de TF isom??trico, independentemente da intensidade, n??o apresentaram altera????o significativa para ambas vari??veis VFC e PA durante as suas execu????es, nem quando comparados ao momento controle. Quando analisados os momentos imediatamente pr?? e p??s exerc??cio, observou-se um aumento significativo para a PA sist??lica e duplo produto no protocolo de intensidade moderada, por??m, retornando ao ideal 10 minutos ap??s. Portanto, o TF isom??trico intradial??tico com dinam??metro apresenta-se como uma ferramenta terap??utica segura no controle intradial??tico dos par??metros cardiovasculares nesta popula????o.
description The cardiovascular capacity of the individual with chronic kidney disease (CKD) tends to decline with the natural progression of the disease. In this sense, resistance training (RT) is an important non-pharmacological tool in the control and improvement of cardiovascular (CDV) parameters. However, there is no evidence of isometric handgrip RT in this population. Thus, the present study aimed to verify the effect of different isometric RT intensities on the acute response of CDV variables in CKD patients undergoing hemodialysis (HD). This was an experimental study, with acute intervention, cross-over design and sample of 8 patients, mean age 56.63 ?? 12.66 years, who undergoes HD at a private clinic in the city of Bras??lia ??? DF. The participants were randomly assigned to three different moments to analyze the response of the variables heart rate variability (HRV) and blood pressure (BP), being: 1) control; 2) lowintensity isometric RT; 3) moderate-intensity RT. Variables were collected at the beginning of session 5, 15, 30, 40, 60 minutes and immediately after the end. Isometric RT protocols, regardless of intensity, did not show a significant change for both HRV and BP variables during their performances, nor when compared to the control moment. When the moments immediately before and after exercise were analyzed, a significant increase was observed for SBP and DP in the protocol of moderateintensity, but returning to the normal value 10 minutes later. Therefore, the intradialytic isometric RT is a safe, simple and practical therapeutic tool for the intradialytic control of cardiovascular parameters in this population.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-09-10T18:50:18Z
dc.date.issued.fl_str_mv 2019-02-25
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dc.identifier.citation.fl_str_mv RIBEIRO, Heitor Siqueira. Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?. 2019. 66 f. Disserta????o (Programa Stricto Sensu em Educa????o F??sica) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019.
dc.identifier.uri.fl_str_mv https://bdtd.ucb.br:8443/jspui/handle/tede/2625
identifier_str_mv RIBEIRO, Heitor Siqueira. Treinamento de for??a isom??trico em pacientes renais cr??nicos submetidos ?? hemodi??lise: uma op????o segura?. 2019. 66 f. Disserta????o (Programa Stricto Sensu em Educa????o F??sica) - Universidade Cat??lica de Bras??lia, Bras??lia, 2019.
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dc.publisher.program.fl_str_mv Programa Stricto Sensu em Educa????o F??sica
dc.publisher.initials.fl_str_mv UCB
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Escola de Sa??de e Medicina
publisher.none.fl_str_mv Universidade Cat??lica de Bras??lia
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UCB
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