Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UNICENTRO |
Texto Completo: | http://tede.unicentro.br:8080/jspui/handle/jspui/1142 |
Resumo: | Introduction: The Heart Rate Variability (HRV) is a modulation marker of the Autonomic Nervous System (ANS), which is controlled, mostly, by the sympathetic and parasympathetic ways. It is known that the Physical Exercise (PE) changes the Cardiac Autonomic Modulation (CAM), however, for people with Type 1 Diabetes Mellitus (T1DM) the PE demands additional cares (e.g., glycemic monitoring), what turns the response of the CAM to the PE little explored in this population. Purpose: Analyze the acute response of the CAM during Continuous Physical Exercise (CPE) and Intermittent Physical Exercise (IPE) in adolescents with T1DM. Methodology: The analytic descriptive study (quasi-experimental design) included 15 adolescents (13.2±1.6 years) with T1DM, in 5 protocol stages: I) beginning – it was accomplished the identification of the general data, Cardiorespiratory Fitness (VO2max) test and implantation of the glycemic sensor; II) after 48h of the I stage – it was accomplished CPE test (30min., with 60% of the VO2max); III) after 48h of the II stage – it was accomplished the change of the glycemic sensor implanted in the I stage; IV) after 1 month of the III stage – it was accomplished IPE test (30min., with 60% of the VO2max), being included every 5min., 10sec. of intensity ≅100% of the VO2max; and V) after 48h of the IV stage – it was removed the glycemic sensor implanted in the III stage. There was glycemic monitoring before, during and after the tests. The participants used Polar® cardiac monitor during the exercises. For analysis of the HRV, the R-R interval (R-Ri) series recorded by the monitor were corrected with the Kubios® program. The Square Root of the Average Squared Differences of Successive R-Ri (RMSSD) and the not-lineal indexes of the HRV were compared between CPE and IPE with Wilcoxon’s test. The influence was verified with Covariance Analysis. It was considered the alpha error from 5%. Results: There was no difference in the RMSSD. In the not-lineal indexes, there was difference just in the absolute median magnitude of the Approximate Entropy (ApEn) and of the Sample Entropy (SampEn). The ApEn was 1.1 and 1.0 and the SampEn was 1.4 and 0.9 to CPE and IPE, respectively. Thus, the CPE elevated the ApEn (β: 0.10; IC95%: 0.04 – 0.17; p: 0.031) and the SampEn (β: 0.52; IC95%: 0.33 – 0.71; p: 0.001) regarding the IPE. Conclusion: The acute response of the CAM was little determined by the type of PE. The difference at the ApEn and SampEn they presuppose that the CPE produce larger irregularity in the CAM. As wisely adolescents with T1DM have propensity to low cardiac resistance for PE, when considering exclusively the influence on CAM, the alteration observed at regularity (ApEn and SampEn) of the HRV (R-Ri), indicates that the CPE can be more recommended for this public (i.e., CPE overloads less the CAM than IPE in a session with the same duration). |
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Mascarenhas, Luis Paulo Gomeshttp://lattes.cnpq.br/4187937070880705078.175.679-05http://lattes.cnpq.br/6345742901283190Smouter, Leandro2019-07-03T19:59:44Z2019-03-27Smouter, Leandro. Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1. 2019. 73 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR.http://tede.unicentro.br:8080/jspui/handle/jspui/1142Introduction: The Heart Rate Variability (HRV) is a modulation marker of the Autonomic Nervous System (ANS), which is controlled, mostly, by the sympathetic and parasympathetic ways. It is known that the Physical Exercise (PE) changes the Cardiac Autonomic Modulation (CAM), however, for people with Type 1 Diabetes Mellitus (T1DM) the PE demands additional cares (e.g., glycemic monitoring), what turns the response of the CAM to the PE little explored in this population. Purpose: Analyze the acute response of the CAM during Continuous Physical Exercise (CPE) and Intermittent Physical Exercise (IPE) in adolescents with T1DM. Methodology: The analytic descriptive study (quasi-experimental design) included 15 adolescents (13.2±1.6 years) with T1DM, in 5 protocol stages: I) beginning – it was accomplished the identification of the general data, Cardiorespiratory Fitness (VO2max) test and implantation of the glycemic sensor; II) after 48h of the I stage – it was accomplished CPE test (30min., with 60% of the VO2max); III) after 48h of the II stage – it was accomplished the change of the glycemic sensor implanted in the I stage; IV) after 1 month of the III stage – it was accomplished IPE test (30min., with 60% of the VO2max), being included every 5min., 10sec. of intensity ≅100% of the VO2max; and V) after 48h of the IV stage – it was removed the glycemic sensor implanted in the III stage. There was glycemic monitoring before, during and after the tests. The participants used Polar® cardiac monitor during the exercises. For analysis of the HRV, the R-R interval (R-Ri) series recorded by the monitor were corrected with the Kubios® program. The Square Root of the Average Squared Differences of Successive R-Ri (RMSSD) and the not-lineal indexes of the HRV were compared between CPE and IPE with Wilcoxon’s test. The influence was verified with Covariance Analysis. It was considered the alpha error from 5%. Results: There was no difference in the RMSSD. In the not-lineal indexes, there was difference just in the absolute median magnitude of the Approximate Entropy (ApEn) and of the Sample Entropy (SampEn). The ApEn was 1.1 and 1.0 and the SampEn was 1.4 and 0.9 to CPE and IPE, respectively. Thus, the CPE elevated the ApEn (β: 0.10; IC95%: 0.04 – 0.17; p: 0.031) and the SampEn (β: 0.52; IC95%: 0.33 – 0.71; p: 0.001) regarding the IPE. Conclusion: The acute response of the CAM was little determined by the type of PE. The difference at the ApEn and SampEn they presuppose that the CPE produce larger irregularity in the CAM. As wisely adolescents with T1DM have propensity to low cardiac resistance for PE, when considering exclusively the influence on CAM, the alteration observed at regularity (ApEn and SampEn) of the HRV (R-Ri), indicates that the CPE can be more recommended for this public (i.e., CPE overloads less the CAM than IPE in a session with the same duration).Introdução: A Variabilidade da Frequência Cardíaca (VFC) é um marcador de modulação do Sistema Nervoso Autônomo (SNA), o qual é controlado, principalmente, pelas vias simpática e parassimpática. Sabe-se que o Exercício Físico (EF) altera a Modulação Autonômica Cardíaca (MAC), entretanto, para pessoas com Diabetes Mellitus Tipo 1 (DMT1) o EF exige cuidados adicionais (por exemplo, monitoramento glicêmico), o que torna a resposta da MAC ao EF pouco explorada nessa população. Objetivo: Analisar a resposta aguda da MAC durante Exercício Físico Contínuo (EFC) e Exercício Físico Intermitente (EFI) em adolescentes com DMT1. Metodologia: O estudo descritivo analítico (desenho quase-experimental) incluiu 15 adolescentes (13,2±1,6 anos) com DMT1, em 5 etapas de protocolo: I) início – realizou-se a identificação dos dados gerais, teste de Aptidão Cardiorrespiratória (VO2máx) e implantação do sensor glicêmico; II) após 48h da etapa I – realizou-se o teste de EFC (30min., com 60% do VO2máx); III) após 48h da etapa II – realizou-se a troca do sensor glicêmico implantado na etapa I; IV) após 1 mês da etapa III – realizou-se o teste de EFI (30min., com 60% do VO2máx), incluindo-se a cada 5min., 10seg. de intensidade ≅100% do VO2máx; V) após 48h da etapa IV – realizou-se a retirada do sensor glicêmico implantado na etapa III. Houve monitoramento glicêmico antes, durante e após os testes. Os participantes utilizaram monitor cardíaco Polar® no decorrer dos exercícios. Para análise da VFC, as séries do intervalo R-R (iR-R) gravadas pelo monitor foram corrigidas com o programa Kubios®. A Raiz Quadrada da Média do Quadrado das Diferenças entre os iR-R Normais Adjacentes (RMSSD) e os índices não-lineares da VFC foram comparados entre EFC e EFI com o teste de Wilcoxon. A influência foi verificada com a Análise de Covariância. Foi considerado o erro alfa de 5%. Resultados: Não houve diferença na RMSSD. Nos índices não-lineares, houve diferença apenas na magnitude mediana absoluta da Entropia Aproximada (ApEn) e da Entropia da Amostra (SampEn). A ApEn foi de 1,1 e 1,0 e a SampEn foi de 1,4 e 0,9 para EFC e EFI, respectivamente. Desse modo, o EFC elevou a ApEn (β: 0,10; IC95%: 0,04 – 0,17; p: 0,031) e a SampEn (β: 0,52; IC95%: 0,33 – 0,71; p: 0,001) em relação ao EFI. Conclusão: A resposta aguda da MAC foi pouco determinada pelo tipo de EF. A diferença na ApEn e na SampEn pressupõem que o EFC produz maior irregularidade na MAC. Como sabidamente adolescentes com DMT1 têm propensão à baixa resistência cardíaca para o EF, ao considerar exclusivamente a influência sobre a MAC, a alteração observada na regularidade (ApEn e SampEn) da VFC (iR-R), indica que o EFC pode ser mais recomendado para esse público (ou seja, EFC sobrecarrega menos a MAC do que EFI em uma sessão com a mesma duração).Submitted by Elaine Souza (efsouza@unicentro.br) on 2019-07-03T19:59:44Z No. of bitstreams: 1 Leandro Smouter Dissertação - Versão Final.pdf: 3275839 bytes, checksum: 802ca22511e3c052384849dd00d1a754 (MD5)Made available in DSpace on 2019-07-03T19:59:44Z (GMT). No. of bitstreams: 1 Leandro Smouter Dissertação - Versão Final.pdf: 3275839 bytes, checksum: 802ca22511e3c052384849dd00d1a754 (MD5) Previous issue date: 2019-03-27Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfhttp://tede.unicentro.br:8080/jspui/retrieve/4238/Leandro%20Smouter%20Disserta%c3%a7%c3%a3o%20-%20Vers%c3%a3o%20Final.pdf.jpgporUniversidade Estadual do Centro-OestePrograma de Pós-Graduação em Desenvolvimento Comunitário (Mestrado Interdisciplinar)UNICENTROBrasilUnicentro::Departamento de Saúde de IratiSistema Nervoso AutônomoExercício FísicoDiabetes Mellitus Tipo 1Autonomic Nervous SystemPhysical ExerciseDiabetes MellitusType 1CIENCIAS HUMANASCIENCIAS SOCIAIS APLICADASInfluência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1Influence of Continuous and Intermittent Physical Exercise on Heart Rate Variability of Adolescents with Type 1 Diabetesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-4515693129068426850600600600500600-81592662142740531319140982858537030970-19880619442701333922075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UNICENTROinstname:Universidade Estadual do Centro-Oeste (UNICENTRO)instacron:UNICENTROTHUMBNAILLeandro Smouter Dissertação - Versão Final.pdf.jpgLeandro Smouter Dissertação - Versão Final.pdf.jpgimage/jpeg3947http://localhost:8080/tede/bitstream/jspui/1142/4/Leandro+Smouter+Disserta%C3%A7%C3%A3o+-+Vers%C3%A3o+Final.pdf.jpg1690f09c53cd08a0558a8e1f27f48f19MD54TEXTLeandro Smouter Dissertação - Versão Final.pdf.txtLeandro Smouter Dissertação - Versão Final.pdf.txttext/plain122834http://localhost:8080/tede/bitstream/jspui/1142/3/Leandro+Smouter+Disserta%C3%A7%C3%A3o+-+Vers%C3%A3o+Final.pdf.txtd5de12358a47736082ed23bfd3edc975MD53ORIGINALLeandro Smouter Dissertação - Versão Final.pdfLeandro Smouter Dissertação - Versão Final.pdfapplication/pdf3275839http://localhost:8080/tede/bitstream/jspui/1142/2/Leandro+Smouter+Disserta%C3%A7%C3%A3o+-+Vers%C3%A3o+Final.pdf802ca22511e3c052384849dd00d1a754MD52LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
dc.title.alternative.eng.fl_str_mv |
Influence of Continuous and Intermittent Physical Exercise on Heart Rate Variability of Adolescents with Type 1 Diabetes |
title |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
spellingShingle |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 Smouter, Leandro Sistema Nervoso Autônomo Exercício Físico Diabetes Mellitus Tipo 1 Autonomic Nervous System Physical Exercise Diabetes Mellitus Type 1 CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
title_short |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
title_full |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
title_fullStr |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
title_full_unstemmed |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
title_sort |
Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1 |
author |
Smouter, Leandro |
author_facet |
Smouter, Leandro |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mascarenhas, Luis Paulo Gomes |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4187937070880705 |
dc.contributor.authorID.fl_str_mv |
078.175.679-05 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6345742901283190 |
dc.contributor.author.fl_str_mv |
Smouter, Leandro |
contributor_str_mv |
Mascarenhas, Luis Paulo Gomes |
dc.subject.por.fl_str_mv |
Sistema Nervoso Autônomo Exercício Físico Diabetes Mellitus Tipo 1 |
topic |
Sistema Nervoso Autônomo Exercício Físico Diabetes Mellitus Tipo 1 Autonomic Nervous System Physical Exercise Diabetes Mellitus Type 1 CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
dc.subject.eng.fl_str_mv |
Autonomic Nervous System Physical Exercise Diabetes Mellitus Type 1 |
dc.subject.cnpq.fl_str_mv |
CIENCIAS HUMANAS CIENCIAS SOCIAIS APLICADAS |
description |
Introduction: The Heart Rate Variability (HRV) is a modulation marker of the Autonomic Nervous System (ANS), which is controlled, mostly, by the sympathetic and parasympathetic ways. It is known that the Physical Exercise (PE) changes the Cardiac Autonomic Modulation (CAM), however, for people with Type 1 Diabetes Mellitus (T1DM) the PE demands additional cares (e.g., glycemic monitoring), what turns the response of the CAM to the PE little explored in this population. Purpose: Analyze the acute response of the CAM during Continuous Physical Exercise (CPE) and Intermittent Physical Exercise (IPE) in adolescents with T1DM. Methodology: The analytic descriptive study (quasi-experimental design) included 15 adolescents (13.2±1.6 years) with T1DM, in 5 protocol stages: I) beginning – it was accomplished the identification of the general data, Cardiorespiratory Fitness (VO2max) test and implantation of the glycemic sensor; II) after 48h of the I stage – it was accomplished CPE test (30min., with 60% of the VO2max); III) after 48h of the II stage – it was accomplished the change of the glycemic sensor implanted in the I stage; IV) after 1 month of the III stage – it was accomplished IPE test (30min., with 60% of the VO2max), being included every 5min., 10sec. of intensity ≅100% of the VO2max; and V) after 48h of the IV stage – it was removed the glycemic sensor implanted in the III stage. There was glycemic monitoring before, during and after the tests. The participants used Polar® cardiac monitor during the exercises. For analysis of the HRV, the R-R interval (R-Ri) series recorded by the monitor were corrected with the Kubios® program. The Square Root of the Average Squared Differences of Successive R-Ri (RMSSD) and the not-lineal indexes of the HRV were compared between CPE and IPE with Wilcoxon’s test. The influence was verified with Covariance Analysis. It was considered the alpha error from 5%. Results: There was no difference in the RMSSD. In the not-lineal indexes, there was difference just in the absolute median magnitude of the Approximate Entropy (ApEn) and of the Sample Entropy (SampEn). The ApEn was 1.1 and 1.0 and the SampEn was 1.4 and 0.9 to CPE and IPE, respectively. Thus, the CPE elevated the ApEn (β: 0.10; IC95%: 0.04 – 0.17; p: 0.031) and the SampEn (β: 0.52; IC95%: 0.33 – 0.71; p: 0.001) regarding the IPE. Conclusion: The acute response of the CAM was little determined by the type of PE. The difference at the ApEn and SampEn they presuppose that the CPE produce larger irregularity in the CAM. As wisely adolescents with T1DM have propensity to low cardiac resistance for PE, when considering exclusively the influence on CAM, the alteration observed at regularity (ApEn and SampEn) of the HRV (R-Ri), indicates that the CPE can be more recommended for this public (i.e., CPE overloads less the CAM than IPE in a session with the same duration). |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-07-03T19:59:44Z |
dc.date.issued.fl_str_mv |
2019-03-27 |
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 |
Smouter, Leandro. Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1. 2019. 73 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR. |
dc.identifier.uri.fl_str_mv |
http://tede.unicentro.br:8080/jspui/handle/jspui/1142 |
identifier_str_mv |
Smouter, Leandro. Influência do Exercício Físico Contínuo e Intermitente na Variabilidade da Frequência Cardíaca de Adolescentes com Diabetes Tipo 1. 2019. 73 f. Dissertação (Programa de Pós-Graduação em Desenvolvimento Comunitário - Mestrado Interdisciplinar) - Universidade Estadual do Centro-Oeste, Irati-PR. |
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Universidade Estadual do Centro-Oeste |
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