The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.3390/ijerph182111460 http://hdl.handle.net/11449/231541 |
Resumo: | Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Re-sults: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms2) was higher and the LF/HF ratio was lower for the stroke group than the control group (p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recov-ery, with similar responses found in the healthy elderly group. |
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The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policyAgingAutonomic nervous systemExerciseHeart rate variabilityStrokeBackground and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Re-sults: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms2) was higher and the LF/HF ratio was lower for the stroke group than the control group (p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recov-ery, with similar responses found in the healthy elderly group.Faculdade de Saúde Pública Universidade de São Paulo, Av. Dr. Arnaldo, 715Laboratório de Delineamento de Estudos e Escrita Científica Centro Universitário FMABC, Av. Lauro Gomes, 2000—Vila Sacadura CabralDisciplina de Ginecologia Departamento de Obstetrícia e Ginecologia Hospital das Clínicas Faculdade de Medicina FMUSP Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, PacaembuDepartamento de Ciencias de la Salud Florencio Varela 1903 Universidad Nacional de La MatanzaDepartamento de Cardiologia Universidade Federal de São Paulo, Rua Sena Madureira, 1500—1º Andar—Vila ClementinoEscola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Avenida Nossa Senhora da Penha, 2190—Bela VistaUniversidade de São Paulo Faculdade de Medicina da USP, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SPCentro de Estudos do Sistema Nervoso Autônomo (CESNA) Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737School of Medicine University of Limerick, CastletroyDepartamento de Educação Integrada em Saúde Universidade Federal do Espírito Santo (UFES), Av. Fernando Ferrari, 514-GoiabeirasCentro de Estudos do Sistema Nervoso Autônomo (CESNA) Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737Universidade de São Paulo (USP)Centro Universitário FMABCUniversidad Nacional de La MatanzaUniversidade Federal de São Paulo (UNIFESP)Escola Superior de Ciências da Santa Casa de Misericórdia de VitóriaUniversidade Estadual Paulista (UNESP)University of LimerickUniversidade Federal do Espírito Santo (UFES)Raimundo, Rodrigo DaminelloZangirolami-Raimundo, JulianaLeone, Claudiode Carvalho, Tatiana Diasda Silva, Talita DiasBezerra, Italla Maria Pinheirode Almeida, Alvaro DantasValenti, Vitor Engracia [UNESP]de Abreu, Luiz Carlos [UNESP]2022-04-29T08:46:03Z2022-04-29T08:46:03Z2021-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.3390/ijerph182111460International Journal of Environmental Research and Public Health, v. 18, n. 21, 2021.1660-46011661-7827http://hdl.handle.net/11449/23154110.3390/ijerph1821114602-s2.0-85118158039Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Environmental Research and Public Healthinfo:eu-repo/semantics/openAccess2022-04-29T08:46:03Zoai:repositorio.unesp.br:11449/231541Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462022-04-29T08:46:03Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
title |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
spellingShingle |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy Raimundo, Rodrigo Daminello Aging Autonomic nervous system Exercise Heart rate variability Stroke |
title_short |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
title_full |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
title_fullStr |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
title_full_unstemmed |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
title_sort |
The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy |
author |
Raimundo, Rodrigo Daminello |
author_facet |
Raimundo, Rodrigo Daminello Zangirolami-Raimundo, Juliana Leone, Claudio de Carvalho, Tatiana Dias da Silva, Talita Dias Bezerra, Italla Maria Pinheiro de Almeida, Alvaro Dantas Valenti, Vitor Engracia [UNESP] de Abreu, Luiz Carlos [UNESP] |
author_role |
author |
author2 |
Zangirolami-Raimundo, Juliana Leone, Claudio de Carvalho, Tatiana Dias da Silva, Talita Dias Bezerra, Italla Maria Pinheiro de Almeida, Alvaro Dantas Valenti, Vitor Engracia [UNESP] de Abreu, Luiz Carlos [UNESP] |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Centro Universitário FMABC Universidad Nacional de La Matanza Universidade Federal de São Paulo (UNIFESP) Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória Universidade Estadual Paulista (UNESP) University of Limerick Universidade Federal do Espírito Santo (UFES) |
dc.contributor.author.fl_str_mv |
Raimundo, Rodrigo Daminello Zangirolami-Raimundo, Juliana Leone, Claudio de Carvalho, Tatiana Dias da Silva, Talita Dias Bezerra, Italla Maria Pinheiro de Almeida, Alvaro Dantas Valenti, Vitor Engracia [UNESP] de Abreu, Luiz Carlos [UNESP] |
dc.subject.por.fl_str_mv |
Aging Autonomic nervous system Exercise Heart rate variability Stroke |
topic |
Aging Autonomic nervous system Exercise Heart rate variability Stroke |
description |
Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Re-sults: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms2) was higher and the LF/HF ratio was lower for the stroke group than the control group (p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recov-ery, with similar responses found in the healthy elderly group. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-01 2022-04-29T08:46:03Z 2022-04-29T08:46:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.3390/ijerph182111460 International Journal of Environmental Research and Public Health, v. 18, n. 21, 2021. 1660-4601 1661-7827 http://hdl.handle.net/11449/231541 10.3390/ijerph182111460 2-s2.0-85118158039 |
url |
http://dx.doi.org/10.3390/ijerph182111460 http://hdl.handle.net/11449/231541 |
identifier_str_mv |
International Journal of Environmental Research and Public Health, v. 18, n. 21, 2021. 1660-4601 1661-7827 10.3390/ijerph182111460 2-s2.0-85118158039 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Environmental Research and Public Health |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1799964838536937472 |