Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/219867 |
Resumo: | The literature on hemodynamic responses during inspiratory muscle exercise (IME) lacks a consensus. To evaluate and compare hemodynamic responses during an IME session with and without resistive load, 15 sedentary men were subjected to two randomized IME sessions: one with 40% of maximal inspiratory pressure (IME 40%) and another without a resistive load (Sham), both of which were performed for two minutes over eight sets with oneminute intervals. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), total peripheral resistance (TPR), stroke volume (SV), cardiac output (CO), and heart rate (HR) were measured by infrared digital photoplethysmography during five basal minutes and during the IME sessions. One-way ANOVA analysis of variance and the Student’s t test for paired data were used to analyze hemodynamic response and delta values between sessions, respectively. Effect size was evaluated by Cohen’s D. A 5% significance level was adopted. SBP responses (sham: ∆−1±2 vs. 40%: ∆−4±2mmHg, p=0.27), DBP (sham: ∆2±1 vs. 40%: ∆1±2mmHg, p=0.60) and MBP (sham: ∆2±1 vs. 40%: ∆0±2mmHg, p=0.28) were similar between sessions. HR increases were higher in the 40% IME session than in the sham session (sham: ∆9±2 vs. 40%: ∆3±2bpm, p=0.001). SV only decreased during the sham session but responses were similar between sessions (sham: ∆−2±2 vs. IME 40%: ∆−6±2ml, p=0.13). Both sessions did not change SBP, DBP, MBP, CO, and TPR, but we observed a greater increase in HR in the IME 40% session. Only the Sham session decreased SV. |
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Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanosHemodynamic responses during inspiratory muscle exercise in healthy young adultsRespostas hemodinâmicas durante exercício muscular inspiratório em jovens saudáveis| Breathing ExercisesHemodynamicsYoung AdultEjercicios RespiratoriosHemodinámicaAdulto Joven| Exercícios RespiratóriosHemodinâmicaAdulto JovemThe literature on hemodynamic responses during inspiratory muscle exercise (IME) lacks a consensus. To evaluate and compare hemodynamic responses during an IME session with and without resistive load, 15 sedentary men were subjected to two randomized IME sessions: one with 40% of maximal inspiratory pressure (IME 40%) and another without a resistive load (Sham), both of which were performed for two minutes over eight sets with oneminute intervals. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), total peripheral resistance (TPR), stroke volume (SV), cardiac output (CO), and heart rate (HR) were measured by infrared digital photoplethysmography during five basal minutes and during the IME sessions. One-way ANOVA analysis of variance and the Student’s t test for paired data were used to analyze hemodynamic response and delta values between sessions, respectively. Effect size was evaluated by Cohen’s D. A 5% significance level was adopted. SBP responses (sham: ∆−1±2 vs. 40%: ∆−4±2mmHg, p=0.27), DBP (sham: ∆2±1 vs. 40%: ∆1±2mmHg, p=0.60) and MBP (sham: ∆2±1 vs. 40%: ∆0±2mmHg, p=0.28) were similar between sessions. HR increases were higher in the 40% IME session than in the sham session (sham: ∆9±2 vs. 40%: ∆3±2bpm, p=0.001). SV only decreased during the sham session but responses were similar between sessions (sham: ∆−2±2 vs. IME 40%: ∆−6±2ml, p=0.13). Both sessions did not change SBP, DBP, MBP, CO, and TPR, but we observed a greater increase in HR in the IME 40% session. Only the Sham session decreased SV.A literatura carece de um consenso sobre respostas hemodinâmicas durante o exercício muscular inspiratório (EMI). Este estudo buscou avaliar e comparar as respostas hemodinâmicas durante uma sessão de EMI com e sem carga resistiva. Para tanto, 15 homens sedentários foram submetidos a duas sessõesrandomizadas de EMI: 40% da pressão inspiratória máxima (EMI 40%) e sem carga resistiva (sham), realizadas por dois minutos em oito séries e com intervalos de um minuto. A pressão arterial sistólica (PAS), pressão arterial diastólica (PAD), pressão arterial média (PAM), resistência periférica total (RPT), volume sistólico (VS), débito cardíaco (DC) e frequência cardíaca (FC) foram medidos por fotopletismografia infravermelha digital por cinco minutos basais e durante as sessões de EMI. Anova de um fator e o teste t de Student para dados pareados foram usados para analisar a resposta hemodinâmica e os valores delta entre as sessões, respectivamente. O tamanho do efeito foi avaliado pelo d de Cohen. Adotou-se nível de significância de 5%. As respostas de PAS (sham: ∆−1±2 vs. 40%: ∆−4±2mmHg, p=0,27), PAD (sham: ∆2±1 vs. 40%: ∆1±2mmHg, p=0,60) e PAM (sham: ∆2±1 vs. 40%:∆0±2mmHg, p=0,28) foram semelhantes entre as sessões. Os aumentos da FC foram maiores na sessão de EMI 40% do que nas sessões sham (sham: ∆9±2 vs. 40%: ∆3±2bpm, p=0,001). O VS diminuiu exclusivamente durante a sessão sham mas a resposta foi semelhante entre as sessões (sham: ∆−2±2 vs. EMI 40%: ∆−6±2ml, p=0,13). Ambas as sessões não causaram alteração nas variáveis PAS, PAD, PAM, DC e RPT, mas notamos um aumento maior da FC na sessão EMI 40%. Apenas a sessão sham reduziu o VS.No hay consenso en la literatura sobre las respuestas hemodinámicas durante el ejercicio muscular inspiratorio (EMI).El objetivo de este estudio fue evaluar y comparar las respuestas hemodinámicas durante una sesión de EMI con y sin carga resistiva. Para ello, quince hombres sedentarios recibieron dos sesiones aleatorias de EMI: el 40% de la presión inspiratoria máxima (EMI40%) y sin carga resistiva (sham), realizadas durante dos minutos, ocho sesiones y a intervalos de un minuto. La presión arterialsistólica (PAS), la presión arterial diastólica (PAD), la presión arterial media (PAM), la resistencia periférica total (RPT), el volumensistólico (VS), el gasto cardíaco (GC) y la frecuencia cardíaca (FC) se midieron mediante fotopletismografía infrarroja digital durantecinco minutos al inicio y durante las sesiones de EMI. Se utilizaron ANOVA unidireccional y la prueba t de Student a datos emparejadospara analizar la respuesta hemodinámica y los valores delta entre las sesiones. El tamaño del efecto se evaluó por el d de Cohen. Elnivel de significancia adoptado fue de 5%. Las respuestas de PAS (sham: Δ−1±2 vs. 40%: ∆−4±2mmHg, p=0,27), PAD (sham: ∆2±1 vs.40%: ∆1±2mmHg, p=0,60) y PAM (sham: ∆2±1 vs. 40%: ∆0±2mmHg,p=0,28) fueron similares entre las sesiones. El incremento de la FC fue mayor en la sesión de EMI 40% comparada con la sesión sham (sham: Δ9±2 vs. 40%: ∆3±2bpm, p=0,001). El VS tuvo una disminución exclusiva durante la sesión sham, pero la respuestafue similar entre las sesiones (sham: Δ−2±2 vs. EMI 40%: ∆−6±2ml, p=0,13). Ambas sesiones no tuvieron cambios en las variables PAS, PAD, PAM, DC y RPT, pero se observó un mayor incremento de la FC en la sesión EMI 40%. Solamente en la sesión sham hubo una reducción del VSUniversidade de São Paulo. Faculdade de Medicina2023-12-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/21986710.1590/1809-2950/e2302033023ptFisioterapia e Pesquisa; Vol. 30 No. 3 (2023); e2302033023ptFisioterapia e Pesquisa; Vol. 30 Núm. 3 (2023); e2302033023ptFisioterapia e Pesquisa; v. 30 n. 3 (2023); e2302033023pt2316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/fpusp/article/view/219867/200736https://www.revistas.usp.br/fpusp/article/view/219867/200735Copyright (c) 2023 Leila Dal Poggetto Moreira, Lilian Pinto da Silva, Vinícius Faria Weiss, Rita de Cássia Sene, Pedro Augusto de Carvalho Mira, Patrícia Fernandes Trevizan, Mateus Camaroti Laterza, Daniel Godoy Martinezhttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessMoreira, Leila Dal Poggetto Silva, Lilian Pinto da Weiss, Vinícius Faria Sene, Rita de Cássia Mira, Pedro Augusto de Carvalho Trevizan, Patrícia Fernandes Laterza, Mateus Camaroti Martinez, Daniel Godoy 2023-12-07T21:02:58Zoai:revistas.usp.br:article/219867Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-12-07T21:02:58Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos Hemodynamic responses during inspiratory muscle exercise in healthy young adults Respostas hemodinâmicas durante exercício muscular inspiratório em jovens saudáveis |
title |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
spellingShingle |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos Moreira, Leila Dal Poggetto | Breathing Exercises Hemodynamics Young Adult Ejercicios Respiratorios Hemodinámica Adulto Joven | Exercícios Respiratórios Hemodinâmica Adulto Jovem |
title_short |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
title_full |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
title_fullStr |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
title_full_unstemmed |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
title_sort |
Respuestas hemodinámicas durante el ejercicio de los músculos inspiratorios en adultos jóvenes sanos |
author |
Moreira, Leila Dal Poggetto |
author_facet |
Moreira, Leila Dal Poggetto Silva, Lilian Pinto da Weiss, Vinícius Faria Sene, Rita de Cássia Mira, Pedro Augusto de Carvalho Trevizan, Patrícia Fernandes Laterza, Mateus Camaroti Martinez, Daniel Godoy |
author_role |
author |
author2 |
Silva, Lilian Pinto da Weiss, Vinícius Faria Sene, Rita de Cássia Mira, Pedro Augusto de Carvalho Trevizan, Patrícia Fernandes Laterza, Mateus Camaroti Martinez, Daniel Godoy |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Moreira, Leila Dal Poggetto Silva, Lilian Pinto da Weiss, Vinícius Faria Sene, Rita de Cássia Mira, Pedro Augusto de Carvalho Trevizan, Patrícia Fernandes Laterza, Mateus Camaroti Martinez, Daniel Godoy |
dc.subject.por.fl_str_mv |
| Breathing Exercises Hemodynamics Young Adult Ejercicios Respiratorios Hemodinámica Adulto Joven | Exercícios Respiratórios Hemodinâmica Adulto Jovem |
topic |
| Breathing Exercises Hemodynamics Young Adult Ejercicios Respiratorios Hemodinámica Adulto Joven | Exercícios Respiratórios Hemodinâmica Adulto Jovem |
description |
The literature on hemodynamic responses during inspiratory muscle exercise (IME) lacks a consensus. To evaluate and compare hemodynamic responses during an IME session with and without resistive load, 15 sedentary men were subjected to two randomized IME sessions: one with 40% of maximal inspiratory pressure (IME 40%) and another without a resistive load (Sham), both of which were performed for two minutes over eight sets with oneminute intervals. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), total peripheral resistance (TPR), stroke volume (SV), cardiac output (CO), and heart rate (HR) were measured by infrared digital photoplethysmography during five basal minutes and during the IME sessions. One-way ANOVA analysis of variance and the Student’s t test for paired data were used to analyze hemodynamic response and delta values between sessions, respectively. Effect size was evaluated by Cohen’s D. A 5% significance level was adopted. SBP responses (sham: ∆−1±2 vs. 40%: ∆−4±2mmHg, p=0.27), DBP (sham: ∆2±1 vs. 40%: ∆1±2mmHg, p=0.60) and MBP (sham: ∆2±1 vs. 40%: ∆0±2mmHg, p=0.28) were similar between sessions. HR increases were higher in the 40% IME session than in the sham session (sham: ∆9±2 vs. 40%: ∆3±2bpm, p=0.001). SV only decreased during the sham session but responses were similar between sessions (sham: ∆−2±2 vs. IME 40%: ∆−6±2ml, p=0.13). Both sessions did not change SBP, DBP, MBP, CO, and TPR, but we observed a greater increase in HR in the IME 40% session. Only the Sham session decreased SV. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/219867 10.1590/1809-2950/e2302033023pt |
url |
https://www.revistas.usp.br/fpusp/article/view/219867 |
identifier_str_mv |
10.1590/1809-2950/e2302033023pt |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/219867/200736 https://www.revistas.usp.br/fpusp/article/view/219867/200735 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 30 No. 3 (2023); e2302033023pt Fisioterapia e Pesquisa; Vol. 30 Núm. 3 (2023); e2302033023pt Fisioterapia e Pesquisa; v. 30 n. 3 (2023); e2302033023pt 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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