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1.
Int J Sports Med ; 37(2): 112-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26509383

RESUMO

The aim of this study was to determine the anaerobic threshold (AT) in a population of healthy and post-myocardial infarction men by applying Hinkley's mathematical method and comparing its performance to the ventilatory visual method. This mathematical model, in lieu of observer-dependent visual determination, can produce more reliable results due to the uniformity of the procedure. 17 middle-aged men (55±3 years) were studied in 2 groups: 9 healthy men (54±2 years); and 8 men with previous myocardial infarction (57±3 years). All subjects underwent an incremental ramp exercise test until physical exhaustion. Breath-by-breath ventilatory variables, heart rate (HR), and vastus lateralis surface electromyography (sEMG) signal were collected throughout the test. Carbon dioxide output (V˙CO2), HR, and sEMG were studied, and the AT determination methods were compared using correlation coefficients and Bland-Altman plots. Parametric statistical tests were applied with significance level set at 5%. No significant differences were found in the HR, sEMG, and ventilatory variables at AT between the different methods, such as the intensity of effort relative to AT. Moreover, important concordance and significant correlations were observed between the methods. We concluded that the mathematical model was suitable for detecting the AT in both healthy and myocardial infarction subjects.


Assuntos
Limiar Anaeróbio/fisiologia , Modelos Estatísticos , Infarto do Miocárdio/fisiopatologia , Antropometria , Dióxido de Carbono/fisiologia , Estudos Transversais , Eletromiografia , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Troca Gasosa Pulmonar , Fatores de Risco
2.
Int J Sports Med ; 34(8): 712-9, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23382009

RESUMO

The purpose of this study was to investigate whether the critical force (CritF) and anaerobic impulse capacity (AIC) - estimated by tethered swimming - reflect the aerobic and anaerobic performance of swimmers. 12 swimmers performed incremental test in tethered swimming to determine lactate anaerobic threshold (AnTLAC), maximal oxygen uptake ( ˙VO2MAX) and force associated with the ˙VO2MAX (i ˙VO2MAX). The swimmers performed 4 exhaustive (tlim) exercise bouts (100, 110, 120 and 130% i ˙VO2MAX) to compute the CritF and AIC (F vs. 1/tlim model); a 30-s all-out tethered swimming bout to determine their anaerobic fitness (ANF); 100, 200, and 400-m time-trials to determine the swimming performance. CritF (57.09±11.77 N) did not differ from AnTLAC (53.96±11.52 N, (P>0.05) but was significantly lower than i ˙VO2MAX (71.02±8.36 N). In addition, CritF presented significant correlation with AnTLAC (r=0.76; P<0.05) and i ˙VO2MAX (r=0.74; P<0.05). On the other hand, AIC (286.19±54.91 N.s) and ANF (116.10±13.66 N) were significantly correlated (r=0.81, p<0.05). In addition, CritF and AIC presented significant correlations with all time-trials. In summary, this study demonstrates that CritF and AIC can be used to evaluate AnTLAC and ANF and to predict 100, 200, and 400-m free swimming.


Assuntos
Limiar Anaeróbio/fisiologia , Desempenho Atlético/fisiologia , Consumo de Oxigênio/fisiologia , Natação/fisiologia , Adolescente , Teste de Esforço/métodos , Feminino , Humanos , Ácido Láctico/sangue , Masculino
3.
Braz. j. med. biol. res ; 45(5): 450-458, May 2012. ilus, tab
Artigo em Inglês | LILACS | ID: lil-622766

RESUMO

The objectives of this study were to evaluate and compare the use of linear and nonlinear methods for analysis of heart rate variability (HRV) in healthy subjects and in patients after acute myocardial infarction (AMI). Heart rate (HR) was recorded for 15 min in the supine position in 10 patients with AMI taking β-blockers (aged 57 ± 9 years) and in 11 healthy subjects (aged 53 ± 4 years). HRV was analyzed in the time domain (RMSSD and RMSM), the frequency domain using low- and high-frequency bands in normalized units (nu; LFnu and HFnu) and the LF/HF ratio and approximate entropy (ApEn) were determined. There was a correlation (P < 0.05) of RMSSD, RMSM, LFnu, HFnu, and the LF/HF ratio index with the ApEn of the AMI group on the 2nd (r = 0.87, 0.65, 0.72, 0.72, and 0.64) and 7th day (r = 0.88, 0.70, 0.69, 0.69, and 0.87) and of the healthy group (r = 0.63, 0.71, 0.63, 0.63, and 0.74), respectively. The median HRV indexes of the AMI group on the 2nd and 7th day differed from the healthy group (P < 0.05): RMSSD = 10.37, 19.95, 24.81; RMSM = 23.47, 31.96, 43.79; LFnu = 0.79, 0.79, 0.62; HFnu = 0.20, 0.20, 0.37; LF/HF ratio = 3.87, 3.94, 1.65; ApEn = 1.01, 1.24, 1.31, respectively. There was agreement between the methods, suggesting that these have the same power to evaluate autonomic modulation of HR in both AMI patients and healthy subjects. AMI contributed to a reduction in cardiac signal irregularity, higher sympathetic modulation and lower vagal modulation.


Assuntos
Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Frequência Cardíaca/fisiologia , Modelos Cardiovasculares , Infarto do Miocárdio/fisiopatologia , Modelos Lineares , Infarto do Miocárdio/tratamento farmacológico , Dinâmica não Linear
4.
Braz J Med Biol Res ; 45(5): 450-8, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22370707

RESUMO

The objectives of this study were to evaluate and compare the use of linear and nonlinear methods for analysis of heart rate variability (HRV) in healthy subjects and in patients after acute myocardial infarction (AMI). Heart rate (HR) was recorded for 15 min in the supine position in 10 patients with AMI taking ß-blockers (aged 57 ± 9 years) and in 11 healthy subjects (aged 53 ± 4 years). HRV was analyzed in the time domain (RMSSD and RMSM), the frequency domain using low- and high-frequency bands in normalized units (nu; LFnu and HFnu) and the LF/HF ratio and approximate entropy (ApEn) were determined. There was a correlation (P < 0.05) of RMSSD, RMSM, LFnu, HFnu, and the LF/HF ratio index with the ApEn of the AMI group on the 2nd (r = 0.87, 0.65, 0.72, 0.72, and 0.64) and 7th day (r = 0.88, 0.70, 0.69, 0.69, and 0.87) and of the healthy group (r = 0.63, 0.71, 0.63, 0.63, and 0.74), respectively. The median HRV indexes of the AMI group on the 2nd and 7th day differed from the healthy group (P < 0.05): RMSSD = 10.37, 19.95, 24.81; RMSM = 23.47, 31.96, 43.79; LFnu = 0.79, 0.79, 0.62; HFnu = 0.20, 0.20, 0.37; LF/HF ratio = 3.87, 3.94, 1.65; ApEn = 1.01, 1.24, 1.31, respectively. There was agreement between the methods, suggesting that these have the same power to evaluate autonomic modulation of HR in both AMI patients and healthy subjects. AMI contributed to a reduction in cardiac signal irregularity, higher sympathetic modulation and lower vagal modulation.


Assuntos
Frequência Cardíaca/fisiologia , Modelos Cardiovasculares , Infarto do Miocárdio/fisiopatologia , Idoso , Feminino , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/tratamento farmacológico , Dinâmica não Linear
5.
Int J Sports Med ; 32(7): 529-34, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21563027

RESUMO

We analyzed the usefulness of a semi-tethered field running test (STR) and the relationships between indices of anaerobic power, anaerobic capacity and running performance in 9 trained male sprinters (22.2 ± 2.9 yrs, 176 ± 1 cm, 68.0 ± 9.4 kg). STR involved an all out 120 m run attached to an apparatus that enabled power calculation from force and velocity measures. Subjects also carried out a cycloergometer Wingate Anaerobic Test (WT), an all out 300 m run and had accessed their maximal accumulated oxygen deficit (MAOD) on a treadmill. Peak and mean powers attained in STR (1720 ± 221 and 1391 ± 201 W) were greater but significantly related (r = 0.82; P < 0.01) to those in the WT (808 ± 130 and 603 ± 87 W). In addition, power measures derived from the STR were stronger related to running performance compared to those from the WT (r = 0.81-0.94 vs. 0.68-0.84; P < 0.05). Relationships between MAOD and most power indices were only weak to moderate. These results support the usefulness of STR for specific power assessment in field running and suggest that anaerobic power and capacity are not related entities, irrespective of having been evaluated using similar or dissimilar exercise modes.


Assuntos
Desempenho Atlético/fisiologia , Teste de Esforço/métodos , Corrida/fisiologia , Adulto , Limiar Anaeróbio/fisiologia , Tolerância ao Exercício/fisiologia , Humanos , Masculino , Adulto Jovem
6.
Braz. j. phys. ther. (Impr.) ; 12(1): 7-12, jan.-fev. 2008. tab
Artigo em Inglês, Português | LILACS | ID: lil-479154

RESUMO

OBJETIVO: Avaliar e comparar a modulação autonômica da freqüência cardíaca (FC) em repouso em relação à postura corporal em jovens sedentários. MÉTODOS: Foram estudados 20 homens jovens (22,6 ± 2,5 anos), saudáveis e sedentários. A FC e os intervalos das ondas R (iR-R em ms) do eletrocardiograma (ECG) foram captados em tempo real na derivação DII modificada, com os voluntários em repouso nas posturas supina e sentada, durante 15 minutos. Os dados dos iR-R foram analisados, no domínio do tempo (DT), pelos índices RMSSD, RMSM e pNN50 ( por cento); e no domínio da freqüência (DF) pela análise espectral, transformada rápida de Fourier (FFT), pelas bandas de baixa freqüência (BF) e alta freqüência (AF), expressas em unidades normalizadas (un) e a razão BF/AF. Para análise estatística foi utilizado o teste de correlação Spearman e o teste de Wilcoxon para amostras pareadas com significância de alfa= 5 por cento. RESULTADOS: No DT, os índices RMSSD e pNN50 apresentaram diferenças estatisticamente significantes na comparação entre as posturas supina e sentada (p< 0,05), e o RMSM não apresentou diferença estatisticamente significante na comparação entre as posturas (p> 0,05). No DF, as bandas de BF, AF e a razão BF/AF apresentaram diferença estatisticamente significante na comparação entre as posturas supina e sentada (p< 0,05). CONCLUSÕES: Os resultados mostraram que, com a mudança postural, ocorreram ajustes autonômicos do sistema nervoso parassimpático e simpático sobre o controle da FC, o que pode ser atribuído à integridade do sistema neurocárdico.


OBJECTIVE: To evaluate and compare the autonomic heart rate (HR) modulation, under resting conditions in relation to body posture, in sedentary young adults. METHODS: Twenty young healthy and sedentary men aged 22.6 ± 2.5 years participated in the study. The HR and R-R intervals (in ms) of the electrocardiogram (EKG) were obtained in real time using the modified DII derivation, with the volunteers at rest in the supine and seated positions, for 15 minutes. The R-R data were analyzed in the time domain, by means of the RMSSD, RMSM and pNN50 ( percent) indices; and in the frequency domain, by means of spectral analysis and fast Fourier transforms (FFT), using low frequency (LF) and high frequency (HF) bands expressed as normalized units and as the LF/HF ratio. The statistical analysis consisted of the Spearman test for correlation analyses and the Wilcoxon test for paired samples, with significance of alpha= 5 percent. RESULTS: In the time domain, the RMSSD and pNN50 indices demonstrated statistically significant differences between the supine and seated positions (p< 0.05). The RMSM index did not showed any statistically significant difference between the positions (p> 0.05). In the frequency domain, the LF and HF bands and the LF/HF ratio demonstrated statistically significant differences between the supine and seated positions (p< 0.05). CONCLUSIONS: The results demonstrated that, by changing the posture, autonomic adjustments were produced to the parasympathetic and sympathetic nervous systems with regard to HR control. This can be attributed to the integrity of the neurocardiac system.


Assuntos
Humanos , Masculino , Sistema Nervoso Autônomo , Frequência Cardíaca , Manipulação Quiroprática , Homens , Postura , Descanso
7.
Br J Sports Med ; 42(1): 59-63, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17562745

RESUMO

BACKGROUND: Evaluation of non-pharmacological therapies that improve autonomic control of the heart rate in older subjects has a clinical significance, because reduced heart rate variability (HRV) can be associated with higher cardiovascular morbidity and mortality rates. OBJECTIVE: To investigate if strength training improves cardiac autonomic control in healthy older men. METHODS: The HRV of nine older healthy men (mean age 62 (2.0) years) was evaluated before and after 12 weeks of isokinetic eccentric strength training (2 days/week, 2-4 sets of 8-12 repetitions at 75-80% peak torque, involving knee flexion and extension. Electrocardiogram was continuously recorded for 15 min at rest, in supine and seated positions, before and after the strength training period. To estimate strength gains, the eccentric peak torque of the dominant leg was measured at 60 degrees /s by the same isokinetic dynamometer. RESULTS: Mean systolic blood pressure decreased (123.78 (8.3) to 117.67 (10.2) mmHg, p<0.05) and peak torque increased (extension 210.02 (38.5) to 252.71 (60.9) N.m; flexion: 117.56 (25.1) to 132.96 (27.3) N.m, p<0.05) after the strength training. The frequency domain indices showed a significant training effect (p<0.05), since low frequency in normalised units and low frequency/high frequency ratio increased (supine, 57 (14) to 68 (14), 1.56 (0.85) to 2.35 (1.48); seated, 65 (15) to 74 (8.0), 2.48 (1.09) to 3.19 (1.31), respectively), and high frequency in normalised units decreased (supine, 43 (14) to 32 (14); seated, 35 (15) to 26 (8)) after the training period. CONCLUSION: The results of the present investigation suggest that high eccentric strength training performed by healthy older men increases peak torque and reduces systolic blood pressure. However, an autonomic imbalance towards sympathetic modulation predominance was induced by an unknown mechanism.


Assuntos
Exercício Físico/fisiologia , Frequência Cardíaca/fisiologia , Fatores Etários , Idoso , Análise de Variância , Sistema Nervoso Autônomo/fisiologia , Teste de Esforço/métodos , Humanos , Contração Isométrica/fisiologia , Masculino , Pessoa de Meia-Idade , Força Muscular/fisiologia , Consumo de Oxigênio/fisiologia , Torque
8.
Spinal Cord ; 46(4): 275-7, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18026172

RESUMO

STUDY DESIGN: Cross-sectional study. OBJECTIVE: Pulmonary functional capacity in 23 Brazilian quadriplegic subjects (ASIA A), aged 30 (9.5) years, weight 66 (10.75) kg, height 176 (7) cm, was investigated at 42 (64) months postinjury. SETTING: University Hospital--UNICAMP, Campinas, Brazil. METHOD: Subjects performed forced vital capacity (FVC) and maximal voluntary ventilation (MVV) tests while seated in their standard wheelchairs. Forced Expired Volume after 1 s (FEV1) and FVC/FEV1 ratio were calculated from these tests. Values obtained were compared to three prediction equations from the literature that are used specifically for spinal cord subjects and include different variables in their formulae, such as age, gender, height, postinjury time and injury level. Data are expressed as median (interquartile interval). Differences between values were demonstrated by median confidence interval with significance level set at alpha=0.05. RESULTS: Obtained data were statistically different from prediction equation results, with FVC 3.11 (0.81), 4.46 (0.28), 4.16 (0.33), 4.26 (0.42); FEV1 2.77 (1.03), 3.67 (0.21), 3.66 (0.30), 3.45 (0.39) and MVV 92 (27), 154.2 (11.9), 156.6 (14), 157.3 (16.8), where the first value is obtained experimentally and the second, third and fourth values correspond to predicted values. The results obtained from spirometry test in this study differed significantly from the results obtained when prediction equations were used. CONCLUSION: The use of prediction equations developed to estimate pulmonary function in wheelchair users significantly overestimates pulmonary function of quadriplegic individuals with complete lesions (ASIA group A), in comparison to measured values.


Assuntos
Volume Expiratório Forçado/fisiologia , Ventilação Voluntária Máxima/fisiologia , Quadriplegia/fisiopatologia , Traumatismos da Medula Espinal/fisiopatologia , Capacidade Vital/fisiologia , Adolescente , Adulto , Algoritmos , Brasil , Estudos de Casos e Controles , Estudos Transversais , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Quadriplegia/etiologia , Traumatismos da Medula Espinal/complicações , Espirometria
9.
Braz J Med Biol Res ; 40(4): 491-9, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17401492

RESUMO

The aim of the present study was to determine whether estrogen therapy (ET) reduces alterations of the autonomic control of heart rate (HR) due to hypoestrogenism and aging. Thirteen young (24 +/- 2.6 years), 10 postmenopausal (53 +/- 4.6 years) undergoing ET (PM-ET), and 14 postmenopausal (56 +/- 2.6 years) women not undergoing ET (PM) were studied. ET consisted of 0.625 mg/day conjugated equine estrogen. HR was recorded continuously for 8 min at rest in the supine and sitting positions. HR variability (HRV) was analyzed by time (SDNN and rMSSD indices) and frequency domain methods. Power spectral components are reported as normalized units (nu) at low (LF) and high (HF) frequencies, and as LF/HF ratio. Intergroup comparisons: SDNN index was higher in young (median: supine, 47 ms; sitting, 42 ms) than in PM-ET (33; 29 ms) and PM (31; 29 ms) women (P < 0.05). PM showed lower HFnu, higher LFnu and higher LF/HF ratio (supine: 44, 56, 1.29; sitting: 38, 62, 1.60) than the young group in the supine position (61, 39, 0.63) and the PM-ET group in the sitting position (57, 43, 0.75; P < 0.05). Intragroup comparisons: HR was lower in the supine than in the sitting position for all groups (P < 0.05). The HRV decrease from the supine to the sitting position was significant only in the young group. These results suggest that HRV decreases during aging. ET seems to attenuate this process, promoting a reduction in sympathetic activity on the heart and contributing to the cardioprotective effect of estrogen hormones.


Assuntos
Sistema Nervoso Autônomo/efeitos dos fármacos , Terapia de Reposição de Estrogênios , Estrogênios Conjugados (USP)/administração & dosagem , Frequência Cardíaca/efeitos dos fármacos , Coração/inervação , Pós-Menopausa/fisiologia , Adulto , Sistema Nervoso Autônomo/fisiologia , Doenças Cardiovasculares/prevenção & controle , Estudos Transversais , Feminino , Frequência Cardíaca/fisiologia , Humanos , Pessoa de Meia-Idade , Postura
10.
Braz. j. med. biol. res ; 40(4): 491-499, Apr. 2007. graf
Artigo em Inglês | LILACS | ID: lil-445663

RESUMO

The aim of the present study was to determine whether estrogen therapy (ET) reduces alterations of the autonomic control of heart rate (HR) due to hypoestrogenism and aging. Thirteen young (24 ± 2.6 years), 10 postmenopausal (53 ± 4.6 years) undergoing ET (PM-ET), and 14 postmenopausal (56 ± 2.6 years) women not undergoing ET (PM) were studied. ET consisted of 0.625 mg/day conjugated equine estrogen. HR was recorded continuously for 8 min at rest in the supine and sitting positions. HR variability (HRV) was analyzed by time (SDNN and rMSSD indices) and frequency domain methods. Power spectral components are reported as normalized units (nu) at low (LF) and high (HF) frequencies, and as LF/HF ratio. Intergroup comparisons: SDNN index was higher in young (median: supine, 47 ms; sitting, 42 ms) than in PM-ET (33; 29 ms) and PM (31; 29 ms) women (P < 0.05). PM showed lower HFnu, higher LFnu and higher LF/HF ratio (supine: 44, 56, 1.29; sitting: 38, 62, 1.60) than the young group in the supine position (61, 39, 0.63) and the PM-ET group in the sitting position (57, 43, 0.75; P < 0.05). Intragroup comparisons: HR was lower in the supine than in the sitting position for all groups (P < 0.05). The HRV decrease from the supine to the sitting position was significant only in the young group. These results suggest that HRV decreases during aging. ET seems to attenuate this process, promoting a reduction in sympathetic activity on the heart and contributing to the cardioprotective effect of estrogen hormones.


Assuntos
Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Sistema Nervoso Autônomo/efeitos dos fármacos , Terapia de Reposição de Estrogênios , Estrogênios Conjugados (USP)/administração & dosagem , Frequência Cardíaca/efeitos dos fármacos , Coração/inervação , Pós-Menopausa/fisiologia , Sistema Nervoso Autônomo/fisiologia , Estudos Transversais , Doenças Cardiovasculares/prevenção & controle , Frequência Cardíaca/fisiologia , Postura
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