O efeito de uma intervenção de exercício sobre as variáveis hemodinâmicas em mulheres grávidas
DOI:
https://doi.org/10.18041/1900-3803/entramado.2.6697Palavras-chave:
Gravidez, exercício, pressão sanguínea, frequência cardíaca, intervenção, saúde gestacionalResumo
Objetivo: Foi avaliado o efeito do exercício na pressão da freqüência cardíaca (FC), sistólica (PAS) e diastólica (PAD) durante diferentes idades gestacionais. Métodos: Serão utilizados os grupos de intervenção e controle do exercício de um ensaio clínico anterior. Gestantes (n = 92) foram analisadas [controles: n = 48; grupo de exercícios: n = 44]. As variáveis de desfecho foram a variação percentual da SAP, DAOP e CF durante os intervalos de acompanhamento (16-20, 20-24, 24-28 e 28-32 semanas). Resultados: a FC em repouso selecionou um aumento menor no grupo do exercício do que no grupo controle durante o intervalo gestacional de 16 a 20 semanas (p = 0,011) [Intervalo interquartil mediano: grupo controle 8,8 (0 a 27,9); 2,2 (-6,9 a 8,1) grupo de exercícios]. Durante esse intervalo, a PAS diminuiu tanto no grupo controle quanto no exercício, com uma maior diminuição nos controles (P <0,05) [Intervalo interquartil médio: -4,29 (-11,1 a 1,9) no grupo controle; -0,89 (-4,76 a 6,36)]. Conclusão: O exercício aeróbico atenuará o aumento da freqüência cardíaca em repouso no início do segundo trimestre da gravidez.
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AGARWAL, Shashi K. Cardiovascular benefits of exercise. In: Int J Gen Med. Jun 2012. no. 5. p. 541-545. https://doi.org/10.2147/IJGM.S30113
BAHADORAN, Parvin; POUYA, Fateme; ZOLAKTAF, Vahid; TAEBI, Mahboubeh. The effect of stretching exercise and walking on changes of blood pressure in nulliparous women. In: Iran J Nurs Midwifery Res.Mar-Apr 2015. Vol. 20 no. 2. p. 205-210. https://www.NCBI.nlm.nih.gov/pmc/articles/PMC4387644/
BILLMAN, George E.; CAGNOLI, Kristen L.; CSEPE, Thomas; LI, Ning; WRIGHT, Peter; MOHLER, Peter J; Fedorov, Vadim V. Exercise training-induced bradycardia: evidence for enhanced parasympathetic regulation without changes in intrinsic sinoatrial node function. In: J Appl Physiol. Jun, 2015. Vol.118,no.11. p. 1344- 1355. https://doi.org/10.1152/japplphysiol.01111.2014
BORON, Walter F.; BOULPAEP, Emile L. Medical Physiology New Heaven: Elsvier Saunders. 2017 https://trove.nla.gov.au/work/12168683
BRAUN, Lynne T. Exercise physiology and cardiovascular fitness. In: The Nursing Clinics of North America.1991.vol. 26 no.1. p. 135-147. https://pubmed.ncbi.nlm.nih.gov/2000315/
CARPENTER, Rhiannon E.; EMERY, Simon J., UZUN, Orhan; D’SILVA, lindsay A.; LEWIS, MICHAEL J. Influence of antenatal physical exercise on haemodynamics in pregnant women: a flexible randomisation approach. In: BMC Pregnancy Childbirth. August 2015. Vol.15, no.186. https://doi.org/10.1186/s12884-015-0620-2
DULEY, Lelia. Maternal mortality associated with hypertensive disorders of pregnancy in Africa, Asia, Latin America and the Caribbean. In: Br J Obstet Gynaecol, July 1992. Vol. 99, no.7. p. 547-553. https://doi.org/10.1111/j.1471-0528.1992.tb13818.x
DURNIN, John Valentine George Andrew; WOMERSLEY, Jhon R. Body fat assesed from total body density and its estimation from skinfold thickness:measurements on 481 men and women aged from 16 to 72 years. In: Br J Nutrition. 1974. Vol. 32, no.1.p. 77-97. https://doi.org/10.1079/bjn19740060
QI Fu; LEVINE Benjamin D. Autonomic circulatory control during pregnancy in humans. In: Semin Reproduction Medicine. 2009. vol. 27 no.4. p. 330-337. https://doi.org/10.1055/s-0029-1225261
GREENWOOD, John P.; SCOTT, Eleanor M.; STOKER, John B; WALKER, James J.; MARY, David A. Sympathetic neural mechanisms in normal and hypertensive pregnancy in humans. In: Circulation. 2001. vol 104, no.18. p. 2200-2204. https://doi.org/10.1161/hc4301.098253
GRINDHEIM, Guro; ESTENSEN, Mette E.; LANGESAETER, Eldrid; ROSSELAND, Leiv A.; TOSKA, K. Changes in blood pressure during healthy pregnancy: a longitudinal cohort study. In: J. Hypertension. 2012. vol. 30, no. 2. p. 342-350. https://doi.org/10.1097/HJH.0b013e32834f0b1c
HAAKSTAD, Lene A.; EDVARDSEN, Elisabeth; BO, Kary. Effect of regular exercise on blood pressure in normotensive pregnant women. A randomized controlled trial. In: Hypertension Pregnancy. 2016. Vol. 35, no. 2. p. 170-180. https://doi.org/10.3109/10641955.2015.1122036
HUTCHEON, Jennifer A.; LISONKOVA, Sarka; JOSEPH, K. S. Epidemiology of preeclampsia and the other hypertensive disorders of pregnancy. In: Best Pract Res Clin Obstet Gynaecology. 2011.vol. 25, no.4. p. 391-403. https://doi.org/10.1016/j.bpobgyn.2011.01.006
MCARDLE, William D.; KATCH, Frank I.; KATCH, Victor L. Essentials of exercise Physiology. Lippincott Williams & Wilkins.2006. 753 p.
THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS. Exercise during pregnancy and the postpartum period. In: ACOG technical bulletin number 189. February 1994. Vol. 45, no.1. p. 65-70. https://doi.org/10.1016/0020-7292(94)90773-0
PETROV FIERIL, Karolina.; GLANTZ, Anna; FAGEVIK OLSEN, Monika. Hemodynamic responses to single sessions of aerobic exercise and resitance exercise in pregnancy. In: Acta Obstetric Gynecology Scandinavie. April 2016. Vol 95, no. 9. p. 1042-1047. https://doi.org/10.1111/aogs.12899
PICKERING, Thomas G. (1996). Recommendations for the use of home (self) and ambulatory blood pressure monitoring. In: American Journal of Hypertension. January 1996. vol. 9, no. 1. p. 1-11. https://doi.org/10.1016/0895-7061(95)00341-X
RAMIREZ-VELEZ, Robinson; ROMERO, Miryam; ECHEVERRI, Elisabeth; ORTEGA, Jose G.; MOSQUERA, Mildrey, et al. A factorial randomized controlled trial to evaluate the effect of micronutrients supplementation and regular aerobic exercise on maternal endothelium-dependent vasodilatation and oxidative stress of the newborn. In: Trials. 2011. Vol. 12, no. 60. https://doi.org/10.1186/1745-6215-12-60
REBELO, Fernanda; FARIAS, Dayana R.; MENDES, Roberta H.; Schlussel, Michael M.; KAC, Gilberto. Blood Pressure Variation Throughout Pregnancy According to Early Gestational BMI: A Brazilian Cohort. In: Arq Bras Cardiol. 2015. vol. 104, no.4. p. 284-291. https://doi.org/10.5935/abc.20150007
SANGHAVI, Monika; RUTHERFORD, John D. Cardiovascular physiology of pregnancy. In Circulation. 2014. Vol. 130, no.12. p. 1003-1008. https://doi.org/10.1161/circulationaha.114.009029
SCHOBEL, Hans P.; FISCHER, Thorsten; HEUSZER, Karnsten; GEIGER, Helmut; SCHMIEDER, Roland E. Preeclampsia, a state of sympathetic overactivity. In: New Engl Journal of Medicine. 1996. Vol. 335, no. 20. p. 1480-1485. https://doi.org/10.1056/nejm199611143352002
SIBAI, Baha; DEKKER, Gus; KUPFERMINC, Michael. Pre-eclampsia. Lancet. 2005. Vol. 365, no.9461. p. 785-799. https://doi.org/10.1016/s0140-6736(05)17987-2
SIRI, Willian E. Body composition from fluid spaces and density: analysis of methods. Lawrence Berkeley National Laboratory.1956. LBNL Report #: UCRL- 3349 https://escholarship.org/uc/item/6mh9f4nf
TROIANO, Nan H. Physiologic and Hemodynamic Changes During Pregnancy. AACN Adv Crit Care. 2018. vol 29, no.3. p. 273-283. https://doi.org/10.4037/aacnacc2018911
WEN, Hongwei; WANG, Lijuan. Reducing effect of aerobic exercise on blood ressure of essential hypertensive patients: A meta-analysis. Medicine. 2017. Vol. 96, no.11. p. 6150. https://doi.org/10.1097/md.0000000000006150
WHELTON, Seamus P.; CHIN, Ashley; XUE, Xin; HE, Jiang. Effect of aerobic Exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann International Medicine. 2002. vol.136, no.7. p. 493-503. https://doi.org/10.7326/0003-4819-136-7-200204020-00006
YEO, Seonae; STEELE, Nancy M.; CHANG, Ming Cheng; LECLAIRE, S. M.; RONIS, David L.; HAYASHI, Ryohei. Effect of exercise on blood pressure in pregnant women with a high risk of gestational hypertensive disorders. Journal Reproduction Medicine. 2000. Vol. 45, no.4. p. 293-298.
YEOMANS, Eduard R.; GILSTRAP, Larry C.; Physiologic changes in pregnancy and their impact on critical care. In: Crit Care Med.October 2005. Vol. 33, no.10. p. S256- 258. https://doi.org/10.1097/01.CCM.0000183540.69405.90
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