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  • ItemArtigo
    Gait Training with Functional Electrical Stimulation Improves Mobility in People Post-Stroke
    (2023-05-01) Dantas, Maria Tereza Artero Prado; Fernani, Deborah Cristina Gonçalves Luiz; Silva, Talita Dias da; Assis, Iramaia Salomão Alexandre de [UNESP]; Carvalho, Augusto Cesinando de [UNESP]; Silva, Sidney Benedito; Abreu, Luiz Carlos de; Barbieri, Fabio Augusto [UNESP]; Monteiro, Carlos Bandeira de Mello; ABC Faculty of Medicine; Universidade de São Paulo (USP); University of West Paulista (UNOESTE); University City of Sao Paulo (UNICID); Universidade Estadual Paulista (UNESP); Federal University of Espírito Santo (UFES)
    (1) Background: Stroke is one of the leading causes of disability. To identify the best treatment strategies for people with stroke (PwS), the aim of the current study was to compare the effects of training on a treadmill with functional electrical stimulation (TT-FES) with training on a treadmill (TT), and to analyze the effects of sequence of training on mobility and the parameters of walking ability. (2) Methods: Prospective, longitudinal, randomized and crossover study, in which 28 PwS were distributed into groups, namely the A-B Group (TT-FES followed by TT) and B-A Group (TT followed by TT-FES), using the foot drop stimulator, and were measured with functional tests. (3) Results: We found improved mobility, balance, non-paretic limb coordination, and endurance only in the group that started with TT-FES. However, sensorimotor function improved regardless of the order of training, and paretic limb coordination only improved in the B-A Group, but after TT-FES. These data indicate that the order of the protocols changed the results. (4) Conclusions: Although biomechanical evaluation methods were not used, which can be considered a limitation, our results showed that TT-FES was superior to isolated training on a treadmill with regard to balance, endurance capacity, and coordination of the non-paretic limb.
  • ItemArtigo
    Comparison of Quality of Life in Breast Cancer Survivors with and without Persistent Depressive Symptoms: A 12-Month Follow-Up Study
    (2023-02-01) Ribeiro, Fernanda Elisa [UNESP]; Tebar, William Rodrigues; Ferrari, Gerson; Palma, Mariana Romanholi [UNESP]; Fregonesi, Cristina Elena [UNESP]; Caldeira, Daniela Tanajura [UNESP]; Silva, Gabriela Caroline Rodrigues [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Beretta, Victor Spiandor [UNESP]; Christofaro, Diego Giulliano Destro [UNESP]; Universidade Estadual Paulista (UNESP); Universidade de São Paulo (USP); Universidad Autónoma de Chile
    Although breast cancer treatments reduce mortality, their adverse effects can increase depression which impacts one’s quality of life (QoL). Physical activity (PA) seems to improve the QoL of breast cancer survivors (BCS). However, an unanswered question is the influence of PA on the QoL in BCS with depressive symptoms. Thus, we analyzed the influence of PA on the QoL in BCS with persistent depressive symptoms during 12 months of follow-up. The sample included 70 female BCS. Depression and QoL domains (i.e., functional capacity, physical limitations, body pain, general health status, vitality, social and emotional aspects, and mental health) were assessed at baseline and follow-up periods by the Hospital Anxiety and Depression Scale and SF-36, respectively. Habitual PA was assessed by Baecke’s questionnaire. Our results indicate a prevalence of 17.1% of depressive symptoms. Non-depressives BCS improved their physical limitations and general health status domains over time, but there were no observed differences in depressive BCS. BCS with persistent depressive symptoms (baseline and follow-up) showed worse QoL scores than non-depressives in all domains, regardless of confounding factors. When adjusted for PA, the difference between BCS depressives and non-depressives lost its significance in the functional capacity domain. In conclusion, habitual PA practice positively influenced the functional capacity domain of the QoL in BCS.
  • ItemArtigo
    Patellofemoral pain over time: Protocol for a prospective, longitudinal study investigating physical and non-physical features
    (2023-01-11) Botta, Ana Flavia Balotari [UNESP]; Waiteman, Marina Cabral [UNESP]; Ducatti, Matheus Henrique Maiolini [UNESP]; Garcia, Carmen Lúcia Gomes [UNESP]; Farinelli, Lucca André Liporoni Bego [UNESP]; Bazett-Jones, David Matthew; Briani, Ronaldo Valdir [UNESP]; Azevedo, Fábio Mícolis de [UNESP]; Universidade Estadual Paulista (UNESP); University of Toledo
    Background: This is a protocol for a prospective longitudinal study that aims to investigate: (1) group-by-time changes over a minimum of 15 months follow-up in patellofemoral pain (PFP) symptoms, biomechanical, muscle function, pain processing, and psychological features; (2) the extent to which changes in biomechanical, muscle function, pain processing, and psychological features are associated with changes in self-reported pain, physical performance measures, self-reported function, health-related quality of life (HRQOL), and physical activity level. Methods: Individuals with PFP (n = 144) and control individuals (n = 85) without PFP were assessed at baseline. Outcomes assessed included: 3D kinematics and kinetics during single leg squat, step-down and single leg hop; maximal torque and rate of torque development of hip abductors and knee extensors/flexors; force steadiness of hip abductors and knee extensors; anterior and lateral trunk endurance; pressure pain thresholds at the center of patella and contralateral shoulder; kinesiophobia (Tampa Scale for Kinesiophobia); pain catastrophizing (Pain Catastrophizing Scale); worst self-reported pain (Visual Analogue Scale); physical performance measures (Single Leg Hop Test and Forward Step-Down Test); self-reported function (Anterior Knee Pain Scale); HRQOL (Medical Outcome Short-Form 36), and physical activity level (Baecke’s Questionnaire). Follow-up assessments will be identical to the baseline and will be performed after a minimum of 15 months. Generalized linear mixed model (GLMM) will be used to investigate group-by-time differences. Linear regression models will be used to determine the extent to which changes in biomechanical, muscle function, pain processing, and psychological features are associated with changes in self-reported pain, physical performance measures, self-reported function, HRQOL, and physical activity level. Discussion: Physical and non-physical features have been previously associated with PFP. However, the present study will be the first to investigate their integrated evolution as part of the natural history of PFP and its progression. In doing so, we will be able to determine their behavior in the long-term, as well as how they prospectively associate with each other and with clinical outcomes. Ultimately, this will provide a greater understanding of predictors of long-term outcome and possible targets for interventions.
  • ItemArtigo
    Combining functional exercises with exercise training in COPD: a randomized controlled trial
    (2022-01-01) Francisco de Lima, Fabiano [UNESP]; Marçal Camillo, Carlos Augusto; Grigoletto, Isis [UNESP]; Uzeloto, Juliana [UNESP]; Marques Vanderlei, Franciele [UNESP]; Ramos, Dionei [UNESP]; Burtin, Chris; Cipulo Ramos, Ercy Mara [UNESP]; Universidade Estadual Paulista (UNESP); Hasselt University; Universidade Estadual de Londrina (UEL); University Pitágoras (UNOPAR)
    Introduction: Increasing physical activity in daily life (PADL) in chronic obstructive pulmonary disease (COPD), mainly in short-term training programs, is still a challenge. The combination of functional exercises with aerobic and resistance training may be a strategy to improve PADL and limitations in activities of daily living (ADL) in COPD. Objective: To evaluated the short- and medium-term effects of the combination of functional exercises with aerobic and resistance training. Methods: Seventy-six patients were randomized into (1) functional training group who performed resistance and aerobic and functional exercises; (2) conventional training group (CTG) who performed resistance and aerobic exercise; or (3) usual care group who performed respiratory physiotherapy. Patients were evaluated for PADL (activity monitor), ADL limitations (London Chest Activity of Daily Living scale [LCADL]), functional exercise capacity (6-minute walk test [6MWT]), and peripheral muscle strength before and after eight weeks. Medium-term effects were evaluated 12 weeks after the training. Results: There were no changes or differences between groups in PADL and in 6MWT post-intervention and 12 weeks post-training. Only CTG showed a reduction in the total score on LCADL scale after the intervention and increase at follow-up (score: 20 ± 8; 17 ± 6; 19 ± 8, pre-intervention, post-intervention, and 12 weeks post-training, respectively, p = 0.001), without differences between groups (p = 0.375). There were increases in the muscle strength of knee flexors (p = 0.016) and extensors (p < 0.001) after the intervention only in CTG. Conclusions: Combined aerobic and resistance training with functional exercises failed to improve PADL and ADL limitations in COPD. Eight weeks of conventional training improved ADL. This, however, was not superior to the results from the other groups and was not sustained at medium-term 12 weeks post-training.
  • ItemCarta
    Relationship Between Heart Rate Variability and Resting Heart Rate in Accordance with the Physical Activity Level of Children and Adolescents: A Cross-Sectional Study
    (2023-01-01) Saraiva, Bruna Thamyres Ciccotti [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Tebar, William Rodrigues; da Silva, Gabriela Caroline Rodrigues [UNESP]; Suetake, Vinícius Yukio Botelho [UNESP]; Ritti-Dias, Raphael Mendes; Christofaro, Diego Giulliano Destro [UNESP]; Universidade Estadual Paulista (UNESP); Universidade de São Paulo (USP); University Ninth of July (UNINOVE)
  • ItemArtigo
    Outcomes between different validated questionnaires to assess the level of physical activity in cardiac patients adhering to a rehabilitation program
    (2022-01-01) Gomes, Rayana Loch [UNESP]; Lopes, Jaqueline Santos Silva; de Marco, Rafael Luiz [UNESP]; de Almeida, Camila Balsamo Gardim [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Lorençoni, Roselene Modolo Regueiro [UNESP]; Universidade Estadual Paulista (UNESP); Centro Universitário do Vale do Araguaia; Universidade Federal de Mato Grosso (UFMT)
    Introduction: The International Physical Activity Questionnaire (IPAQ) and Baecke inventory are commonly used in cardiovascular rehabilitation routines. Thus, it is understood that investigations on the equivalence of outcomes between these two tools may be relevant to measure the magnitude of possible reproducibility and correlations between them. Objective: To compare in cardiac patients the level of physical activity obtained through the IPAQ and Baecke inventory and correlate outcomes obtained with a 6-minute walk test. Methods: In total, 65 heart disease patients included in a cardiovascular rehabilitation program (40 male and 25 female) were included, with a mean age of 65.8 ± 10.5 years. The data were obtained from the application of a standardized form, containing the proposed study objects, which were the IPAQ and Baecke inventory. In addition, data regarding anthropometric measurements (body mass, height, and body mass index - BMI), waist-to-hip ratio, blood pressure, and performance in the 6-minute walk test were measured. Results: The main outcomes refer to the weak association between the instruments evaluated, which showed a strong relationship only between free time physical activity (r = 1), while in the other categories and when compared to the 6-minute walk test, the verified agreement was not significant. Conclusion: The questionnaires are strongly equivalent only for free time physical activity, in the other categories and when compared to the 6-minute walk test, the agreement was not significant. Thus, based on the results, implementation in clinical practice considering the use of these tools with equivalence is not recommended
  • ItemArtigo
    Resistance training prevents damage to the mitochondrial function of the skeletal muscle of rats exposed to secondary cigarette smoke
    (2022-11-15) Moreno, Ana Caroline Rippi [UNESP]; Olean-Oliveira, André [UNESP]; Olean-Oliveira, Tiago [UNESP]; Nunes, Maria Tereza; Teixeira, Marcos F.S. [UNESP]; Seraphim, Patricia Monteiro [UNESP]; Universidade Estadual Paulista (UNESP); Universidade de São Paulo (USP)
    Aim: To analyze the consumption of oxygen and to quantify the mitochondrial respiratory chain proteins (OXPHOS) in the gastrocnemius muscle of rats exposed to cigarette smoke and/or RT practitioners. Main methods: Wistar rats were divided into groups: Control (C), Smoker (S), Exercise (E) and Exercise Smoker (ES). Groups F and ES were exposed to the smoke of 4 cigarettes for 30 min, 2× a day, 5× a week, for 16 weeks. Groups E and ES performed four climbs with progressive load, 1× per day, 5× per week, for 16 weeks. The gastrocnemius muscle was collected for analysis of OXPHOS content and oxygen consumption. Groups S (vs. C) and ES (vs. C and E) showed lower body weight gain when observing the evolution curve. Key findings: The S rats showed a reduction in the NDUFB8 proteins of complex 1, SDHB of complex 2, MTC01 of complex 4 and ATP5A of complex 5 (ATP Synthase) compared to Group C. Additionally, S rats also showed increased consumption of O2 in Basal, Leak, Complex I and I/II combined measures compared to the other groups, suggesting that the activity of the mitochondria of these animals increased in terms of coupling and uncoupling parameters. Significance: Our data suggest that exposure to cigarette smoke for 16 weeks is capable of causing impairment of mitochondrial function with reduced expression of respiratory chain proteins in skeletal muscle. However, the RT was effective in preventing impairment of mitochondrial function in the skeletal muscle of rats exposed to secondary cigarette smoke.
  • ItemArtigo
    Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence
    (2023-01-01) Santos, Lorena Altafin [UNESP]; Pinheiro, Dyovana Gomes [UNESP]; da Silva, Jéssica Malek [UNESP]; Borges, Giovanna Lombardi Bonini [UNESP]; da Silva, Paula Fernanda [UNESP]; Ricci-Vitor, Ana Laura [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Universidade Estadual Paulista (UNESP)
    Introduction: Participants in cardiac rehabilitation programs have low adherence to their sessions, which makes extremely important to recognize the barriers that cause non-adherence, identifying whether the type of service and level of adherence influence these barriers. Methods: This is a cross-sectional observational study, in which 220 individuals (66.80±11.59 years) of both genders who are members of public and private exercise-based cardiac rehabilitation programs participated. The volunteers were divided according to the level of adherence, considering patients with low adherence (PLA) those with < 70% of attendance and high adherence (PHA) those with > 70%. Then, initial evaluation, Cardiac Rehabilitation Barriers Scale, analysis of socioeconomic level, Hospital Anxiety and Depression Scale, and Mini-Mental State Examination were applied. Results: Higher total barriers were found in PLA in the public service compared to PHA in the private service (P=0.023). In the subscale “perceived need”, PHA in the public service showed higher values than PLA and PHA in the private service (P≤0.001). The “access” barrier was higher for PHA in the public service when compared to PHA in the private service (P=0.024). PHA in the public service exhibited a higher barrier regarding questions about distance, transportation problems, cost, and time constraints. Conclusion: The public program presents higher barriers in the questions and categories compared to the private program, mainly the PHA. Furthermore, there are differences in the profile of the participants regarding socioeconomic and anxiety levels, treatment time, ethnicity, and city where they live.
  • ItemArtigo
    EFFECT OF AEROBIC AND ANAEROBIC TRAINING ON DIFFERENT ERGOMETERS IN RAT MUSCLE AND HEART TISSUES
    (2022-01-01) Ozaki, Guilherme Akio Tamura; Filho, José Carlos Silva Camargo [UNESP]; Garcia, Thiago Alves; Castoldi, Robson Chacon; Belangero, William Dias; Universidade Estadual de Campinas (UNICAMP); Universidade Estadual Paulista (UNESP); Universidade Federal de Mato Grosso do Sul (UFMS)
    Objective: Analyze the effects of aerobic and anaerobic training on different ergometers on muscle and cardiac hypertrophy in rats. Methods: The animals were separated into the following groups: Control (C), Aerobic Training in Water (ATW), Resistance Training in Water (RTW), Aerobic Training on Treadmill (ATT), and Resistance Training in Climbing (RTC). All training protocols were carried out for 4 weeks, 3 times/week. The cross-sectional area (CSA) of the gastrocnemius muscle cells and the areas of the cardiomyocytes were measured. Results: In the fast-twitch fibers, there was an increase in CSA in the RTW and RTC groups compared to the ATW (p<0.01 and p<0.01) and ATT groups (p<0.01 and p<0.01). In the slow-twitch fibers, the ATW and ATT groups demonstrated a lower CSA compared to the RTW (p=0.03 and p<0.00) and RTC groups (p<0.01 and p<0.01). In the cardiomyocytes, there was an increase in the area of the RTW and RTC groups compared to groups C (p<0.01; p<0.01), ATW (p=0.02; p<0.01), and ATT (p<0.01; p<0.01). Conclusion: The anaerobic training effectively promotes hypertrophy in the fast-twitch fibers and the cardiomyocytes. Level of Evidence V; Animal experimental study
  • ItemArtigo
    What Parameters Influence the Effect of Cold-Water Immersion on Muscle Soreness? An Updated Systematic Review and Meta-Analysis
    (2023-01-01) Batista, Natanael P. [UNESP]; de Carvalho, Flávia A. [UNESP]; Machado, Aryane F. [UNESP]; Micheletti, Jéssica K. [UNESP]; Pastre, Carlos M. [UNESP]; Universidade Estadual Paulista (UNESP)
    Objective: Our objective was to determine the efficacy of cold-water immersion (CWI) on the management of muscle soreness to identify the impact of immersion time, water temperature, CWI protocol, and type of exercise on this outcome. Design: Intervention systematic review and meta-analysis. Setting: MEDLINE/PubMed, Embase, Central, and SPORTDiscus databases were searched from their earliest record to July 30, 2020. Only randomized controlled trials that assessed muscle soreness comparing CWI and control were included. Studies were pooled in different subgroups regarding the used protocol: water temperature (severe or moderate cold), immersion time (short, medium, or longer time), CWI protocol (intermittent or continuous application), and type of exercise (endurance or resistance exercise). Data were pooled in a meta-analysis and described as weighted mean difference (95% confidence interval, P, 0.05). Participants: Athletes and nonathletes. Interventions: Cold-water immersion and control condition. Main Outcome Measures: Muscle soreness. Results: Forty-four studies were included. For immediate effects, CWI was superior to control regardless of water temperature and protocol, and for short and medium immersion times and endurance exercises. For delayed effects, CWI was superior to control in all subgroups except longer immersions time. Conclusions: This study suggests that CWI is better than control for the management of muscle soreness and water temperature and CWI protocol do not influence this result, but only short and medium immersions times presented positive effects. Aiming immediate effects, the best results suggest CWI application only after endurance exercises, while delayed effect CWI was superior both after endurance and resistance exercises.
  • ItemArtigo
    Dance therapy as an alternative for cardiac rehabilitation in women population: autonomic and hemodynamic acute responses - a crossover clinical trial protocol
    (2022-01-01) Laurino, Maria Júlia Lopez [UNESP]; Silva, João Pedro Lucas Neves [UNESP]; de Lima Gervazoni, Natacha [UNESP]; de Ávila Soares, Júlio César [UNESP]; Alves, Bruna Izadora Spinardi [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Lorençoni, Roselene Modolo Regueiro [UNESP]; Universidade Estadual Paulista (UNESP)
    Aim: The objective of this study is to 1. Investigate in women with cardiac risk factors the acute responses of cardiac autonomic modulation and hemodynamic parameters during and after a dance-based cardiac rehabilitation session and II. Compare these responses with a conventional exercise-based cardiac rehabilitation session. Methods: This will be a crossover-clinical trial that will enroll women with at least one cardiac risk factor. The interventions consist of one dance-based (DB) and one traditional exercise-based (EB) session of cardiac rehabilitation, both composed of initial rest, warm-up, moderate-intensity physical exercise, fast recovery evaluation in orthostatic position, and slow recovery evaluation. The main outcomes are 1. Autonomic modulation, evaluated through heart rate variability linear and non-linear methods, and II. Hemodynamic parameters (heart rate, blood pressure, peripheral oxygen saturation, and respiratory rate). All measures will be evaluated in specific moments during the initial rest, physical exercise, and recovery. Conclusion: The results will allow the safe inclusion of dance-based sessions in cardiac rehabilitation programs opening an important field of research to investigate the long-term effects on physical fitness and cardiac risk factors, as well as adherence and motivation to attend cardiac rehabilitation in the women population.
  • ItemArtigo
    Autonomic and cardiorespiratory responses to the active tilt test in individuals with Parkinson disease: cross-sectional study
    (2022-07-01) Valente, Heloisa Balotari [UNESP]; de Lima Gervazoni, Natacha [UNESP]; Laurino, Maria JúliaLopez [UNESP]; Vanzella, Laís Manata [UNESP]; Stoco-Oliveira, Mileide Cristina [UNESP]; Rodrigues, Mariana Viana [UNESP]; André, Larissa Borba [UNESP]; Ribeiro, Felipe [UNESP]; de Carvalho, Augusto Cesinando [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Universidade Estadual Paulista (UNESP)
    Background The Parkinson disease (PD) is frequently associated with autonomic dysfunctions. However, data regarding the influence of PD on the autonomic responses to postural changes is limited. Objective To analyze and compare the autonomic responses, evaluated through linear and non-linear methods of heart rate variability, and cardiorespiratory parameters in two groups: Parkinson disease (PDG) and control (CG), at rest and during the active tilt test. Methods A total of 48 participants were analyzed (PDG: n ¼ 25;73.40 ± 7.01 years / CG: n ¼ 23;70.17 ± 8.20 years). The autonomic modulation and cardiorespiratory parameters were evaluated at rest and during the active tilt test. To assess the autonomic modulation the linear indices, at the time (rMSSD, SDNN) and frequency (LF, HF, LF/HF) domains, and the non-linear indices, obtained through the Poincaré plot (SD1, SD2, SD1/SD2), were calculated. The cardiorespiratory parameters evaluated were heart rate (HR), systolic (SBP), and diastolic blood pressure (DBP), peripheral oxygen saturation (SpO2), and respiratory rate. Results At rest, the PDG presented significantly lower values of rMSSD, SDNN, LF, HF, SD1, SD2, and DBP, and higher values of SpO2. During test, in the PD group, modifications were observed in HR, and SBP, besides a reduced parasympathetic response, and an increased global modulation. The qualitative analysis of the Poincaré plot showed that the PDG has a lower dispersion of the RR intervals during rest and the active tilt test. Conclusion Individuals with PD present reduced global variability and parasympathetic modulation at rest, and reduced parasympathetic response and damage in HR regulation when performing the active tilt test, compared with controls.
  • ItemArtigo
    Virtual reality-based therapy associated with blood flow restriction in older adults: A proposal for integration of techniques
    (2022-08-19) Damasceno, Silas de Oliveira [UNESP]; Junior, Eduardo Pizzo [UNESP]; Lemos, Leonardo Kesrouani [UNESP]; Biral, Taíse Mendes [UNESP]; Cavina, Allysiê Priscilla de Souza [UNESP]; Vanderlei, Franciele Marques [UNESP]; Universidade Estadual Paulista (UNESP)
  • ItemArtigo
    Is Musical Auditory Stimulation Able to Influence the Recovery of Autonomic Modulation After Exercise?
    (Innovision Professional Media, 2023-03-01) Gomes, Rayana Loch [UNESP]; Ribeiro, Felipe [UNESP]; Valenti, Vitor Engracia [UNESP]; Franca Da Silva, Anne K. [UNESP]; Gonzaga, Luana Almeida [UNESP]; Perego, Sany Martins [UNESP]; Marco, Rafael Luiz de [UNESP]; Marques Vanderlei, Luiz C. [UNESP]; Universidade Estadual Paulista (UNESP)
    Context . The effects of musical auditory stimulation on the human body have received considerable interest, especially when related to health and wellbeing, so the objective was to verify the influence of classical music exposure on autonomic modulation in recovery after exercise. Methods . 35 healthy young men aged 21.74 +/- 2.59 years were evaluated. Volunteers perform 2-day evaluations, 1 day without musical stimulus and 1 with musical stimulation through classical music during exercise and recovery. Physical exercises were performed on a treadmill with an intensity of 6.0 km/hr + 1% of inclination in the first 5 minutes for physical warm-up, followed by 25 minutes with an intensity equivalent to 60% of the maximum velocity (Vmax), with a same slope according to the Conconi's threshold. Finally, the volunteers remain at rest for 60 minutes for recovery. Heart rate variability (HRV) was analyzed in some moments of recovery by linear (RMSSD, SDNN, LF and HF (milliseconds squared and normalized unit) and LF/HF ratio, RRtri, TINN and the Poincare plot: SD1, SD2 and SD1/SD2) and nonlinear indexes (DFA Total, DFA Alpha 1 and Symbolic Analysis: Shannon's Entropy, 0V%, 1V%, 2LV% and 2ULV%). Results . No differences were found in the comparison between the values of the HRV indexes between protocols and interaction moments vs protocols. Differences were observed between the moments for most indexes (P <.05). Conclusions . Classical music did not significantly influence the autonomic control of heart rate in the recovery phase after submaximal exercise.
  • ItemResumo
    Physical and respiratory function of people following hospital discharge for COVID-19
    (European Respiratory Soc Journals Ltd, 2022-09-04) Grigoletto, I. [UNESP]; Lima, F. F. de; Mesquita, R.; Borges, P. [UNESP]; Pedroso, M. A. [UNESP]; Coutinho, B. D. S. [UNESP]; Pozo, K. M. M. [UNESP]; Cavalheri, V.; Ramos, E. M. C. [UNESP]; Universidade Estadual Paulista (UNESP); Universidade de São Paulo (USP); Fed Univ Ceara UFC; Curtin Univ; South Metropolitan Hlth Serv
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    Analysis of Barriers to Public and Private Cardiac Rehabilitation Programs in Patients with Low and High Adherence
    (Sociedade Brasileira de Cirurgia Cardiovascular, 2023-01-20) Santos, Lorena Altafin [UNESP]; Pinheiro, Dyovana Gomes [UNESP]; Silva, Jéssica Malek Da [UNESP]; Borges, Giovanna Lombardi Bonini [UNESP]; Silva, Paula Fernanda Da [UNESP]; Ricci-vitor, Ana Laura [UNESP]; Vanderlei, Luiz Carlos Marques [UNESP]; Universidade Estadual Paulista (UNESP)
  • ItemArtigo
    Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study
    (2022-08-01) Vanzella, Lais Manata; Ghisi, Gabriela Lima de Melo; Colella, Tracey Jacqueline Fitchett; Larkin, Jillian; Vanderlei, Luiz Carlos Marques [UNESP]; Marzolini, Susan; Thomas, Scott; Oh, Paul; University Health Network; University of Toronto; Universidade Estadual Paulista (UNESP)
    This mixed-method study aimed to compare physical activity (PA) patterns of a cross-over cardiac rehabilitation (CR) cohort with a center-based CR cohort and to explore barriers and facilitators of participants transitioning and engaging in virtual CR. It included the retrospective self-reported PA of a cross-over CR cohort (n = 75) and a matched center-based CR cohort (n = 75). Some of the participants included in the cross-over cohort (n = 12) attended semi-structured focus group sessions and results were interpreted in the context of the PRECEDE-PROCEED model. Differences between groups were not observed (p > 0.05). The center-based CR cohort increased exercise frequency (p = 0.002), duration (p = 0.007), and MET/minutes (p = 0.007) over time. The cross-over cohort increased exercise duration (p = 0.04) with no significant change in any other parameters. Analysis from focus groups revealed six overarching themes classified under predisposing factors (knowledge), enabling factors (external support, COVID-19 restrictions, mental health, personal reasons/preferences), and reinforcing factors (recommendations). These findings suggest an improvement of the PA levels of center-based CR cohort participants pre-pandemic and mitigated improvement in those who transitioned to a virtual CR early in the pandemic. Improving patients’ exercise-related knowledge, provider endorsements, and the implementation of group videoconferencing sessions could help overcome barriers to participation in virtual CR.
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    Sleep Quality Predicts Functional Disability in Older Adults with Low Back Pain: A Longitudinal Study
    (2022-01-01) Oliveira, Sabrina Dias [UNESP]; Pinto, Rafael Z.; Gobbi, Cynthia; Fernandes, Guilherme L.; Dokkedal-Silva, Vinícius; Lemes, Ítalo Ribeiro; Andersen, Monica L.; Tufik, Sergio; Lorenconi, Roselene Modolo Regueiro [UNESP]; Morelhão, Priscila K.; Universidade Estadual Paulista (UNESP); Universidade Federal de Minas Gerais (UFMG); Centro Universitario de Ensino Superior (UNICESUMAR); Universidade Federal de São Paulo (UNIFESP)
    Low back pain (LBP) and sleep quality are two very prevalent complaints in the older population. However, little is known about the prognostic relationship between sleep quality and disability in older adults with LBP. The aim of this study was to examine the association between sleep quality and disability in older adults with LBP. This was a longitudinal study over a 6-month period. Older adults with LBP in the last 12 weeks and who had preserved cognitive functions were recruited. The questionnaires used were the Pittsburgh Sleep Quality Index and the Roland Morris Disability Questionnaire. At baseline, we collected information on demographic/anthropometric variables, cognitive status, depression, daytime sleepiness, and comorbidities. Linear regression adjusted for potential covariates were performed. Poor sleep at baseline predicted higher disability after 6 months [β = 0.30 (CI95%:0.07 to 0.55)]. Our results support the existence of an important relationship between sleep and disability in older adults with LBP.
  • ItemArtigo
    Effect of physical training on cytokine expression in CD4+ T lymphocytes in subjects with stable COPD
    (2022-01-01) Uzeloto, Juliana S. [UNESP]; de Toledo-Arruda, Alessandra C.; Silva, Bruna S.A. [UNESP]; Braz, Aline M.M. [UNESP]; de Lima, Fabiano F. [UNESP]; Grigoletto, Isis [UNESP]; Ramos, Dionei [UNESP]; Golim, Marjorie A. [UNESP]; Ramos, Ercy M.C. [UNESP]; Universidade Estadual Paulista (UNESP); Fluminense Federal University
    Introduction: Although evidence suggests that physical exercise reduces systemic inflammation, at the plasma level, there are still contradictions in chronic obstructive pulmonary disease (COPD). In this sense, analysis of intracellular cytokines could clear off the effect of physical exercise on the inflammatory profile of these subjects. Aim: The aim was to evaluate the effect of physical training on cytokine expression in CD4+ T lymphocytes from subjects with COPD. Methods: This is a randomized controlled trial. Subjects with stable COPD were grouped into two groups, exercise and control. In total, 23 subjects with stable COPD were evaluated, of which 15 underwent aerobic strength training [physical exercise group (PEG)] and 8 underwent breathing exercises [respiratory physiotherapy group (RPG)]. Intracellular cytokines [interleukin (IL)-8, IL-13, IL-17, IL-6, IL-2, IL-10, and tumor necrosis factor alpha (TNF-α)] from CD4+ T lymphocytes were analyzed from peripheral blood through flow cytometry, before and after 8 weeks of intervention. Results: The PEG and RPG groups had a mean age of 68 ± 5.96 and 72.25 ± 6.86 years and predicted forced expiratory volume in the first second (FEV1) of 58.6 ± 15.99% and 39.75 ± 10.39%, respectively. It was possible to detect a significant reduction in IL-8 (p = 0.0125) and an increase in IL-13 (p = 0.0014) and an increase in TNF-α (p < 0.001) in both groups. Conclusion: Eight weeks of physical training, both peripheral and respiratory, were able to reduce concentrations of IL-8 and to increase IL-13, and TNF-α in CD4+ T lymphocytes in subjects with stable COPD. The findings reinforce the benefits of interventions in subjects with COPD, revealing data not previously investigated.
  • ItemArtigo
    Relationship between the number of comorbidities, quality of life, and cardiac autonomic modulation in patients with coronary disease: a cross-sectional study
    (2022-01-01) Valente, Heloisa Balotari [UNESP]; dos Santos Silva, Vitor Eduardo [UNESP]; Barros, Thamyres Rangel Mendes [UNESP]; Vanderlei, Franciele Marques [UNESP]; Laurino, M. J.L. [UNESP]; Botta, Ana Flavia Balotari [UNESP]; Vanzella, Laís Manata; Bongiovani, Antonio Claudio; Vanderlei, Luiz Carlos Marques [UNESP]; Universidade Estadual Paulista (UNESP); Toronto Rehabilitation Institute; Universidade do Oeste Paulista
    OBJECTIVE: The aim of this study was to evaluate if there is a relationship between the number of comorbidities, autonomic modulation, and quality of life in patients diagnosed with coronary artery disease. METHODS: A cross-sectional study was conducted at an outpatient rehabilitation center in Presidente Prudente-SP, Brazil. A total of 27 participants (65.33±9.23 years) diagnosed with coronary artery disease were assessed, from a cardiac rehabilitation program, independent of sex or age. The number of comorbidities was evaluated using the Self-Administered Comorbidity Questionnaire, and quality of life was evaluated using the Medical Outcome Study 36-Item Short Form Health Survey (SF-36) (eight domains: functional capacity, physical aspects, pain, general health status, vitality, social aspects, emotional aspects, and mental health). To evaluate the cardiac autonomic modulation, the heart rate was registered beat to beat using an heart rate monitor in the supine position during rest for 30 min. A total of 1000 RR intervals were considered to calculate linear (time domain: RMSSD, SDNN; frequency domain: LF, HF, LF/HF) and nonlinear indices (SD1, SD2, SD1/SD2) of heart rate variability. RESULTS: A negative correlation was observed between the aggregation of comorbidities and the pain domain of the SF-36 (r=-0.427; p=0.03). No significant correlations were observed between other variables (p>0.05). CONCLUSION: The number of comorbidities is inversely related to the pain domain of the SF-36, suggesting that a higher pain level is related to a higher number of comorbidities in coronary artery disease patients.