The use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policy

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dc.contributor.authorRaimundo, Rodrigo Daminello
dc.contributor.authorZangirolami-Raimundo, Juliana
dc.contributor.authorLeone, Claudio
dc.contributor.authorde Carvalho, Tatiana Dias
dc.contributor.authorda Silva, Talita Dias
dc.contributor.authorBezerra, Italla Maria Pinheiro
dc.contributor.authorde Almeida, Alvaro Dantas
dc.contributor.authorValenti, Vitor Engracia [UNESP]
dc.contributor.authorde Abreu, Luiz Carlos [UNESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionCentro Universitário FMABC
dc.contributor.institutionUniversidad Nacional de La Matanza
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionEscola Superior de Ciências da Santa Casa de Misericórdia de Vitória
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Limerick
dc.contributor.institutionUniversidade Federal do Espírito Santo (UFES)
dc.date.accessioned2022-04-29T08:46:03Z
dc.date.available2022-04-29T08:46:03Z
dc.date.issued2021-11-01
dc.description.abstractBackground 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.en
dc.description.affiliationFaculdade de Saúde Pública Universidade de São Paulo, Av. Dr. Arnaldo, 715
dc.description.affiliationLaboratório de Delineamento de Estudos e Escrita Científica Centro Universitário FMABC, Av. Lauro Gomes, 2000—Vila Sacadura Cabral
dc.description.affiliationDisciplina de Ginecologia Departamento de Obstetrícia e Ginecologia Hospital das Clínicas Faculdade de Medicina FMUSP Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu
dc.description.affiliationDepartamento de Ciencias de la Salud Florencio Varela 1903 Universidad Nacional de La Matanza
dc.description.affiliationDepartamento de Cardiologia Universidade Federal de São Paulo, Rua Sena Madureira, 1500—1º Andar—Vila Clementino
dc.description.affiliationEscola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Avenida Nossa Senhora da Penha, 2190—Bela Vista
dc.description.affiliationUniversidade de São Paulo Faculdade de Medicina da USP, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SP
dc.description.affiliationCentro de Estudos do Sistema Nervoso Autônomo (CESNA) Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737
dc.description.affiliationSchool of Medicine University of Limerick, Castletroy
dc.description.affiliationDepartamento de Educação Integrada em Saúde Universidade Federal do Espírito Santo (UFES), Av. Fernando Ferrari, 514-Goiabeiras
dc.description.affiliationUnespCentro de Estudos do Sistema Nervoso Autônomo (CESNA) Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737
dc.identifierhttp://dx.doi.org/10.3390/ijerph182111460
dc.identifier.citationInternational Journal of Environmental Research and Public Health, v. 18, n. 21, 2021.
dc.identifier.doi10.3390/ijerph182111460
dc.identifier.issn1660-4601
dc.identifier.issn1661-7827
dc.identifier.scopus2-s2.0-85118158039
dc.identifier.urihttp://hdl.handle.net/11449/231541
dc.language.isoeng
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.sourceScopus
dc.subjectAging
dc.subjectAutonomic nervous system
dc.subjectExercise
dc.subjectHeart rate variability
dc.subjectStroke
dc.titleThe use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: Functional rehabilitation as a public health policyen
dc.typeArtigo

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Artigos - Ginecologia e Obstetrícia - FMB