Autonomic Nervous System Diseases Clinical Trial
Official title:
EFFECT OF AEROBIC PHYSICAL TRAINING WITH DETERMINED INTENSITY FOR THE PROTOCOL OF DOUBLE EXHAUSTIVE EFFORTS IN THE AUTONOMICAL MODULATION OF THE HEART FREQUENCY OF PATIENTS WITH SYSTEMIC ARTERIAL HYPERTENSION
This study compared the changes in the cardiovascular, hemodynamic and metabolic variables of hypertensive patients who received aerobic physical training with intensity determined by the protocol of double non-exhaustive efforts (DENE) with that of patients who received routine outpatient care 12 weeks after Entry into the study. 63 men and women participated in the study and were allocated in the intervention group (n = 42) and control group (n = 21).The following were performed: Cardiopulmonary exercise test (TECP) for evaluation of peak oxygen consumption (VO2peak), oxygen pulse and double product; DENE protocol for the determination of the intensity of the training. It was obtained the recording of the intervals between consecutive heart beats (iRR) to evaluate the autonomic modulation of the heart rate. Body mass index, waist circumference (AC), hip circumference (CQ) and Waist / hip ratio (WHR) were measured.
The study was designed to compare changes in the cardiovascular, hemodynamic and metabolic
variables of hypertensive patients who received aerobic physical training with intensity
determined by the DENE protocol with that of patients who received routine ambulatory care
12 weeks after entering the study.
Sixty-three hypertensive men and women, divided into the intervention group (GI) (n=42) and
the control group (n = 21) participated in the study.
All procedures were performed by trained researchers and qualified staff and the evaluations
and intervention were performed at the specialty medical outpatient clinic.
After agreeing to participate in the study, we collected sociodemographic and clinical data,
body mass index (BMI), waist circumference (WC) and waist / hip ratio (WHR). The
participants were submitted to the cardiopulmonary exercise test (TECP), to evaluate the
peak oxygen consumption (VO2peak), oxygen pulse and double product. Between one and seven
days after TECP, consecutive heart rate intervals (iRR) were recorded for evaluation of
autonomic heart rate modulation using a Polar model RS800CX (Polar Electro Co.Ltda Kempele,
Finland). . The DENE protocol for determining the intensity of the training was applied in
the GI to determine the training intensity in the treadmill. Intervention participants
underwent supervised aerobic physical training at the pre-determined intensity, which
consisted of three weekly sessions, lasting one hour, over a period of 12 weeks. Control
participants receive routine care from the outpatient clinic for the same period. At the end
of the 12 weeks, measures, recording of the iRR intervals, oxygen pulse, double product,
BMI, waist circumference (AC), hip circumference (QC) and waist / hip ratio (WHR) were
obtained. All subjects were previously informed about the procedures Signed a free and
informed consent form. The project was approved by the Commission of Research Committee of
the Institution with the number 086.096 / 14.
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