Aegtico Original Comportamento subagudo da pressao arterial apos o treinamento de forca em hipertensos controlados Mauro Felippe Felix Mediano', Vitor Paravidino?, Roberto Simao?3, Francisco Luciano Pontes? e Marcos Doederlein Polito?*Protocolo experimental Apos aprovacao pelo comité ético institucional, foram realiza- das trés visitas ao local de teste, com intervalo entre 48 ¢ 72h entre as mesmas. No primeiro dia, os individuos passaram por uma anamnese e foram instruidos em relacao aos procedimentos a serem realizados no estudo. ApOs tais explicacoes, assinaram um termo de consentimento de acordo com a resolucao 196/96 do Conselho Nacional de Satide. Apés essa fase, foi realizado um teste de 10 repeticoes maximas (10RM) nos exercicios supino roto, leg-press, remada em pé no puxador baixo e rosca triceps no puxador alto (aglomerado Righetto®), Foram atribuidas para cada sujeito até cinco tentativas para a determinacao da carga, com intervalo de cinco minutos entre elas. Nas visitas subsequentes, ao chegarem ao local do experimen- to, 05 sujeitos permaneceram, aproximadamente, 10 minutos sen- tados em local calmo € confortavel para a medicia da PA pré-exer- Cicio. Posteriormente, realizaram de forma aleatéria uma (SER1) ou trés (SER3) séries de, no maximo, 10 repeticbes dos exerci cios propostos, com intervalo de dois minutos entre as séries © 05 exercicios. Durante a execugao das sessoes, a manobra de Valsal va foi constantemente desencorajada © nao houve qualquer tipo de estimulo que possibilitasse motivar os voluntarios. Imediata- mente apos 0 termino de cada sessao, a PA foi aferida ainda no local do Ultimo exercicio realizado. Apés essa medida, os indivi- duos foram transferidos para um local calmo, onde permanece- ram sentados por 60 minutos para registro da PA, que ocorreu emTABELA 1 ‘Comportamento da pressao arterial sistolica (PAS) e diastoliea (PAD) no pertodo pre-exereicio e apos a execucao de uma (SER1) ou tres series (SER3) Pre-oxercicio Pos-exercicio 1Omin 20min 30min 40min 50min 60m 1 SERIE (SER1) PAS 11582104 131.8 + 140" 11322115 112.72 10.4 1115103 110.7 = 10.1" 113,72 13.2 117.8 13.2 PAD 726+ 88 75,0 8,0" 08> 9.5 726 83 72.0=10.0 TO= 93 70.0= 95 74,0 = 10, 3 SERIES (SER3) PAS 121.12 145 1345 214.1" 1159+ 12,31 114.2 + 10.11 113.1 99r 113.32 11,3t 1140+ 7.7 115,12 97 PAD 75,12 83 75,7 = 9.0" 726=10.2 74.2 = 10.6 06= 8.4 T23= 84 Tis 91 124% 67 * siferenga sigrificaiva @ superior er relagao ao pertodo pre-exercicio (p < 0.05) * iferenca significative e inferior em relacdo ao pettoda pré-exctcicio |p < 0.05). Rev Bras Mad Esporte Vol. 11, Ne 6 ~ Now/Dez, 2008Em suma, pode-se concluir que: a) por até 60 minutos pos-exer- cicio, uma sessao de treinamento de forca pode promover redu- ces nos niveis pressoricos, principalmente para PAS, em indivi- duos hipertensos controlados por medicacao; b) parece ser necessario um maior volume de treinamento para que tal efeito ocorra. Contudo, sao necessérios outros estudos dessa natureza em pessoas hipertensas, principalmente com melhor controle da me- dicacao utilizada.> — Brees EMOVIMENTO Efeitos de diferentes métodos de exercicios resistidos sobre o comportamento hemodinamico Effects of different methods of resistive exercise upon hemodynamic behaviorFigura 1. Comportamento pressérico do método Alternado por Segmento e v recuperaczo em seus intervalos (* P<0,05). 1m REP Supine Leg 4st Rom. Flee SMIN 10MIN 15MIN 30MIN 60MIN 90MIN 120.MIN ‘Sent Hor. PAS == PAD == PAMFigura 2. Comportamento pressorico do método Localizado por Segmento e variaveis da recuperac3o em seus intervalos(* P AloraoP ‘sere t ‘Serie? ‘Sere -e Biloteral -* Unilateral ~o- AllernadeCONCLUSAO Em conclusao, n3o houve diferencas significativas entre as res- postas cardiovasculares agudas associadas as formas de execucio bilateral, unilateral e atternada em 10 RM do exercicio extensdo de joelhos. No entanto, a realizagio do exercicio de forma bilateral acar- retou, sistematicamente, menores valores de FC, PAS e DP, enquanto os. maiores valores foram identificados sempre para a execucao unilateral @ alternada, Estudos futuros s3o necessérios para um melhor entendi- mento da influéncia daquelas formas de execucao sobre as variaveis analisadas, Outrossim, 6 preciso determinar a relevancia das respostas presentemente obtidas em programas de treinamento delineados para individuos cuja condig3o clinica inspire, durante a pratica do exercicio fisico, maiores cuidados em termos cardiovasculares.www.clinsci.org (lial Scene 2008) 115, 283-29 (Pied in Great Bria) elO.IONSIOOTD aw Both aerobic endurance and strength training programmes improve cardiovascular health in obese adults Inga E. SCHJERVE*, Gjertrud A. TYLDUM:, Arnt E. TJONNA*, Tomas STOLEN’, Jan P. LOENNECHENS, Harald E. M. HANSEN*, Per M. HARAMS, Garreth HEINRICH§, Anja BYE*, Sonia M. NAJJAR§, Godfrey L. SMITH* |], Stig A. SLORDAHL*, Ole J. KEMI|| and Ulrik WISLOFF*+ Deparment of Craton and Medical Imaging, orwegian Unvesy of Science and Techoology, Trondheim, Norway, + Department of Cardiology, St. Olav Hospital, Trondeim, Norway, Department of Cardotoraic and Yacular Surgery, Univenty Hospital North Norway, Tromso, Noneay, §Department of Physiology, Pharmacology, Metabolim and Cardiovascular ‘Gece, Medical Univesity of Ohio, Toledo, OH, USA, and llnstute of Biomedical ad Life Sciences, University of Ghsgow, Glasgow, UK.MATERIALS AND METHODS ‘Subjects A total of 40 subjects volunteered for the present study and underwent a thorough medical examination before inclusion, Inclusion eriteria were males and females >-20 years of age and who had a BMI > 30 kg/m, Exclu- sion criwria were unstable angina pectoris, myocardial infarction within the lst 12 months, decompensated heart failure, cardiomyopathy, severe valvular heart dis- ‘asc, considerable pulmonary discase, uncontrolled hypertension, kidney failure, orthopacdic and/or neuro- logical limitations to exercise, surgery during the intervention period, drug o alcohol abuse, or pasticie pation in another research study. A compliance with the training programme of 70% was also set as a criterion {for completing the study. The prococol was approved by the regional Ethical Committee for Medical Research, and the study conformed to the Declaration of Helsinki. Written informed consent was obtained from all subjects prior to inclusion in the study. For each individual, all pro- and ppost-tests were performed at the same time of the day. Aerobic training Exercise training in both the high-intensity and imoderste-intensity geoups was by treadmill walking oF running. Hi y 1g comsisted of 2 10min warm-up period at 50-60% of HRnax [maximal HR (heart rate), followed by 4%<4-min intervals at 85-95 % of HRe with 3 min active breaks in between the intervals, consisting of walking oF jogging, at 50-69% of HRga The exercise session was terminated by a 5 min cool-down period. The moderate-intensity group walked continuously for 47 min at 69-70% of HRmae to ensure that the training protocols were isocalorie [8]- “The subjects were instructed to control the intensity of the exercise by monitoring their HR and thereby adjusting the speed and/or incline of the treadmill to correspond to the preferred exercise intensity. For cach session, HR, spced and incline were recorded. Participants were instructed to do the home training as outdoor uphill walking, in line with the laboratory-based training programme. The subjects were also instructed to register the intensity during their home sessions using the Borg RPE (rate of perceived exertion) 6-20 scale, whereby interval training should correspond to 16-18 and moderate training to 12-14 [9Strength training ‘The basis for the development of muscular strength is muscular hypertrophy and neural adaptations (20) Before carrying out high-intensity strength training, sub- jects warmed up by treadmill walking for 15 min at 40- 50% of HRauc. In the present study, we chose a strength training regime of four series with five repetitions cach, at approx. 90% of 1RM (one repetition maxim leg press apparatus to develop maximal strength mainly from neural adaptation with minimal weight gain due to muscular hypertrophy [20-22]. In addition, during cach strength training session, the subjects performed additional abdominal and back exercises, consisting of three series of 30 repetitions with 4 30% break in between each series. At home or in the gym, the subjects ‘warmed-up by walking and performed the abdominal and back strength programme on the floor and the leg strength programme in a leg press apparatus or as squats with appropriately loaded backpacks.He lis Fhe Fok a Soon ee 8 cam i i 4 3 i i l Swength Moderate: Ho 's ice