Efeito de diferentes modalidades de treinamento físico no consumo de oxigênio de pico em pacientes pós-infarto agudo do miocárdio: uma revisão sistemática e metanálise
Effect of different physical training modalities on peak oxygen consumptions in post-acute myocardial infarction patients: systematic review and meta-analysis
Gabriela Bourscheid; Karin Raquel Just; Rochelle Rocha Costa; Thalia Petry; Luiz Cláudio Danzmann; Adamastor Humberto Pereira; Alexandre Araújo Pereira; Leandro Tolfo Franzoni; Eduardo Lima Garcia
Resumo
Palavras-chave
Abstract
Physical training can increase peak oxygen uptake (VO2peak) in people who have suffered acute myocardial infarction (AMI). However, there is still a gap in the literature in relation to the effectiveness of different types of interventions. Therefore, the aim of the present study was to evaluate the effects of different physical training modalities on VO2peak in post-AMI patients. The following databases were used: PubMed (MEDLINE), Cochrane Library, Scopus, and Pedro. Studies that evaluated aerobic exercise, strength exercise, or combined exercise were included. Six studies met eligibility criteria. Aerobic exercise increased VO2peak by 6.07 ml.kg-1.min-1 when compared to the control group (CG) (p = 0.013). The comparison between combined exercise and control group detected a difference of 1.84 ml.kg-1. min-1, but this was not significant (p = 0.312). We therefore conclude that aerobic exercise is the only modality that is effective for increasing VO2peak compared to a control group
Keywords
References
1 Roth GA, Johnson C, Abajobir A, et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J Am Coll Cardiol. 2017;70(1):1-25.
2 Martins WA, Rosa MLG, Matos RC, et al. Trends in mortality rates from cardiovascular disease and cancer between 2000 and 2015 in the most populous capital cities of the five regions of Brazil. Arq Bras Cardiol. 2020;114(2):199-206. PMid:32215484.
3 Oliveira GMM, Brant LCC, Polanczyk CA, et al. Estatística cardiovascular Brasil 2020. Arq Bras Cardiol. 2020;115(3):308-439.
4 Ribeiro AL, Duncan BB, Brant LC, Lotufo PA, Mill JG, Barreto SM. Cardiovascular health in Brazil: trends and perspectives. Circulation. 2016;133(4):422-33.
5 Tibaut M, Mekis D, Petrovic D. Pathophysiology of myocardial infarction and acute management strategies. Cardiovasc Hematol Agents Med Chem. 2017;14(3):150-9.
6 Marcolino MS, Brant LCC, Araujo JG, et al. Implementation of the myocardial infarction system of care in city of Belo Horizonte, Brazil. Arq Bras Cardiol. 2013;100:307-14. PMid:23545995.
7 Bertuzzi M, Negri E, Tavani A, Vecchia C. Family history of ischemic heart disease and risk of acute myocardial infarction. Prev Med. 2003;37(3):183-7.
8 Joshi NV, Toor I, Shah AS, et al. Systemic atherosclerotic inflammation following acute myocardial infarction: myocardial infarction begets myocardial infarction. J Am Heart Assoc. 2015;4(9):e001956.
9 Crea F, Liuzzo G. Pathogenesis of acute coronary syndromes. J Am Coll Cardiol. 2013;61(1):1-11.
10 Allahverdian S, Pannu PS, Francis GA. Contribution of monocyte-derived macrophages and smooth muscle cells to arterial foam cell formation. Cardiovasc Res. 2012;95(2):165-72.
11 Madsen EB, Gilpin E, Ahnve S, Henning H, Ross J Jr. Prediction of functional capacity and use of exercise testing for predicting risk after acute myocardial infarction. Am J Cardiol. 1985;56(13):839-45.
12 Kunz VC, Serra KBS, Borges ÉN, Serra PES, Silva E. Cardiopulmonary exercise testing in the early-phase of myocardial infarction. Rev Bras Fisioter. 2012;16(5):396-405.
13 Chiaranda G, Myers J, Arena R, et al. Improved percent-predicted peak VO(2) is associated with lower risk of hospitalization in patients with coronary heart disease. Analysis from the FRIEND registry. Int J Cardiol. 2020;310:138-44.
14 Siqueira CAS, Souza DLB. Reduction of mortality and predictions for acute myocardial infarction, stroke, and heart failure in Brazil until 2030. Sci Rep. 2020;10(1):17856.
15 Swank AM, Horton J, Fleg JL, et al. Modest increase in peak VO2 is related to better clinical outcomes in chronic heart failure patients: results from heart failure and a controlled trial to investigate outcomes of exercise training. Circ Heart Fail. 2012;5(5):579-85.
16 Kavanagh T, Mertens DJ, Hamm LF, et al. Prediction of long-term prognosis in 12 169 men referred for cardiac rehabilitation. Circulation. 2002;106(6):666-71.
17 Kavanagh T, Mertens DJ, Hamm LF, et al. Peak oxygen intake and cardiac mortality in women referred for cardiac rehabilitation. J Am Coll Cardiol. 2003;42(12):2139-43.
18 Anderson L, Sharp GA, Norton RJ, et al. Home-based versus centre-based cardiac rehabilitation. Cochrane Database Syst Rev. 2017;6(6):CD007130. PMid:28665511.
19 Pelliccia A, Sharma S, Gati S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J. 2021;42(2):17-96. PMid:32860412.
20 Leon AS, Franklin BA, Costa F, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2005;111(3):369-76.
21 Carvalho T, Milani M, Ferraz AS, et al. Brazilian cardiovascular rehabilitation guideline - 2020. Arq Bras Cardiol. 2020;114(5):943-87.
22 Peixoto TC, Begot I, Bolzan DW, et al. Early exercise-based rehabilitation improves health-related quality of life and functional capacity after acute myocardial infarction: a randomized controlled trial. Can J Cardiol. 2015;31(3):308-13.
23 Pierson LM, Herbert WG, Norton HJ, et al. Effects of combined aerobic and resistance training versus aerobic training alone in cardiac rehabilitation. J Cardiopulm Rehabil. 2001;21(2):101-10.
24 Meka N, Katragadda S, Cherian B, Arora RR. Endurance exercise and resistance training in cardiovascular disease. Ther Adv Cardiovasc Dis. 2008;2(2):115-21.
25 Higgins JPT, Deeks JJ, Altman DG. Cochrane handbook for systematic reviews of interventions, version 5.1. Oxford: Cochrane Collaboration; 2011.
26 Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. Open Med. 2009;3(3):e123-30. PMid:21603045.
27 Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557-60.
28 Takagi S, Murase N, Kime R, Niwayama M, Osada T, Katsumura T. Aerobic training enhances muscle deoxygenation in early post-myocardial infarction. Eur J Appl Physiol. 2016;116(4):673-85.
29 Arthur HM, Gunn E, Thorpe KE, et al. Effect of aerobic vs combined aerobic-strength training on 1-year, post-cardiac rehabilitation outcomes in women after a cardiac event. J Rehabil Med. 2007;39(9):730-5.
30 Benetti M, Araujo CL, Santos RZ. Cardiorespiratory fitness and quality of life at different exercise intensities after myocardial infarction. Arq Bras Cardiol. 2010;95(3):399-404.
31 Khalid Z, Farheen H, Tariq MI, Amjad I. Effectiveness of resistance interval training versus aerobic interval training on peak oxygen uptake in patients with myocardial infarction. J Pak Med Assoc. 2019;69(8):1194-8. PMid:31431779.
32 Santi GLD, Moreira HT, Carvalho EEV, et al. Influence of aerobic training on the mechanics of ventricular contraction after acute myocardial infarction: a pilot study. Arq Bras Cardiol. 2018;110(4):383-7.
33 Oliveira NL, Ribeiro F, Teixeira M, et al. Effect of 8-week exercise-based cardiac rehabilitation on cardiac autonomic function: a randomized controlled trial in myocardial infarction patients. Am Heart J. 2014;167(5):753-61.
34 Trachsel LD, David LP, Gayda M, et al. The impact of high-intensity interval training on ventricular remodeling in patients with a recent acute myocardial infarction - a randomized training intervention pilot study. Clin Cardiol. 2019;42(12):1222-31.
35 Moholdt T, Aamot IL, Granøien I, et al. Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study. Clin Rehabil. 2012;26(1):33-44.
36 Iorga A, Cunningham CM, Moazeni S, Ruffenach G, Umar S, Eghbali M. The protective role of estrogen and estrogen receptors in cardiovascular disease and the controversial use of estrogen therapy. Biol Sex Differ. 2017;8(1):33.
37 Franzoni L, Stein R. Moderate exercise improves depressive symptoms and pain in elderly people. Int J Cardiovasc Sci. 2019;32(6):563-4.
38 Stein R, Franzoni LT. Digital tools and cardiovascular rehabilitation. Int J Cardiovasc Sci. 2018;31(6):558-9.
39 Liu JX, Zhu L, Li PJ, Li N, Xu YB. Effectiveness of high-intensity interval training on glycemic control and cardiorespiratory fitness in patients with type 2 diabetes: a systematic review and meta-analysis. Aging Clin Exp Res. 2019;31(5):575-93.
40 Li J, Li Y, Atakan MM. The molecular adaptive responses of skeletal muscle to high-intensity exercise/training and hypoxia. Antioxidants. 2020;9(8):656.
41 Menshikova EV, Ritov VB, Fairfull L, Ferrell RE, Kelley DE, Goodpaster BH. Effects of exercise on mitochondrial content and function in aging human skeletal muscle. J Gerontol A Biol Sci Med Sci. 2006;61(6):534-40.
42 Distefano G, Goodpaster BH. Effects of exercise and aging on skeletal muscle. Cold Spring Harb Perspect Med. 2018;8(3):a029785.
43 Clark JE. The impact of duration on effectiveness of exercise, the implication for periodization of training and goal setting for individuals who are overfat, a meta-analysis. Biol Sport. 2016;33(4):309-33.
44 Detry JM, Rousseau M, Vandenbroucke G, Kusumi F, Brasseur LA, Bruce RA. Increased arteriovenous oxygen difference after physical training in coronary heart disease. Circulation. 1971;44(1):109-18.
45 Di Francesco Marino S, Sciartilli A, Di Valerio V, Di Baldassarre A, Gallina S. The effect of physical exercise on endothelial function. Sports Med. 2009;39(10):797-812.
46 Garcia EL, Menezes MG, Stefani CM, Danzmann LC, Torres MA. Ergospirometry and echocardiography in early stage of heart failure with preserved ejection fraction and in healthy individuals. Arq Bras Cardiol. 2015;105(3):248-55. PMid:26247247.
47 Arena R, Sietsema KE. Cardiopulmonary exercise testing in the clinical evaluation of patients with heart and lung disease. Circulation. 2011;123(6):668-80.
48 Belli KC, Silva PFD, Franzoni LT, Myers J, Stein R, Ribeiro JP. Speed and grade increment during cardiopulmonary treadmill testing: impact on exercise prescription. Int J Cardiovasc Sci. 2019;32:374-83.
49 Balakrishnan VS, Rao M, Menon V, et al. Resistance training increases muscle mitochondrial biogenesis in patients with chronic kidney disease. Clin J Am Soc Nephrol. 2010;5(6):996-1002.
Submitted date:
04/08/2021
Accepted date:
05/08/2021