Exercícios resistidos em idosos portadores de insuficiência arterial periférica
DOI:
https://doi.org/10.11606/issn.2317-0190.v13i2a102595Palavras-chave:
Levantamento de Peso, Terapia por Exercício, Claudicação Intermitente, Saúde do Idoso, ArterioscleroseResumo
O envelhecimento da população mundial propiciou o incremento das doenças crônico degenerativas, colocando a comunidade científica diante de um grande desafio na busca e escolha dos melhores e mais econômicos tratamentos. A doença arterial periférica, que surge como complicação da aterosclerose, apresenta incidência que aumenta linearmente com o avançar da idade, somando-se, portanto, a diversas outras patologias que já acometem este grupo populacional. A documentação dos benefícios em custo e eficácia, da utilização de exercícios como indicação primária para o tratamento de pacientes idosos, tornou-se excelente alternativa para este grupo populacional, que já utiliza diversas medicações, devido a outras doenças crônicas. Os benefícios dos exercícios resistidos foram ainda pouco explorados como forma isolada de tratamento da doença arterial periférica em idosos, mas já deixam indícios que esta forma de exercícios pode e deve ser utilizada para o tratamento da patologia referida, pois pode reverter ou retardar as concomitantes alterações degenerativas que acometem seus portadores, diminuindo de forma significativa as muitas limitações impostas pela doença em associação com o envelhecimento sedentário.
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Referências
Jacob-Filho W. Promoçao da saúde do idoso: um desafio interdisciplinar. In: Jacob-Filho W, Carvalho ET, editores. Promoçao da saúde do idoso. Sao Paulo: Lemos; 1998. p.11-18.
Papaléo Netto M, Ramos LR, Schoueri Junior RC. Crescimento populacional: aspectos demográficos e sociais. In: Papaléo Netto M. Geriatria - fundamentos, clínica e terapêutica. Sao Paulo: Atheneu; 2001. p.9-29.
Papaléo Netto M, Figueira JL, Carvalho Filho ET. Crescimento populacional: aterosclerose. In: Papaléo Neto M. Geriatria - fundamentos, clínica e terapêutica. Sao Paulo: Atheneu; 2001. p.97-117.
Meijer WT, Hoes AW, Rutgers D, Bots ML, Hofman A, Grobbee DE. Peripheral arterial disease in the elderly: The Rotterdam Study. Arterioscler Thromb Vasc Biol. 1998;18(2):185-92.
Murabito JM, Evans JC, Nieto K, Larson MG, Levy D, Wilson PW. Prevalence and clinical correlates of peripheral arterial disease in the Framingham Offspring Study. Am Heart J. 2002;143(6):961-5.
Novo S. Classification, epidemiology, risk factors, and natural history of peripheral arterial disease. Diabetes Obes Metab. 2002;4 Suppl 2:S1-6.
Passos VM, Barreto SM, Guerra HL, Firmo JO, Vidigal PG, Lima-Costa MF. The Bambui health and aging study (BHAS). Prevalence of intermittent claudication in the aged population of the community of Bambui and its associated factors. Arq Bras Cardiol. 2001;77(5):453-62.
Stewart KJ, Hiatt WR, Regensteiner JG, Hirsch AT. Exercise training for claudication. N Engl J Med. 2002;347(24):1941-51.
Silva DK, Nahas MV. Prescriçao de exercícios físicos para pessoas com doença vascular periférica. Rev Bras Cien Mov. 2002;10(1):55-61.
Selvin E, Erlinger TP. Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999-2000. Circulation. 2004;110(6):738-43.
Lewis CD. Peripheral arterial disease of the lower extremity. J Cardiovasc Nurs. 2001;15(4):45-63; quiz 96-7.
Regensteiner JG, Wolfel EE, Brass EP, Carry MR, Ringel SP, Hargarten ME, et al. Chronic changes in skeletal muscle histology and function in peripheral arterial disease. Circulation. 1993;87(2):413-21.
McGuigan MR, Bronks R, Newton RU, Sharman MJ, Graham JC, Cody DV, et al. Muscle fiber characteristics in patients with peripheral arterial disease. Med Sci Sports Exerc. 2001;33(12):2016-21.
McDermott MM, Guralnik JM, Albay M, Bandinelli S, Miniati B, Ferrucci L. Impairments of muscles and nerves associated with peripheral arterial disease and their relationship with lower extremity functioning: the InCHIANTI Study. J Am Geriatr Soc. 2004;52(3):405-10.
McDermott MM, Criqui MH, Greenland P, Guralnik JM, Liu K, Pearce WH, et al. Leg strength in peripheral arterial disease: associations with disease severity and lower-extremity performance. J Vasc Surg. 2004;39(3):523-30.
Askew CD, Green S, Walker PJ, Kerr GK, Green AA, Williams AD, et al. Skeletal muscle phenotype is associated with exercise tolerance in patients with peripheral arterial disease. J Vasc Surg. 2005;41(5):802-7.
Gardner AW, Poehlman ET. Exercise rehabilitation programs for the treatment of claudication pain. A meta-analysis. JAMA. 1995;274(12):975-80.
Falcone RA, Hirsch AT, Regensteiner JG, Treat-Jacobson D, Williams MA, Hiatt WR, et al. Peripheral arterial disease rehabilitation: a review. J Cardiopulm Rehabil. 2003;23(3):170-5.
Bulmer AC, Coombes JS. Optimising exercise training in peripheral arterial disease. Sports Med. 2004;34(14):983-1003.
Leng GC, Fowler B, Ernst E. Exercise for intermittent claudication. Cochrane Database Syst Rev. 2000;(2):CD000990.
Wolosker N, Munia MA, Rosoky R, Fidelis RJ, Nakano L, Kauffman P, et al. Tratamento cirúrgico para claudicaçao intermitente em pacientes que nao melhoram com o tratamento clínico. Arq Bras Cardiol. 2004;82(5):445-9.
Treesak C, Kasemsup V, Treat-Jacobson D, Nyman JA, Hirsch AT. Cost-effectiveness of exercise training to improve claudication symptoms in patients with peripheral arterial disease. Vasc Med. 2004;9(4):279-85.
Gardner AW. O treinamento de exercício para pacientes com doença arterial periférica. In: Thompson PD. O exercício e a cardiologia do esporte. Sao Paulo: Manole; 2004. p.353-62.
De Vries SO, Visser K, De Vries JA, Wong J, Donaldson MC, Hunink M. Intermittent Claudication: cost-effectiveness of revascularization versus exercise therapy. Radiology. 2002; 222(1):25-36.
AmbrosettI M, Salerno M, Boni S, Daniele G, Tramarin R, Pedretti RF. Economic evaluation of a short-course intensive rehabilitation program in patients with intermittent claudication. Int Angiol. 2004;23(2):108-13.
Hiatt WR, Wolfel EE, Meier RH, Regensteiner JG. Superiority of treadmill walking exercise versus strength training for patients with peripheral arterial disease. Implications for the mechanism of the training response. Circulation 1994;90(4):1866-74.
Regensteiner JG, Steiner JF, Hiatt WR. Exercise training improves functional status in patients with peripheral arterial disease. J Vasc Surg. 1996;23(1):104-15.
Hiatt WR, Regensteiner JG, Wolfel EE, Carry MR, Brass EP. Effect of exercise training on skeletal muscle histology and metabolism in peripheral arterial disease. J Appl Physiol. 1996;81(2):780-8.
McGuigan MR, Bronks R, Newton RU, Sharman MJ, Graham JC, Cody DV, et al. Resistance training in patients with peripheral arterial disease: effects on myosin isoforms, fiber type distribution, and capillary supply to skeletal muscle. J Gerontol A Biol Sci Med Sci. 2001;56(7):B302-10.
Fleck SJ, Kraemer WJ. Fundamentos do treinamento de força muscular. Porto Alegre: Artmed; 2006. p.309-29.
Bird SP, Tarpenning KM, Marino FE. Designing resistance training programmes to enhance muscular fitness: a review of the acute programme variables. Sports Med. 2005;35(10):841-51.
Hunter GR, McCarthy JP, Bamman MM.Effects of resistance training on older adults. Sports Med. 2004;34(5):329-48.
Kraemer WJ, Adams K, Cafarelli E, Dudley GA, Dooly C, Feigenbaum MS, et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34(2):364-80.
Winett RA, Carpinelli RN. Potential health-related benefits of resistance training. Prev Med. 2001;33(5):503-13.
Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, et al. AHA Science Advisory. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: An advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association; Position paper endorsed by the American College of Sports Medicine. Circulation. 2000;101(7):828-33.
Hurley BF, Roth SM. Strength training in the elderly: effects on risk factors for age-related diseases. Sports Med. 2000;30(4):249-68.
Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA 1990;263(22):3029-34.
Evans WJ. Exercise training guidelines for the elderly. Med Sci Sports Exerc. 1999;31(1):12-7.
Simao R. Fisiologia e prescriçao de exercícios para grupos especiais. Sao Paulo: Phorte; 2004. p.121-5.
Santarem JM. Fisiologia do exercício e treinamento resistido na saúde, na doença e no envelhecimento [text on the Internet]. Sao Paulo: CECAFI [cited 2005 Abr 15]. Available from: http://www.saudetotal.com/cecafi/texto.asp
Barbosa AR, Santarem JM, Filho WJ, Marucci Mde F. Effects of resistance training on the sit-and-reach test in elderly women. J Strength Cond Res. 2002;16(1):14-8.
Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332(9):556-61.
Feigenbaum MS, Pollock ML. Prescription of resistance training for health and disease. Med Sci Sports Exerc. 1999;31(1):38-45.
McCartney N. Acute responses to resistance training and safety. Med Sci Sports Exerc. 1999;31(1):31-7.
McCartney N. The safety of resistance training: hemodynamic factors and cardiovascular incidents. In: Graves JE, Franklin BA, editors. Resistance training for health and rehabilitation. USA: Human Kinetics Publishers; 2001. p.83-93.
Gardner AW, Katzel LI, Sorkin JD, Goldberg AP. Effects of long-term exercise rehabilitation on claudication distances in patients with peripheral arterial disease: a randomized controlled trial. J Cardiopulm Rehabil. 2002;22(3):192-8.
Menard JR, Smith HE, Riebe D, Braun CM, Blissmer B, Patterson RB. Long-term results of peripheral arterial disease rehabilitation. J Vasc Surg. 2004;39(6):1186-92.
Wolosker N, Nakano L, Rosoky RA, Puech-Leao P. Evaluation of walking capacity over time in 500 patients with intermittent claudication who underwent clinical treatment. Arch Intern Med. 2003;163(19):2296-300.
Gardner AW, Montgomery PS, Flinn WR, Katzel LI. The effect of exercise intensity on the response to exercise rehabilitation in patients with intermittent claudication. J Vasc Surg. 2005;42(4):702-9.
Brendle DC, Joseph LJ, Corretti MC, Gardner AW, Katzel LI. Effects of exercise rehabilitation on endothelial reactivity in older patients with peripheral arterial disease. Am J Cardiol. 2001;87(3):324-9.
Ashworth NL, Chad KE, Harrison EL, Reeder BA, Marshall SC. Home versus center based physical activity programs in older adults. Cochrane Database Syst Rev. 2005;(1):CD004017.
El-Sayed MS, Ali N, El-Sayed Ali Z. Haemorheology in exercise and training. Sports Med. 2005;35(8):649-70.
Lundgren F, Dahllof AG, Lundholm K, Schersten T, Volkmann R. Intermittent claudication--surgical reconstruction or physical training? A prospective randomized trial of treatment efficiency.Ann Surg. 1989;209(3):346-55.
Perkins JM, Collin J, Creasy TS, Fletcher EW, Morris PJ. Exercise training versus angioplasty for stable claudication. Long and medium term results of a prospective, randomised trial. Eur J Vasc Endovasc Surg. 1996;11(4):409-13.
Jacob-Filho W, Santarém JM, Fló C, Mônaco T. Conceitos e definiçoes. In: Jacob-Filho W, editor. Atividade física e envelhecimento saudável. Sao Paulo: Atheneu; 2006. p.1-8.
Campos GE, Luecke TJ, Wendeln HK, Toma K, Hagerman FC, Murray TF, et al. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. Eur J Appl Physiol. 2002;88(1-2):50-60.
Kraemer WJ, Ratamess NA.Fundamentals of resistance training: progression and exercise prescription.Med Sci Sports Exerc. 2004;36(4):674-88.
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