Determinação do limiar anaeróbio pela variabilidade da frequência cardíaca de pacientes com DPOC durante exercício em cicloergômetro

INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is characterized by structural alterations of lung parenchyma resulting in systemic manifestations. These patients may have marked change in cardiac autonomic control. In this context, studies investigating heart rate variability (HRV) in pa...

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Detalles Bibliográficos
Autores: Caruso, Flávia Cristina Rossi, Reis, Michel Silva, Siqueira, Ana Cristina Barroso de [UNIFESP], Gardim, Marli, Catai, Aparecida Maria, Borghi-Silva, Audrey
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2012
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7411
Acceso en línea:http://dx.doi.org/10.1590/S0103-51502012000400004
http://repositorio.unifesp.br/handle/11600/7411
Access Level:acceso abierto
Palabra clave:Anaerobic threshold
Physical exercise
COPD
Heart rate
Limiar anaeróbio
Exercício físico
DPOC
Frequência cardíaca
Descripción
Sumario:INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is characterized by structural alterations of lung parenchyma resulting in systemic manifestations. These patients may have marked change in cardiac autonomic control. In this context, studies investigating heart rate variability (HRV) in patients with COPD during physical exercise cycloergometers have been little explored. OBJECTIVE: To determine the anaerobic threshold through HRV in order to establish parameters of evaluation and prescription of exercise intensity in these patients on a cycloergometer. MATERIALS AND METHODS: Eight male patients diagnosed with COPD, mean age 69.5 ± 7.6 years were studied. Heart rate was analyzed at rest and at different intensities of exercise. The test was performed on a cycloergometer and consisted of a warm-up period of four minutes at a minimum power. Steps were performed with initial power of 4W, with increments of 5 in 5W, until the patient reached the anaerobic threshold. RESULTS: Patients that presented higher values of FEV1 showed greater powers during the cycloergometer. Additionally, there was significant reduction in HRV during exercise compared to rest sitting p < 0.05. CONCLUSION: Patients had a severe physical deconditioning reaffirmed the impossibility determined by the anaerobic threshold of 50% of the sample.