Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.210056
Jornal Vascular Brasileiro
Review Article

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

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Resumo

Resumo: O treinamento físico é capaz de aumentar o consumo de oxigênio de pico em indivíduos que sofreram infarto agudo do miocárdio. No entanto, em relação à eficácia de diferentes tipos de intervenções ainda há uma lacuna na literatura. O objetivo do presente estudo foi avaliar os efeitos de diferentes modalidades de treinamento físico no consumo de oxigênio de pico de pacientes pós-infarto agudo do miocárdio. Foram utilizadas as seguintes bases de dados: PubMed (MEDLINE), Cochrane Library, Scopus e PEDro. Foram incluídos estudos que avaliassem exercícios aeróbicos, de força ou combinados. Seis estudos preencheram elegibilidade. O exercício aeróbico aumentou 6,07 mL.kg-1.min-1 quando comparado ao grupo controle (p = 0,013). Na comparação entre exercício combinado e grupo controle, foi observada uma diferença de 1,84 mL.kg-1.min-1, no entanto, sem significância (p = 0,312). Portanto, concluímos que o exercício aeróbico é a única modalidade que apresenta eficácia para aumentar o consumo de oxigênio de pico em comparação a um grupo controle.

Palavras-chave

exercício físico, infarto agudo do miocárdio, reabilitação cardiovascular, doença da artéria coronariana, cardiopatia isquêmica

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

physical exercise; acute myocardial infarction; cardiovascular rehabilitation; coronary artery disease; ischemic cardiopathy.

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Submitted date:
04/08/2021

Accepted date:
05/08/2021

610a98d9a953951566443663 jvb Articles

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