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The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy

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Listed:
  • Rodrigo Daminello Raimundo

    (Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, Sao Paulo 01246-000, Brazil
    Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Av. Lauro Gomes, 2000-Vila Sacadura Cabral, Santo Andre 09060-870, Brazil)

  • Juliana Zangirolami-Raimundo

    (Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Av. Lauro Gomes, 2000-Vila Sacadura Cabral, Santo Andre 09060-870, Brazil
    Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SP 01246-903, Brazil)

  • Claudio Leone

    (Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715-Cerqueira César, Sao Paulo 01246-000, Brazil
    Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Av. Lauro Gomes, 2000-Vila Sacadura Cabral, Santo Andre 09060-870, Brazil)

  • Tatiana Dias de Carvalho

    (Departamento de Ciencias de la Salud, Universidad Nacional de La Matanza, Florencio Varela 1903, San Justo B1754, Argentina)

  • Talita Dias da Silva

    (Departamento de Cardiologia, Universidade Federal de São Paulo, Rua Sena Madureira, 1500-1º Andar-Vila Clementino, Sao Paulo 04021-001, Brazil)

  • Italla Maria Pinheiro Bezerra

    (Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Avenida Nossa Senhora da Penha, 2190-Bela Vista, Vitoria 29027-502, Brazil)

  • Alvaro Dantas de Almeida

    (Programa de Pós-Graduação em Ciencias Médicas, Faculdade de Medicina da USP, Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SP 01246-903, Brazil)

  • Vitor Engracia Valenti

    (Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737, Marilia 17525-900, Brazil)

  • Luiz Carlos de Abreu

    (Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737, Marilia 17525-900, Brazil
    School of Medicine, University of Limerick, Castletroy, V94 T9PX Limerick, Ireland
    Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Av. Fernando Ferrari, 514-Goiabeiras, Vitória 29075-910, Brazil)

Abstract

Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups ( p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms 2 ) was higher and the LF/HF ratio was lower for the stroke group than the control group ( p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group ( p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group.

Suggested Citation

  • Rodrigo Daminello Raimundo & Juliana Zangirolami-Raimundo & Claudio Leone & Tatiana Dias de Carvalho & Talita Dias da Silva & Italla Maria Pinheiro Bezerra & Alvaro Dantas de Almeida & Vitor Engracia , 2021. "The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11460-:d:669197
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    References listed on IDEAS

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    1. Maria-Arantzazu Ruescas-Nicolau & María Luz Sánchez-Sánchez & Sara Cortés-Amador & Sofía Pérez-Alenda & Anna Arnal-Gómez & Assumpta Climent-Toledo & Juan J. Carrasco, 2021. "Validity of the International Physical Activity Questionnaire Long Form for Assessing Physical Activity and Sedentary Behavior in Subjects with Chronic Stroke," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
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    Cited by:

    1. Paulo Evaristo de Andrade & Juliana Zangirolami-Raimundo & Tassiane Cristina Morais & Luiz Carlos De Abreu & Carlos Eduardo Siqueira & Isabel Cristina Esposito Sorpreso & José Maria Soares Júnior & Ro, 2023. "Cardiac Behavior and Heart Rate Variability in Elderly Hypertensive Individuals during Aerobic Exercise: A Non-Randomized Controlled Study," IJERPH, MDPI, vol. 20(2), pages 1-13, January.

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