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Type:	Artigo de Periódico
Title:	Cardiovascular responses during resistance exercise in patients with Parkinson disease
Authors:	Roberto Sanches Miyasato Carla da Silva Batista Tiago Peçanha de Oliveira David Low Marco Túlio de Mello Maria Elisa Pimentel Piemonte Carlos Ugrinowitsch Cláudia Lúcia de Moraes Forjaz Hélcio Kanegusuku
Abstract:	Background: Patients with Parkinson disease (PD) present cardiovascular autonomic dysfunction that impairs blood pressure control. However, cardiovascular responses during resistance exercise are unknown in these patients. Objective: To investigate cardiovascular responses during resistance exercise performed with different muscle masses in patients with PD. Design: Prospective, repeated-measures. Setting: Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo. Participants; Thirteen patients with PD (4 women, 62.7 ± 1.3 years, stages 2-3 of the modified Hoehn and Yahr scale; “on” state of medication) and 13 paired control patients without PD (7 women, 66.2 ± 2.0 years). Interventions: Both groups performed, in a random order, bilateral and unilateral knee extension exercises (2 sets, 10-12 maximal repetition, 2-minute intervals). Main Outcome Measurements: Systolic blood pressure (SBP) and heart rate (HR) were assessed before (pre) and during the exercises. Results: Independent of set and exercise type, SBP and HR increases were significantly lower in PD than the control group (combined values: +45 ± 2 versus +73 ± 4 mm Hg and +18 ± 1 versus +31 ± 2 bpm, P = .003 and .007, respectively). Independently of group and set, the SBP increase was greater in the bilateral than the unilateral exercise (combined values: +63 ± 4 versus +54 ± 3 mm Hg, P = .002), whereas the HR increase was similar. In addition, independently of group and exercise type, the SBP increase was greater in the second than the first set (combined values: +56 ± 4 versus +61 ± 4 mm Hg, P = .04), whereas the HR increases were similar. Conclusions: Patients with PD present attenuated increases in SBP and HR during resistance exercise in comparison with healthy subjects. These results support that resistance exercise is safe and well tolerated for patients with PD from a cardiovascular point of view supporting its recommendation for this population.
Subject:	Parkinson, Doença de Doenças cardiovasculares Pressão arterial - Regulação Exercicio isometrico
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	EEF - DEPARTAMENTO DE ESPORTES
Rights:	Acesso Restrito
metadata.dc.identifier.doi:	https://doi.org/10.1016/j.pmrj.2018.04.009
URI:	http://hdl.handle.net/1843/50708
Issue Date:	Nov-2018
metadata.dc.url.externa:	https://onlinelibrary.wiley.com/doi/10.1016/j.pmrj.2018.04.009
metadata.dc.relation.ispartof:	PM&R
Appears in Collections:	Artigo de Periódico

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