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Background: The specific benefits of aerobic exercises in smoking cessation are unclear, as they have different characteristics, intensities, and durations. The purpose of this systematic review with meta-analysis was to evaluate the effects of aerobic exercise, with or without co-interventions, compared with a control group of cognitive behavior treatment on smoking cessation. Methods: This review was prospectively registered on PROSPERO, and the searches were performed from 2016 to 2018. Randomized controlled trials evaluating the effects of aerobic exercise, with or without nicotine therapy replacement, compared with usual care were included. The primary outcome was smoking cessation defined as the prevalence of those who quit or continuous abstinence. Meta-analysis was calculated using random effects model in the comprehensive meta-analysis software. Results: The authors identified 18 trials reporting data for a total of 2815 participants. There was moderate-quality evidence that aerobic exercise was better than usual care in promoting smoking cessation at short term (11 trials, risk ratio 0.79; 95% confidence interval, 0.66–0.94). However, there were no differences between aerobic exercises and usual care at medium- or long-term follow-ups. Conclusions: According to review, aerobic exercise may be effective in promoting smoking cessation at short-term, but not at medium- and long-term follow-ups.

Fundamento: Poucos estudos já examinaram a relação do nível habitual de atividade física e a modulação do sistema nervoso autônomo (SNA) na qualidade do sono de fumantes. Objetivos: O objetivo deste estudo foi identificar alterações na qualidade do sono de fumantes e sua relação com nível habitual de atividade física e modulação do SNA. Métodos: Um total de 42 fumantes foram divididos em dois grupos de acordo com o 50º percentil de atividade física de moderada a vigorosa (AFMV). A qualidade do sono foi avaliada utilizando-se o Mini-Sleep Questionnaire (mini questionário do sono), e a modulação do SNA foi avaliada por índices de variabilidade de frequência cardíaca (VFC). Para a análise de possíveis diferenças de média, foi utilizada a análise de covariância (ANCOVA) para ajuste de idade, gênero, composição corporal, maços-ano, betabloqueadores, ansiedade, e depressão, em log base 10, exceto por dados qualitativos, tais como gênero e betabloqueadores. Foram estabelecidas correlações utilizando-se a correlação de postos de Spearman. A significância estatística foi definida em 5%. Resultados: Os fumantes que eram menos ativos demonstraram pior qualidade do sono (p=0,048) e insônia (p=0,045). Além disso, o grupo menos ativo apresentou redução na modulação parassimpática [HF (un; p=0,049); RMSSD (ms; p=0,047) e SD1 (ms; p=0,047)] e aumento do índice de LF (un) index (p=0,033) e razão LF/HF (p=0,040). Houve correlação positiva entre a pontuação total no Mini-sleep com o índice de LF (un) (r=0,317, p=0,041) e razão LF/HF (r=0,318, p=0,040) e correlação negativa com o índice de HF (un) (r= -0,322, p=0,038). Conclusões: Fumantes com baixo nível de atividade física habitual apresentaram baixa qualidade do sono e alterações na modulação do sistema nervoso autônomo. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0) Palavras-chave: Sono; Qualidade do Sono; Exercício; Frequência Cardíaca; Tabagismo; Doenças do Sistema Nervoso Autônomo.

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The aim of this study was to determine the effects of gallium arsenide (GaAs) laser on IGF-I, MyoD, MAFbx, and TNF-α gene expression during the intermediate phase of muscle regeneration after cryoinjury 21 Wistar rats were divided into three groups (n = 7 per group): untreated with no injury (control group), cryoinjury without GaAs (injured group), and cryoinjury with GaAs (GaAs-injured group). The cryoinjury was induced in the central region of the tibialis anterior muscle (TA). The region injured was irradiated once a day during 14 days using GaAs laser (904 nm; spot size 0.035 cm, output power 50 mW; energy density 69 J cm; exposure time 4 s per point; final energy 4.8 J). Twenty-four hours after the last application, the right and left TA muscles were collected for histological (collagen content) and molecular (gene expression of IGF-I, MyoD, MAFbx, and TNF-α) analyses, respectively. Data were analyzed using one-way ANOVA at P < 0.05. There were no significant (P > 0.05) differences in collagen density and IGF-I gene expression in all experimental groups. There were similar (P < 0.05) decreases in MAFbx and TNF-α gene expression in the injured and GaAs-injured groups, compared to control group. The MyoD gene expression increased (P = 0.008) in the GaAs-injured group, but not in the injured group (P = 0.338), compared to control group. GaAs laser therapy had a positive effect on MyoD gene expression, but not IGF-I, MAFbx, and TNF-α, during intermediary phases (14 days post-injury) of muscle repair.

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Metal bioaccumulation and oxidative stress biomarkers were determined in Prochilodus lineatus to understand the effects of short-term exposure to a triple-mixture of Zn, Mn, and Fe. Three independent tests were carried out, in which fish were exposed to 3 concentrations of Zn (0.18, 1.0, and 5.0 mg L ), Mn (0.1, 0.5, and 5.0 mg L ), and in the mix test to Fe (5.0 mg L ) and a mixture of Zn (1.0 mg L ) + Mn (0.5 mg L ), with and without Fe. After exposure for 96 h, tissues were removed for metal bioaccumulation analysis and oxidative stress biomarkers were determined in liver, along with DNA damage in blood cells. Our results revealed that Zn and Mn were bioaccumulated in fish tissues after exposure to 5.0 mg L , whereas Fe only bioaccumulated in muscle and gills after mixture exposure. Results indicated that 1 metal interfered with the other's bioaccumulation. In P. lineatus, 5 mg L of both Mn and Fe were toxic, because damage was observed (lipid peroxidation [LPO] in liver and DNA damage in blood cells), whereas Zn induced liver responses (metallothionein [MT] and reduced glutathione [GSH] increases) to prevent damage. In terms of bioaccumulation and alterations of oxidative stress biomarkers, we showed that Zn, Mn, and Fe triple-mixture enhances individual metal toxicity in Neotropical fish P. lineatus. Environ Toxicol Chem 2018;37:1749-1756. © 2018 SETAC.