Efeito do exercício físico aeróbio sobre o perfil lipídico de pacientes idosas, portadoras de Diabetes Mellitus tipo 2, atendidas em Unidade Básica de Saúde, Maringá, Estado do Paraná.

Abstract

ResumoEste estudo tem por objetivo verificar a influência de um programa de exercícios físicos aeróbios sobre o perfil lipídico de pacientes idosas, portadoras de Diabetes Mellitus (DM) tipo 2. Foram selecionados 40 pacientes do gêne-ro feminino com idade maior ou igual a 60 anos. A amostra foi distribuída em dois grupos de 20 pacientes cada: Grupo Treinado, que recebeu orientação nutricional e participou das sessões supervisionadas de exercício físico aeróbio, e Grupo Controle, que recebeu somente orientação nutricional. A intervenção teve a duração de 12 semanas. O protocolo de exercício foi aplicado três vezes por semana, tendo cada sessão 1 h de duração. Os dados obtidos mostraram que o protocolo desenvolvido promoveu redução significativa nos triglicerídeos séricos (pré-teste= 190 ± 76,67 e pós-teste= 125,33 ± 45,82 mg/dL, p<0,05) e no LDL-colesterol (pré-teste= 147,98 ± 29,98 e pós-teste= 122,24 ± 17,61 mg/dL, p<0,05) no Grupo Treinado. Os resultados permitiram concluir que o programa de exercícios adotado promoveu melhora no perfil lipídico de pacientes idosas portadoras de DM tipo 2, demonstrando a importância da prática de atividade física orientada em Unidades Básicas de Saúde. AbstractThis study aims to evaluate the influence of a physical exercise program on the lipid profile in type 2 diabetic elderly women. The patients were selected from a Basic Unit of Health (Mandacaru -NIS II, Maringá, Paraná), that Correspondência / Correspondence

Effect of Exercise on Body Composition, Lipid and Glucose and Blood Pressure in Women with Chronic Degenerative Diseases

“…The improvement of glucose is associated with other studies 23,26 , demonstrating improvements in glycemic profile of patients who have the same conditions. Some studies showed statistically significant changes in the reduction of glycemia 24.25 , highlighting the efficiency of physical exercise promoted by exercise and the reduction of fat mass 14,23,26 .…”

“…However it should be noted that the average was previously classified as high, and after 12 weeks of aerobic exercises performed on a regular basis, the average lowered to a borderline classification 21 . HDL showed an increase of 5.25% (50.39 ± 7.31 mg/dl vs 53.04 ± 6.48 mg/dl), not significant, as well as in other studies 14,23,24,25,26 , in which the authors suggested greater intervention time for better results. However, Soares and Teodoro 22 observed a significant increase in the average level of HDL (47.7±11.1 mg/dl vs. 58.5±7.6 mg/dl).…”

“…There was a reduction of 1.91% in the abdominal circumference (100.6 ±7.33 vs 98.66 ± 7.27), even slight, it is important because the increase in the abdominal circumference is associated with the occurrence of cardiovascular diseases. To check other studies with similar characteristics related to the intervention period and protocol of physical exercise, it can be noted that it was also not observed by the authors, significant reductions in body weight, BMI and waist, hip and abdominal circumferences [22][23][24][25][26] . Even though there are no statistically significant changes in these indicators, the results can be highlighted by the possible increase of lean mass The improvement in blood pressure at rest was sketched in studies with aerobic walking exercises, and there was a statistically significant reduction in SBP and DBP in hypertensive patients 29 , patients with coronary heart disease 22 and post-menopausal women 22,27,30 .…”

“…It is important to emphasize that the excess fat and body weight is accompanied by greater susceptibility of a variety of chronic degenerative disorders that elevate extraordinarily the indices of morbidity and mortality 7 . The best procedure to reduce and maintain the levels of body fat is performing permanent behavioral changes, such as the combination of an intervention associated with a nutritional orientation [23][24][25][26] .…”

“…The regular practice of physical activity by diabetic patients provides the reduction of levels of VLDL 15 . The literature presents studies where there was a reduction in mean of VLDL after 12 weeks walking 22,27 , and also papers where no statistically significant reductions were found 24,25,26 .…”