Exercício físico e obesidade mórbida: uma revisão sistemática

Fonseca, Sidnei Jorge; Sá, Carlos Gabriel Avelar de Bustamante; Rodrigues, Phillipe Augusto Ferreira; Oliveira, Aldair J.; Fernandes-Filho, José

doi:10.1590/s0102-67202013000600015

Cited by 50 publications

(27 citation statements)

References 28 publications

(44 reference statements)

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“…Anthropometric assessment and identification of risk factors alone or in combination can be useful for Journal of Obesity planning and implementing public policies aimed at reducing morbidity and mortality from cardiovascular disease [42]. erefore, the information in this study is extremely relevant, since it investigated the cardiovascular risk factors that affect severely obese individuals and observed that the main factors that affect the alteration of autonomic function are insulin resistance, central adiposity, MPVA, and ST. is demonstrates the importance of adopting strategies to change the lifestyle of the severely obese [44], mainly due to the practice of physical activity as a nonmedication strategy and primary prevention for the treatment of obesity [45], along with additional weight gain with the maintenance of weight loss of those who reach it [46]. Public health programs should be promoted with a multidisciplinary approach in which health professional can better advise the severely obese, physically, foodily and psychologically.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Cardiac Autonomic Modulation in Obese Individuals

et al. 2020

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Obesity leads to an imbalance in the autonomic nervous system, especially in increased sympathetic modulation and decreased vagal tone, and some anthropometric, metabolic, and lifestyle variables may increase the risk of developing cardiovascular disease. Objective. To analyze the association between cardiovascular autonomic modulation and biochemical and anthropometric markers, food intake, and physical activity level in severely obese individuals. Methodology. The present study is a cutout of a randomized clinical trial “Effect of nutritional intervention and olive oil in severe obesity” (DieTBra Trial), where the baseline data were analyzed. Anthropometric data, biochemical exams, heart rate variability (HRV), accelerometry, and 24 h recall (R24H) of obese patients (body mass index BMI ≥35 kg/m2) were collected. Results. 64 obese patients were analyzed, with a mean age of 39.10 ± 7.74 years (27 to 58 years). By HRV analysis, in the frequency domain, the obese had a higher predominance of sympathetic autonomic modulation (low frequency (LF) 56.44 ± 20.31 nu) and lower parasympathetic modulation (high frequency (HF) 42.52 ± 19.18 nu). A negative association was observed between the variables Homeostasis Evaluation Model (HOMA-IR) and HF (p=0.049). In the physical activity analysis, there was a negative association between moderate to vigorous physical activity and the sympathetic component (p=0.043), and for sedentary time (ST), there was a negative association with HF (p=0.049) and LF/HF (p=0.036) and a positive association with LF (p=0.014). For multiple linear regression, waist circumference (WC) and HOMA-IR values were negatively associated with HF (β = −0.685, p=0.010; β = −14.989, p=0.010; respectively). HOMA-IR (β = 0.141, p=0.003) and the percentage of lipids ingested (β = −0.030, p=0.043) were negatively associated with LF/HF. Conclusion. Among the cardiovascular risk variables studied, insulin resistance and central adiposity showed the greatest influence on cardiac autonomic modulation of obese, increasing the risk for cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Risk Factors Associated with Cardiac Autonomic Modulation in Obese Individuals

et al. 2020

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“…A mudança no estilo de vida é benéfica à saúde e contribui de maneira significativa para a redução do peso corporal. Uma redução de 5-10% no peso traz benefícios clinicamente relevantes para esses pacientes (FONSECA JUNIOR et al, 2013;GARVEY et al, 2016;GOODPASTER et al, 2010;NHMRC, 2013).…”

Section: Benefícios Do Exercíciounclassified

“…Os exercícios resistidos incrementam o gasto calórico e aumentam as concentrações sanguíneas de HDL (FONSECA JUNIOR et al, 2013;HANSEN et al, 2018). Ainda, ao integrar exercícios resistidos com programas de restrição calórica, a diminuição de massa gorda e preservação da massa livre de gordura são mais eficazes (BATSIS et al, 2017).…”

Section: Benefícios Do Exercíciounclassified

Exercício físico e obesidade: prescrição e benefícios

Jesus

Gravina

Neto

et al. 2019

HU Rev

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A obesidade está associada a várias complicações e maior risco de mortalidade. A mudança no estilo de vida é uma das intervenções fundamentais para melhora do quadro clínico desses pacientes, sendo a prática de exercícios físicos um dos seus componentes. O objetivo do presente estudo foi realizar uma revisão de literatura sobre o exercício físico em adultos e idosos com obesidade, descrevendo os principais programas de exercício, a forma adequada de prescrição e os benefícios da sua prática regular. O exercício aeróbico é a modalidade mais indicada para a perda de peso e está associado com maiores benefícios para estes pacientes. Adicionalmente, tem sido preconizado a realização de exercício resistido como terapia complementar. Para alcançar os benefícios da prática regular de exercício físico, a literatura sugere que sejam realizados exercícios aeróbicos de moderada a alta intensidade por no mínimo 150 minutos por semana e quando possível acrescentar o treinamento resistido, 2 a 3 vezes por semana, com carga de 60-70% de uma repetição máxima. Portanto, a prescrição individualizada de exercício físico para pacientes com obesidade representa uma estratégia eficaz para a redução do peso, tratamento e controle dos fatores de risco cardiovasculares, além de promover benefícios na sintomatologia e em outras complicações.

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“…Overweight occurs in more than a billion people around the world, which 600 million are obese [1]. World Health Organization (OHS) de ines obesity as excessive accumulation of adipose tissue with health implications, [2] with multifactorial etiology, [2][3][4] and can be classi ied as several grades according to BMI´s values over 40kg/ m² [3,5,6]. The importance of this study about obesity relates to its consequences in other diseases development, such as: diabetes mellitus type II; arterial hypertension; dyslipidemia; chronic obstructive pulmonary disease; heart disease and certain cancers [4,[6][7][8][9]].…”

Section: Introductionmentioning

confidence: 99%

Study of body composition, physiological variables in Grade III obese submitted to arm ergometer test

Linhares¹

2017

New Insights Obes Gene Beyond

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Introduction: Number of obese people is growing on a daily basis in Brazil, including morbid obese ones, but there is still a lack of studies with this subject. Due to this, the main goal of this study was to identify body profi le, physiological variables behavior and oxygen consumption in grade III obese women, submitted to an ergospirometric test in arm ergometer. Method: Take part in this study, thirteen (13) female grade III obese patients between 20 and 40 years. They were submitted to an electric bioimpedance test for body composition measurement and an Ergospirometric test in arm ergometer for oxygen consumption, heart rate, and oxygen saturation, systolic and diastolic arterial pressure, resting and after exercises, analysis. Results: The patients revealed a BMI of 46.5±3.81 kg/m², 51.9±1.59% of body fat percentage. The patients reached 168.2±4.57bpm of heart rate, didn't make any hypertensive response to the effort reaching an arterial pressure of 171.1±22.15mmHg x 87.5±4.18mmHg. Oxygen saturation was 98±0.71% and oxygen consumption peak was, also in average, 12.3±2.75ml.kg.min-1. Conclusion: It was verifi ed that there was no oxygen saturation drop nor hypertensive response and all of the patients reached the maximum heart rate.

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Exercício físico e obesidade mórbida: uma revisão sistemática

Abstract: Aerobic and strength exercises programs proved being important components in the treatment of morbid obesity. Special care when establishing the volume-intensity exercise is required for adherence to treatment, and a proposal for a valid individualized exercise programs.

Cited by 50 publications

References 28 publications

Risk Factors Associated with Cardiac Autonomic Modulation in Obese Individuals

Risk Factors Associated with Cardiac Autonomic Modulation in Obese Individuals

Exercício físico e obesidade: prescrição e benefícios

Study of body composition, physiological variables in Grade III obese submitted to arm ergometer test

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