Effect of exercise training on cardiovascular autonomic and muscular function in subclinical Chagas cardiomyopathy: a randomized controlled trial

Oliveira, Adriana Sarmento de; Antunes‐Correa, Lígia M.; Alves, Maria Janieire N. N.; Bacurau, Aline Villa Nova; Fonseca, Keila Cardoso Barbosa; Pessoa, Fernanda Gallinaro; Lobo, Denise M L; Moreira, Leila D P; Trombetta, Ivani C.; Rondon, Maria Urbana Pinto Brandão; Rondon, Eduardo; Vieira, Marcelo Luís Campos; Ramires, Felix José Alvarez; Brasileiro-Santos, Maria S.; Brum, Patrícia Chakur; Mady, Charles; Negräo, Carlos Eduardo; Thomas, Scott; Ianni, Bárbara Maria

doi:10.1007/s10286-020-00721-1

Cited by 10 publications

(10 citation statements)

References 55 publications

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“…It should be noted that the practice of physical activity among people living with Chagas disease is an important tool for the prevention of intestinal signs and symptoms, which are often affected, because of the pathophysiological characteristics of Chagas disease 22 . It was also seen that physical training helps to improve the cardiac function of people with subclinical Chagas heart disease 23 .…”

Section: Discussionmentioning

confidence: 99%

Nursing care for people with Chagas disease: a scoping review

da Silva Júnior,

Duarte Fonseca,

Fernandes de Andrade

et al. 2024

Rev Cuid

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Highlights There is little scientific evidence about Chagas disease and nursing care, most of the scientific evidence found was carried out in the Latin American region. By summarizing the findings in the scientific literature, we can begin to understand the problem of Chagas disease and its care by nursing. We can identify the main nursing care already developed for people with Chagas disease and the potential for future clinical research. The findings of this study elucidate nursing knowledge in Brazil and in the world about care for people with Chagas disease; Understanding aspects of care for these people is necessary to identification self-care capacity and the needs of nursing interventions. Introduction: Chagas disease is an infectious disease caused by the parasitism process of the protozoan Trypanosoma cruzi. Given its potential for chronicity, nursing care in the health care of patients with Chagas disease will provide an improvement in quality of life and the prognosis of the disease. Objective: Review scientific knowledge about nursing care for individuals with Chagas disease. Material and Methods: descriptive and exploratory research, carried out with two independent reviewers using high sensitivity criteria in databases and gray literature sources between June and July 2022. Results: The review identified 12 relevant publications that emphasized health care, education, relationships, disease prevention and health promotion. The most frequent and diverse nursing diagnoses were related to the Activity/Rest, Health Promotion and Coping/Stress domains. Discussion: To meet the care needs of Chagas disease, it is essential to ensure nursing care that recognizes individualities, highlighting the importance of creating tools that facilitate the nursing process. The main points highlighted were related to the health education process, longitudinal monitoring, healthy lifestyle habits, general nursing care during hospitalization and the use of nursing diagnoses. Conclusion: the need for comprehensive nursing care that meets the main needs of individuals with Chagas disease is emphasized, considering their unique circumstances. Developing tools to support the nursing process is essential to improve the results of care for this population. How to cite this article: Silva Júnior, José Antonio da; Fonseca, Álvaro Micael Duarte; Andrade, Micássio Fernandes de; Andrade, Cléber de Mesquita; Santos, Isis Kelly dos; Nascimento, Ellany Gurgel Cosme do. Nursing care for people with Chagas Disease: a scoping review. Revista Cuidarte. 2024;15(1):e3420. http://dx.doi.org/10.15649/cuidarte.3420

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Section: Discussionmentioning

confidence: 99%

Nursing care for people with Chagas disease: a scoping review

da Silva Júnior,

Duarte Fonseca,

Fernandes de Andrade

et al. 2024

Rev Cuid

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“…The 7th Brazilian Directive on Arterial Hypertension (2016) described several benefits of regular physical exercise for hemodynamic dysfunctions that occur in the elderly, especially in the hypertensive elderly. Exercise, when practiced with adequate intensity, duration, and frequency, causes adaptations in cardiovascular autonomic control (19) , improving the sensitivity of baroreceptors (20) and mechano and metaboreceptors (21) . Aerobic and resistance exercise reduces sympathetic nervous activity, as well as blood pressure and peripheral vascular resistance (22)(23)(24)(25)(26) .…”

Section: Discussionmentioning

confidence: 99%

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Dezani¹,

Teles²,

Ribeiro

et al. 2022

mtprehabjournal

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The aging process is associated with changes in hemodynamic control, such as reduced sensitivity of baroreceptors. Advanced evidence that some manual therapies, expanded physiotherapy specialty in the treatment of basic musculoskeletal disorders, be complementary to physical exercises performed in cardiovascular rehabilitation, studies that are very scarce in this area in Brazil. Objective: to evaluate the effect of a pomping protocol on hemodynamic behavior during isometric exercise in the elderly. Methodology: A prospective randomized controlled interventional study was carried out. 503 elderly people were initially screened, of which 70 elderly were selected to participate in two randomized sessions held on different days: one with a pomping protocol based on Bienfait (1999) and another with a placebo protocol, totaling 140 transactions. The behavior of blood pressure (BP) and heart rate (HR) at rest for 5 minutes and then during three minutes of isometric exercise with handgrip (EH101, Camry) at 30% of the maximum voluntary contraction were adopted. Afterwards, the pompage protocol or randomized placebo was treated for that specific session for 30 minutes and immediately after intervention/placebo they were repeated as calculated grouping. Results: The elderly had a mean age of 69 ± 1.0 years. Regarding BP values (SBP,131±1.4 mmHg; DBP=83±1.6 mmHg), it is possible to observe that most of the elderly were classified as pre-hypertensive, according to the Brazilian Guidelines on Arterial Hypertension. (2020). We emphasize that there was a reduction in SBP only in the pompage group (p < 0.001), a reduction in DBP only in the pompage group in the first minute (p=0.03) and in the third minute (p=0.04) and a reduction in HR in both groups (p < 0.001 and p = 0.02). Conclusion: The pompagens protocol reduced the SBP of the elderly during isometric exercise with the handgrip and the DBP in the recovery from isometric exercise, while there was no change in SBP in the placebo group during isometrics and no change in DBP in the placebo group during recovery from isometric exercise.

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“…The certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach when there was no single estimate of effect [13] , and the following aspects were considered: methodological limitations, indirectness, imprecision, inconsistency, and publication bias.…”

Section: Methodsmentioning

confidence: 99%

Exercise-based training programs for patients with chronic Chagas cardiomyopathy: A systematic review and meta-analysis

Calderon-Ramirez,

Fernandez-Guzman,

Caira-Chuquineyra

et al. 2023

IJC Heart & Vasculature

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Effect of exercise training on cardiovascular autonomic and muscular function in subclinical Chagas cardiomyopathy: a randomized controlled trial

Cited by 10 publications

References 55 publications

Nursing care for people with Chagas disease: a scoping review

Nursing care for people with Chagas disease: a scoping review

Effect of a pompage protocol on hemodynamic behavior during and on isometric exercise recovery in elderly: randomized and controlled study

Exercise-based training programs for patients with chronic Chagas cardiomyopathy: A systematic review and meta-analysis

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