Prescribing and Regulating Exercise with RPE after Heart Transplant: A Pilot Study

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Citações na Scopus
10
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Citação
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, v.47, n.7, p.1321-1327, 2015
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Purpose The objective of this study is to analyze the use of the 6-20 RPE scale for prescribing and self-regulating heated water-based exercise (HEx) and land-based exercise (LEx) in heart transplant recipients. Methods Fifteen (five females) clinically stable heart transplant recipients (time since surgery = 4.0 2.5 yr) age 46.7 11.8 yr underwent a symptom-limited maximal graded exercise test on a treadmill to determine their HR at anaerobic threshold (HRAT), respiratory compensation point (HRRCP), and maximal effort (HRmax). After a week, patients were randomized to perform 30 min of both HEx (walking inside the pool) and LEx (treadmill walking) sessions at a pace between 11 and 13 on the 6-20 RPE scale and had their HR measured every 4 min. The interval between sessions was 48-72 h. Results No significant differences between sessions were found in the average HR during HEx and LEx. Patients showed a delay in HR increase during both interventions, with the stabilization beginning after 8 min of exercise. Exercise HR was maintained between the HRAT and HRRCP (in the aerobic exercise training zone) for the most part of both HEx (72% of HR measurements) and LEx (66% of HR measurements). Only a few HR measurements stayed below HRAT (HEx = 9%, LEx = 13%) or above HRRCP (HEx = 19%, LEx = 21%) during both exercise sessions. Conclusion Exercise HR was maintained in the aerobic exercise training zone (between HRAT and HRRCP) for the most part of both sessions, suggesting that the 6-20 RPE scale may be an efficient tool for prescribing and self-regulating HEx and LEx in heart transplant recipients.
Palavras-chave
AEROBIC EXERCISE, CARDIAC DENERVATION, HEART RATE, HEART TRANSPLANTATION, RATING OF PERCEIVED EXERTION, REHABILITATION
Referências
  1. Atkinson G, 2005, INT J SPORTS MED, V26, pS2, DOI 10.1055/s-2004-830505
  2. Bernardi L, 2007, INT J CARDIOL, V118, P356, DOI 10.1016/j.ijcard.2006.07.032
  3. Bocchi EA, 2005, ARQ BRAS CARDIOL S3, V85, P1
  4. Bocchi EA, 2001, J HEART LUNG TRANSPL, V20, P637, DOI 10.1016/S1053-2498(00)00235-7
  5. BORG GAV, 1982, MED SCI SPORT EXER, V14, P377, DOI 10.1249/00005768-198205000-00012
  6. Carvalho VO, 2013, CARDIOL J, V20, P178, DOI 10.5603/CJ.2013.0031
  7. Carvalho VO, 2010, INT J CARDIOL, V145, P158, DOI 10.1016/j.ijcard.2009.07.035
  8. Carvalho VO, 2009, CIRC J, V73, P1871
  9. Carvalho VO, 2011, CARDIOVASC THER, V29, P322, DOI 10.1111/j.1755-5922.2010.00175.x
  10. CECI R, 1991, MED SCI SPORT EXER, V23, P732
  11. Chen MJ, 2002, J SPORT SCI, V20, P873, DOI 10.1080/026404102320761787
  12. Cider A, 2003, EUR J HEART FAIL, V5, P527, DOI 10.1016/S1388-9842(03)00048-5
  13. Ciolac EG, 2011, EUR J CARDIOV PREV R, V18, P824, DOI 10.1177/1741826711398426
  14. Ciolac EG, 2013, CARDIOL J, V20, P655, DOI 10.5603/CJ.2013.0166
  15. Garber CE, 2011, MED SCI SPORT EXER, V43, P1334, DOI 10.1249/MSS.0b013e318213fefb
  16. Gibbons RJ, 2002, J AM COLL CARDIOL, V40, P1531, DOI 10.1016/S0735-1097(02)02164-2
  17. Givertz MM, 1997, CIRCULATION, V96, P232
  18. Guimaraes GV, 2014, INT J CARDIOL, V172, P434, DOI 10.1016/j.ijcard.2014.01.100
  19. Guimaraes GV, 2013, BLOOD PRESS MONIT, V18, P342, DOI 10.1097/MBP.0000000000000000
  20. HILL DW, 1987, EUR J APPL PHYSIOL O, V56, P206, DOI 10.1007/BF00640645
  21. Kavanagh T, 2005, Eura Medicophys, V41, P67
  22. Keteyian S, 1990, J CARDIOPULM REHABIL, V10, P287, DOI 10.1097/00008483-199008000-00003
  23. Kobashigawa JA, 1999, NEW ENGL J MED, V340, P272, DOI 10.1056/NEJM199901283400404
  24. Koglin J, 1997, J HEART LUNG TRANSPL, V16, P621
  25. Kunitomi M, 2000, DIABETES RES CLIN PR, V50, P109, DOI 10.1016/S0168-8227(00)00170-4
  26. Lindenfeld J, 2005, CIRCULATION, V111, P113, DOI 10.1161/01.CIR.0000151609.60618.3C
  27. Meyer T, 2005, INT J SPORTS MED, V26, pS38, DOI 10.1055/s-2004-830514
  28. Michalsen Andreas, 2003, Am Heart J, V146, P728, DOI 10.1016/S0002-8703(03)00314-4
  29. PARIS W, 1993, J HEART LUNG TRANSPL, V12, P46
  30. Piepoli MF, 2004, BRIT MED J, V328, P189, DOI 10.1136/bmj.37938.645220.EE
  31. POPE SE, 1980, AM J CARDIOL, V46, P213, DOI 10.1016/0002-9149(80)90060-0
  32. Schmidt A, 2002, CLIN TRANSPLANT, V16, P137, DOI 10.1034/j.1399-0012.2002.1o100.x
  33. SEIP RL, 1991, MED SCI SPORT EXER, V23, P80
  34. Shephard RJ, 1996, BRIT J SPORT MED, V30, P116
  35. Tanaka H, 2001, J AM COLL CARDIOL, V37, P153, DOI 10.1016/S0735-1097(00)01054-8
  36. Wasserman K, 2004, PRINCIPLES EXERCISE, P32
  37. Wilson RF, 2000, CIRCULATION, V101, P2727
  38. Zoll J, 2003, J AM COLL CARDIOL, V42, P126, DOI 10.1016/s0735-1097(03)00499-6