The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy

Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare th...

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Autores principales:	Rodrigo Daminello Raimundo, Juliana Zangirolami-Raimundo, Claudio Leone, Tatiana Dias de Carvalho, Talita Dias da Silva, Italla Maria Pinheiro Bezerra, Alvaro Dantas de Almeida, Vitor Engracia Valenti, Luiz Carlos de Abreu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	autonomic nervous system aging heart rate variability exercise stroke Medicine R
Acceso en línea:	https://doaj.org/article/862edcb375b241a599bc7a1c0d026245
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spelling	oai:doaj.org-article:862edcb375b241a599bc7a1c0d0262452021-11-11T16:35:06ZThe Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy10.3390/ijerph1821114601660-46011661-7827https://doaj.org/article/862edcb375b241a599bc7a1c0d0262452021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11460https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (<i>p</i> = 0.062; <i>p</i> = 0.601; <i>p</i> = 0.166; <i>p</i> = 0.224, and <i>p</i> = 0.059, respectively). The HF (ms<sup>2</sup>) was higher and the LF/HF ratio was lower for the stroke group than the control group (<i>p</i> < 0.001 and <i>p</i> = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (<i>p</i> = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group.Rodrigo Daminello RaimundoJuliana Zangirolami-RaimundoClaudio LeoneTatiana Dias de CarvalhoTalita Dias da SilvaItalla Maria Pinheiro BezerraAlvaro Dantas de AlmeidaVitor Engracia ValentiLuiz Carlos de AbreuMDPI AGarticleautonomic nervous systemagingheart rate variabilityexercisestrokeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11460, p 11460 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	autonomic nervous system aging heart rate variability exercise stroke Medicine R
spellingShingle	autonomic nervous system aging heart rate variability exercise stroke Medicine R Rodrigo Daminello Raimundo Juliana Zangirolami-Raimundo Claudio Leone Tatiana Dias de Carvalho Talita Dias da Silva Italla Maria Pinheiro Bezerra Alvaro Dantas de Almeida Vitor Engracia Valenti Luiz Carlos de Abreu The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
description	Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (<i>p</i> = 0.062; <i>p</i> = 0.601; <i>p</i> = 0.166; <i>p</i> = 0.224, and <i>p</i> = 0.059, respectively). The HF (ms<sup>2</sup>) was higher and the LF/HF ratio was lower for the stroke group than the control group (<i>p</i> < 0.001 and <i>p</i> = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (<i>p</i> = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group.
format	article
author	Rodrigo Daminello Raimundo Juliana Zangirolami-Raimundo Claudio Leone Tatiana Dias de Carvalho Talita Dias da Silva Italla Maria Pinheiro Bezerra Alvaro Dantas de Almeida Vitor Engracia Valenti Luiz Carlos de Abreu
author_facet	Rodrigo Daminello Raimundo Juliana Zangirolami-Raimundo Claudio Leone Tatiana Dias de Carvalho Talita Dias da Silva Italla Maria Pinheiro Bezerra Alvaro Dantas de Almeida Vitor Engracia Valenti Luiz Carlos de Abreu
author_sort	Rodrigo Daminello Raimundo
title	The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
title_short	The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
title_full	The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
title_fullStr	The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
title_full_unstemmed	The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy
title_sort	use of cardiac autonomic responses to aerobic exercise in elderly stroke patients: functional rehabilitation as a public health policy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/862edcb375b241a599bc7a1c0d026245
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The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy

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