Integrative aspects of the relationship between stress and heart rate variability

The literature indicates stress as a response of the organism to a stimulation that requires enormous efforts to adapt to the changes in the environment and the body. When an individual is subjected to stress, the autonomic nervous system is triggered, the sympathetic pathway is activated, and the parasympathetic system is suppressed, which exerts several effects on the cardiovascular system and affects heart rate variability. This research aimed to conduct a literature review to find and analyze the studies that address clearly the implications of stress on heart rate variability. The methodology employed was an active search in the databases SciELO, PubMed and Lilacs. The results were five articles, most of which suggest a relationship between stress and heart rate variability. We observed that the majority of the studies indicated a strong association between stress and cardiac autonomic activity. The stress is present in the daily activities of the population, especially in labor. The subject is vast, however, were observed in the references the effects of stress on the body making it vulnerable to diseases. Thus, this information may contribute to the aid of preventive strategies against stress and diseases of the cardiovascular system.

Influência do tratamento fisioterapêutico em grupo no equilíbrio, na mobilidade funcional e na qualidade de vida de pacientes com Parkinson

Introduction: Parkinson’s disease (PD) is a chronic disease of the nervous system, characterized by degeneration of neurons in the mesencephalic substantia nigra, leading to a clinical state of rest tremor, bradykinesia, muscular rigidity and postural instability. Physical therapy seeks to act by slowing the progression of the disease and when done in a group and maintain and / or improving the motor skills of the individual, can provide psychosocial benefi ts. Objective: examine the infl uence of the physical therapy group in balance, functional mobility and quality of life of individuals with PD. Method: participated in this study 04 subjects were female, mean age 67.75 (± 9.5) years, with medical diagnosis of PD, stages 1 to 3 of the Hoehn & Yahr. Before starting treatment, subjects underwent an assessment of the balance (BBS), functional mobility (TUG) and the quality of life (PDQ-39).The treatment was performed in groups, for a period of 10 weeks, lasting 60 minutes each session twice a week, totaling 20 sessions of physiotherapy. Upon completion of the treatment period the subjects were again assessed for balance, functional mobility and quality of life. The data were analyzed using the Student t-test, with signifi cance level of 5% (p ≤ 0.05). Results: statistical analysis showed signifi cant differences in three variables: equilibrium (p = 0.010), functional mobility (p = 0.029) and quality of life (p = 0.004), after physiotherapy intervention. Conclusion: physiotherapy treatment was group provides better balance, functional mobility and quality of life of patients with PD.

Influência do fortalecimento muscular na independência funcional de indivíduos parkinsonianos

Introduction: Parkinson’s disease is a chronic disease of the nervous system that leads to a clinical picture of resting tremor, bradykinesia, muscular rigidity and postural instability. These symptoms, in turn, directly influence the functional independence of the individual. Objective: To analyze the influence of muscle strengthening on functional independence of individuals with Parkinson’s disease. Method: A total of ten subjects of both genders participated in this study. We evaluated the functional independence, strength of lower limbs, grip strength testing and 1 repetition maximum. After the evaluation was performed muscle building program for 12 weeks. Results: There was improvement of functional independence (p = 0.007) and lower limb strength (p = 0.01), as well as an increase in grip strength, both of the dominant hand (p = 0.007) and the non-dominant one (p = 0.02). Conclusion: The muscle strength improved the functional independence of individuals with PD.

Efeitos da Ventilação Mecânica não Invasiva sobre a Modulação Autonômica Cardíaca

This review is intended to gather together recent studies that explore the effects of different types of noninvasive ventilation (NIV) on the autonomic nervous system, assessed through heart rate variability (HRV). A search for papers was conducted in the PubMed, PEDro, SciELO and Lilacs databases with the following descriptors: noninvasive ventilation, CPAP ventilation, intermittent positive pressure breathing and autonomic nervous system, for the period between 2008 and 2012. After eliminating papers not addressing the topic, we selected six studies, of which five applied NIV in CPAP mode and one used biphasic positive airway pressure. In general, the findings suggest that NIV promotes changes in autonomic modulation that are dependent on the conditions of the subjects analyzed and the time when these rates are assessed, meaning acute or long-term effects.

Previous exposure to musical auditory stimulation immediately influences the cardiac autonomic responses to the postural change maneuver in women

Background: Chronic exposure to musical auditory stimulation has been reported to improve cardiac autonomic regulation. However, it is not clear if music acutely influences it in response to autonomic tests. We evaluated the acute effects of music on heart rate variability (HRV) responses to the postural change maneuver (PCM) in women. Method: We evaluated 12 healthy women between 18 and 28 years old and HRV was analyzed in the time (SDNN, RMSSD, NN50 and pNN50) and frequency (LF, HF and LF/HF ratio) domains. In the control protocol, the women remained at seated rest for 10 minutes and quickly stood up within three seconds and remained standing still for 15 minutes. In the music protocol, the women remained at seated rest for 10 minutes, were exposed to music for 10 minutes and quickly stood up within three seconds and remained standing still for 15 minutes. HRV was recorded at the following time: rest, music (music protocol) 0–5, 5–10 and 10–15 min during standing. Results: In the control protocol the SDNN, RMSSD and pNN50 indexes were reduced at 10–15 minutes after the volunteers stood up, while the LF (nu) index was increased at the same moment compared to seated rest. In the protocol with music, the indexes were not different from control but the RMSSD, pNN50 and LF (nu) were different from the music period. Conclusion: Musical auditory stimulation attenuates the cardiac autonomic responses to the PCM.

Variabilidade da frequência cardíaca como recurso em fisioterapia: análise de periódicos nacionais

INTRODUCTION: The autonomic nervous system (ANS) could be investigated in a noninvasive way by the heart rate variability analysis (HRV) which has contributed to several health areas such as physiotherapy. OBJECTIVE: To gather information regarding the use of HRV on physiotherapy aims at providing an update of the findings for the area on journals of national circulation. MATERIALS AND METHODS: The journals of national circulation classified as greater than B2 or B2 and with free access and complete texts in some internet sites were searched on 21 area WebQualis resulting on selection of Revista Brasileira de Fisioterapia, Fisioterapia e Pesquisa and Fisioterapia em Movimento using the keywords: autonomic nervous system, sympathetic nervous system, physiotherapy and heart rate variability. RESULTS: The search resulted in 19 articles being 17 clinical trials and two case reports. CONCLUSION: The HRV has been used as a resource of interventions evaluation, as pathological conditions common to clinical practice investigation and to physiological conditions interpretation in physiotherapy. The HRV is principally used to the cardiorespiratory specialty of physiotherapy.

Aspectos neurobiológicos da doença de Alzheimer

Neste trabalho, foi feita uma revisão de importantes aspectos associados às bases neurobiológicas da Doença de Alzheimer, por meio de um levantamento bibliográfico sobre o assunto. A Doença de Alzheimer (DA) é uma doença neurodegenerativa que acomete geralmente pessoas acima de 65 ou 70 anos. Em pacientes com DA, nota-se a ocorrência de atrofia progressiva de várias áreas cerebrais, responsáveis pela perda de memória e de outras funções cognitivas, além da diminuição da capacidade para realizar atividades rotineiras. Inicialmente, a atrofia ocorre no lobo temporal, especialmente nas regiões responsáveis pela memória (hipocampo, córtex entorrinal) e, posteriormente, em regiões como o córtex parietal e córtex frontal. O declínio progressivo e persistente de memória recente pode ser verificado já na fase inicial da doença e, progressivamente, entram em declínio outras funções cognitivas, resultando em um comprometimento cognitivo global. Os mecanismos envolvidos na degeneração cerebral na Doença de Alzheimer estão relacionados com a neuropatologia característica da DA. Lesões cerebrais específicas levam a morte de neurônios e sinapses, e estão relacionadas a presença de placas amilóides e emaranhados neurofibrilares. Essas placas e emaranhados acometem principalmente as camadas piramidais do córtex cerebral e são responsáveis por degenerações sinápticas intensas, tanto em nível hipocampal quanto neocortical (BRAAK & BRAAK, 1991). À medida que os neurônios morrem, são perdidos sinais de entrada sinápticos em regiões do encéfalo que são críticas para a função cognitiva e de memória normal

Exposição ambiental ao chumbo: um problema de áreas contaminadas próximas a fábricas de baterias

The concentration of metal pollutants such as lead (Pb), has grown and developed in populated areas due to pollution and other human activities. Consequently, the potential for achieve this element food chain has also increased. Lead is very toxic to humans, especially to children, and exposure to lead can cause adverse health effects mainly on human nervous system, bone marrow and kidneys, interfering with chromosomal or genetic processes. This paper presents an overview of the main aspects related to environmental contamination by lead from battery plants. The assessment of an area contaminated by lead in Bauru-SP next a battery factory was reported in this work as well as the entire history of monitoring, classification and application of processes applied by CETESB since 2002. Analyzing the issue in its economic aspects, we found that the degradation of the environment is directly related to the development model adopted by the capitalist system, which is based on the law of supply and demand for products and services. The data presented indicate that Brazil still needs a broader policy where government agencies, industries and population through awareness can be united for the same purpose: to preserve life

Análise dos índices de variabilidade da frequência cardíaca em jovens obesos

Introdução: A variabilidade da frequência cardíaca (VFC) descreve o comportamento dos intervalos RR que está relacionado às ações do sistema nervoso autônomo (SNA) sobre o nódulo sinusal. Essa pode ser influenciada por diversos fatores dentre eles a obesidade, doença de etiologia multifatorial definida como um acúmulo excessivo de gordura corporal. Objetivo: Avaliar em jovens obesos com idade entre 18 e 23 anos o comportamento autonômico cardíaco, durante o repouso, por meio da análise linear e não linear dos índices da VFC bem como associá-lo a eventos de desconforto músculoesquelético influenciados ou não pela prática regular de exercício físico nessa população. Metodologia: Para a realização deste estudo foram analisados dados de 68 voluntários jovens, de ambos os sexos, distribuídos de forma não randomizada em dois grupos: o G1 constituído por 32 obesos, 20,21 ± 1,66 anos e o G2 por 36 não obesos, 20,8 ± 1,47 anos sendo considerado como critério de classificação dos voluntários o índice de massa corpórea (IMC). O protocolo experimental consistiu da captação da frequência cardíaca batimento a batimento, por meio de uma cinta de captação fixada no tórax do voluntário juntamente com um receptor de frequência cardíaca fixado no punho. Para esta captação o voluntário foi orientado a permanecer em repouso na posição de decúbito dorsal sobre um colchonete, durante 30 minutos, com a respiração espontânea. Além disso, foram aplicados dois questionários, ou seja: versão curta do International Physical Activity Questionaire (IPAQ) - Questionário Internacional de Atividade Física, a fim de classificar o nível de atividade física e o Questionário Nórdico, para detectar eventuais sintomas osteomusculares decorrentes das atividades de vida diária e/ou atividades física. Os índices da VFC analisados foram: análise linear... (Resumo completo, clicar acesso eletrônico abaixo)

Investigação da participação de adrenoceptores α1 no efeito antinociceptivo da amitriptilina em um modelo de dor neuropática

Tricyclic antidepressants, such as amitriptyline, are inhibitors of serotonin and norepinephrine neuronal reuptake and this action has been implied in changes in pain threshold supporting its use to alleviate neuropathic pain. Although is known that 1 adrenoceptors participate in the antinociceptive effect of amitriptyline it is unclear which receptor subtype is the target for the increased synaptic levels of norepinephrine resultant from the inhibition of neuronal uptake. Paradoxically, several tricyclic antidepressants including amitriptyline also behave as antagonists of 1 adrenoceptors with different affinities for its subtypes: these drugs have 10 to 100-fold higher affinities for 1A than for 1B and 1D adrenoceptors. This work investigated the involvement of 1 adrenoceptors subtypes in the antinociceptive effect of the amitriptyline in a constriction of the sciatic nerve in rats by determining the effects of subtype selective 1 adrenoceptors antagonists. Fifteen days later, mechanical hyperalgesia was analyzed in a Randall-Selitto test. The 1A-selective antagonist RS100329 was the most potent antagonist of the contractions of the rat prostate, whereas the 1D-selective antagonist BMY 7378 (up to 100g/Kg) was unable to affect these contractions. The antagonist prazosin, BMY 7378 and 5-methyl urapidil inhibited the antinociceptive effect of the amitriptyline. However, the highly selective 1A adrenoceptor antagonist RS100329 was unable to affect the antinociception induced by amitriptyline. These results point out that 1B and/or 1D adrenoceptors, but not 1A, are involved in the antinociceptive effects of amitriptyline

Influência do exercício resistido aplicado de forma aguda sobre a variabilidade da frequência cardíaca em jovens ativos saudáveis: análise por meio de índices geométricos

Introduction: The triangular index and the Poincaré plot (or Lorenz plot) are the best known indexes obtained from geometric methods. The triangular index (TINN, RRtri) represent the global variability of the subject and SD1, which reflects the parasympathetic component, SD2, index of global variability and its relationship (SD1/SD2) are obtained from the Poincaré plot. Despite the literature showing changes in the cardiovascular system during and after the resistance exercise (RE), aspects related to autonomic modulation of heart against these conditions have not been explored yet, so it is important to evaluate this behavior. Objectives: Analyze the acute effects of RE on the cardiac autonomic modulation during recovery (REC) through analysis of geometric indices of heart rate variability (HRV), applied with different intensities and muscle groups in healthy and active young. Methods: Were evaluated 24 young, 22.25 ± 2.4 years and 24.47 ± 3.08 kg/m2, underwent an experimental protocol of five stages, in the first stage was conducted a test of one maximum repetition (1RM) in upper limbs (UL) and lower limb (LL), and the following steps were initiated interventions to 40 (E) and 80% (F) of 1RM. Considered for HRV analysis the periods: baseline and immediately after exercise, both in supine... (Complete abstract click electronic access below)

Efeito da tarefa dupla no andar livre de pacientes com demência de Alzheimer

Nos idosos, o andar tem sido associado com a preservação das funções cognitivas. Entretanto, pacientes com Demência de Alzheimer (DA), apresentam modulações durante o andar, decorrente das disfunções no lobo frontal, principalmente no córtex motor e declínio nas funções executivas. Contudo, a marcha de idosos com DA pode ser mais vulnerável na presença de uma tarefa dupla, pois esses idosos apresentam déficits nas ações que exigem planejamento, atenção e ajustes motores. Desse modo, o objetivo deste estudo foi analisar no paradigma da tarefa dupla os valores médios das variáveis espaciais e temporais do andar de pacientes com DA. A amostra do estudo foi composta por 19 idosos com DA, sendo 14 mulheres e 5 homens. Os pacientes com DA realizaram 5 tentativas das seguintes tarefas: andar livre sem tarefa dupla e andar livre com tarefa dupla. A tarefa dupla realizada pelos pacientes foi uma contagem regressiva iniciando do número vinte. As variáveis espaço-temporais foram coletadas através de um sistema optoeletrônico de análise do movimento. As variáveis analisadas foram comprimento da passada, largura do passo, duração da fase de suporte simples e duplo suporte, duração da passada e velocidade da passada. Para verificar as diferenças entre as condições experimentais no andar livre foi utilizado o teste t de Student pareado (p<0,05) com fator para tarefa. O teste t pareado revelou efeito da tarefa no comprimento da passada, largura do passo, suporte simples, duplo suporte, duração da passada e velocidade da passada. Os pacientes reduziram o comprimento e a velocidade da passada e aumentaram a largura do passo e as durações do suporte simples, duplo suporte e da passada na condição marcha livre com contagem em comparação com a marcha livre sem contagem. Concluiu-se que a tarefa dupla interfere nos parâmetros...(Resumo completo, clicar acesso eletrônico abaixo)

Efeito da tarefa dupla na variabilidade do andar livre e adaptativo de pacientes com demência de Alzheimer

O objetivo do estudo foi analisar o efeito da tarefa dupla na variabilidade do andar livre e adaptativo em pacientes com demência de Alzheimer. Foram avaliados 30 indivíduos de ambos os sexos. Os participantes realizaram 5 tentativas para cada condição de andar (livre e adaptativo, com tarefa dupla e sem tarefa dupla), totalizando 20 tentativas.As variáveis espaço-temporais foram coletadas através de um sistema optoeletrônico. Para o andar livre foram considerados os cinco passos centrais da passarela. Para o andar adaptativo foram considerados os três passos anteriores ao obstáculo, o passo de ultrapassagem e o primeiro passo após a ultrapassagem. Os valores do desvio-padrão de cada variável de cada indivíduo nas 5 tentativas para cada condição de andar foram utilizados para calcular a variabilidade dos seguintes parâmetros: comprimento, largura, duração da fase de suporte simples e de duplo suporte, e velocidade de cada passo. Para verificar as diferenças entre as condições experimentais, foram empregadas ANOVAs, com medidas repetidas para a condição experimental. Os resultados indicaram que a tarefa dupla teve pouco efeito na variabilidade do andar livre de pacientes com DA. As variações ocorreram com maior frequência quando a tarefa dupla foi exigida concomitante com o obstáculo, deixando claro que os efeitos da doença influenciam no planejamento da ação. Conclui-se que a tarefa executiva de contagem regressiva não exerceu influência nas variáveis da marcha livre e que o andar adaptativo com contagem apresentou resultados com maior variabilidade, sendo mais desafiador e exigindo maiores ajustes dos pacientes

Pressão arterial em cães: uma revisão

The evaluation of blood pressure is an essential tool for veterinarian clinical practice and for monitoring anesthetized patients or patients in intensive care, because of its usefulness in diagnostics, treatment and monitoring of several diseases. Apart from the pathological factor, the blood pressure also suffers the influence of different variables, such as age, breed, gender, temperament (anxiety and stress especially during the treatment, “white coat syndrome”), disease state, physical activity and, with lower intensity, animal’s diet. One of the main indications of the evaluation of blood pressure is the observation of clinical changes resulting from hypertension in animals, which one is characterized by lesions in the nervous and cardiovascular systems, kidneys and eyes. Not least important, the evaluation of blood pressure is also essential in hypotensive states, which represent an imminent risk of death. The techniques used in measuring blood pressure correspond to invasive forms (direct) or non invasive (indirect), whose correlation has been the subject of study and improvement within the small animal clinic. Thus, the purpose of this review is emphasize the importance of measuring blood pressure within the veterinary clinic routine, studying the influence of variables associated or not with elevated blood pressure, comparing the different methods used to obtain the blood pressure

Efeito da ingestão aguda de taurina sobre o desempenho físico e metabolismo lipídico de nadadores de elite de Ribeirão Preto

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)