Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

The purpose of this thesis investigation was to evaluate the effects of combined aerobic and weightlifting training on the circulatory responses of patients with coronary artery disease (CAD) during formal lifting, and during strength related activities of daily living. Seven subjects (x age: 54 years) successfully completed 20 sessions of training within 12 weeks. The aerobic training regimen consisted of a 5-10 minute warm up, walking, arm buoys, and arm-and leg-cycling at an intensity equivalent to approximately 70% of functional capacity. The weightlifting regimen consisted of single-arm curl (SAC), and single-leg press (SLP) exercises performed by both limbs, in addition to modified trunk curls. Before and after training, intra-brachial artery pressure was measured continuously during: 10 repetitions of the seated SAC exercise at 70% of the subject's one repetition maximum (1 RM), 12 repetitions of the SLP and double-leg press (DLP) exercises at 80% of 1 RM, isometric handgrip at 50% of maximal voluntary contraction strength, 10 flights of stair climbing at a cadence of 60 steps/minute, and 10 minutes of horizontal treadmill walking at 3.5 mph. Training increased the SAC, SLP, and DLP 1 RM strength by 98% (15 vs 30 kg; p < 0.016), 23% (99 vs 122 kg; p < 0.002), and 27% (165 vs 210 kg; p < 0.001) respectively. The mean peak systolic, diastolic, and mean arterial pressures, heart rate and rate pressure product were attenuated in all 3 weightlifting exercises when subjects lifted the same absolute load (70% of the pre-training 1 RM for the SAC exercise, and 80% of the pre-training 1 RM for the SLP and DLP exercises) after training. When subjects lifted the same relative load after training, all circulatory responses increased. The average peak heart rate and arterial pressure responses were reduced during 10 minutes of horizontal treadmill walking after training. In contrast, there was little or no reduction in any of the measured parameters during stair climbing. It is concluded that weightlifting training in CAD patients results in an attenuation of the heart rate and arterial blood pressure responses during repeated lifting with identical absolute loads, and there may be a modest transfer of this effect to certain activities of daily living involving the trained muscles. / Thesis / Master of Science (MS)

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Essa pesquisa investiga a contribuição da espiritualidade na recuperação do paciente cardíaco hospitalizado. A partir da constatação das demandas espirituais e da importância de um tratamento holístico ou integral para sua recuperação, aborda os benefícios para a saúde do paciente adulto cardíaco internado. Na segunda parte a pesquisa aborda a influência da espiritualidade nos fatores de risco das doenças cardiovasculares, assim como a questão da crise, do sofrimento e dos problemas emocionais na internação. Também investiga as relações entre as emoções, o corpo e o espírito, mostrando a integração e as interferências entre as diferentes dimensões do ser humano, especialmente nas doenças psicossomáticas. Ao final, a dissertação aborda o papel da fé e da oração na medicina e a importância de se tratar o ser humano de uma forma global. Sugere-se incluir a espiritualidade como recurso de saúde na formação dos novos profissionais, bem como reconhecer a importância do conselheiro espiritual ou capelão no tratamento integral do paciente cardíaco hospitalizado. / This research paper investigates the contribution spirituality gives to the recovery of hospitalized cardiac patients. Based on the verification of spiritual demands and on the importance of a holistic or all encompassing treatment, this paper deals with the benefits these have for the health of adult cardiac interned patients. In the second part the research deals with the influence of spirituality on the risk factors for cardiovascular illnesses, as well as with the issue of the crisis, the suffering and the emotional problems of being hospitalized. It also investigates the relations between emotions, the body and the spirit, showing the integration and the interferences between the different dimensions of the human being, especially on psychossomatic diseases. At the end the thesis deals with the role of faith and prayer in medicine and the importance of treating the human being in a global way. It is suggested that spirituality be included as a health resource in the formation of new professionals, as well as recognize the importance of the spiritual counselor or chaplain in the holistic treatment of a hospitalized cardiac patient.