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Rela??o entre hipertens?o arterial sist?mica e efici?ncia da troca de calor durante a recupera??o ao exerc?cio f?sico realizado em ambiente quente

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Previous issue date: 2014 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (Capes) / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq) / A hipertens?o arterial sist?mica essencial parece estar associada com hipertonia simp?tica dependente da atividade colin?rgica central. Dessa forma, hipertensos poderiam apresentar respostas de dissipa??o de calor aprimoradas, especialmente durante a recupera??o do exerc?cio f?sico moderado realizado sob condi??o de estresse t?rmico. Diante disso, o objetivo do estudo foi avaliar as respostas termorregulat?rias de sujeitos hipertensos durante e na recupera??o de exerc?cio f?sico de intensidade moderada realizado em ambiente quente. Para tanto, oito hipertensos essenciais (H) e oito normotensos (N) (idade: 46,5?1,3 e 45,6?1,4 anos; ?ndice de massa corporal: 25,8?0,8 e 25,6?0,6 kg/m2; press?o arterial m?dia: 98,0?2,8 e 86,0?2,3 mmHg, respectivamente) permaneceram na c?mara ambiental (38?C e 60% umidade relativa do ar) durante 2h e 30 minutos (30 minutos em repouso, 1h de exerc?cio na esteira (50% VO2pico) e 1h em recupera??o do exerc?cio). Temperaturas da pele e corporal interna, frequ?ncia card?aca e press?o arterial foram mensuradas. C?lculos de produ??o de calor, taxa de ac?mulo de calor, temperatura corporal, troca de calor por radia??o, convec??o, e atrav?s do trato respirat?rio e suor evaporado foram realizados a partir das vari?veis coletadas. Como resultados, a press?o arterial m?dia dos hipertensos foi maior do que dos normotensos durante todo o protocolo experimental (p < 0,05). Apesar dos par?metros termorregulat?rios avaliados n?o terem sido diferentes entre grupos hipertensos e normotensos em repouso e durante o exerc?cio f?sico no calor, os hipertensos apresentaram menor quantidade de calor acumulado (H: -24,23 ? 3,39 W/m?, N: -13,63 ? 2,24 W/m?, p = 0,03), maior varia??o na temperatura corporal (H: -0,62 ? 0,05 ?C, N: -0,35? 0,12 ?C, p = 0,03) e maior quantidade de suor evaporado (H: -106,1 ? 4,59 W/m?, N: -91,15 ? 3,24 W/m?, p = 0,01) no per?odo de recupera??o p?s-exerc?cio. Al?m disso, a quantidade de suor evaporado relacionou-se com calor acumulado (r = 0,82, p < 0,001) e com a varia??o da temperatura corporal durante a recupera??o p?s-exerc?cio f?sico (r = 0,82, p < 0,001). Concluindo, indiv?duos hipertensos essenciais, em uso dos medicamentos iECA e diur?ticos, apresentam dissipa??o de calor acumulado aprimorada, por meio da evapora??o do suor e, consequentemente, maior resfriamento corporal durante a recupera??o de exerc?cio f?sico de intensidade moderado em ambiente quente. Methods: A total of 8 essential hypertensive (H) and 8 normotensive participants (N) (age: 46.5 ? 1.3 and 45.6 ? 1.4 years, BMI: 25.8 ? 0.8 and 25.6 ? 0.6 kg/m2, mean arterial pressure: 98.0 ? 2.8 and 86.0 ? 2.3 mmHg, respectively) remained in the environmental chamber (38 ?C and 60 % relative humidity) for 2 hours and 30 minutes (30 min at rest, 1 h of treadmill exercise at 50 % of VO2max and 1 h at rest during recovery exercise). Skin and core temperatures, heart rate and blood pressure were measured. Calculations of heat production, heat storage, mean body temperature, heat exchange by radiation, convection and evaporated sweat were performed from the collected variables.
Results: The mean blood pressure of the hypertensive subjects was higher than of the normotensive participants throughout the experimental protocol (p < 0.05). Although the thermoregulatory parameters evaluated did not differ between groups at rest and during exercise, the hypertensive subjects had lower amounts of heat storage (H: -24.23 ? 3.39 W/m?, N: -13.63 ? 2,2.4 W/m?, p = 0.03), greater variations in body temperature (H: -0.62 ? 0.05 ?C, N: -0.35? 0.12 ?C, p = 0.03), and a greater amount of evaporated sweat (H: -106.1 ? 4.59 W/m?, N: -91.15 ? 3.24 W/m?, p = 0.01) during the recovery period. Furthermore, the amount of evaporated sweat correlated with heat storage (r = -0.82; p < 0.001) and with the variation in mean body temperature during the recovery period (r = -0.82; p < 0.001).
Conclusion: Essential hypertensive participants present with improved sweat evaporation and greater heat dissipation and body cooling during recovery from moderate-intensity exercise performed in the heat. / Disserta??o (Mestrado) ? Programa Multic?ntrico de P?s-gradua??o em Ci?ncias Fisiol?gicas, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT

Purpose: The systemic arterial hypertension is associated with sympathetic hypertonia dependent on central cholinergic activity. Thus, it is believed that hypertensive individuals have an enhanced response of heat dissipation, especially during recovery from moderate-intensity exercise performed under heat stress conditions. Thus, the aim of this study was to examine the thermoregulatory responses of hypertensive subjects during and after (recovery period) moderate-intensity exercise performed in the heat.
Methods: A total of 8 essential hypertensive (H) and 8 normotensive participants (N) (age: 46.5 ? 1.3 and 45.6 ? 1.4 years, BMI: 25.8 ? 0.8 and 25.6 ? 0.6 kg/m2, mean arterial pressure: 98.0 ? 2.8 and 86.0 ? 2.3 mmHg, respectively) remained in the environmental chamber (38 ?C and 60 % relative humidity) for 2 hours and 30 minutes (30 min at rest, 1 h of treadmill exercise at 50 % of VO2max and 1 h at rest during recovery exercise). Skin and core temperatures, heart rate and blood pressure were measured. Calculations of heat production, heat storage, mean body temperature, heat exchange by radiation, convection and evaporated sweat were performed from the collected variables.
Results: The mean blood pressure of the hypertensive subjects was higher than of the normotensive participants throughout the experimental protocol (p < 0.05). Although the thermoregulatory parameters evaluated did not differ between groups at rest and during exercise, the hypertensive subjects had lower amounts of heat storage (H: -24.23 ? 3.39 W/m?, N: -13.63 ? 2,2.4 W/m?, p = 0.03), greater variations in body temperature (H: -0.62 ? 0.05 ?C, N: -0.35? 0.12 ?C, p = 0.03), and a greater amount of evaporated sweat (H: -106.1 ? 4.59 W/m?, N: -91.15 ? 3.24 W/m?, p = 0.01) during the recovery period. Furthermore, the amount of evaporated sweat correlated with heat storage (r = -0.82; p < 0.001) and with the variation in mean body temperature during the recovery period (r = -0.82; p < 0.001).
Conclusion: Essential hypertensive participants present with improved sweat evaporation and greater heat dissipation and body cooling during recovery from moderate-intensity exercise performed in the heat.

Methods: A total of 8 essential hypertensive (H) and 8 normotensive participants (N) (age: 46.5 ? 1.3 and 45.6 ? 1.4 years, BMI: 25.8 ? 0.8 and 25.6 ? 0.6 kg/m2, mean arterial pressure: 98.0 ? 2.8 and 86.0 ? 2.3 mmHg, respectively) remained in the environmental chamber (38 ?C and 60 % relative humidity) for 2 hours and 30 minutes (30 min at rest, 1 h of treadmill exercise at 50 % of VO2max and 1 h at rest during recovery exercise). Skin and core temperatures, heart rate and blood pressure were measured. Calculations of heat production, heat storage, mean body temperature, heat exchange by radiation, convection and evaporated sweat were performed from the collected variables.
Results: The mean blood pressure of the hypertensive subjects was higher than of the normotensive participants throughout the experimental protocol (p < 0.05). Although the thermoregulatory parameters evaluated did not differ between groups at rest and during exercise, the hypertensive subjects had lower amounts of heat storage (H: -24.23 ? 3.39 W/m?, N: -13.63 ? 2,2.4 W/m?, p = 0.03), greater variations in body temperature (H: -0.62 ? 0.05 ?C, N: -0.35? 0.12 ?C, p = 0.03), and a greater amount of evaporated sweat (H: -106.1 ? 4.59 W/m?, N: -91.15 ? 3.24 W/m?, p = 0.01) during the recovery period. Furthermore, the amount of evaporated sweat correlated with heat storage (r = -0.82; p < 0.001) and with the variation in mean body temperature during the recovery period (r = -0.82; p < 0.001).
Conclusion: Essential hypertensive participants present with improved sweat evaporation and greater heat dissipation and body cooling during recovery from moderate-intensity exercise performed in the heat.

Identiferoai:union.ndltd.org:IBICT/oai:acervo.ufvjm.edu.br/jspui:1/289
Date21 February 2014
CreatorsFonseca, Sueli Ferreira da
ContributorsSoares, Danusa Dias, Balthazar, Cl?udio Heitor, Coimbra, C?ndido Celso, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Lacerda, Ana Cristina Rodrigues
PublisherUFVJM
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFVJM, instname:Universidade Federal dos Vales do Jequitinhonha e Mucuri, instacron:UFVJM
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