Cardiovascular benefits of a home-based exercise program in patients with sickle cell disease

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Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorUniversidade Federal de São Carlos (UFSCar)-
Autor(es): dc.creatorde Araujo Junior, Jonas Alves [UNESP]-
Autor(es): dc.creatorAntonelli Rossi, Daniele Andreza [UNESP]-
Autor(es): dc.creatorCarneiro Valadão, Taina Fabri [UNESP]-
Autor(es): dc.creatorMilan-Mattos, Juliana Cristina-
Autor(es): dc.creatorCatai, Aparecida Maria-
Autor(es): dc.creatorSato, Tatiana de Oliveira-
Autor(es): dc.creatorHueb, Joao Carlos [UNESP]-
Autor(es): dc.creatorZanati Bazan, Silmeia Garcia [UNESP]-
Autor(es): dc.creatorHokama, Paula Oliveira Montandon [UNESP]-
Autor(es): dc.creatorHokama, Newton Key [UNESP]-
Autor(es): dc.creatorRoscani, Meliza Goi [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:46:49Z-
Data de disponibilização: dc.date.available2022-02-22T00:46:49Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2020-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0250128-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/206344-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/206344-
Descrição: dc.descriptionBACKGROUND: Physical inactivity is an important risk factor for cardiovascular disease. The benefits of exercise in patients with chronic diseases, including cardiovascular diseases, are well established. For patients with sickle cell disease, medical recommendation was to avoid physical exercise for fear of triggering painful crises or increasing the impairment of the cardiopulmonary function. Only recently, studies have shown safety in exercise programs for this population. Despite that, there is no report that assess the effects of physical exercise on cardiac parameters in patients with sickle cell disease. OBJECTIVE: This study aimed to evaluate the impact of regular physical exercise (a home-based program) on cardiovascular function in patients with sickle cell disease. DESIGN: A quasi-randomized prospective controlled trial. SETTING: During the years 2015 and 2016, we started recruiting among adult patients treated at a Brazilian Center for Patients with Sickle Cell Disease to participate in a study involving a home exercise program. The experimental (exercise) and control groups were submitted to clinical evaluation and cardiovascular tests before and after the intervention. Analysis of variance was applied to compare groups, considering time and group factors. PARTICIPANTS: Twenty-seven adult outpatients with a sickle cell disease diagnosis. INTERVENTIONS: Exercise group (N = 14): a regular home-based aerobic exercise program, three to five times per week not exceeding give times per week, for eight weeks; no prescription for the control group (N = 13). MAIN OUTCOME MEASURES: Echocardiographic and treadmill test parameters. RESULTS: The exercise group showed significant improvement in cardiovascular tests, demonstrated by increased distance traveled on a treadmill (p<0.01), increased ejection fraction (p < 0.01) and improvement of diastolic function assessed by mitral tissue Doppler E' wave on echocardiography (p = 0.04). None of the patients presented a sickle cell crisis or worsening of symptoms during the exercise program. CONCLUSION: The selected home-based exercise program is safe, feasible, and promotes a favorable impact on functional capacity and cardiovascular function in sickle cell disease patients.-
Descrição: dc.descriptionDepartment of Internal Medicine Sao Paulo State University Julio de Mesquita Filho-Unesp-
Descrição: dc.descriptionDepartment of Physiotherapy Federal University of Sao Carlos-UFSCar-
Descrição: dc.descriptionDepartment of Medicine Federal University of Sao Carlos-UFSCar-
Descrição: dc.descriptionDepartment of Internal Medicine Sao Paulo State University Julio de Mesquita Filho-Unesp-
Formato: dc.formate0250128-
Idioma: dc.languageen-
Relação: dc.relationPloS one-
???dc.source???: dc.sourceScopus-
Título: dc.titleCardiovascular benefits of a home-based exercise program in patients with sickle cell disease-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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