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IMPACT OF COMBINED EXERCISE ON DIASTOLIC FUNCTION AND INFLAMMATORY RESPONSE IN PATIENTS WITH HEART FAILURE AND REDUCED EJECTION FRACTION

Grant number:15/00275-5
Support Opportunities:Regular Research Grants
Start date: August 01, 2015
End date: July 31, 2017
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Meliza Goi Roscani
Grantee:Meliza Goi Roscani
Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
City of the host institution:São Carlos
Associated researchers:Ângela Merice de Oliveira Leal ; Aparecida Maria Catai ; Beatriz Bojikian Matsubara ; João Carlos Hueb ; Jonas Alves de Araujo Junior ; Maria Terezinha Serrão Peraçoli ; Silméia Garcia Zanati Bazan

Abstract

Introduction: The exercise improves quality of life and functional capacity of patients with heart failure (HF) with reduced or preserved ejection fraction (LVEF). The beneficial effects of exercise are not due to improvement in LVEF. On the other hand, some studies have pointed the beneficial effects of physical activity on diastolic function and inflammatory resoponse. Given the importance of LV filling pressure in patients with symptoms of HF, it is suspected that the benefits of exercise in these patients are associated with better LV diastolic performance. Objectives: To evaluate the combined effect of physical exercise on diastolic function and inflammatory response in patients with HF and reduced LVEF and investigate whether the improvement in diastolic function is an important factor in improving symptoms, functional capacity and quality of life of these patients. Methodology: A prospective longitudinal will be performed in patients with HF and a LVEF less than 50%. Two groups are matched by age and sex. Intervention group: patients who underwent 12 weeks of combined and supervised exercise, 3 times per week. The control group did not undergo the practice of exercise. Both groups will undergo, before and after the protocol, echocardiogram, walk test, quality of life questionnaire and inflammatory biomarkers analysis. Statistical analysis of repeated measures ANOVA will be performed to compare the clinical and ultrasound before and after the intervention. For comparison between groups will be held t test and simple linear regression. Expected Results: We hope to find improvement in diastolic function and inflammatory response in patients undergoing exercise program. (AU)

Articles published in Agência FAPESP Newsletter about the research grant:
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Scientific publications
(The scientific publications listed on this page originate from the Web of Science or SciELO databases. Their authors have cited FAPESP grant or fellowship project numbers awarded to Principal Investigators or Fellowship Recipients, whether or not they are among the authors. This information is collected automatically and retrieved directly from those bibliometric databases.)
ROSCANI, M. G.; FABRI, T.; CATAI, A. M.; RIBEIRO, F. H. O.; ARAUJO, J. A., JR.; MATTOS, J. M.; ROSSI, D. A. A.; BORRA, R. C.; BAZAN, S. G. Z.; PERACOLI, M. T. S.; et al. The role of diastolic function in the quality of life and functional capacity of patients with heart failure undergoing a combined exercise program. EUROPEAN JOURNAL OF HEART FAILURE, v. 19, p. 1-pg., . (13/24607-1, 15/00275-5)
ROSCANI, MELIZA GOI; DUARTE, JULIANA DA CUNHA; AUGUSTO, GUSTAVO NICOLODI; DE MORAES SALGUEIRO, THAYSA RODRIGUES; MEIRELES, MARIANA N.; GOBBI, JULIANA I. F.; OKOSHI, KATASHI; HUEB, JOAO CARLOS. Association Between Left Ventricle Diastolic Dysfunction and Unfavorable Prognostic Markers in Patients with Aortic Insufficiency. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, v. 11, n. 6, p. OC09-OC11, . (15/00275-5)
FABRI, TAINA; CATAI, APARECIDA MARIA; RIBEIRO, FABIO H. O.; ARAUJO JUNIOR, JONAS A.; MILAN-MATTOS, JULIANA; ROSSI, DANIELLE A. A.; CONEGLIAN, REGINA C.; BORRA, RICARDO C.; ZANATI BAZAN, SILMEIA GARCIA; HUEB, JOAO CARLOS; et al. Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial. CARDIOLOGY RESEARCH AND PRACTICE, v. 2019, . (15/00275-5)