Eficacy of stratification protocols and clinical, physical and biochemists parameters in prection of intercorrences in cardiovascular rehabilitation programs

• Grant number: 17/20657-5
• Support Opportunities: Regular Research Grants
• Start date: February 01, 2018
• End date: January 31, 2020
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Luiz Carlos Marques Vanderlei
• Grantee: Luiz Carlos Marques Vanderlei
• Host Institution: Faculdade de Ciências e Tecnologia (FCT). Universidade Estadual Paulista (UNESP). Campus de Presidente Prudente. Presidente Prudente , SP, Brazil
• Associated scholarship(s): 18/03208-5 - Efficacy of stratification protocols and clinical, physical and biochemists parameters in prection of intercorrences in Cardiovascular Rehabilitation programs, BP.TT

Abstract

Introduction: Despite the benefits effects, cardiovascular rehabilitation programs (CRP) have been associated with signals and symptoms appearing. Risk stratifications protocols are used to stratify individuals into classes of risk to the occurrence of events during physical exercise practice, despite this, studies that investigate their efficacy to predict signals and symptoms during CRP realization are inconclusive. In addition, some clinical, physical and biochemists parameters have been used in the literature as adverse events risk markers and investigate if these parameters are capable to predict the possibility of intercurrences during CRP sessions could better guide strategies adopted in CRP programs. Objectives: 1) to evaluate risk stratification protocols efficacy to predict signals and symptoms during CRP realization; 2) to analyze the correlation between clinical, physical and biochemists rest parameters with the presence of signals/symptoms in CRP participants; 3) to analyze if clinical, physical and biochemists alterations induced by CRP influence signals and symptoms appearing during the CRP. Material and methods: For the accomplishment of this study will be analyzed data of 70 CRP patients. The study will be divided into three subprojects, briefly divided into three stages: 1) risk stratification of the study patients, realized by two independent evaluators (Study 1), and evaluation of clinical (cardiorespiratory parameters and evaluation of autonomic modulation), physical (maximum isometric resistance, maximum voluntary isometric contraction, functional capacity and physical activity level) and biochemist (IL-6, TNF-alpha and IL-10) parameters (Studies 2 and 3). Then, the patients will be accompanied through 24 sessions during the CRP routines to signals and symptoms evaluation to post correlation with the risk stratification of each protocol (Study 1), and with clinical, physical and biochemist rest values described above (Studies 2 and 3). The patients will realize the normal CRP routines in a period of six months (Study 3); 3) Clinical, physical and biochemist parameters of the patients will be evaluated again, and then, they will be accompanied through more 2 months (24 sessions) during CRP routine to signals and symptoms evaluation. This will permit evaluate if increase/decrease of this parameters influence signals and symptoms appearing during CRP sessions. (AU)

Scientific publications

(4)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

TAKAHASHI, CAROLINA; RIBEIRO, FELIPE; VANZELLA, LAIS MANATA; LIMA, ISABELLE MAINA; RICCI-VITOR, ANA LAURA; CHRISTOFARO, DIEGO GIULLIANO DESTRO; VANDERLEI, LUIZ CARLOS MARQUES. Are signs and symptoms in cardiovascular rehabilitation correlated with heart rate variability? An observational longitudinal study. Geriatrics & Gerontology International, v. 20, n. 10, p. 7-pg., 2020-09-04. (17/20657-5, 18/03208-5)

TAKAHASHI, CAROLINA; RIBEIRO, FELIPE; VANZELLA, LAIS MANATA; LIMA, ISABELLE MAINA; RICCI-VITOR, ANA LAURA; CHRISTOFARO, DIEGO GIULLIANO DESTRO; VANDERLEI, LUIZ CARLOS MARQUES. Are signs and symptoms in cardiovascular rehabilitation correlated with heart rate variability? An observational longitudinal study. Geriatrics & Gerontology International, SEP 2020. (18/03208-5, 17/20657-5)

GARNER, DAVID M.; VANDERLEI, FRANCIELE M.; VALENTI, VITOR E.; VANDERLEI, LUIZ CARLOS M.. Non-linear regulation of cardiac autonomic modulation in obese youths: interpolation of ultra-short time series. CARDIOLOGY IN THE YOUNG, v. 29, n. 9, p. 1196-1201, SEP 2019. (08/05414-0, 17/20657-5)

RIBEIRO, FELIPE; TAKAHASHI, CAROLINA; VANZELLA, LAIS MANATA; LAURINO, MARIA JULIA LOPEZ; LIMA, ISABELLE MAINA; SILVA, VITOR EDUARDO DOS SANTOS; SILVA, JOAO PEDRO LUCAS NEVES; VALENTE, HELOISA BALOTARI; DA SILVA, ANNE KASTELIANNE FRANCA; CHRISTOFARO, DIEGO GIULLIANO DESTRO; et al. An investigation into whether cardiac risk stratification protocols actually predict complications in cardiac rehabilitation programs?. CLINICAL REHABILITATION, v. 35, n. 5, DEC 2020. (17/20657-5, 18/07587-0)