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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Exercise training reduces sympathetic nerve activity and improves executive performance in individuals with obstructive sleep apnea

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Autor(es):
Goya, Thiago Tanaka [1] ; Ferreira-Silva, Rosyvaldo [2] ; Gara, Elisangela Macedo [2] ; Guerra, Renan Segalla [1] ; Ferreira Barbosa, Eline Rozaria [1] ; Toschi-Dias, Edgar [1] ; Cunha, Paulo Jannuzzi [3, 4] ; Negrao, Carlos Eduardo [1, 5] ; Lorenzi-Filho, Geraldo [1] ; Ueno-Pardi, Linda Massako [2, 3, 1]
Número total de Autores: 10
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Intituto Coracao InCor, Sao Paulo, SP - Brazil
[2] Univ Sao Paulo, Escola Artes Ciencias & Humanidades, Sao Paulo, SP - Brazil
[3] Univ Sao Paulo, Nucleo Apoio Pesquisa Neurociencia Aplicada NAPNA, Sao Paulo, SP - Brazil
[4] Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Dept Psiquiatria, Sao Paulo, SP - Brazil
[5] Univ Sao Paulo, Escola Educ Fis & Esportes, Sao Paulo, SP - Brazil
Número total de Afiliações: 5
Tipo de documento: Artigo Científico
Fonte: Clinics; v. 76, 2021.
Citações Web of Science: 0
Resumo

OBJECTIVE: To investigate the effects of exercise training (ET) on muscle sympathetic nerve activity (MSNA) and executive performance during Stroop Color Word Test (SCWT) also referred to as mental stress test. METHODS: Forty-four individuals with obstructive sleep apnea (OSA) and no significant co-morbidities were randomized into 2 groups; 15 individuals completed the control period, and 18 individuals completed the ET. Mini-mental state of examination and intelligence quotient were also assessed. MSNA assessed by microneurography, heart rate by electrocardiography, blood pressure (automated oscillometric device) were measured at baseline and during 3 min of the SCWT. Peak oxygen uptake (VO2 peak) was evaluated using cardiopulmonary exercise testing. Executive performance was assessed by the total correct responses during 3 min of the SCWT. ET consisted of 3 weekly sessions of aerobic exercise, resistance exercises, and flexibility (72 sessions, achieved in 40±3.9 weeks). RESULTS: Baseline parameters were similar between groups. Heart rate, blood pressure, and MSNA responses during SCWT were similar between groups (p>0.05). The comparisons between groups showed that the changes in VO2 (4.7±0.8 vs -1.2±0.4) and apnea-hypopnea index (-7.4±3.1 vs 5.5±3.3) in the exercise-trained group were significantly greater than those observed in the control group respectively (p<0.05) after intervention. ET reduced MSNA responses (p<0.05) and significantly increased the number of correct answers (12.4%) during SCWT. The number of correct answers was unchanged in the control group (p>0.05). CONCLUSIONS: ET improves sympathetic response and executive performance during SCWT, suggesting a prominent positive impact of ET on prefrontal functioning in individuals with OSA. ClinicalTrials.gov: NCT002289625. (AU)

Processo FAPESP: 10/15064-6 - Efeitos do treinamento físico na estrutura e metabolismo cerebral, cognição e controle neurovascular em indivíduos com apnéia obstrutiva do sono
Beneficiário:Linda Massako Ueno Pardi
Modalidade de apoio: Auxílio à Pesquisa - Regular