The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy

Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, Av. Lauro Gomes, 2000-Vila Sacadura Cabral, Santo Andre 09060-870, Brazil

Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SP 01246-903, Brazil

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Departamento de Ciencias de la Salud, Universidad Nacional de La Matanza, Florencio Varela 1903, San Justo B1754, Argentina

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Departamento de Cardiologia, Universidade Federal de São Paulo, Rua Sena Madureira, 1500-1º Andar-Vila Clementino, Sao Paulo 04021-001, Brazil

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Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Avenida Nossa Senhora da Penha, 2190-Bela Vista, Vitoria 29027-502, Brazil

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Programa de Pós-Graduação em Ciencias Médicas, Faculdade de Medicina da USP, Universidade de São Paulo, Av. Dr. Arnaldo, 455-Cerqueira César, Pacaembu-SP 01246-903, Brazil

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Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Universidade Estadual Paulista, Av. Hygino Muzzi Filho, 737, Marilia 17525-900, Brazil

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School of Medicine, University of Limerick, Castletroy, V94 T9PX Limerick, Ireland

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Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Av. Fernando Ferrari, 514-Goiabeiras, Vitória 29075-910, Brazil

Author to whom correspondence should be addressed.

Academic Editor: Alessandra Casuccio

Int. J. Environ. Res. Public Health 2021, 18(21), 11460; https://doi.org/10.3390/ijerph182111460

Received: 1 September 2021 / Revised: 13 October 2021 / Accepted: 19 October 2021 / Published: 31 October 2021

(This article belongs to the Special Issue Public Health Policy and Local Development)

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Abstract

Background and purpose: The development of public policies must be guided by full knowledge of the health–disease process of the population. Aerobic exercises are recommended for rehabilitation in stroke patients, and have been shown to improve heart rate variability (HRV). Our aim was to compare the cardiac autonomic modulation of elderly stroke patients with that of healthy elderly people during and after an acute bout of aerobic exercise. Methods: A total of 60 elderly people participated in the study (30 in the control group, mean age of 67 ± 4 years; 30 in the stroke group, mean age of 69 ± 3 years). HRV was analyzed in rest—10 min of rest in supine position; exercise—the 30 min of peak exercise; and recovery—30 min in supine position post-exercise. Results: Taking rest and exercises together, for SDNN, RMSSD, pNN50, RRTri, and TINN, there was no difference between the stroke and control groups (p = 0.062; p = 0.601; p = 0.166; p = 0.224, and p = 0.059, respectively). The HF (ms²) was higher and the LF/HF ratio was lower for the stroke group than the control group (p < 0.001 and p = 0.007, respectively). The SD2 was lower for the stroke group than for the control group (p = 0.041). Conclusion: Stroke patients present reduced variability at rest, sympathetic predominance during exercise, and do not return to baseline after the 30 min of recovery, with similar responses found in the healthy elderly group. View Full-Text

Keywords: autonomic nervous system; aging; heart rate variability; exercise; stroke

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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MDPI and ACS Style

Raimundo, R.D.; Zangirolami-Raimundo, J.; Leone, C.; de Carvalho, T.D.; da Silva, T.D.; Bezerra, I.M.P.; de Almeida, A.D., Jr.; Valenti, V.E.; de Abreu, L.C. The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy. Int. J. Environ. Res. Public Health 2021, 18, 11460. https://doi.org/10.3390/ijerph182111460

AMA Style

Raimundo RD, Zangirolami-Raimundo J, Leone C, de Carvalho TD, da Silva TD, Bezerra IMP, de Almeida AD Jr., Valenti VE, de Abreu LC. The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy. International Journal of Environmental Research and Public Health. 2021; 18(21):11460. https://doi.org/10.3390/ijerph182111460

Chicago/Turabian Style

Raimundo, Rodrigo D., Juliana Zangirolami-Raimundo, Claudio Leone, Tatiana D. de Carvalho, Talita D. da Silva, Italla M.P. Bezerra, Alvaro D. de Almeida Jr., Vitor E. Valenti, and Luiz C. de Abreu. 2021. "The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy" International Journal of Environmental Research and Public Health 18, no. 21: 11460. https://doi.org/10.3390/ijerph182111460

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