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Corrêa HDL, Deus LA, Nascimento DDC, Rolnick N, Neves RVP, Reis AL, de Araújo TB, Tzanno-Martins C, Tavares FS, Neto LSS, Santos CAR, Rodrigues-Silva PL, Souza FH, Mestrinho VMDMV, Lavarini Dos Santos R, Andrade RV, Prestes J, Rosa TDS. Response to Commentary by Dr. Matthew J. Clarkson on "Concerns on the application of blood-flow restriction resistance exercise and thrombosis risk in hemodialysis patients". J Sport Health Sci 2024:S2095-2546(24)00059-0. [PMID: 38697288 DOI: 10.1016/j.jshs.2024.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Accepted: 04/22/2024] [Indexed: 05/04/2024]
Affiliation(s)
- Hugo de Luca Corrêa
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Lysleine Alves Deus
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Dahan da Cunha Nascimento
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Nicholas Rolnick
- The Human Performance Mechanic, Lehman College, New York, NY 10011, USA
| | | | - Andrea Lucena Reis
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Thais Branquinho de Araújo
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | | | | | | | | | | | - Fernando Honorato Souza
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | | | - Rafael Lavarini Dos Santos
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Rosangela Vieira Andrade
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil; Graduate Program of Genomic Sciences and Biotechnology, Brasília 71966-700, Brazil
| | - Jonato Prestes
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Thiago Dos Santos Rosa
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil; Graduate Program of Genomic Sciences and Biotechnology, Brasília 71966-700, Brazil.
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Tavares FS, de Luca Corrêa H, Wilund KR, Deus LA, de Araújo TB, Tzanno-Martins C, da Motta Vilalva Mestrinho VM, Dos Santos RL, Reis AL, Souza FH, de Sousa Ulisses LR, Cardoso HSS, Pascoal IJF, Guimarães VCC, de Oliveira Gomes L, Neves RVP, Dos Santos Rosa T. Exploring the impact of short daily haemodialysis on muscle strength and bone health in end-stage kidney disease patients. J Cachexia Sarcopenia Muscle 2024; 15:718-725. [PMID: 38272859 PMCID: PMC10995248 DOI: 10.1002/jcsm.13428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 11/15/2023] [Accepted: 12/18/2023] [Indexed: 01/27/2024] Open
Abstract
BACKGROUND Short-daily haemodialysis (SDH) has been strongly recommended over conventional haemodialysis (CHD) for end-stage kidney disease patients, though few studies have directly compared the effects of these two haemodialysis (HD) modalities on clinical variables related to patient's health. METHODS We conducted a cross-sectional study in individuals undergoing HD, comparing epidemiological, clinical, metabolic, inflammatory, anthropometric, bone health/metabolism, and skeletal muscle function according to dialysis modality. One-hundred seventy-eight patients (20.8% females, 62 ± 2.5 years old), were analysed in this study, 86 (48%) of whom were undergoing CHD versus 92 (51%) who were undergoing SDH. RESULTS SDH patients had significantly higher serum albumin levels (3.93 vs. 3.66 g/dL, P < 0.0001) and higher Kt/v (2.6 vs. 2.38, P < 0.0001). SDH group presented a significantly lower number of erythropoietin-stimulating agents compared with CHD group (percentage: 53.3 vs. 83.7%, P < 0.0001) and had lower levels of serum phosphate (4.9 vs. 5.3 mg/dL, P = 0.004) and parathyroid hormone (PTH) (398.4 vs. 480.4 pg/mL, P < 0.001) compared with CHD patients. In terms of bone health and metabolism, SDH patients had significantly higher total BMD, femur BMD, lumbar BMD, and femoral neck BMD compared with CHD patients (all P < 0.05). SDH patients also had lower anti-osteogenic and inflammatory biomarkers, including FGF23, sclerostin, TNF, IL-18, IL-17a, and C-reactive peptide (all P < 0.05). CHD modality was demonstrated to be a risk factor for low BMD (odds ratio: 4.02; 95% CI: 1.59-10.2, P = 0.003). In terms of skeletal muscle function, SDH patients had significantly higher 6-minute walking test (444.6 vs. 424.9 m, P = 0.04) and higher fat-free mass (52.3 vs. 51.68 kg, P = 0.02) compared with CHD patients. Higher fat-free mass and handgrip strength were associated with a 34% and 23% lower risk of low BMD, respectively. SDH patients had lower levels of the uremic toxin asymmetric dimethyl-l-arginine (ADMA) (1.8 vs. 2.07 μM, P = 0.002) and fasting blood glucose (132.6 vs. 141.7 mg/dL, P < 0.02) than CHD group. SDH patients also displayed higher levels of haemoglobin when compared with CHD group (11.9 vs. 10.2 g/dL, P < 0.0001). CONCLUSIONS The present study improves our understanding of the relationship between dialysis modality and clinical variables that may influence HD patient's health. Grip strength and lean mass were positively correlated with bone mineral density in HD patients regardless of dialysis modality. SDH was associated with better bone mineral density, inflammatory profile, and skeletal muscle function when compared with CHD patients. These findings provide more evidence of the clinical benefits of SDH that should be explored in greater detail.
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Affiliation(s)
| | - Hugo de Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Brazil
- Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, United States
| | - Kenneth R Wilund
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Urbana, IL, USA
| | - Lysleine Alves Deus
- Graduate Program of Genomic Sciences and Biotechnology, Catholic University of Brasilia, Brasilia, Brazil
| | | | | | | | - Rafael Lavarini Dos Santos
- Graduate Program of Genomic Sciences and Biotechnology, Catholic University of Brasilia, Brasilia, Brazil
| | - Andrea Lucena Reis
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Brazil
| | | | | | | | | | | | | | | | - Thiago Dos Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Brazil
- Graduate Program of Genomic Sciences and Biotechnology, Catholic University of Brasilia, Brasilia, Brazil
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Corrêa HDL, Deus LA, Nascimento DDC, Rolnick N, Neves RVP, Reis AL, de Araújo TB, Tzanno-Martins C, Tavares FS, Neto LSS, Santos CAR, Rodrigues-Silva PL, Souza FH, Mestrinho VMDMV, Santos RLD, Andrade RV, Prestes J, Rosa TDS. Concerns about the application of resistance exercise with blood-flow restriction and thrombosis risk in hemodialysis patients. J Sport Health Sci 2024:S2095-2546(24)00023-1. [PMID: 38431193 DOI: 10.1016/j.jshs.2024.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 11/10/2023] [Accepted: 12/06/2023] [Indexed: 03/05/2024]
Abstract
BACKGROUND Hemodialysis (HD) per se is a risk factor for thrombosis. Considering the growing body of evidence on blood-flow restriction (BFR) exercise in HD patients, identification of possible risk factors related to the prothrombotic agent D-dimer is required for the safety and feasibility of this training model. The aim of the present study was to identify risk factors associated with higher D-dimer levels and to determine the acute effect of resistance exercise (RE) with BFR on this molecule. METHODS Two hundred and six HD patients volunteered for this study (all with a glomerular filtration rate of <15 mL/min/1.73 m2). The RE + BFR session consisted of 50% arterial occlusion pressure during 50 min sessions of HD (intradialytic exercise). RE repetitions included concentric and eccentric lifting phases (each lasting 2 s) and were supervised by a strength and conditioning specialist. RESULTS Several variables were associated with elevated levels of D-dimer, including higher blood glucose, citrate use, recent cardiovascular events, recent intercurrents, higher inflammatory status, catheter as vascular access, older patients (>70 years old), and HD vintage. Furthermore, RE + BFR significantly increases D-dimer after 4 h. Patients with borderline baseline D-dimer levels (400-490 ng/mL) displayed increased risk of elevating D-dimer over the normal range (≥500 ng/mL). CONCLUSION These results identified factors associated with a heightened prothrombotic state and may assist in the screening process for HD patients who wish to undergo RE + BFR. D-dimer and/or other fibrinolysis factors should be assessed at baseline and throughout the protocol as a precautionary measure to maximize safety during RE + BFR.
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Affiliation(s)
- Hugo de Luca Corrêa
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Lysleine Alves Deus
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Dahan da Cunha Nascimento
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Nicholas Rolnick
- The Human Performance Mechanic, Lehman College, New York, NY 10011, USA
| | | | - Andrea Lucena Reis
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Thais Branquinho de Araújo
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | | | | | | | | | | | - Fernando Honorato Souza
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | | | - Rafael Lavarini Dos Santos
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Rosangela Vieira Andrade
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil; Graduate Program of Genomic Sciences and Biotechnology, Brasília 71966-700, Brazil
| | - Jonato Prestes
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Thiago Dos Santos Rosa
- Post-graduate Program of Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil; Graduate Program of Genomic Sciences and Biotechnology, Brasília 71966-700, Brazil.
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Reis AL, Deus LA, Passos Neves RV, Corrêa HDL, Reis TL, Aguiar LSD, Honorato FS, Barbosa JMDS, Araújo TBD, Palmeira TRC, Simões HG, Prestes J, Sousa CV, Ide BN, Rosa TDS. Exercise-Induced Transient Oxidative Stress Is Mitigated in Down Syndrome: Insights About Redox Balance and Muscle Strength. J Strength Cond Res 2024; 38:e125-e134. [PMID: 38088925 DOI: 10.1519/jsc.0000000000004664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
ABSTRACT Reis, AL, Deus, LA, Neves, RVP, Corrêa, HL Reis, TL, Aguiar, LS Honorato, FS, Barbosa, JMS, Araújo, TB, Palmeira, TRC, Simões, HG, Prestes, J, Sousa, CV, Ide, BN, and Rosa, TdS. Exercise-induced transient oxidative stress is mitigated in Down syndrome: insights about redox balance and muscle strength. J Strength Cond Res 38(3): e125-e34, 2024-This study aimed to evaluate the acute effects of a session of resistance exercise (RE) performed with elastic tubes on the redox balance and inflammatory profile in individuals with Down syndrome (DS). Subjects ( n = 23) were allocated into 2 groups: individuals with DS (DS; n = 11) and individuals without DS (WDS; n = 12), who performed an acute RE session. Diagnostic assessment included medical history, anthropometric measures (body height, body mass, body mass index, and body composition assessment), biological collections, muscle strength assessments (handgrip and maximal voluntary isometric contraction tests), and exercises. The redox balance and inflammatory profile were assessed in urine and saliva samples before and after an acute RE session. There were no differences between WDS and DS groups for body composition ( p > 0.05). The DS group presented higher values pre and post an acute RE session with elastic tubes for oxidative and proinflammatory markers compared with WDS ( p < 0.05). Uric acid values increased from pre-acute RE session to post-acute RE session for WDS ( p < 0.0001). No differences were identified within groups for the delta analysis ( p > 0.05). Inverse correlations were found between total force and F2-isoprostane, 8OHdG, uric acid, allantoin, IL-6, TNF-α, and the TNF-α:IL-10 ratio. A positive correlation was found between IL-10 and total force. The DS group presented increased peak force in the knee extension and elbow flexion exercises (∼25 and 12%, respectively) but decreases in handgrip strength of ∼7%. The WDS group showed higher peak force values for knee extension, elbow flexion, and handgrip (∼16, 10, and 14%, respectively). The DS group had lower transient elevation of oxidative stress after an acute RE session compared with WDS. Oxidative stress and inflammation responses of DS to an acute RE session with elastic tubes may be insufficient to induce health adaptations for the same relative load compared with WDS.
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Affiliation(s)
- Andrea Lucena Reis
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
| | - Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
- Graduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasília, Brasília, Brazil
| | | | - Hugo de Luca Corrêa
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
| | - Thaís Lucena Reis
- Medical Graduate Program of University of Brasília, Brasília-DF, Brazil
| | | | - Fernando Sousa Honorato
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
| | | | | | | | - Herbert Gustavo Simões
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
| | - Jonato Prestes
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
| | - Caio Victor Sousa
- Bouve College of Health Sciences, Northeastern University, Boston, Massachusetts; and
| | - Bernardo Neme Ide
- Exercise Science, Health and Human Performance Research Group, Department of Sport Sciences, Institute of Health Sciences, Federal University of Triângulo Mineiro, Uberaba, Brazil
| | - Thiago Dos Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília-DF, Brazil
- Graduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasília, Brasília, Brazil
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Maciel LA, Leite PLDA, Santos PA, Barbosa LP, Gutierrez SD, Deus LA, Araújo MC, Aguiar SDS, Rosa TS, Lewis JE, Simões HG. Intensity of Depression Symptoms Is Negatively Associated with Catalase Activity in Master Athletes. Int J Environ Res Public Health 2023; 20:4397. [PMID: 36901407 PMCID: PMC10002178 DOI: 10.3390/ijerph20054397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND This study examined associations between scores of depression (DEPs), thiobarbituric acid-reactive substances (TBARS), superoxide dismutase (SOD), and catalase activity (CAT) in master athletes and untrained controls. METHODS Participants were master sprinters (MS, n = 24; 50.31 ± 6.34 year), endurance runners (ER, n = 11; 51.35 ± 9.12 year), untrained middle-aged (CO, n = 13; 47.21 ± 8.61 year), and young untrained (YU, n = 15; 23.70 ± 4.02 year). CAT, SOD, and TBARS were measured in plasma using commercial kits. DEPs were measured by the Beck Depression Inventory-II. An ANOVA, Kruskal-Wallis, Pearson's, and Spearman's correlations were applied, with a significance level of p ≤ 0.05. RESULTS The CATs of MS and YU [760.4 U·μL 1 ± 170.1 U·μL 1 and 729.9 U·μL 1 ± 186.9 U·μL 1] were higher than CO and ER. The SOD levels in the YU and ER [84.20 U·mL-1 ± 8.52 U·mL-1 and 78.24 U·mL-1 ± 6.59 U·mL-1 (p < 0.0001)] were higher than CO and MS. The TBARS in CO [11.97 nmol·L-1 ± 2.35 nmol·L-1 (p < 0.0001)] was higher than in YU, MS and ER. MS had lower DEPs compared to the YU [3.60 ± 3.66 vs. 12.27 ± 9.27 (p = 0.0002)]. A negative correlation was found between CAT and DEPs for master athletes [r = -0.3921 (p = 0.0240)] and a weak correlation [r = -0.3694 (p = 0.0344)] was found between DEPs and the CAT/TBARS ratio. CONCLUSIONS In conclusion, the training model of master sprinters may be an effective strategy for increasing CAT and reducing DEPs.
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Affiliation(s)
- Larissa Alves Maciel
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | | | - Patrick Anderson Santos
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Lucas Pinheiro Barbosa
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Sara Duarte Gutierrez
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Lysleine Alves Deus
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Márcia Cristiane Araújo
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - Samuel da Silva Aguiar
- Postgraduate Program in Physical Education, Federal University of Mato Grosso-UFMT, Cuiabá 78060-900, Brazil
| | - Thiago Santos Rosa
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
| | - John E. Lewis
- Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL 33316, USA
| | - Herbert Gustavo Simões
- Postgraduate Program in Physical Education, Catholic University of Brasília, Brasília 71966-700, Brazil
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de Luca Corrêa H, Gadelha AB, Vainshelboim B, Dutra MT, Ferreira-Júnior JB, Deus LA, Neves RVP, Reis AL, de Araújo TB, Tzanno-Martins C, Tavares FS, Andrade RV, Dos Santos Rosa T. Could sarcopenia-related mortality in end-stage renal disease be underpinned by the number of hospitalizations and cardiovascular diseases? Int Urol Nephrol 2023; 55:157-163. [PMID: 35819667 DOI: 10.1007/s11255-022-03291-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 06/26/2022] [Indexed: 01/05/2023]
Abstract
PURPOSE To investigate the association between sarcopenia with the number of all-cause mortality, hospitalizations, and cardiovascular diseases in patients with end-stage renal disease (ESRD). METHODS 247 patients with ESRD (women, n = 97) (66.6 ± 3.53 years) participated in this study. At baseline, all participants were measured with dual-energy X-ray absorptiometry and handgrip dynamometer and were prospectively followed up for 5 years. The European Working Group on Sarcopenia in Older People guidelines were utilized for Sarcopenia determination. Cox proportional hazard analysis adjusted for established risk factors was used to quantify the risk between Sarcopenia and all-cause mortality. RESULTS Sixty-five participants (26%) were determined to have Sarcopenia at baseline and 38 (15%) have died during the follow-up. At baseline, Participants with Sarcopenia had lower body mass index and fat-free mass index. Moreover, through the 5-year follow-up, sarcopenic patients had higher number of cardiovascular disease (56.9% vs. 12.6%) and hospitalizations (93.8% vs. 49.5%) (all P < 0.0001). Sarcopenia was associated with significantly higher risk of mortality, [Hazard ratio = 3.3, (95% CI: 1.6-6.9), P = 0.001]. CONCLUSION Sarcopenia may be a risk factor for hospitalizations, cardiovascular diseases, and all-cause mortality in patients with ESRD. These results provide support of the relevance in assessing sarcopenia in the clinical practice of chronic kidney disease and how muscle mass and strength may negatively impact the daily life of ESRD patients undergoing hemodialysis. Greater efforts at preventing muscle wasting and malfunctioning are needed through the worldwide healthcare system.
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Affiliation(s)
- Hugo de Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil.
| | - André Bonadias Gadelha
- Serviço de Preparação Física/COSAU/DIGEP/SA/SG/Presidência da República, Zona Cívico-Administrativa, Brasília, DF, 70150-900, Brazil
- Seção de Educação Física, Colégio Militar de Brasília, Asa Norte, Brasília, DF, Brasil
| | - Baruch Vainshelboim
- Cardiovascular and Metabolic Disease Research Institute, Mountain View, CA, USA
| | - Maurílio Tiradentes Dutra
- Federal Institute of Education, Science and Technology of Brasilia, College of Physical Education, Brasília, Brazil
- College of Physical Education, University of Brasília, Brasília, DF, Brazil
| | | | - Lysleine Alves Deus
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil
| | - Rodrigo Vanerson Passos Neves
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil
| | - Andrea Lucena Reis
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil
| | - Thaís Branquinho de Araújo
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil
| | | | | | - Rosângela Vieira Andrade
- Graduate Program of Genomic Sciences and Biotechnology, Catholic University of Brasilia, Brasília, DF, Brazil
| | - Thiago Dos Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, UCB, EPTC, QS07, LT1 s/n. Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, DF, 72030-170, Brazil
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Corrêa HDL, Raab ATO, Araújo TM, Deus LA, Reis AL, Honorato FS, Rodrigues-Silva PL, Neves RVP, Brunetta HS, Mori MADS, Franco OL, Rosa TDS. A systematic review and meta-analysis demonstrating Klotho as an emerging exerkine. Sci Rep 2022; 12:17587. [PMID: 36266389 PMCID: PMC9585050 DOI: 10.1038/s41598-022-22123-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 10/10/2022] [Indexed: 01/13/2023] Open
Abstract
Klotho is an anti-aging protein with several therapeutic roles in the pathophysiology of different organs, such as the skeletal muscle and kidneys. Available evidence suggests that exercise increases Klotho levels, regardless of the condition or intervention, shedding some light on this anti-aging protein as an emergent and promising exerkine. Development of a systematic review and meta-analysis in order to verify the role of different exercise training protocols on the levels of circulating soluble Klotho (S-Klotho) protein. A systematic search of the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE through PubMed, EMBASE, CINAHL, CT.gov, and PEDro. Randomized and quasi-randomized controlled trials that investigated effects of exercise training on S-Klotho levels. We included 12 reports in the analysis, comprising 621 participants with age ranging from 30 to 65 years old. Klotho concentration increased significantly after chronic exercise training (minimum of 12 weeks) (Hedge' g [95%CI] 1.3 [0.69-1.90]; P < 0.0001). Moreover, exercise training increases S-Klotho values regardless of the health condition of the individual or the exercise intervention, with the exception of combined aerobic + resistance training. Furthermore, protocol duration and volume seem to influence S-Klotho concentration, since the effect of the meta-analysis changes when subgrouping these variables. Altogether, circulating S-Klotho protein is altered after chronic exercise training and it might be considered an exerkine. However, this effect may be influenced by different training configurations, including protocol duration, volume, and intensity.
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Affiliation(s)
- Hugo de Luca Corrêa
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
| | - Artur Temizio Oppelt Raab
- grid.411952.a0000 0001 1882 0945Faculty of Medicine, Catholic University of Brasilia, Brasília, Distrito Federal Brazil
| | - Thamires Marra Araújo
- grid.411952.a0000 0001 1882 0945Faculty of Bio-Medicine, Catholic University of Brasilia, Brasília, Distrito Federal Brazil
| | - Lysleine Alves Deus
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
| | - Andrea Lucena Reis
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
| | - Fernando Sousa Honorato
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
| | | | - Rodrigo Vanerson Passos Neves
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
| | - Henver Simionato Brunetta
- grid.411087.b0000 0001 0723 2494Department of Biochemistry and Tissue Biology, University of Campinas, Campinas, Brazil
| | - Marcelo Alves da Silva Mori
- grid.411087.b0000 0001 0723 2494Department of Biochemistry and Tissue Biology, University of Campinas, Campinas, Brazil ,grid.411087.b0000 0001 0723 2494Obesity and Comorbidities Research Center, University of Campinas, Campinas, Brazil ,grid.411087.b0000 0001 0723 2494Experimental Medicine Research Cluster, University of Campinas, Campinas, Brazil
| | - Octávio Luiz Franco
- grid.411952.a0000 0001 1882 0945Centro de Análises Proteômicas e Bioquímicas, Pós-Graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasília, DF Brazil ,grid.442132.20000 0001 2111 5825S-Inova Biotech, Pós-Graduação em Biotecnologia, Universidade Católica Dom Bosco, Campo Grande, MS Brazil
| | - Thiago dos Santos Rosa
- grid.411952.a0000 0001 1882 0945Graduate Program of Physical Education, Catholic University of Brasilia (UCB), EPTC, QS07, LT1 S/N, Bloco G Sala 119, Águas Claras, Taguatinga, Brasília, Distrito Federal CEP 72030-170 Brazil
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Corrêa HL, Simões HG, Neves RVP, Deus LA, Rosa TS. The potential role of physical activity and a healthy diet in increasing nitric oxide during COVID-19 outbreak. Sci Sports 2022; 37:639-642. [PMID: 36062207 PMCID: PMC9420716 DOI: 10.1016/j.scispo.2021.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 11/09/2021] [Indexed: 12/03/2022]
Abstract
The potential role of physical activity and a healthy diet in increasing nitric oxide during COVID-19 outbreak. This manuscript presents a perspective which provide new insights about the promising role of nitric oxide on COVID-19. Demonstration that nitric oxide was an important cornerstone against viral infections, including SARS-CoV-1 in 2009. Thus, given the concern that higher NO− could improve endothelial health and might be a protection factor against COVID-19, should we critically consider non-pharmacological strategies that increase NO− bioavailability as medicine for COVID-19? From this perspective, we highlight the potential effect of physical activity and healthy diet in stimulating the increase of NO− bioavailability.
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Affiliation(s)
- H L Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal district, Brasilia, Brazil
| | - H G Simões
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal district, Brasilia, Brazil
| | - R V P Neves
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal district, Brasilia, Brazil
| | - L A Deus
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal district, Brasilia, Brazil
| | - T S Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal district, Brasilia, Brazil
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de Luca Corrêa H, Neves RVP, Deus LA, Reis AL, Raab ATO, Rodrigues-Silva PL, Barbosa JMS, de Araújo TB, da Silva MGS, Ferreira CES, Simões HG, Prestes J, Franco OL, Andrade RV, Dos Santos Rosa T. MicroRNA levels in hemodialysis patients following resistance training: Associations with functional performance, inflammatory profile, sestrins-2, and nitric oxide. Exp Gerontol 2022; 162:111761. [PMID: 35240260 DOI: 10.1016/j.exger.2022.111761] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/24/2022] [Accepted: 02/25/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Investigate the effects of long-term resistance training (RT) on expression of the four selected microRNAs (miRNA or mir) and further association with biomarkers related to functional performance in older end-stage renal disease (ESRD) patients undergoing hemodialysis. METHODS Twenty-five older hemodialysis patients (glomerular filtration rate <15 mL/min/1.73 m2 aged 68.28 ± 1.06) were recruited for the study. Patients were allocated to two groups (control, n = 12 and RT, n = 13). The RT group completed 24 weeks of training, with sessions held three times per week on alternate days. Blood samples were collected pre- and post- intervention for miRNA and biochemical assays. Results were considered significant at P < 0.05. RESULTS RT promoted benefits in inflammatory profile, nitric oxide, sestrins-2, anthropometric data, and functional performance. Trained subjects presented a 51% decrease in miRNA-31 after intervention. In addition, miRNA-1 increased 128% after RT protocol. miRNA-1 significantly correlated with functional performance, inflammatory profile, sestrins-2, and nitric oxide (all P < 0.05). CONCLUSIONS These results suggest that the upregulation of miRNA-1 could be associated with physiological benefits promoted by RT in hemodialysis patients, providing novel understanding for potential regulatory miRNA effects on physiological RT response. These findings might point out to strategic direction for future studies.
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Affiliation(s)
- Hugo de Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil
| | | | - Lysleine Alves Deus
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil
| | - Andrea Lucena Reis
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil
| | | | | | | | | | | | | | - Herbert Gustavo Simões
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil
| | - Jonato Prestes
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil
| | - Octavio Luiz Franco
- Centro de Análises Proteômicas e Bioquímicas, Pós-graduação em Ciências Genômicas e Biotecnologia, Universidade Católica de Brasília, Brasília, DF, Brazil; S-Inova Biotech, Pós-graduação em Biotecnologia, Universidade Católica Dom Bosco, Campo Grande, MS, Brazil
| | - Rosângela Vieira Andrade
- Graduate Program of Genomic Sciences and Biotechnology, Catholic University of Brasilia, Federal District, Brazil
| | - Thiago Dos Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, Federal District, Brazil.
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Rosa TDS, Corrêa HL, Barbosa LP, Santos PAD, Leite PLDA, Aguiar SS, Deus LA, Maciel LA, Neves RVP, Simoes HG. Age-related Decline in Renal Function is Attenuated in Master Athletes. Int J Sports Med 2021; 42:889-895. [PMID: 33684951 DOI: 10.1055/a-1332-1594] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
This study analyzed the kidney function and biomarkers of health in lifelong-trained sprinters and endurance runners, and compared them to untrained aged-matched and young controls. Sixty-two men (21-66 yr.) were recruited and allocated as master athletes from sprints (n=25), master athletes from endurance events (n=8), untrained middle-aged (n=14) and young controls (n=15). Participants underwent anamnesis, anthropometric measures and blood sampling for biochemical analyses of klotho, FGF23 and estimated glomerular filtration rate. Master sprinters presented better kidney function in relation to endurance athletes and their untrained peers (P<0.0001). A number of biochemical variables were observed that negatively (i. e., GDF-15, TGF-Beta, IL-18) or positively (i. e., klotho/FGF23 ratio and sestrin-2) correlated with eGFR. Sestrin-2 presented the strongest association with eGFR (r=0.5, P=0.03). Results also revealed that lifelong-trained individuals presented the highest probability of having better values for cystatin C and thus an estimated glomerular filtration rate that was 37-49% higher than untrained peers. Master sprinters presented better kidney function in relation to endurance athletes and middle-aged untrained peers. Sestrin-2 may play a role in exercise-induced kidney function protection.
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Affiliation(s)
- Thiago Dos Santos Rosa
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | - Hugo Luca Corrêa
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | - Lucas Pinheiro Barbosa
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | | | | | - Samuel Silva Aguiar
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | - Lysleine Alves Deus
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | - Larissa Alves Maciel
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
| | | | - Herbert Gustavo Simoes
- Graduate Program on Physical Education and Health, Catholic University of Brasilia, Taguatinga, Brazil
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Rosa TS, Corrêa HL, Deus LA, Stone W, Reis AL, Gadelha AB, de Araújo TB, Silva Junior PR, Moraes MR, Silva JAB, Tzanno-Martins C, Simões HG, Prestes J, Neves RVP. Effects of dynamic and isometric resistance training protocols on metabolic profile in hemodialysis patients: a randomized controlled trial. Appl Physiol Nutr Metab 2021; 46:1029-1037. [PMID: 33651633 DOI: 10.1139/apnm-2020-0900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The aim of this study was to compare the effect of dynamic (DRT) and isometric (IRT) resistance training on glycemic homeostasis, lipid profile, and nitric oxide (NO) in hemodialysis (HD) patients. Patients were randomly distributed into 3 groups: control (n = 65), DRT (n = 65), and IRT (n = 67). Patients assessed before and after the intervention period were tested for fasting blood glucose, glycated hemoglobin, oral glucose tolerance test, insulin resistance, lipid profile, leptin, insulin, adiponectin, C-reactive protein, and NO . Patients underwent to strength and body composition assessments. Subjects allocated in both DRT and IRT groups took part in a 24-week resistance training program, 3 times per week. Each training session was approximately 1 hour before dialysis and consisted of 3 sets of 8-12 repetitions at low intensity. Total workload was higher in the DRT as compared with the IRT. This heightened workload related to better glycemic homeostasis in HD patients as measured by regulation of insulin, adiponectin, and leptin, while improveing triglycerides, free-fat mass, and muscle strength. Additionally, NO levels were increased in the DRT group. NO was significantly correlated with glucose intolerance (r = -0.42, p = 0.0155) and workload (r = 0.46, p = 0.0022). The IRT group only improved strength (p < 0.05). Twenty-four weeks of DRT improved glycemic homeostasis, lipid profile, and NO in HD patients. Although IRT seems to play an important role in increasing strength, DRT might be a better choice to promote metabolic adjustments in HD patients. Clinical trial: http://www.ensaiosclinicos.gov.br/rg/RBR-3gpg5w. Novelty: DRT might be a better choice for metabolic improvements in patients with chronic kidney disease (CKD). Exercise-training might treat metabolic imbalance in CKD patients.
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Affiliation(s)
- Thiago Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
| | - Hugo Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
| | - Lysleine Alves Deus
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
| | - Whitley Stone
- School of Kinesiology, Recreation, and Sport, Western Kentucky University, KY, USA
| | - Andrea Lucena Reis
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
| | - André Bonadias Gadelha
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil.,Seção de Educação Física, Colégio Militar de Brasília
| | | | | | - Milton Rocha Moraes
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
| | | | | | | | - Jonato Prestes
- Graduate Program of Physical Education, Catholic University of Brasilia, Brazil
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Neves RVP, Rosa TDS, Corrêa HL, da Silva Aires KM, Deus LA, Sousa MK, Stone WJ, Aguiar LR, Prestes J, Simões HG, Andrade RV, Moraes MR. Biomarkers and Redox Balance in Aging Rats after Dynamic and Isometric Resistance Training. Int J Sports Med 2021; 42:283-290. [PMID: 32947637 DOI: 10.1055/a-1231-5410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Aging muscle is prone to sarcopenia and its associated telomere shortening and increased oxidative stress. Telomeres are protected by a shelterin protein complex, proteins expressed in response to DNA damage. Aerobic exercise training has shown to positively modulate these proteins while aging, but the effects of resistance training are less clear. This investigation was to examine the role of dynamic and isometric RT on markers of senescence and muscle apoptosis: checkpoint kinase 2, 53 kDa protein, shelterin telomere repeat binding 1 and 2, DNA repair, telomere length and redox state in the quadriceps muscle. Fifteen 49-week-old male rats were divided into three groups: control, dynamic resistance training, and isometric resistance training. Dynamic and isometric groups completed five sessions per week during 16 weeks at low to moderate intensity (20-70% maximal load). Only dynamic group decreased expression of 53 kDa protein, proteins from shelterin complex, oxidative stress, and improved antioxidant defense. There was no difference among groups regarding telomere length. In conclusion, dynamic resistance training was more effective than isometric in reducing markers of aging and muscle apoptosis in elderly rats. This modality should be considered as valuable tool do counteract the deleterious effects of aging.
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Affiliation(s)
| | - Thiago Dos Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Hugo Luca Corrêa
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | | | - Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Michel Kendy Sousa
- Nephrology Division, Department of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | - Whitley Jo Stone
- School of Nutrition, Kinesiology, and Physiological Sciences, University of Central Missouri, Warrensburg, MO, United States
| | - Lana Ribeiro Aguiar
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília, Brasília, Brazil
| | - Jonato Prestes
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Herbert Gustavo Simões
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Rosângela Vieira Andrade
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília, Brasília, Brazil
| | - Milton Rocha Moraes
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
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Gadelha AB, Cesari M, Corrêa HL, Neves RVP, Sousa CV, Deus LA, Souza MK, Reis AL, Moraes MR, Prestes J, Simões HG, Andrade RV, Melo GF, Rosa TS. Effects of pre-dialysis resistance training on sarcopenia, inflammatory profile, and anemia biomarkers in older community-dwelling patients with chronic kidney disease: a randomized controlled trial. Int Urol Nephrol 2021; 53:2137-2147. [PMID: 33609277 DOI: 10.1007/s11255-021-02799-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 02/08/2021] [Indexed: 02/08/2023]
Abstract
BACKGROUND Sarcopenia and chronic kidney disease (CKD) have been associated with negative outcomes in older people, including inflammatory profile and anemia biomarkers. AIMS To investigate the effects of pre-dialysis resistance training (RT) on sarcopenia, inflammatory profile, and anemia biomarkers in older patients with CKD. METHODS A total of 107 patients with CKD (65.4 ± 3.7 years) were randomly allocated into four groups: sarcopenic RT (n = 37), non-sarcopenic RT (n = 20), sarcopenic control (n = 28), and non-sarcopenic control (n = 22). DXA and handgrip strength were used to classify sarcopenia according to EWGSOP-2. Treatment groups underwent a 24-week intervention with RT before each dialysis session, three times per week. Blood sample analysis for ferritin, hepcidin, iron availability, and inflammatory profile (TNFα, IL-6, and IL-10) was conducted. All-cause mortality was recorded over 5 years. RESULTS Sarcopenic RT group increased iron availability after the intervention, while their counterparts decreased. Ferritin and hepcidin significantly decreased in sarcopenic RT group. RT elicited a reduction in both TNFα and IL-6, while increasing IL-10 in both intervention groups. The rate of sarcopenic subjects substantially decreased after the intervention period (from 37 to 17 in the RT group; p = 0.01). The proportion of deaths was higher (P = 0.033) for sarcopenic subjects (Controls 35.7% vs RT 29.7%) when compared to non-sarcopenic subjects (Controls 18% vs RT 10%). The proportion of deaths decreased according to the randomization group (X2 = 8.704; P < 0.1). CONCLUSIONS The 24-week RT intervention elicited a better sarcopenia status, better inflammatory profile, and improved anemia biomarkers. Sarcopenia was associated with higher mortality rate in older patients with CKD.
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Affiliation(s)
- André Bonadias Gadelha
- Seção de Educação Física, Colégio Militar de Brasília (CMB), 902/904-Asa Norte, Brasília, DF, 70790-020, Brazil. .,Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil.
| | - Matteo Cesari
- Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, University of Milan, Milan, Italy
| | - Hugo Luca Corrêa
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | | | - Caio Victor Sousa
- Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA
| | - Lysleine Alves Deus
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Michel Kendy Souza
- Department of Nephrology, Federal University of São Paulo, São Paulo, Brazil
| | - Andrea Lucena Reis
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Milton Rocha Moraes
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Jonato Prestes
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Herbert Gustavo Simões
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Rosangela Vieira Andrade
- Graduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasilia-UCB, Brasília, Brazil
| | - Gislane Ferreira Melo
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
| | - Thiago Santos Rosa
- Programa de Pós-Graduação em Educação Física, Universidade Católica de Brasília, Brasília, DF, Brazil
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Corrêa HL, Neves RVP, Deus LA, Souza MK, Haro AS, Costa F, Silva VL, Santos CAR, Moraes MR, Simões HG, Navalta JW, Prestes J, Rosa TS. Blood Flow Restriction Training Blunts Chronic Kidney Disease Progression in Humans. Med Sci Sports Exerc 2021; 53:249-257. [PMID: 32826635 DOI: 10.1249/mss.0000000000002465] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
PURPOSE This study aimed to verify the effect of 6 months of periodized resistance training (RT) with and without blood flow restriction (BFR) in patients with stage 2 chronic kidney disease (CKD) on glomerular filtration rate (GFR), uremic parameters, cytokines, and klotho-fibroblast growth factor 23 (FGF23) axis. METHODS A total of 105 subjects were randomized in three groups of 35 each: control (CTL), RT, and RT + BFR. A first visit was required for an anamnesis to evaluate the number of medications and anthropometric measurements (body weight, height, and body mass index). Muscle strength (one-repetition maximum) was assessed. Venous blood samples were collected at baseline and after 6 months of training in all patients for the analysis of markers of renal function and integrity, as well as for the determination of the inflammatory profile. Statistical significances were adopted with P < 0.05. RESULTS Both training therapies attenuated the decline of GFR (P < 0.05). The majority of CTL patients declined to stage 3 CKD (88.5%), whereas fewer incidents were noted with RT (25.7%) and RT + BFR (17.1%). Improved uremic parameters as well as inflammation (IL-6, IL-10, IL-15, IL-17a, IL-18, and TNF-α) and klotho-FGF23 axis in RT and RT + BFR (P < 0.05) were observed. Monocyte chemoattractant protein 1 was not changed (P > 0.05) but presented a large effect size (Cohen's d), demonstrating a propensity for improvement. CONCLUSION Six months of periodized RT with and without BFR in patients with stage 2 CKD attenuated the progression of the disease by maintaining GFR, improving uremic parameters, cytokine profile regulation, and klotho-FGF23 axis.
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Affiliation(s)
- Hugo Luca Corrêa
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | | | - Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | - Michel Kendy Souza
- Department of Nephrology, Federal University of São Paulo, São Paulo, BRAZIL
| | - Anderson Sola Haro
- Department of Nephrology, Federal University of São Paulo, São Paulo, BRAZIL
| | - Fernando Costa
- Department of Nephrology, Federal University of São Paulo, São Paulo, BRAZIL
| | - Victor Lopes Silva
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | | | - Milton Rocha Moraes
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | - Herbert Gustavo Simões
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | | | - Jonato Prestes
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
| | - Thiago Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasilia, Brasilia, BRAZIL
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Corrêa HDL, Rosa TDS, Dutra MT, Sales MM, Noll M, Deus LA, Reis AL, de Araújo TB, Neves RVP, Gadelha AB. Association between dynapenic abdominal obesity and inflammatory profile in diabetic older community-dwelling patients with end-stage renal disease. Exp Gerontol 2021; 146:111243. [PMID: 33460716 DOI: 10.1016/j.exger.2021.111243] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 01/11/2021] [Accepted: 01/12/2021] [Indexed: 12/19/2022]
Abstract
BACKGROUND Obesity and poor strength impose higher risk factor for end-stage renal disease (ESRD) patients. It is expected that the combination of both conditions might be critically associated with the inflammatory profile in this population, especially in community-dwelling elderly. So, diagnosis of dynapenic obesity and inflammation is an important tool in the management of chronic kidney disease patients at imminent risk of hospitalization. PURPOSE To investigate the association between dynapenic abdominal obesity and inflammatory markers in community-swelling elderly with ESRD. METHODS Two hundred and forty-seven community-dwelling older patients (66.74 ± 3.20 years; n = 150, 60.73%, males) undergoing maintenance phase hemodialysis volunteered for this study. The study sample was categorized into four groups according to handgrip strength and waist circumference as follows: control, dynapenia (low strength alone), abdominal obesity (high waist circumference alone), and dynapenic obesity (D/AO) (the combination of low strength and high waist circumference). Blood samples were collected for tumor necrosis factor alpha (TNF-α), interleukin (IL)- 6 and IL- 10. Results were considered significant at P < 0.05. RESULTS Proportions for control, abdominal obesity, dynapenic, and D/AO were 38.5%, 15.8%, 25.9%, and 19.8%, respectively. Higher concentrations of TNF-α were found in the D/AO group (P < 0.0001). This group also displayed lower levels of IL-10 (P < 0.0001). Further, the D/AO traits were strongly associated with TNF-α and IL-10 (P < 0.0001). CONCLUSION The closely relation between D/AO and inflammatory profile provides evidence that the pooled information of low muscle strength and abdominal obesity may be clinically relevant for the management of ESRD patients.
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Affiliation(s)
- Hugo de Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil.
| | - Thiago Dos Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil
| | | | - Marcelo Magalhães Sales
- Graduate Program in Human Movement and Rehabilitation of University Center of Anápolis, Anápolis, Brazil; State University of Goiás, Quirinópolis, Brazil
| | - Matias Noll
- Federal Institute of Education, Science and Technology Goiano, Ceres, Goiás, Brazil
| | - Lysleine Alves Deus
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil
| | - Andrea Lucena Reis
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil
| | - Thaís Branquinho de Araújo
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil; Clinic Renal Fisio, Brasilia, Distrito Federal, Brazil
| | | | - André Bonadias Gadelha
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasília, Distrito Federal, Brazil; Seção de Educação Física, Colégio Militar de Brasília, Asa Norte, Brasília, DF, Brazil
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de Macedo TA, Aguiar SDS, Sousa CV, Barbosa LP, Deus LA, Santos PA, Maciel LA, Nikolaidis PT, Knechtle B, Simões HG. Performance trends in Paralympic athletes in sprint, middle-distance and endurance events. Sport Sci Health 2020. [DOI: 10.1007/s11332-020-00630-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Souza LHR, Corrêa HDL, Rosa TDS, Neves RVP, Deus LA, Olher RR, Vicente JB, Melo GR, Barros CFD, Moraes VC, Coelho JMDO, Peruchi LH, Santos CP, Simões HG, Moraes MR. Blood pressure decrease in elderly after isometric training: does lactate play a role? ACTA ACUST UNITED AC 2020. [DOI: 10.33448/rsd-v9i9.7433] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This study aimed to investigate the effect of isometric handgrip (IHG) training on the blood pressure (BP) reduction in prehypertensive and hypertensive elderly people, and the possible role of lactate and redox balance. Thirty-three older (75.3±1.3 years old) were allocated to a non-exercise control (CG, n=11), prehypertensive (PHG, n=10), and hypertensive (HG, n=12) groups. PHG and HG performed a total of 8 sets of 1-min bilateral contractions at 30% maximal voluntary isometric contraction, each separated by 1-minute rest-pause. IHG training was performed for 8-week, 3 times a week on non-consecutive days. Systolic BP (SBP) and heart rate (HR) decreased post-training on PHG (-10 mm Hg; -5 bpm) and HG (-16 mm Hg; -9 bpm), respectively. Diastolic BP (DBP) decreased for HG only (-9 mm Hg) (P < 0.05). In addition, the decrease in BP occurred in parallel to a better redox balance and increased bioavailability of nitric oxide in PHG and HG (P < 0.05). Also, the variables that most present association to SBP decrease were capillary blood lactate concentration and muscle strength (P < 0.05). In summary, IHG training may be practical in improving clinical status of prehypertensive and hypertensive patients, by improving BP control, NO- bioavailability and redox balance. Further studies are required to elucidate the pathways of lactate concentration in blood-flow during exercise.
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Corrêa HL, Moura SRG, Neves RVP, Tzanno-Martins C, Souza MK, Haro AS, Costa F, Silva JAB, Stone W, Honorato FS, Deus LA, Prestes J, Simões HG, Vieira EC, de Melo GF, Moraes MR, Rosa TS. Resistance training improves sleep quality, redox balance and inflammatory profile in maintenance hemodialysis patients: a randomized controlled trial. Sci Rep 2020; 10:11708. [PMID: 32678132 PMCID: PMC7367305 DOI: 10.1038/s41598-020-68602-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 06/11/2020] [Indexed: 11/09/2022] Open
Abstract
Patients in maintenance hemodialisys (HD) present sleep disorders, increased inflammation, unbalanced redox profiles, and elevated biomarkers representing endothelial dysfunction. Resistance training (RT) has shown to mitigate the loss of muscle mass, strength, improve inflammatory profiles, and endothelial function while decreasing oxidative stress for those in HD. However, the relation between those factors and sleep quality are inadequately described. The aim of this study was to verify the effects of 3 months of RT on sleep quality, redox balance, nitric oxide (NO) bioavailability, inflammation profile, and asymmetric dimethylarginine (ADMA) in patients undergoing HD. Our primary goal was to describe the role of RT on sleep quality. Our secondary goal was to evaluate the effect of RT on NO, metabolism markers, and inflammatory and redox profiles as potential mechanisms to explain RT-induced sleep quality changes. Fifty-five men undergoing maintenance hemodialysis were randomized into either a control (CTL, n = 25) and RT group (RTG; n = 30). Participants in the RT group demonstrated an improvement in sleep pattern, redox, inflammatory profiles, and biomarkers of endothelial function (NO2- and ADMA). This group also increased muscle strength (total workload in RT exercises of upper and lower limbs). These findings support that RT may improve the clinical status of HD patients by improving their sleep quality, oxidative and inflammatory parameters.
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Affiliation(s)
- Hugo Luca Corrêa
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil.
| | - Sting Ray Gouveia Moura
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Rodrigo Vanerson Passos Neves
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | | | - Michel Kendy Souza
- Department of Nephrology, Federal University of São Paulo, São Paulo, Brazil
| | - Anderson Sola Haro
- Department of Nephrology, Federal University of São Paulo, São Paulo, Brazil
| | - Fernando Costa
- Department of Nephrology, Federal University of São Paulo, São Paulo, Brazil
| | | | - Whitley Stone
- School of Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, KY, USA
| | - Fernando Sousa Honorato
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Lysleine Alves Deus
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Jonato Prestes
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Herbert Gustavo Simões
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Elaine Cristina Vieira
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Gislane Ferreira de Melo
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Milton Rocha Moraes
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Thiago Santos Rosa
- Graduate Program of Physical Education, Catholic University of Brasilia (USB), EPTC, QS07, LT1 s/n. Bloco G Sala 117, Águas Claras, Taguatinga, Brasília, DF, 71966-700, Brazil
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Moura SRG, Corrêa HL, Neves RVP, Santos CAR, Neto LSS, Silva VL, Souza MK, Deus LA, Reis AL, Simões HG, Beal FLR, Moraes MR, Navalta JW, Prestes J, Gadelha AB, Rosa TDS. Effects of resistance training on hepcidin levels and iron bioavailability in older individuals with end-stage renal disease: A randomized controlled trial. Exp Gerontol 2020; 139:111017. [PMID: 32634551 DOI: 10.1016/j.exger.2020.111017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 06/30/2020] [Accepted: 07/01/2020] [Indexed: 01/24/2023]
Abstract
Anemia is an inherent complication of older individuals with end-stage renal disease (ESRD) that is associated with inflammation which in turn is an important factor in the activation of hepcidin that contributes to the decrease in serum iron. Athough resistance training (RT) seems to reduce inflammation in ESRD, its influence on hepcidin and iron availability in hemodialysis patients is unclear. Therefore, the aim of this study was to exemine the effects of RT in on inflammatory profile, hepcidin, and iron status in older individuals with ESRD. End-stage renal disease patients (N: 157, age: 66.8 ± 3.6; body mass: 73 ± 15 body mass index:27 ± 3), were assigned to control (CTL n: 76) and exercise groups (RT n: 81). RT consisted of 24 weeks/3 days per week of a moderate intensity. There was an increase in the bioavailability of iron (ΔRT: 22.2; ΔCTL: -1 μg/dL, p < 0.0001), a decrease in hepcidin levels (ΔRT: -7.9; ΔCTL: 0.2 ng/mL, p < 0.0001),and an improvement of the inflammatory profile. These novel findings show that RT is a potential coadjuvant to reduce iron deficiency by decreasing the levels of hepcidin and pro-inflammatory markers in older patients undergoing hemodialysis.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - James W Navalta
- University of Nevada, Las Vegas, Department of Kinesiology and Nutrition Sciences, Las Vegas, NV, USA
| | - Jonato Prestes
- Catholic University of Brasilia, Federal District, Brazil
| | - André Bonadias Gadelha
- Catholic University of Brasilia, Federal District, Brazil; Federal Institute of Education, Science and Technology Goiano, Goiás, Brazil
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20
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Sousa CV, Silva Aguiar S, Deus LA, Barbosa LP, dos Santos PA, Neves RVP, Maciel LA, Moraes MR, Moreira SR, Grubert Campbell CS, Andrade RV, dos Santos Rosa T, Simoes HG. Faster and Healthier: Relationship between Telomere and Performance
in Master Athletes. Int J Sports Med 2020; 41:339-344. [DOI: 10.1055/a-1088-5279] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
AbstractAging is associated with increased oxidative stress, chronic inflammation, and
decreased telomere length (TL). However, the lifestyle of master athletes can
lead to a reduced risk of these conditions, and thus attenuates aging and
performance deterioration. We aimed to analyze the relationships between TL and
relative performance (RP), and their relation to adiposity, oxidative stress,
and inflammation in endurance (END) and sprint/power (SPW) master
athletes (MAs). Twenty-two world-class MAs visited the laboratory for anamnesis,
anthropometrics, and blood sampling. Inflammatory and oxidative stress
parameters were assessed using commercial kits. Relative TL was determined in
leukocytes through qPCR analyses. A positive association was observed between RP
and TL in both groups (SPW: r=0.641; END: r=0.685)
and the whole sample (r=0.594). The IL6/IL10 ratio
presented an inverse correlation with RP in the whole sample
(r=–0.580). Body mass index also demonstrated a negative
correlation with TL for the END group (r=–0.690) and the
whole sample analysis (r=–0.455). Moreover, the
IL6/IL10 ratio was negatively associated with strength/power
training hours (r=–0.464), whereas the CAT/TBARS
ratio was negatively associated with aerobic training hours
(r=–0.482). In conclusion, TL of MAs was associated with
RP regardless of the training model (endurance or sprint/power), and
inflammation and adiposity were associated with shorter telomeres.
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Affiliation(s)
- Caio Victor Sousa
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
- Psychiatry and Behavioral Sciences, University of Miami Miller School
of Medicine, Miami FL, USA
| | - Samuel Silva Aguiar
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
- Physical Education Department, University Center UDF,
Brasília, Brazil
| | - Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
| | - Lucas Pinheiro Barbosa
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
| | | | | | - Larissa Alves Maciel
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
| | - Milton Rocha Moraes
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
| | - Sérgio Rodrigues Moreira
- Physical Education, Federal University of Vale do São
Francisco (UNIVASF) Brazil, Petrolina, Brazil
| | | | - Rosangela Vieira Andrade
- Graduate Program in Genomic Sciences and Biotechnology, Catholic
University of Brasilia - UCB, Brasília, Brazil
| | - Thiago dos Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
| | - Herbert Gustavo Simoes
- Graduate Program in Physical Education, Catholic University of Brasilia
- UCB, Brasília, Brazil
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Olher RR, Ribeiro TB, Soares BR, Souza IR, Souza LHR, Melo GLR, Deus LA, Souza CV, Simões HG, Neves RVP, Rosa TS, Moraes MR. Improvement Of Redox Balance After Isometric Exercise Involving Large Muscle Mass In Hypertensive Adults. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000561746.68880.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Deus LA, Rosa TS, Maciel LA, Filho JMS, Aguiar SS, Sousa CV, Neves RVP, Simões HG. The Autonomic Balance Of Master Athlete During Stress Is Associated To Antioxidant Profile. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000561477.66771.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Neves RVP, Rosa TS, Souza MK, Oliveira AJC, Gomes GNS, Brixi B, Souza LHR, Deus LA, Simões HG, Stone WJ, Prestes J, Moraes MR. Dynamic, Not Isometric Resistance Training Improves Muscle Inflammation, Oxidative Stress and Hypertrophy in Rats. Front Physiol 2019; 10:4. [PMID: 30723416 PMCID: PMC6349781 DOI: 10.3389/fphys.2019.00004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 01/07/2019] [Indexed: 12/25/2022] Open
Abstract
This study aimed to compare the effects of dynamic (DRT) and isometric (IRT) resistance training on blood glucose, muscle redox capacity, inflammatory state, and muscle strength and hypertrophy. Fifteen 12-week-old male Wistar rats were randomly allocated into three groups: control group (CTL), DRT, and IRT, n = 5 animals per group. The animals were submitted to a maximal weight carried (MWC; every 15 days) and maximum isometric resistance (MIR; pre- and post-training) tests. Both training protocols were performed five times a week during 12 weeks, consisting of one set of eight uninterrupted climbs for 1 min with a 30% overload of MWC. The animals in the IRT group remained under isometry for 1 min. The DRT group experienced greater MWC from pre- to post-training compared to the CTL and IRT groups (p < 0.0001). The DRT and IRT groups displayed similar gains in MIR (p = 0.3658). The DRT group exhibited improved glycemic homeostasis (p = 0.0111), redox (p < 0.0001), and inflammatory (p < 0.0001) balance as compared with CTL and IRT groups. In addition, the improved glycemic profile was associated with an increase in muscle strength and hypertrophy, improvement in redox balance and inflammation status. We conclude that DRT was more effective than IRT on increasing cross-sectional area, but not muscle strength, in parallel to improved blood glucose, inflammatory status, and redox balance.
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Affiliation(s)
| | - Thiago Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil.,Graduate Program in Exercise Physiology, Ibirapuera University, São Paulo, Brazil
| | - Michel Kendy Souza
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | | | | | - Bernardo Brixi
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Luiz Humberto Rodrigues Souza
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil.,Physical Education, State of Bahia University (UNEB) - DEDC/XII Campus, Guanambi, Brazil
| | - Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Herbert Gustavo Simões
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Whitley Jo Stone
- School of Nutrition, Kinesiology, and Psychological Sciences, University of Central Missouri, Warrensburg, MO, United States
| | - Jonato Prestes
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
| | - Milton Rocha Moraes
- Graduate Program in Physical Education, Catholic University of Brasília, Brasília, Brazil
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Deus LA, Sousa CV, Rosa TS, Filho JMS, Santos PA, Barbosa LD, Silva Aguiar S, Souza LHR, Simões HG. Heart rate variability in middle-aged sprint and endurance athletes. Physiol Behav 2018; 205:39-43. [PMID: 30389479 DOI: 10.1016/j.physbeh.2018.10.018] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 10/02/2018] [Accepted: 10/29/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Aging is associated with decreased autonomic balance which could be assessed by Heart Rate Variability (HRV). Exercise training improves autonomic balance, but there is a lack in the literature regarding the heart rate variability (HRV) of master sprinters and endurance athletes. PURPOSE The effects of lifelong endurance and sprint training on cardiac autonomic balance were assessed in master athletes and compared with age-matched controls and young untrained controls. METHODS Participants (n = 81) were 8 master sprinters (MS; 51.8 ± 11.1 yrs), 8 master endurance athletes (EN, n = 8, 53.6 ± 8.6 yrs), 17 age-matched untrained (CON, 47.47 ± 6.00 yrs) and 48 young controls (YC, 25.40 ± 3.87 yrs). For the acquisition of RR intervals (iRR) (Polar RS800X Heart Rate Monitor®) the participants remained seated for 15-min with the final 10-min being considered for analysis. HRV was measured using Kubios software. A one-way ANOVA with repeated measures was applied. RESULTS All studied parameters did not differ between MS and EN {Time Domain [HR (bpm) 59.00 ± 6.13 vs. 58.94 ± 12.75], [R-R (ms) 1030.45 ± 107.45 vs. 1068.77 ± 206.17], [SDNN (ms) 57.35 ± 20.07 vs. 80.66 ± 71.07], [RMSSD (ms) 40.88 ± 20.07 vs. 38.93 ± 20.44]; Non-linear domain [SD1 (ms) 28.93 ± 14.20 vs. 27.56 ± 14.46]}, whose demonstrated a reduced HR and elevated mean R-R intervals in comparison to both YC {[HR (bpm) 69.64 ± 9.81]; [R-R (ms) 883.93 ± 124.11]} and age-matched controls {[HR (bpm) 70.06 ± 6.63]; [R-R (ms) 865.11 ± 78.39]}. It was observed a lower HRV for middle-aged CON {[RMSSD (ms) 20.23 ± 5.87], [SDNN (ms) 37.79 ± 10.15] and [SD1 (ms) 14.31 ± 4.15]} compared to YC {[RMSSD (ms) 43.33 ± 26.41], [SDNN (ms) 67.07 ± 28.77] and [SD1 (ms) 30.66 ± 18.69; p < .05]}. These last age-related differences were not observed for MS and EN. CONCLUSION For master athletes, regardless of whether they are trained in endurance or sprinters, both training modes revealed to be equally beneficial in attenuating the effects of aging on the autonomic balance.
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Affiliation(s)
- Lysleine Alves Deus
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil.
| | - Caio Victor Sousa
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil
| | - Thiago Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil
| | | | | | - Lucas Duarte Barbosa
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil
| | - Samuel Silva Aguiar
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil
| | - Luiz Humberto Rodrigues Souza
- Graduate Program in Physical Education, Catholic University of Brasília, DF, Brazil; Physical Education Department, Bahia State University, Bahia, Brazil
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de Carvalho Cunha VN, Dos Santos Rosa T, Sales MM, Sousa CV, da Silva Aguiar S, Deus LA, Simoes HG, de Andrade RV. Training Performed Above Lactate Threshold Decreases p53 and Shelterin Expression in Mice. Int J Sports Med 2018; 39:704-711. [PMID: 29945271 DOI: 10.1055/a-0631-3441] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Telomere shortening is associated to sarcopenia leading to functional impairment during aging. There are mechanisms associated with telomere attrition, as well to its protection and repair. Physical training is a factor that attenuates telomere shortening, but little is known about the effects of different exercise intensities on telomere biology. Thus, we evaluated the effects of exercise intensity (moderate vs. high-intensity domain) on gene expression of senescence markers Checkpoint kinase 2 and tumor suppressor (Chk2 and p53, respectively), shelterin telomere repeat binding 1 and 2 (Trf1/Trf2), DNA repair (Xrcc5), telomerase reverse transcriptase (mTERT) and telomere length in middle aged mice. Three groups were studied: a control group (CTL) and two groups submitted to swimming at intensities below the lactate threshold (LI group) and above the lactate threshold (HI group) for 40 and 20 min respectively, for 12 weeks. After training, the HI group showed reduction in p53 expression in the muscle, and decreased shelterin complex expression when compared to LI group. No differences were observed between groups for mTERT expression and telomere length. Thus, exercise training in high-intensity domain was more effective on reducing markers of senescence and apoptosis. The higher intensity exercise training also diminished shelterin expression, with no differences in telomere length and mTERT expression. Such results possibly indicate a more effective DNA protection for the higher-intensity exercise training.
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Affiliation(s)
| | - Thiago Dos Santos Rosa
- Graduate Program in Physical Education, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Marcelo Magalhães Sales
- Graduate Program in Physical Education, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Caio Victor Sousa
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Samuel da Silva Aguiar
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Lysleine Alves Deus
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Herbert Gustavo Simoes
- Graduate Program in Physical Education, Catholic University of Brasília - Taguatinga, DF, Brazil
| | - Rosangela Vieira de Andrade
- Graduate Program in Genomic Science and Biotechnology, Catholic University of Brasília - Taguatinga, DF, Brazil
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