Efeitos do treinamento funcional individualizado na aptidão física de mulheres com obesidade
Resumo
Introdução: A obesidade é um problema de saúde pública global com impacto negativo na saúde. Portanto, são necessárias opções de tratamentos eficazes. Objetivo: avaliar as respostas de um programa de treinamento funcional supervisionado sobre a aptidão física e capacidade funcional de mulheres com obesidade. Métodos: estudo prospectivo e controlado realizado com vinte e quatro mulheres, IMC> 30 e <55 kg/m² e idade entre 20 e 59 anos. A avaliação consistiu em medidas antropométricas e testes de aptidão física que avaliaram a aptidão cardiorrespiratória e a capacidade funcional [teste do degrau de 6 minutos, a força indireta de membros inferiores e a flexibilidade. Após as avaliações iniciais, os voluntários foram alocados em dois grupos: grupo de treinamento individualizado (GTI) (n=13), que consistia em treinamento aeróbio e de força, por três meses, três vezes por semana, 60 minutos por sessão; e o grupo controle (GC) (n=11) que não participou de nenhum programa regular de exercícios físicos no mesmo período. No terceiro mês, os dois grupos foram reavaliados. Resultados: foram observadas reduções significativas nas medidas de circunferência da cintura, quadril e pescoço; e aumento do VO2máx, do número de movimentos do TD6mim. e da distância alcançada no teste de flexibilidade. O GTI mostrou superioridade sobre o GC para todas as variáveis do teste de aptidão física estudadas. Conclusão: O programa de treinamento melhorou a distribuição da gordura corporal, aptidão cardiorrespiratória, força muscular, flexibilidade e capacidade funcional. Esses são indicativos de que a estratégia é viável para mulheres com obesidade.
Referências
American College of Sports Medicine (2014). Diretrizes do ACSM para os Testes de Esforço e sua Prescrição (9ª ed.). Tradução: Dilza Balteiro Pereira de Campos. Rio de Janeiro: Editora Guanabara.
Beavers, K. M., Beavers, D. P., Nesbit, B. A., Ambrosius, W. T., Marsh, A. P., Nicklas, B. J., & Rejeski, W. J. (2014). Effect of an 18-month physical activity and weight loss intervention on body composition in overweight and obese older adults. Obesity, 22(2), 325–331. Retrieved from: https://doi.org/10.1002/oby.20607
Benito, P. J., Bermejo, L. M., Peinado, A. B., López-Plaza, B., Cupeiro, R., Szendrei, B. et al. (2015). Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations. Journal of Applied Physiology, 118(8), 1006–1013. Retrieved from: https://doi.org/10.1152/japplphysiol.00928.2014
Cardoso, J., Azevedo, N., Cassano, C., Kawano, M., & Âmbar, G. (2007). Confiabilidade intra e interobservador da análise cinemática angular do quadril durante o teste sentar e alcançar para mensurar o comprimento dos isquiotibiais em estudantes universitários. Revista Brasileira de Fisioterapia, 11(2), 133–138. Retrieved from: https://doi.org/10.1590/s1413-35552007000200008
Carvalho, L. P., Di Thommazo-Luporini, L., Leheudre, M. A., Bonjorno, J. C., De Oliveira, C. R., Luporini, R. L., Borghi-Silva, A. (2015). Prediction of cardiorespiratory fitness by the six-minute step test and its association with muscle strength and power in sedentary obese and lean young women: A cross-sectional study. PLoS ONE, 10(12), 1–16. Retrieved from: https://doi.org/10.1371/journal.pone.0145960
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports (Washington, D.C. : 1974), 100(2), 126–131. Retrieved from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC1424733
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates, Inc.
Cooke, E. V., Mares, K., Clark, A., Tallis, R. C., & Pomeroy, V. M. (2010). The effects of increased dose of exercise-based therapies to enhance motor recovery after stroke: A systematic review and meta-analysis. BMC Medicine, 8. Retrieved from: https://doi.org/10.1186/1741-7015-8-60
Corazza, S. T., Laux, R. C., Foesch, M. L. S., Dos Santos, D. L., Machado, R. R., Macedo, T. L. et al. (2016). Benefits of functional training for the balance and proprioception in visually impaired persons. Revista Brasileira de Medicina Do Esporte, 22(6), 471–475. Retrieved from: https://doi.org/10.1590/1517-869220162206164644
Crapo, R. O., Casaburi, R., Coates, A. L., Enright, P. L., MacIntyre, N. R., McKay, R. T., Mottram, C. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166(1), 111–117. Retrieved from: https://doi.org/10.1164/ajrccm.166.1.at1102
Dália dos SANTOS, T., & Goretti Pessoa de Araújo BURGOS, M. (2015). Aspectos Clínicos E Nutricionais Em Mulheres Obesas Durante O Primeiro Ano Após Bypass Gástrico Em Y-De-Roux. ABCD Arq Bras Cir Dig Artigo Original, 28(1), 56–60. Retrieved from: https://doi.org/10.1590/S0102-6720201500S100016
Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and Science in Sports and Exercise, 41(2), 459–471. Retrieved from: https://doi.org/10.1249/MSS.0b013e3181949333
Farinatti, P. de T. V., Oliveira, R. B. de, Pinto, V. L. M., Monteiro, W. D., & Francischetti, E. (2005). [Home exercise program: short term effects on physical aptitude and blood pressure in hypertensive individuals]. Arquivos Brasileiros de Cardiologia, 84(6), 473–479. Retrieved from: https://doi.org//S0066-782X2005000600008
Field, A.P. (2009). Discovering Statistics using SPSS Statistics. SAGE Publications, 66, 822. Retrieved from: http://www.amazon.com/Discovering-Statistics-using-IBM-SPSS/dp/1446249182
Fitch, K. V., Stanley, T. L., Looby, S. E., Rope, A. M., & Grinspoon, S. K. (2011). Relationship between neck circumference and cardiometabolic parameters in HIV-infected and non-HIV-infected adults. Diabetes Care, 34(4), 1026–1031. Retrieved from: https://doi.org/10.2337/dc10-1983
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M.,Swain, D. P. (2011). Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334–1359. Retrieved from: https://doi.org/10.1249/MSS.0b013e318213fefb
Gomes-Neto, M., Araujo, A. D., Junqueira, I. D. A., Oliveira, D., Brasileiro, A., & Arcanjo, F. L. (2016). Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis. Revista Brasileira de Reumatologia, 56(2), 126–130. Retrieved from: https://doi.org/10.1016/j.rbre.2015.08.014
Ghroubi, S., Kossemtini, W., Mahersi, S., Elleuch, W., Chaabene, M., & Elleuch, M.H. (2016). Contribution of isokinetic muscle strengthening in the rehabilitation of obese subjects. Annals of Physical and Rehabilitation Medicine, 59(2), 87–93. Retrieved from: https://doi.org/10.1016/j.rehab.2016.01.005
Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A. et al. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1423–1434. Retrieved from: https://doi.org/10.1249/mss.0b013e3180616b27
Karvonen, M.J., Kentala, E., & Mustala, O. (1957). The effects of on heart rate. A “longitudinal” study. Ann Med Exp Biol Fenn, 35(3), 307–315.
Kirk, S. F. L., Penney, T. L., McHugh, T. L. F., & Sharma, A. M. (2012). Effective weight management practice: A review of the lifestyle intervention evidence. International Journal of Obesity, 36(2), 178–185. Retrieved from: https://doi.org/10.1038/ijo.2011.80
Liao, C. De, Tsauo, J. Y., Lin, L. F., Huang, S. W., Ku, J. W., Chou, L. C., & Liou, T. H. (2017). Effects of elastic resistance exercise on body composition and physical capacity in older women with sarcopenic obesity. Medicine (United States), 96(23). Retrieved from: https://doi.org/10.1097/MD.0000000000007115
Marcon, E. R., Gus, I., & Neumann, C. R. (2011). [Impact of a minimum program of supervised exercises in the cardiometabolic risk in patients with morbid obesity]. Arquivos Brasileiros de Endocrinologia e Metabologia, 55(5), 331–338. Retrieved from: https://doi.org/10.1590/S0004-27302011000500006
Noronha, F. de R.D., Vale, R.G.S., Nodari Jr., R.J., Giani, T.S., & Bacellar, S., Batista, L.A. et al. (2015). Static balance of elderly women submitted to a physical activity program. Rev. bras. geriatr. gerontol., v.18(4). Retrieved from: https://doi.org/10.1590/1809-9823.2015.14181
Ozcelik, O., Ozkan, Y., Algul, S., & Colak, R. (2015). Beneficial effects of training at the anaerobic threshold in addition to pharmacotherapy on weight loss, body composition, and exercise performance in women with obesity. Patient Preference and Adherence, 9, 999–1004. Retrieved from: https://doi.org/10.2147/PPA.S84297
Pasanen, T., Tolvanen, S., Heinonen, A., & Kujala, U. M. (2017). Exercise therapy for functional capacity in chronic diseases: An overview of meta-analyses of randomised controlled trials. British Journal of Sports Medicine, 51(20), 1459–1465. Retrieved from: https://doi.org/10.1136/bjsports-2016-097132
Pataky, Z., Armand, S., Müller-Pinget, S., Golay, A., & Allet, L. (2014). Effects of obesity on functional capacity. Obesity, 22(1), 56–62. Retrieved from: https://doi.org/10.1002/oby.20514
Pessoa, B. V., Jamami, M., Basso, R. P., Regueiro, E. M. G., Di Lorenzo, V. A. P., & Costa, D. (2012). Teste do degrau e teste da cadeira: comportamento das respostas metábolo-ventilatórias e cardiovasculares na DPOC. Fisioterapia Em Movimento, 25(1), 105–115. Retrieved from: https://doi.org/10.1590/s0103-51502012000100011
Ratamess NA, Alvar BA, E. T. (2009). Progression models in resistance training for healthy adults. Medicine and Science in Sports and Exercise, 41(3), 687–708. Retrieved from: https://doi.org/10.1249/MSS.0b013e3181915670
Sarsan, A., Ardic, F., Ozgen, M., Topuz, O., & Sermez, Y. (2006). The effects of aerobic and resistance exercises in obese women. Clinical Rehabilitation, 20(9), 773–782. Retrieved from: http://doi.org/10.1177/0269215506070795
Stegen, S., Derave, W., Calders, P., Van Laethem, C., & Pattyn, P. (2011). Physical fitness in morbidly obese patients: Effect of gastric bypass surgery and exercise training. Obesity Surgery, 21(1), 61–70. Retrieved from: https://doi.org/10.1007/s11695-009-0045-y
Trabka, B., Zubrzycki, I. Z., Ossowski, Z., Bojke, O., Clarke, A., Wiacek, M., & Latosik, E. (2014). Effect of a MAST exercise program on anthropometric parameters, physical fitness, and serum lipid levels in obese postmenopausal women. Journal of Human Kinetics, 42(1), 149–155. Retrieved from: https://doi.org/10.2478/hukin-2014-0069
Weiss, E. P., Jordan, R. C., Frese, E. M., Albert, S. G., & Villareal, D. T. (2017). Effects of Weight Loss on Lean Mass, Strength, Bone, and Aerobic Capacity. Medicine and Science in Sports and Exercise, 49(1), 206–217. Retrieved from: https://doi.org/10.1249/MSS.0000000000001074
World Obesity Federation (2020). Obesity: missing the 2025 global targets. n. March, p. 1–242.
World Health Organization (2015). Controlling the global obesity epidemic. World Health Organization, v. 7, n. 1, p. 1–2. Retrieved from: https://www.who.int/nutrition/topics/obesity/en/
World Health Organization (WHO). (2011). WHO | Waist Circumference and Waist–Hip Ratio. Report of a WHO Expert Consultation. Geneva, 8-11 December 2008., (December), 8–11. Retrieved from: http://www.who.int
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