Abstract

Research Article

Study of body composition, physiological variables in Grade III obese submitted to arm ergometer test

Renato Vidal Linhares*, Felipe Monnerat Marino Rosa, José Quaresma, João Regis Ivar Carneiro, Valéria Bender Braulio, Roberto Simão, Denise Pires de Carvalho and osé Fernandes Filho

Published: 23 August, 2017 | Volume 1 - Issue 1 | Pages: 023-029

Introduction: Number of obese people is growing on a daily basis in Brazil, including morbid obese ones, but there is still a lack of studies with this subject. Due to this, the main goal of this study was to identify body profile, physiological variables behavior and oxygen consumption in grade III obese women, submitted to an ergospirometric test in arm ergometer.

Method: Take part in this study, thirteen (13) female grade III obese patients between 20 and 40 years. They were submitted to an electric bioimpedance test for body composition measurement and an Ergospirometric test in arm ergometer for oxygen consumption, heart rate, and oxygen saturation, systolic and diastolic arterial pressure, resting and after exercises, analysis.

Results: The patients revealed a BMI of 46.5±3.81 kg/m², 51.9±1.59% of body fat percentage. The patients reached 168.2±4.57bpm of heart rate, didn’t make any hypertensive response to the effort reaching an arterial pressure of 171.1±22.15mmHg x 87.5±4.18mmHg. Oxygen saturation was 98±0.71% and oxygen consumption peak was, also in average, 12.3±2.75ml.kg.min-1.

Conclusion: It was verified that there was no oxygen saturation drop nor hypertensive response and all of the patients reached the maximum heart rate. 

Read Full Article HTML DOI: 10.29328/journal.hodms.1001005 Cite this Article Read Full Article PDF

Keywords:

Morbid obesity; Women; Arm ergometry test; Cardiovascular

References

  1. Godoy-Matos AF, Oliveira J, Guedes EP, Carraro L, Lopes AC, et al. Diretrizes brasileiras de obesidade. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. 3 ed. Itapevi-SP: AC Farmacêutica. 2009.
  2. Mechanick JI, Garber AJ, Handelsman Y, Garvey WT. American Association of Clinical Endocrinologists' position statement on obesity and obesity medicine. Endocr Pract. 2012; 18: 642-648. Ref.: https://goo.gl/Qxg6ei
  3. Oliveira IV. Cirurgia bariátrica no âmbito do sistema único de saúde: tendências custos e complicações [Dissertação de Mestrado]: Universidade de Brasília; 2007. Ref.: https://goo.gl/ot6x3S
  4. Fornitano LD. O teste ergométrico em indivíduos com obesidade mórbida [Tese de Doutorado]: Faculdade de Medicina de São José do Rio Preto. 2008. Ref.: https://goo.gl/2EsiFf
  5. Fonseca-Junior SJ, Sá CGAB, Rodrigues PAF, Oliveira AJ, Fernandes-Filho J. Exercício físico e obesidade mórbida: uma revisão sistemática. Arq Bras Cir Dig. 2013; 26: 67-73. Ref.: https://goo.gl/XYcDEK
  6. Marcon ER, Gus I, Neumann CR. Impacto de um programa mínimo de exercícios físicos supervisionados no risco cardiometabólico de pacientes com obesidade mórbida. Arquivos Braileiro de Endocrinologia e Metabolismo. 2011;55:331-8. Ref.: https://goo.gl/yy8dR3
  7. Carneiro JRI. Análise de um programa de preparo pré operatório para cirurgia bariátrica com enfase na pratica regular de atividades físicas [Tese de Doutorado]: Universidade Federal do Rio de Janeiro; 2009.
  8. Pouwels S, Wit M, Teijink JAW, Nienhuijs SW. Aspects of Exercise before or after Bariatric Surgery: A Systematic Review. Obes Facts. 2015; 8: 132-146. Ref.: https://goo.gl/pXroKo
  9. Fogelholm M, Stallknecht B, Baak M. ECSS position statement: Exercise and obesity. European Journal of Sport Science. 2006; 6: 15-24. Ref.: https://goo.gl/EhhLt2
  10. Sanches RB, Silva SGA, Rossi S, Fidalgo JPN, Moraes AS, et al. Composição corporal e aptidão aeróbia de mulheres obesas: efeitos benéficos da terapia interdisciplinar. Revista Brasileira de Atividade Física & Saúde. 2013; 18: 354-356.
  11. Balady GJ, Arena R, Sietsema K, Myers J, Coke L, et al. Clinician's Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation. 2010; 122: 191-225. Ref.: https://goo.gl/rLMHMT
  12. Cardoso MCAF, Silva AMT. Oximetria de Pulso: Alternativa Instrumental na Avaliação Clínica junto ao Leito para a Disfagia. Arq Int Otorrinolaringol. 2010; 14: 231-238. Ref.: https://goo.gl/GRKC4v
  13. Powers SK, Howley ET. Fisiologia do Exercício. Teoria e Aplicação ao Condicionamento e ao Desempenho. 1ª ed ed. Barueri-SP: Manole; 2000.
  14. Kohlmann Jr O, Guimarães AC, Carvalho MHC, Chaves Jr HC, Machado CA, et al. III Consenso Brasileiro de Hipertensão Arterial. Arq Bras Endocrinol Metab. 1999; 43: 257-286. Ref.: https://goo.gl/xTZWGV
  15. Polito MD, Farinatti PTV. Respostas de frequência cardíaca, pressão arterial e duplo-produto ao exercício contra-resistência: uma revisão da literatura. Revista Portuguesa de Ciências do Desporto. 2003; 3: 79-91. Ref.: https://goo.gl/sjS1Yg
  16. Haddad S. Upper limbs ergometry. An important method in the assessment of cardiocirculatory response to exercise. Arq Bras Cardiol. 1997; 69: 189-193. Ref.: https://goo.gl/YXb54Y
  17. Balady GJ, Weiner DA, Rose L, Ryan TJ. Physiologic response to arm ergometry exercise relative to age and gender. J Am Coll Cardiol. 1990; 16: 130-135. Ref.: https://goo.gl/b1FYDr
  18. Castro RR, Pedrosa S, Chabalgoity F, Sousa EB, Nobrega AC. The influence of a fast ramp rate on peak cardiopulmonary parameters during arm crank ergometry. Clin Physiol Funct Imaging. 2010; 30: 420-425. Ref.: https://goo.gl/Fy8MTi
  19. Thomas JR, Jack KN, Silverman SJ. Research Methods in Physical Activity. Champaingn, IL: Human Kinetics; 3rd ed. 1996.
  20. Ushida A, Moffa P, Hueb W, Cesar L, Ferreira B, et al. Escore Eletrocardiográfico: Aplicação em Ergometria para Avaliação do Precondicionamento Isquêmico. Arq Bras Cardiol. 2010; 95: 486-492. Ref.: https://goo.gl/wZzcZY
  21. Shvartz E, Reibold RC. Aerobic fitness norms for males and females aged 6 to 75 years: a review. Aviat Space Environ Med. 1990; 61: 3-11. Ref.: https://goo.gl/WZqCQB
  22. Cooper CB, Storer TW. Teste ergometrico. Aplicações Práticas e Interpretação. 1ª Ed. Rio de Janeiro: Revinter; 2005.
  23. Meneghelo RS, Araújo CGS, Stein R, Mastrocolla LE, Albuquerque PF, et al./Sociedade Brasileira de Cardiologia. III Diretrizes da Sociedade Brasileira de Cardiologia sobre Teste Ergométrico. Arq Bras Cardiol 2010; 95: 1-26. Ref.: https://goo.gl/GK8vEH
  24. Stein R. Teste cardiopulmonar de exercício: noções básicas sobre o tema. Revista da Sociedade de Cardiologia do Rio Grande do Sul. 2006; 15: 1-4.
  25. Leal AA, Faintuch J, Morais AA, Noe JA, Bertollo DM, et al. Bioimpedance analysis: should it be used in morbid obesity? Am J Hum Biol. 2011; 23: 420-422. Ref.: https://goo.gl/SYJmS6
  26. Walker R, Powers S, Stuart MK. Peak oxygen uptake in arm ergometry: effects of testing protocol. Br J Sports Med. 1986; 20: 25-26. Ref.: https://goo.gl/2q7tzQ
  27. Mancini MC. Obstáculos e diagnósticos e desafios terapeuticos no paciente obeso. Arq Bras Endocrinol Metab. 2001; 45. Ref.: https://goo.gl/i4K1gz
  28. Serés L, López-Ayerbe J, Coll R, Rodriguez O, Manresa JM, et al. Cardiopulmonary Function and Exercise Capacity in Patients With Morbid Obesity. Rev Esp Cardiol. 2003; 56: 594-600. Ref.: https://goo.gl/yQhSsb
  29. Salvadori A, Farani P, Fontana M, Buontempi L, Saezza A, et al. Oxygen uptake and cardiac performance in obese and normal subjects during exercise. Respiration. 1999; 66: 25-33. Ref.: https://goo.gl/Wi8WX8
  30. Ghorayeb N, Castro I, Daher DJ, Oliveira Filho JA, Oliveira MAB. Diretriz em Cardiologia do Esporte e do Exercício da Sociedade Brasileira de Cardiologia e da Sociedade Brasileira de Medicina do Esporte. Arq Bras Cardiol. 2013; 100: 1-41. Ref.: https://goo.gl/XBggKo
  31. Serra S. Considerações sobre ergoespirometria. Arq Bras Cardiol. 1997; 68: 301-304. Ref.: https://goo.gl/3E68dJ
  32. Klefbeck B, Mattsson E, Weinberg J, Svanborg E. Oxygen Desaturations During Exercise and Sleep in Fit Tetraplegic Patients. Arch Phys Med Rehabil. 1998; 79: 800-804. Ref.: https://goo.gl/wTM1Vf
  33. Faria AG, Ribeiro MAGO, Marson FAL, Schivinski SIS, Severino SD, et al. Effect of exercise test on pulmonary function of obese adolescents. J Pediatr (Rio J). 2014; 90: 242-249. Ref.: https://goo.gl/6u1k9W
  34. Godoy M, Mantovanini JA, Santana RFT. Teste de Esforço na Mulher. Rev Soc Cardiol Estado de São Paulo. 2001; 3: 621-633. Ref.: https://goo.gl/yVSMAU
  35. Passaro LC. Resposta cardiovascular na prova de esforço: pressão arterial sistólica. Rev Bras Med Esporte. 1997; 3. Ref.: https://goo.gl/tJBsEv

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