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Tulio A. B. Fernandes1
Alesandro Garcia1
Joice C. dos S. Trombeta1
Gssica A. Fraga1
Roberto C. Vieira Junior1
Jonato Prestes2
Fabrcio A. Voltarelli1
1
ABSTRACT: The aim of the present study was to evaluate the effects of combined physical training (CT)
on body composition and immune system, as well as, speed and inclination obtained at the intensity of
anaerobic threshold (AT) in subjects with HIV. Ten individuals, 5 men and 5 women, united in a single
group (44.78.97 years of age; Highly Active Antiretroviral Therapy [HAART] time: 8.896.21 years;
HIV-Bearer Time: 9.145.37 years; Viral Load: undetectable), were subjected to 16 weeks of CT. Data
were expressed as meanstandard deviation (p 0.05). Both relative lean mass (RLM; %) (Pre: 45.5
[32.8-63.0]; Post: 47.9 [33.7-66.3]) and absolute lean mass (ALM; %) (Pre: 67.0[55.0-75.2]; Post: 68.8
[56.6-75.7]) were improved after CT. The body mass index (BMI; kg/m2) did not change post-CT (Pre:
24.2 [21.3 28.7]; Post: 23.7 [21.8 30.0]). The viral load remained undetectable, while the number of
CD4+ T lymphocytes was increased (Pre: 529 [426.0-900.0]; Post: 694 [381.0-1175.0]). In addition, VO2
(ml.kg.min-1) (Pre: 16.2 4.9; Post: 21.2 3.2), speed (km/h) (Pre: 5.7 0.9; Post: 6.3 1.0) and
inclination (%) (Pre: 3.8 1.2; Post: 4.9 1.0), obtained at AT intensity, were improved. It was concluded
that CT was able to improve the VO2 at the intensity of AT and induced increases in RLM and
ALM. Finally, the CT increased the number of CD4 + T lymphocytes, with no negative effect on the viral
load. These results are extremely important for the quality of life of patients with HIV.
Keywords: HIV; AIDS; Physical Training; Anaerobic Threshold Oxygen Consumption.
6 FERNANDES et al.
mudana do estilo de vida, especificamente a prtica de
Introduo
O vrus HIV (vrus da imunodeficincia humana
Therapy)
do
ingls
Highly
Active
Antiretroviral
1,2
.
A infeco pelo vrus HIV, assim como o uso
HAART,
parece
promover
alteraes
3,4
fatores
de
risco
para
doenas
cardiorrespiratria do mesmo .
consumo
de
oxignio
esforo,
Materiais e Mtodos
quadro
parmetros
fisiolgicos
em
pessoas
vivendo
com
de
mortalidade 7, 8.
(artrites,
limitaes
leses
msculo-articulares),
secundrias e gravidez.
673/ CEP-HUJM/09).
Avaliaes
na intensidade do LAn.
Determinao do LAn
O LAn foi determinado pela mtodo denominado
de V slope, cujo clculo realizado pela plotagem do
VCO2 (y) contra o VO2 (x). Tal mtodo utiliza a mdia de
Teste de 1RM
Aps duas semanas (seis sesses de treino) de
adaptao aos exerccios de fora, foram realizados os
testes de carga mxima (1RM). Para garantir a
fidedignidade dos resultados os testes de 1RM foram
realizados duas vezes em cada exerccio, procedimento
Composio corporal
Para a obteno das seguintes variveis referentes
composio corporal: Massa Total (MT), Massa gorda
absoluta (MGA), Massa gorda relativa (MGR), Massa
magra absoluta (MMA), Massa magra relativa (MMR) e
R. bras. Ci. e Mov 2013;21(4): 5-12.
8 FERNANDES et al.
ndice de Massa Corporal (IMC) foi utilizado o mtodo
mediana
10Sv).
(p0,05).
(mnimo
mximo).
Para
as
variveis
da Citometria de Fluxo
Anaerbio
Circuito (voltas)
Repeties
Trabalho
Aerbio
Caminhada (%)/durao
18
2
15
40
Semanas
9 16
3
15
60
60/30
75/30
Resultados
agachamento,
abdominal,
remada
supino
reto,
sentada,
leg
mesa
45,
flexora,
press
15
repeties,
somando-se
12
exerccios
Anlise estatstica
Os dados foram analisados mediante o pacote
estatstico
BioEstat
5.0
(Belm-PA,
Brasil).
observados aumentos
na
velocidade
inclinao,
Tabela 3. Carga viral e contagem de linfcitos T CD4+ e T CD8+ nos perodos pr e ps-treinamento combinado
Pr-treinamento
Ps-treinamento
p-valor
Indetectvel
Indetectvel
------Carga viral
(<50 cpias/ml)
529,0 (426,0 900,0)
694,0 (381,0 1175,0)
0,03*
TCD4+
(contagem)
833,5 (356,0 2071,0)
1016,0 (473,0 2451,0)
0,07
TCD8+
(contagem)
* Para os valores de p<0,05,
Tabela 4. Avaliao do consumo de oxignio (VO2) na intensidade do LAn nos momentos pr e ps-treinamento
combinado
Variveis*
Pr-treino
Ps-treino
p-valor
16,24,9
21,23,2
0,002*
VO2 (ml.kg.min-)
5,70,9
6,31,0
0,03*
Velocidade (km/h)
3,81,2
4,91,0
0,003*
Inclinao (%)
231,140,3
274,044,7
0,07
Tempo (s)
Dados expressos em mdia desvio padro (Teste t-student). * Para os valores de p<0,05
Discusso
O presente estudo contava, no incio das
comumente apresentados23,
28
16-18
19-22
. Assim sendo, o
PERNA, et al.
23
e SCHLENZIG et al.
24
tambm
estudo.
10 FERNANDES et al.
oxignio, como no caso dos nossos sujeitos, sofre menor
influncia
de um indivduo39, 40.
das
oscilaes
ventilatrias,
por
vezes
repouso
os
bem
como
melhora
substancialmente
33,34
. Alm disso,
ventilao pulmonar).
Concluses
seriam
necessrias
as
mensuraes
de
efetuadas.
benficos s mesmas.
Agradecimentos
apoio
512843/2009).
financeiro
concedido
(Processo
nmero
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