Brazilian Guideline for Exercise Testing in Children and Adolescents - 2024.

Classes Of Recommendation: Conditions for which there is conclusive evidence and, failing that, general agreement that a given procedure is safe and useful/effective. Conditions for which there is conflicting evidence and/or a divergence of opinion about the safety and usefulness/efficacy of a procedure. Weight or evidence/opinion in favor of the procedure.

2024 SIAC guidelines on cardiorespiratory rehabilitation in pediatric patients with congenital heart disease.

The 2024 Interamerican Society of Cardiology (SIAC) guidelines on cardiorespiratory rehabilitation (CRR) in pediatric patients with congenital heart disease aim to gather and evaluate all relevant evidence available on the topic to unify criteria and promote the implementation of CRR programs in this population in Latin America and other parts of the world. Currently, there is no unified CRR model for the pediatric population. Consequently, our goal was to create these CRR guidelines adapted to the characteristics of congenital heart disease and the physiology of this population, as well as to the realities of Latin America.

Spray-Dried Yerba Mate Extract Capsules: Clinical Evaluation and Antioxidant Potential in Healthy Individuals.

The aim of the present study was to evaluate the clinical effects and antioxidant potential of spray-dried yerba mate extract (SDME) capsules in healthy individuals. Fourteen healthy volunteers consumed three capsules of SDME three times daily. Measurements were carried out at the baseline and after 7, 30, and 60 days of SDME capsules intake.

Influence of exercise on oxidative stress in patients with heart failure.

Reactive oxygen species play an important role in the pathophysiology of heart failure (HF). In contrast, regular physical exercise can promote adaptations to reactive oxygen species that are beneficial for patients with HF. We completed a systematic review of randomized controlled trials that evaluate the influence of exercise on oxidative stress in patients with HF.

The Effect of Chronic Musculoskeletal Pain on Sexual Function and Quality of Life of Cardiac Rehabilitation Patients.

Background: Comorbidities are stressors to the body and have a negative impact on quality of life and sexual function.

Objective: The objective of this study was to investigate the effect of the coexistence of coronary heart disease and chronic musculoskeletal pain on sexual function and quality of life of patients undergoing an exercise-based cardiac rehabilitation program.

Methods: This cross-sectional observational study included 105 patients.

Noninvasive ventilation and exercise tolerance in heart failure: A systematic review and meta-analysis.

Background: Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance.

Objective: To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise tolerance in patients with HF.

Validation of the International Index of Erectile Function (IIFE) for use in Brazil.

Background: The International Index of Erectile Function has been proposed as a method for assessing sexual function assisting the diagnosis and classification of erectile dysfunction. However, IIEF was not validated for the Portuguese language.

Objective: Validate the International Index of Erectile Function in patients with cardiopulmonary and metabolic diseases.

[Probability of arterial hypertension from anthropometric measures in adults].

Objective: To associate anthropometric measures with arterial hypertension and develop a mathematical model to estimate this probability.

Subjects And Methods: A cross-sectional study was carried out with 3,445 adults of both sexes, between 18 and 60 years of age. Body mass index (BMI), waist-to-height ratio (WHR), waist circumference (HC), in addition age and sex were assessed.

Evaluation of cardiopulmonary fitness in individuals with hemiparesis after cerebrovascular accident.

Background: Due to the hemiparesis, the assessment of cardiorespiratory fitness on individuals after cerebrovascular accident (CVA), using exercise tests with conventional protocols, has become a challenge.

Objective: Perform cardiopulmonary test (CPT) in hemiparetic patients to a pre-participation evaluation aimed at a careful prescription of aerobic exercise.

Methods: The study included eight individuals with chronic hemiparesis who underwent CPT performed with individualized ramp protocol, developed from information on the gait speed of individuals previously evaluated in the track test.

Evaluation of the musculoskeletal system of patients in cardiopulmonary and metabolic rehabilitation programs.

Background: Participants of cardiopulmonary and metabolic rehabilitation (CPMR) programs may present with musculoskeletal changes that may affect treatment compliance and effectiveness.

Objective: To develop an instrument for evaluation of the musculoskeletal system and identification of problems, especially those related to exercise, so that patients can be cleared to exercise with no restrictions, cleared with restrictions, or not cleared before approval from a specialist.

Methods: Construction and validation (according to Cronbach's alpha) of a musculoskeletal system assessment inventory (MSSAI), for subsequent administration to participants in CPMR programs.

Construction and validation of the CADE-Q for patient education in cardiac rehabilitation programs.

Background: Being aware of the coronary artery disease can be considered the first step to reduce the risk of cardiac complications.

Objective: Building and validating a tool to assess and describe coronary patients' awareness in cardiac rehabilitation programs, with the purpose of education.

Methods: For the construction, we analyzed articles and field studies to submit items to multidisciplinary team associated to cardiac rehabilitation.

[Relation between anthropometric indicators and risk factors for cardiovascular disease].

Background: Studies have been carried out to identify the best anthropometric predictor of chronic diseases in different populations.

Objective: To verify the relation between anthropometric measures and risk factors (lipid profile and blood pressure) for cardiovascular diseases.

Methods: Transversal study carried out with 180 males and 120 females, with mean age 39.

Clinical and economic outcome of a cardiopulmonary and metabolic rehabilitation program.

Objective: To evaluate the clinical and economic outcome of a Cardiopulmonary and Metabolic Rehabilitation Program (CPMR) created by an HMO.

Methods: The sample was comprised of 96 clients, divided into two groups of 48 individuals (treatment group--TG, individuals who participated in the CPMR program, and control group--CG, individuals who did not participate in the program) of both genders, with age ranging between 54 and 79 years. Training time of the TG was 22 (+/-3) months.

Cardiovascular rehabilitation of patients with ischemic heart disease undergoing medical treatment, percutaneous transluminal coronary angioplasty, and coronary artery bypass grafting.

Objective: To evaluate the occurrence of death and myocardial infarction in subgroups of coronary artery disease patients with hemodynamically significant coronary stenoses undergoing treatment in a cardiovascular rehabilitation program and considered severely ill for: a) not having undergone intervention treatment; b) presenting signs of myocardial ischemia; c) presenting multivessel occlusive disease.

Methods: Retrospective cohort study of 381 patients presented previous coronary angiography showing hemodynamically significant coronary stenoses, for which, because of the anatomic bias, intervention treatment was indicated. The patients were categorized according to the presence or absence of intervention treatment; presence or absence of ischemia in the exercise test; and number of critical coronary stenoses.