Efectos del entrenamiento en intervalos de alta intensidad sobre el aumento del consumo máximo de oxígeno después de un accidente cerebrovascular: revisión sistemática

Autores/as

DOI:

https://doi.org/10.33448/rsd-v12i2.40166

Palabras clave:

Accidente cerebrovascular; Entrenamiento de intervalos de alta intensidad; Consumo de oxígeno.

Resumen

El estudio es una revisión sistemática con el objetivo de evaluar los efectos de Entrenamiento por Intervalos de Alta Intensidad (TIAI) en el aumento del consumo máximo de oxígeno (VO2peak) después del accidente cerebrovascular. La búsqueda se realizó en las bases de datos electrónicas MEDLINE a través de la base de datos BVS, en PubMed, SciELO, Lilacs y en la base de datos Cochrane Library a través de los siguientes términos indexados en DeCS y MeSH en inglés “Accidente Cerebrovascular”, “Entrenamiento por Intervalos de Alta Intensidad” y “Consumo de Oxigeno”. Se incluyeron los estudios disponibles en su totalidad, sin restricción. No hubo restricción en cuanto a etnia, edad o género. Se excluyeron los estudios duplicados, incompletos, aquellos que no midieron el VO2pico antes y después de la intervención o presentaron datos parcialmente. Se encontraron un total de 3473 estudios, de los cuales solo se incluyeron siete. Todos los estudios obtuvieron como resultado un aumento en el VO2pico después de las sesiones de TIAI. El aumento en el VO2pico de los participantes ocurrió después de sesiones de entrenamiento que duraron alrededor de 30 a 40 minutos, con intervalos promedio de 30 segundos. Se concluye que la TIAI puede ser una estrategia eficaz para mejorar la aptitud cardiorrespiratoria de las personas que han sufrido un ictus aumentando el VO2pico.

Citas

Adams, R. J., Chimowitz, M. I., Alpert, J. S., Awad, I. A., Cerqueria, M. D., Fayad, P., Taubert, K. A., Stroke Council and the Council on Clinical Cardiology of the American Heart Association, & American Stroke Association (2003). Coronary risk evaluation in patients with transient ischemic attack and ischemic stroke: a scientific statement for healthcare professionals from the Stroke Council and the Council on Clinical Cardiology of the American Heart Association/American Stroke Association. Circulation. 108(10), 1278–1290. https://doi.org/10.1161/01.CIR.0000090444.87006.CF.

Ainsworth, B. E., Haskell, W. L., Herrmann, S. D., Meckes, N., Bassett, D. R., Jr, Tudor-Locke, C., Greer, J. L., Vezina, J., Whitt-Glover, M. C., & Leon, A. S. (2011). 2011 Compendium of Physical Activities: a second update of codes and MET values. Medicine and science in sports and exercise. 43(8), 1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12.

Askim, T., Dahl, A. E., Aamot, I. L., Hokstad, A., Helbostad, J., & Indredavik, B. (2014). High-intensity aerobic interval training for patients 3-9 months after stroke: a feasibility study. Physiotherapy research international: the journal for researchers and clinicians in physical therapy. 19(3), 129–139. https://doi.org/10.1002/pri.1573.

Astorino, T. A., Edmunds, R. M., Clark, A., King, L., Gallant, R. A., Namm, S., Fischer, A., & Wood, K. M. (2017). High-Intensity Interval Training Increases Cardiac Output and V˙O2max. Medicine and science in sports and exercise. 49(2), 265–273. https://doi.org/10.1249/MSS.0000000000001099

Bardin, L. (2011). Análise de conteúdo (70° ed.). São Paulo.

Bassett DR Jr, Howley ET (2000) Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med Sci Sports Exerc. 32: 70–84.

Billinger, S. A., Boyne, P., Coughenour, E., Dunning, K., & Mattlage, A. (2015). Does aerobic exercise and the FITT principle fit into stroke recovery?. Current neurology and neuroscience reports. 15(2), 519. https://doi.org/10.1007/s11910-014-0519-8.

Billinger, S. A., Arena, R., Bernhardt, J., Eng, J. J., Franklin, B. A., Johnson, C. M., MacKay-Lyons, M., Macko, R. F., Mead, G. E., Roth, E. J., Shaughnessy, M., Tang, A., American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Health, Council on Epidemiology and Prevention, & Council on Clinical Cardiology (2014). Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 45(8), 2532–2553. https://doi.org/10.1161/STR.0000000000000022.

Billinger, S. A., Coughenour, E., Mackay-Lyons, M. J., & Ivey, F. M. (2012). Reduced cardiorespiratory fitness after stroke: biological consequences and exercise-induced adaptations. Stroke research and treatment. 2012, 959120. https://doi.org/10.1155/2012/959120.

Boss, H. M., Van Schaik, S. M., Witkamp, T. D., Geerlings, M. I., Weinstein, H. C., & Van den Berg-Vos, R. M. (2017). Cardiorespiratory fitness, cognition and brain structure after TIA or minor ischemic stroke. International journal of stroke: official journal of the International Stroke Society. 12(7), 724–731. https://doi.org/10.1177/1747493017702666.

Boyne, P., Dunning, K., Carl, D., Gerson, M., Khoury, J., Rockwell, B., Keeton, G., Westover, J., Williams, A., McCarthy, M., & Kissela, B. (2016). High-Intensity Interval Training and Moderate-Intensity Continuous Training in Ambulatory Chronic Stroke: Feasibility Study. Physical therapy. 96(10), 1533–1544. https://doi.org/10.2522/ptj.20150277.

Boyne, P., Dunning, K., Carl, D., Gerson, M., Khoury, J., & Kissela, B. (2015). Within-session responses to high-intensity interval training in chronic stroke. Medicine and science in sports and exercise. 47(3), 476–484. https://doi.org/10.1249/MSS.0000000000000427.

Boyne, P., Dunning, K., Carl, D., Gerson, M., Khoury, J., & Kissela, B. (2013). High-intensity interval training in stroke rehabilitation. Topics in stroke rehabilitation. 20(4), 317–330. https://doi.org/10.1310/tsr2004-317.

Burgomaster, K. A., Howarth, K. R., Phillips, S. M., Rakobowchuk, M., Macdonald, M. J., McGee, S. L., & Gibala, M. J. (2008). Similar metabolic adaptations during exercise after low volume sprint interval and traditional endurance training in humans. The Journal of physiology. 586(1), 151–160. https://doi.org/10.1113/jphysiol.2007.142109

Burgomaster, K. A., Heigenhauser, G. J., & Gibala, M. J. (2006). Effect of short-term sprint interval training on human skeletal muscle carbohydrate metabolism during exercise and time-trial performance. Journal of applied physiology (Bethesda, Md. : 1985). 100(6), 2041–2047. https://doi.org/10.1152/japplphysiol.01220.2005.

Burgomaster, K. A., Hughes, S. C., Heigenhauser, G. J., Bradwell, S. N., & Gibala, M. J. (2005). Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans. Journal of applied physiology (Bethesda, Md. : 1985). 98(6), 1985–1990. https://doi.org/10.1152/japplphysiol.01095.2004.

Carl, D. L., Boyne, P., Rockwell, B., Gerson, M., Khoury, J., Kissela, B., & Dunning, K. (2017). Preliminary safety analysis of high-intensity interval training (HIIT) in persons with chronic stroke. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme. 42(3), 311–318. https://doi.org/10.1139/apnm-2016-0369.

Carr, J. H., & Shepherd, R. B. (2011). Enhancing physical activity and brain reorganization after stroke. Neurology research international. 2011, 515938. https://doi.org/10.1155/2011/515938.

Daussin, F. N., Zoll, J., Dufour, S. P., Ponsot, E., Lonsdorfer-Wolf, E., Doutreleau, S., Mettauer, B., Piquard, F., Geny, B., & Richard, R. (2008). Effect of interval versus continuous training on cardiorespiratory and mitochondrial functions: relationship to aerobic performance improvements in sedentary subjects. American journal of physiology. Regulatory, integrative and comparative physiology. 295(1), R264–R272. https://doi.org/10.1152/ajpregu.00875.2007.

Duijnhoven, H. J., Heeren, A., Peters, M. A., Veerbeek, J. M., Kwakkel, G., Geurts, A. C., & Weerdesteyn, V. (2016). Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis. Stroke. 47(10), 2603–2610. https://doi.org/10.1161/STROKEAHA.116.013839.

Dunn, A., Marsden, D. L., Van Vliet, P., Spratt, N. J., & Callister, R. (2017). Independently ambulant, community-dwelling stroke survivors have reduced cardiorespiratory fitness, mobility and knee strength compared to an age- and gender-matched cohort. Topics in stroke rehabilitation. 24(3), 163–169. https://doi.org/10.1080/10749357.2016.1236482.

Feigin, V. L., & Vos, T. (2019). Global Burden of Neurological Disorders: From Global Burden of Disease Estimates to Actions. Neuroepidemiology. 52(1-2), 1–2. https://doi.org/10.1159/000495197.

Fink, A. (2019). Conducting Research Literature Reviews: From the Internet to Paper (5° ed.). SAGE Publications.

Fu, T. C., Wang, C. H., Lin, P. S., Hsu, C. C., Cherng, W. J., Huang, S. C., Liu, M. H., Chiang, C. L., & Wang, J. S. (2013). Aerobic interval training improves oxygen uptake efficiency by enhancing cerebral and muscular hemodynamics in patients with heart failure. International journal of cardiology. 167(1), 41–50. https://doi.org/10.1016/j.ijcard.2011.11.086.

Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., Fagan, S. C., Halperin, J. L., Johnston, S. C., Katzan, I., Kernan, W. N., Mitchell, P. H., Ovbiagele, B., Palesch, Y. Y., Sacco, R. L., Schwamm, L. H., Wassertheil-Smoller, S., Turan, T. N., Wentworth, D., & American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisciplinary Council on Quality of Care and Outcomes Research (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke. 42(1), 227–276. https://doi.org/10.1161/STR.0b013e3181f7d043.

GBD 2016 Neurology Collaborators (2019). Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. Neurology. 18(5), 459–480. https://doi.org/10.1016/S1474-4422(18)30499-X.

Gibala M. (2009). Molecular responses to high-intensity interval exercise. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme. 34(3), 428–432. https://doi.org/10.1139/H09-046.

Gibala, M. J. (2007) High-intensity interval training: a time-efficient strategy for health promotion?.Curr Sports Med Rep 6. 211–213. https://doi.org/10.1007/s11932-007-0033-8.

Gibala, M. J., Little, J. P., van Essen, M., Wilkin, G. P., Burgomaster, K. A., Safdar, A., Raha, S., & Tarnopolsky, M. A. (2006). Short-term sprint interval versus traditional endurance training: similar initial adaptations in human skeletal muscle and exercise performance. The Journal of physiology. 575(Pt 3), 901–911. https://doi.org/10.1113/jphysiol.2006.112094.

Gjellesvik, T. I., Becker, F., Tjønna, A. E., Indredavik, B., Nilsen, H., Brurok, B., Tørhaug, T., Busuladzic, M., Lydersen, S., & Askim, T. (2020). Effects of High-Intensity Interval Training After Stroke (the HIIT-Stroke Study): A Multicenter Randomized Controlled Trial. Archives of physical medicine and rehabilitation. 101(6), 939–947. https://doi.org/10.1016/j.apmr.2020.02.006.

Gjellesvik, T. I., Brurok, B., Hoff, J., Tørhaug, T., & Helgerud, J. (2012). Effect of high aerobic intensity interval treadmill walking in people with chronic stroke: a pilot study with one year follow-up. Topics in stroke rehabilitation. 19(4), 353–360. https://doi.org/10.1310/tsr1904-353.

Guiraud, T., Juneau, M., Nigam, A., Gayda, M., Meyer, P., Mekary, S., Paillard, F., & Bosquet, L. (2010). Optimization of high intensity interval exercise in coronary heart disease. European journal of applied physiology. 108(4), 733–740. https://doi.org/10.1007/s00421-009-1287-z.

Hazell, T. J., Macpherson, R. E., Gravelle, B. M., & Lemon, P. W. (2010). 10 or 30-s sprint interval training bouts enhance both aerobic and anaerobic performance. European journal of applied physiology. 110(1), 153–160. https://doi.org/10.1007/s00421-010-1474-y.

Helgerud, J., Høydal, K., Wang, E., Karlsen, T., Berg, P., Bjerkaas, M., Simonsen, T., Helgesen, C., Hjorth, N., Bach, R., & Hoff, J. (2007). Aerobic high-intensity intervals improve VO2max more than moderate training. Medicine and science in sports and exercise. 39(4), 665–671. https://doi.org/10.1249/mss.0b013e3180304570.

Herbert, P., Grace, F. M., Sculthorpe, N. F. (2015). Exercising caution: prolonged recovery from a single session of high-intensity interval training in older men. Journal of the American Geriatrics Society. 63(4), 817–818. https://doi.org/10.1111/jgs.13365.

Hood M. S., Little J. P., Tarnopolsky M. A., Myslik F., Gibala M. J. (2011). Low-volume interval training improves muscle oxidative capacity in sedentary adults. Medicine and Science in Sports and Exercise. 43(10):1849-1856. DOI: 10.1249/mss.0b013e3182199834. PMID: 21448086.

Hornby, T. G., Straube, D. S., Kinnaird, C. R., Holleran, C. L., Echauz, A. J., Rodriguez, K. S., Wagner, E. J., & Narducci, E. A. (2011). Importance of specificity, amount, and intensity of locomotor training to improve ambulatory function in patients poststroke. Topics in stroke rehabilitation. 18(4), 293–307. https://doi.org/10.1310/tsr1804-293.

Hsu, C. C., Fu, T. C., Huang, S. C., Chen, C. P., & Wang, J. S. (2021). Increased serum brain-derived neurotrophic factor with high-intensity interval training in stroke patients: A randomized controlled trial. Annals of physical and rehabilitation medicine. 64(4), 101385. https://doi.org/10.1016/j.rehab.2020.03.010

Ivey, F. M., Stookey, A. D., Hafer-Macko, C. E., Ryan, A. S., & Macko, R. F. (2015). Higher Treadmill Training Intensity to Address Functional Aerobic Impairment after Stroke. Journal of stroke and cerebrovascular diseases: the official journal of National Stroke Association. 24(11), 2539–2546. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.07.002

Ivey, F. M., Hafer-Macko, C. E., Ryan, A. S., & Macko, R. F. (2010). Impaired leg vasodilatory function after stroke: adaptations with treadmill exercise training. Stroke. 41(12), 2913–2917. https://doi.org/10.1161/STROKEAHA.110.599977.

Ivey, F. M., Ryan, A. S., Hafer-Macko, C. E., Goldberg, A. P., & Macko, R. F. (2007). Treadmill aerobic training improves glucose tolerance and indices of insulin sensitivity in disabled stroke survivors: a preliminary report. Stroke. 38(10), 2752–2758. https://doi.org/10.1161/STROKEAHA.107.490391.

Ivey, F. M., Ryan, A. S., Hafer-Macko, C. E., Garrity, B. M., Sorkin, J. D., Goldberg, A. P., & Macko, R. F. (2006). High prevalence of abnormal glucose metabolism and poor sensitivity of fasting plasma glucose in the chronic phase of stroke. Cerebrovascular diseases (Basel, Switzerland). 22(5-6), 368–371. https://doi.org/10.1159/000094853.

Ivey, F. M., Macko, R. F., Ryan, A. S., & Hafer-Macko, C. E. (2005). Cardiovascular health and fitness after stroke. Topics in stroke rehabilitation. 12(1), 1–16. https://doi.org/10.1310/GEEU-YRUY-VJ72-LEAR.

Kelly, J. O., Kilbreath, S. L., Davis, G. M., Zeman, B., & Raymond, J. (2003). Cardiorespiratory fitness and walking ability in subacute stroke patients. Archives of physical medicine and rehabilitation. 84(12), 1780–1785. https://doi.org/10.1016/s0003-9993(03)00376-9.

Kemi, O. J., & Wisloff, U. (2010). High-intensity aerobic exercise training improves the heart in health and disease. Journal of cardiopulmonary rehabilitation and prevention. 30(1), 2–11. https://doi.org/10.1097/HCR.0b013e3181c56b89.

Kim, B. R., Han, E. Y., Joo, S. J., Kim, S. Y., & Yoon, H. M. (2014). Cardiovascular fitness as a predictor of functional recovery in subacute stroke patients. Disability and rehabilitation. 36(3), 227–231. https://doi.org/10.3109/09638288.2013.787123.

Lau, K. W., & Mak, M. K. (2011). Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke. Journal of rehabilitation medicine. 43(8), 709–713. https://doi.org/10.2340/16501977-0838.

Laursen, P. B., & Jenkins, D. G. (2002). The scientific basis for high-intensity interval training: optimising training programmes and maximising performance in highly trained endurance athletes. Sports medicine (Auckland, N.Z.). 32(1), 53–73. https://doi.org/10.2165/00007256-200232010-00003.

Lindsay, M. P., Norrving, B., Sacco, R. L., Brainin, M., Hacke, W., Martins, S., Pandian, J., & Feigin, V. (2019). World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. International journal of stroke : official journal of the International Stroke Society. 14(8), 806–817. https://doi.org/10.1177/1747493019881353.

Luo, L., Meng, H., Wang, Z., Zhu, S., Yuan, S., Wang, Y., & Wang, Q. (2020). Effect of high-intensity exercise on cardiorespiratory fitness in stroke survivors: A systematic review and meta-analysis. Annals of physical and rehabilitation medicine. 63(1), 59–68. https://doi.org/10.1016/j.rehab.2019.07.006.

Mackay-Lyons, M. J., & Makrides, L. (2002). Exercise capacity early after stroke. Archives of physical medicine and rehabilitation. 83(12), 1697–1702. https://doi.org/10.1053/apmr.2002.36395.

Macko, R. F., Ivey, F. M., Forrester, L. W., Hanley, D., Sorkin, J. D., Katzel, L. I., Silver, K. H., & Goldberg, A. P. (2005). Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: a randomized, controlled trial. Stroke. 36(10), 2206–2211. https://doi.org/10.1161/01.STR.0000181076.91805.89.

Marsden, D. L., Dunn, A., Callister, R., Levi, C. R., & Spratt, N. J. (2013). Characteristics of exercise training interventions to improve cardiorespiratory fitness after stroke: a systematic review with meta-analysis. Neurorehabilitation and neural repair. 27(9), 775–788. https://doi.org/10.1177/1545968313496329.

Meyer, M. J., Pereira, S., McClure, A., Teasell, R., Thind, A., Koval, J., Richardson, M., & Speechley, M. (2015). A systematic review of studies reporting multivariable models to predict functional outcomes after post-stroke inpatient rehabilitation. Disability and rehabilitation. 37(15), 1316–1323. https://doi.org/10.3109/09638288.2014.963706.

Meyer, P., Normandin, E., Gayda, M., Billon, G., Guiraud, T., Bosquet, L., Fortier, A., Juneau, M., White, M., & Nigam, A. (2012). High-intensity interval exercise in chronic heart failure: protocol optimization. Journal of cardiac failure. 18(2), 126–133. https://doi.org/10.1016/j.cardfail.2011.10.010.

Munari, D., Pedrinolla, A., Smania, N., Picelli, A., Gandolfi, M., Saltuari, L., & Schena, F. (2018). High-intensity treadmill training improves gait ability, VO2peak and cost of walking in stroke survivors: preliminary results of a pilot randomized controlled trial. European journal of physical and rehabilitation medicine. 54(3), 408–418. https://doi.org/10.23736/S1973-9087.16.04224-6.

Patterson, S. L., Forrester, L. W., Rodgers, M. M., Ryan, A. S., Ivey, F. M., Sorkin, J. D., & Macko, R. F. (2007). Determinants of walking function after stroke: differences by deficit severity. Archives of physical medicine and rehabilitation. 88(1), 115–119. https://doi.org/10.1016/j.apmr.2006.10.025.

Saunders, D. H., Greig, C. A., & Mead, G. E. (2014). Physical activity and exercise after stroke: review of multiple meaningful benefits. Stroke. 45(12), 3742–3747. https://doi.org/10.1161/STROKEAHA.114.004311.

Shephard R. J. (2009). Maximal oxygen intake and independence in old age. British journal of sports medicine. 43(5), 342–346. https://doi.org/10.1136/bjsm.2007.044800.

Slørdahl, S. A., Wang, E., Hoff, J., Kemi, O. J., Amundsen, B. H., & Helgerud, J. (2005). Effective training for patients with intermittent claudication. Scandinavian cardiovascular journal : SCJ. 39(4), 244–249. https://doi.org/10.1080/14017430510035844.

Smith, A. C., Saunders, D. H., & Mead, G. (2012). Cardiorespiratory fitness after stroke: a systematic review. International journal of stroke : official journal of the International Stroke Society. 7(6), 499–510. https://doi.org/10.1111/j.1747-4949.2012.00791.x.

Thilarajah, S., Mentiplay, B. F., Bower, K. J., Tan, D., Pua, Y. H., Williams, G., Koh, G., & Clark, R. A. (2018). Factors Associated With Post-Stroke Physical Activity: A Systematic Review and Meta-Analysis. Archives of physical medicine and rehabilitation. 99(9), 1876–1889. https://doi.org/10.1016/j.apmr.2017.09.117.

Publicado

02/02/2023

Cómo citar

SOUZA, A. P. de C. .; SILVA, B. L. da .; SILVA, J. de M. .; PEREIRA, T. M. A. . Efectos del entrenamiento en intervalos de alta intensidad sobre el aumento del consumo máximo de oxígeno después de un accidente cerebrovascular: revisión sistemática. Research, Society and Development, [S. l.], v. 12, n. 2, p. e18212240166, 2023. DOI: 10.33448/rsd-v12i2.40166. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40166. Acesso em: 5 jul. 2024.

Número

Sección

Ciencias de la salud