دورية أكاديمية

The effects of exercise training on autonomic and hemodynamic responses to muscle metaboreflex in people living with HIV/AIDS: A randomized clinical trial protocol.

التفاصيل البيبلوغرافية
العنوان: The effects of exercise training on autonomic and hemodynamic responses to muscle metaboreflex in people living with HIV/AIDS: A randomized clinical trial protocol.
المؤلفون: Gama G; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Exercise and Sports Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Dos Santos Rangel MV; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Exercise and Sports Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., de Oliveira Coelho VC; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Paz GA; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Exercise and Sports Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., de Matos CVB; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Silva BP; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Lopes GO; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Lopes KG; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Farinatti P; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Exercise and Sports Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil., Borges JP; Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.; Graduate Program in Exercise and Sports Sciences, University of Rio de Janeiro State, Rio de Janeiro, RJ, Brazil.
المصدر: PloS one [PLoS One] 2022 Mar 18; Vol. 17 (3), pp. e0265516. Date of Electronic Publication: 2022 Mar 18 (Print Publication: 2022).
نوع المنشور: Clinical Trial Protocol; Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: HIV Infections*/therapy , Hand Strength*, Blood Pressure ; Exercise/physiology ; Heart Rate ; Hemodynamics/physiology ; Humans ; Muscle Contraction ; Muscle, Skeletal/physiology ; Randomized Controlled Trials as Topic ; Reflex/physiology
مستخلص: Background: People living with HIV (PLHIV) present impaired muscle metaboreflex, which may lead to exercise intolerance and increased cardiovascular risk. The muscle metaboreflex adaptations to exercise training in these patients are unknown. The present study aims to investigate the effects of a supervised multimodal exercise training on hemodynamic and autonomic responses to muscle metaboreflex activation in PLHIV.
Methods and Design: In this randomized clinical trial protocol, 42 PLHIV aged 30-50 years will be randomly assigned at a ratio of 1:1 into an intervention or a control group. The intervention group will perform exercise training (3x/week during 12 weeks) and the control group will remain physically inactive. A reference group composed of 21 HIV-uninfected individuals will be included. Primary outcomes will be blood pressure and heart rate variability indices assessed during resting, mental stress, and activation of muscle metaboreflex by a digital sphygmomanometer and a heart rate monitor; respectively. Mental stress will be induced by the Stroop Color-Word test and muscle metaboreflex will be activated through a post-exercise circulatory arrest (PECA) protocol, being the latter performed without and with the application of a capsaicin-based analgesic balm in the exercised limb. Secondary outcomes will be heart rate, peripheral vascular resistance, stroke volume, cardiac output, blood lactate, anthropometric markers and handgrip maximal voluntary contraction. The intervention and control groups of PLHIV will be evaluated at baseline and after the intervention, while the HIV-uninfected reference group only at baseline.
Discussion: The findings of the present study may help to elucidate the muscle metaboreflex adaptations to exercise training in PLHIV.
Trial Registration: This study will be performed at University of Rio de Janeiro State following registration at ClinicalTrials.gov as NCT04512456 on August 13, 2020.
Competing Interests: The authors have declared that no competing interests exist.
References: AIDS. 2008 Nov 30;22(18):2537-40. (PMID: 19005278)
HIV Res Clin Pract. 2021 Oct;22(5):140-149. (PMID: 34569436)
HIV AIDS (Auckl). 2020 Oct 02;12:507-524. (PMID: 33061662)
Int J Sports Med. 2021 Mar;42(3):246-252. (PMID: 33053597)
MMWR Recomm Rep. 2014 Apr 11;63(RR-03):1-10. (PMID: 24717910)
Am J Physiol Heart Circ Physiol. 2011 Oct;301(4):H1191-204. (PMID: 21841019)
Adv Exp Med Biol. 2020;1228:411-421. (PMID: 32342474)
Eur J Appl Physiol. 2021 Nov;121(11):2943-2955. (PMID: 34189604)
Clin Auton Res. 2007 Jun;17(3):193-6. (PMID: 17390100)
J Appl Physiol (1985). 1993 May;74(5):2566-73. (PMID: 8335593)
Am J Physiol Heart Circ Physiol. 2003 Sep;285(3):H974-82. (PMID: 12714324)
Front Physiol. 2018 Dec 04;9:1736. (PMID: 30618781)
AIDS Res Hum Retroviruses. 2020 Apr;36(4):283-290. (PMID: 31591903)
Am J Physiol Heart Circ Physiol. 2014 Dec 1;307(11):H1655-66. (PMID: 25305179)
Exerc Sport Sci Rev. 2020 Apr;48(2):83-91. (PMID: 32000180)
Circulation. 2019 Jul 9;140(2):e98-e124. (PMID: 31154814)
Am J Physiol Regul Integr Comp Physiol. 2019 Oct 1;317(4):R503-R512. (PMID: 31365304)
J Intensive Care Soc. 2020 May;21(2):148-157. (PMID: 32489411)
Clin Sci (Lond). 2021 Jan 15;135(1):127-142. (PMID: 33416084)
Eur Heart J. 1996 Mar;17(3):354-81. (PMID: 8737210)
Curr Cardiol Rev. 2017;13(4):293-300. (PMID: 28782491)
Scand J Med Sci Sports. 2019 Jan;29(1):25-33. (PMID: 30267551)
Curr Opin HIV AIDS. 2020 Mar;15(2):110-117. (PMID: 31644480)
Auton Neurosci. 2015 Mar;188:19-23. (PMID: 25458423)
Exerc Sport Sci Rev. 2020 Oct;48(4):209-216. (PMID: 32658041)
J Physiol. 2013 Aug 1;591(15):3777-88. (PMID: 23713032)
Eur J Appl Physiol. 2009 Jan;105(2):225-34. (PMID: 18941773)
Exerc Sport Sci Rev. 2010 Jul;38(3):122-7. (PMID: 20577060)
Int J Sports Med. 2018 Jan;39(1):73-78. (PMID: 29161745)
Clin Auton Res. 2016 Aug;26(4):287-94. (PMID: 27395409)
Front Public Health. 2017 Sep 28;5:258. (PMID: 29034226)
BMJ. 2013 Jan 08;346:e7586. (PMID: 23303884)
Front Physiol. 2018 Dec 06;9:1641. (PMID: 30574090)
Acta Physiol (Oxf). 2010 Aug;199(4):367-83. (PMID: 20353495)
Enferm Infecc Microbiol Clin (Engl Ed). 2019 Jan;37(1):50-55. (PMID: 28823613)
J Phys Act Health. 2016 Jul;13(7):765-70. (PMID: 26901242)
Int J Sports Med. 2012 Apr;33(4):320-4. (PMID: 22261827)
Exp Physiol. 2020 May;105(5):809-818. (PMID: 32105387)
Front Physiol. 2017 May 29;8:301. (PMID: 28611675)
Compr Physiol. 2015 Apr;5(2):475-512. (PMID: 25880502)
Med Sci Sports Exerc. 2019 Mar;51(3):426-435. (PMID: 30312214)
J Appl Physiol (1985). 2018 Aug 1;125(2):362-368. (PMID: 29698108)
Eur J Appl Physiol. 2019 Jul;119(7):1525-1532. (PMID: 31004219)
Biomed Res Int. 2014;2014:893468. (PMID: 24809060)
J Strength Cond Res. 2016 Dec;30(12):3494-3502. (PMID: 27191693)
Med Sci Sports Exerc. 2018 Mar;50(3):596-602. (PMID: 29040222)
Circulation. 1996 Oct 15;94(8):1870-5. (PMID: 8873662)
Front Psychol. 2017 Apr 12;8:557. (PMID: 28446889)
Clinics (Sao Paulo). 2013;68(8):1157-67. (PMID: 24037014)
سلسلة جزيئية: ClinicalTrials.gov NCT04512456
تواريخ الأحداث: Date Created: 20220318 Date Completed: 20220504 Latest Revision: 20220504
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8932586
DOI: 10.1371/journal.pone.0265516
PMID: 35303017
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0265516