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considerado o padr&#227;o&#8208;ouro para essa medida<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">8&#8211;13</span></a>&#46; Entretanto&#44; por ser complexo e exigir esfor&#231;o m&#225;ximo&#44; o TECP n&#227;o &#233; usado frequentemente na pr&#225;tica cl&#237;nica<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">8&#44;9&#44;11&#44;13&#8211;24</span></a>&#46; Por exemplo&#44; 12&#37; dos pacientes com doen&#231;a arterial coron&#225;ria s&#227;o incapazes de fazer um teste fidedignamente m&#225;ximo<a class="elsevierStyleCrossRef" href="#bib0430"><span class="elsevierStyleSup">25</span></a>&#46; Assim&#44; testes de campo foram desenvolvidos para predizer o VO<span class="elsevierStyleInf">2max</span> e avaliar algumas limita&#231;&#245;es funcionais&#44; permitem ser usados mais regularmente na pr&#225;tica cl&#237;nica&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Existem diversos testes de campo usados na RCV&#46; O teste de caminhada de seis minutos &#40;TC6&#8217;&#41; &#40;maior dist&#226;ncia percorrida durante seis minutos&#41;<a class="elsevierStyleCrossRefs" href="#bib0435"><span class="elsevierStyleSup">26&#44;27</span></a> apresenta forte evid&#234;ncia de resposta a mudan&#231;as cl&#237;nicas<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">10</span></a>&#44; correlaciona&#8208;se com o VO<span class="elsevierStyleInf">2max</span> no TECP em pacientes com insufici&#234;ncia card&#237;aca<a class="elsevierStyleCrossRefs" href="#bib0445"><span class="elsevierStyleSup">28&#8211;30</span></a> e &#233; sens&#237;vel &#224;s mudan&#231;as na perce&#231;&#227;o dos sintomas da doen&#231;a<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">31</span></a>&#46; J&#225; o <span class="elsevierStyleItalic">Shuttle Walk Test</span> &#40;maior dist&#226;ncia percorrida em um corredor de 10 m com aumento progressivo de intensidade&#41; tem sido usado em pacientes no p&#243;s&#8208;operat&#243;rio de revasculariza&#231;&#227;o do mioc&#225;rdio<a class="elsevierStyleCrossRef" href="#bib0465"><span class="elsevierStyleSup">32</span></a>&#44; insufici&#234;ncia card&#237;aca<a class="elsevierStyleCrossRef" href="#bib0470"><span class="elsevierStyleSup">33</span></a> e doen&#231;a de Chagas<a class="elsevierStyleCrossRef" href="#bib0475"><span class="elsevierStyleSup">34</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Testes com degraus tamb&#233;m s&#227;o usados em pacientes com doen&#231;as respirat&#243;rias<a class="elsevierStyleCrossRef" href="#bib0480"><span class="elsevierStyleSup">35</span></a>&#44; suspeita de obstru&#231;&#227;o coron&#225;ria<a class="elsevierStyleCrossRef" href="#bib0485"><span class="elsevierStyleSup">36</span></a> e em idosos com insufici&#234;ncia card&#237;aca<a class="elsevierStyleCrossRefs" href="#bib0490"><span class="elsevierStyleSup">37&#8211;39</span></a>&#46; Os testes que usam degrau requerem pouco espa&#231;o&#44; s&#227;o facilmente transportados e f&#225;ceis de fazer<a class="elsevierStyleCrossRef" href="#bib0505"><span class="elsevierStyleSup">40</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Entretanto&#44; a literatura mostra&#8208;se inconsistente sobre o efeito dos programas de RCV no desempenho dos testes de campo&#46; Para al&#233;m da import&#226;ncia de feitura de mais estudos&#44; outros modelos de pesquisa possibilitam uma an&#225;lise integrada de resultados divulgados&#46; Nesse contexto&#44; a revis&#227;o sistem&#225;tica da literatura permite a busca e inclus&#227;o de refer&#234;ncias por meio de estrat&#233;gias definidas e substanciais&#59; e a meta&#8208;an&#225;lise possibilita a aplica&#231;&#227;o de um modelo matem&#225;tico para identificar potenciais vari&#225;veis que influenciam o desfecho&#46; Em se tratando de testes de campo e RCV&#44; n&#227;o identificamos meta&#8208;an&#225;lises que tenham abordado essa quest&#227;o&#46; Assim&#44; o objetivo do presente estudo foi revisar sistematicamente a literatura sobre os testes de campo usados em programas de RCV e aplicar o tratamento meta&#8208;anal&#237;tico para verificar&#58; 1&#41; o efeito da RCV no desempenho dos testes de campo&#59; 2&#41; vari&#225;veis do treinamento que podem influenciar tal efeito&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Estrat&#233;gia de busca e sele&#231;&#227;o dos estudos</span><p id="par0025" class="elsevierStylePara elsevierViewall">A revis&#227;o de literatura foi conduzida nas bases de dados <span class="elsevierStyleItalic">Medline&#47;PubMed</span> e <span class="elsevierStyleItalic">Web of Science</span> por dois pesquisadores &#40;CFT e RRP&#41; de forma independente&#46; Foram selecionados artigos desde a sua data de publica&#231;&#227;o at&#233; maio de 2016&#46; As d&#250;vidas na sele&#231;&#227;o dos artigos foram solucionadas em conjunto pelos pesquisadores com base nos crit&#233;rios de inclus&#227;o propostos&#46; Foram usados descritores padronizados pelo <span class="elsevierStyleItalic">Medical Subject Heading</span> adicionados de termos e express&#245;es no t&#237;tulo ou no resumo&#46; Como crit&#233;rios de inclus&#227;o&#44; foram considerados&#58; 1&#41; artigos em ingl&#234;s&#44; inclusive ensaios cl&#237;nicos aleatorizados e n&#227;o aleatorizados&#59; 2&#41; seres humanos &#40;homens e&#47;ou mulheres com mais de 18 anos&#41;&#59; 3&#41; diagn&#243;stico de doen&#231;as card&#237;acas&#59; 4&#41; participantes de programas de RCV ambulatorial&#59; 5&#41; capacidade de exerc&#237;cio avaliada por meio de testes de exerc&#237;cio independentemente do TECP&#59; 6&#41; presen&#231;a de vari&#225;veis da prescri&#231;&#227;o do treinamento&#59; 7&#41; grupo controle&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Estudos inclu&#237;dos na revis&#227;o sistem&#225;tica</span><p id="par0030" class="elsevierStylePara elsevierViewall">Inicialmente foram identificados 1767 artigos em ambas as bases de dados&#58; 259 foram exclu&#237;dos por serem duplicados e 1318 foram exclu&#237;dos pela an&#225;lise do t&#237;tulo e resumo&#46; Ap&#243;s a leitura dos estudos restantes na &#237;ntegra&#44; 15 compuseram a presente revis&#227;o &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figura 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Extra&#231;&#227;o de dados e an&#225;lise da qualidade</span><p id="par0035" class="elsevierStylePara elsevierViewall">Os dados de qualidade dos estudos&#44; fator de impacto da publica&#231;&#227;o&#44; ano de publica&#231;&#227;o&#44; sexo&#44; idade&#44; peso&#44; altura&#44; &#237;ndice de massa corporal &#40;IMC&#41;&#44; fra&#231;&#227;o de eje&#231;&#227;o&#44; VO<span class="elsevierStyleInf">2max</span>&#44; volume do treinamento&#44; intensidade do treinamento&#44; tipo de treinamento&#44; local do treinamento&#44; tipo do teste de campo usado e resultados do teste de campo foram extra&#237;dos independentemente por dois avaliadores &#40;CFT e RRP&#41; para uma planilha constru&#237;da especificamente para tal finalidade&#46; Com o uso da estat&#237;stica <span class="elsevierStyleItalic">kappa</span> de Cohen&#44; a concord&#226;ncia geral foi de 0&#44;92&#46; Discord&#226;ncias foram solucionadas por discuss&#227;o presencial&#46; O principal desfecho analisado foi a compara&#231;&#227;o dos valores dos testes de campo entre os grupos experimentais e controle dos estudos inclu&#237;dos&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">A qualidade dos estudos foi avaliada pela escala PEDro&#44; a qual tem sido reportada como v&#225;lida<a class="elsevierStyleCrossRef" href="#bib0585"><span class="elsevierStyleSup">56</span></a> e reprodut&#237;vel<a class="elsevierStyleCrossRef" href="#bib0590"><span class="elsevierStyleSup">57</span></a>&#46; As medidas foram conduzidas em duplicatas e as d&#250;vidas quanto &#224; atribui&#231;&#227;o da pontua&#231;&#227;o foram resolvidas em conjunto&#46; Os artigos n&#227;o foram exclu&#237;dos com base no resultado da qualidade&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">An&#225;lise estat&#237;stica</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">C&#225;lculo do tamanho do efeito</span><p id="par0045" class="elsevierStylePara elsevierViewall">Para medir a quantidade de modifica&#231;&#245;es no desempenho dos testes de campo ap&#243;s o per&#237;odo de RCV &#40;treino aer&#243;bio ou treino aer&#243;bio &#43; resist&#234;ncia&#41;&#44; foi usado o tamanho do efeito &#40;<span class="elsevierStyleItalic">g</span>&#41;&#44; o qual foi definido como a diferen&#231;a m&#233;dia padronizada corrigida pelo vi&#233;s &#40;<span class="elsevierStyleItalic">g</span> de Hedges&#41; no desempenho dos testes de campo pelos grupos experimental e controle&#46; Para o c&#225;lculo da diferen&#231;a m&#233;dia padronizada&#44; inicialmente foram calculados a diferen&#231;a emparelhada &#40;m&#233;dia experimental &#8211; m&#233;dia controle&#41; e o desvio&#8208;padr&#227;o &#40;DP&#41; da diferen&#231;a emparelhada &#40;experimental DP<span class="elsevierStyleSup">2</span> &#43; controle DP<span class="elsevierStyleSup">2</span>&#8208; 2 x correla&#231;&#227;o interensaio x experimental DP x controle DP&#41;<span class="elsevierStyleSup">1&#47;2</span>&#46; Posteriormente&#44; foram determinados a diferen&#231;a m&#233;dia padronizada &#40;diferen&#231;a emparelhada x &#91;2&#8208; 2 x correla&#231;&#227;o interensaio&#93;<span class="elsevierStyleSup">1&#47;2</span> &#247; diferen&#231;a emparelhada do DP&#41; e o erro&#8208;padr&#227;o &#40;EP&#41; da diferen&#231;a m&#233;dia padronizada &#40;&#91;1&#47;n &#43; diferen&#231;a m&#233;dia padronizada<span class="elsevierStyleSup">2</span> &#247; &#123;2 x n&#125;&#93;<span class="elsevierStyleSup">1&#47;2</span> x &#91;2 &#8211; 2 x correla&#231;&#227;o interensaio&#93;&#41;<span class="elsevierStyleSup">1&#47;2</span>&#46; Ent&#227;o&#44; o fator de corre&#231;&#227;o obtido pela equa&#231;&#227;o 1 &#8211; &#123;3 &#247; &#91;4 x &#40;n total &#8211; 2&#41; &#8211; 1&#93;&#125; foi multiplicado pela diferen&#231;a m&#233;dia padronizada para resultar no <span class="elsevierStyleItalic">g</span> de Hedges&#46; Quando o estudo reportou apenas o valor do erro&#8208;padr&#227;o&#44; o DP foi calculado pela multiplica&#231;&#227;o do erro&#8208;padr&#227;o pela raiz quadrada do n amostral&#46; Nenhum estudo forneceu os dados da correla&#231;&#227;o interensaio &#40;correla&#231;&#227;o entre os dados dos grupos experimental e controle&#41; e&#44; por isso&#44; foi assumido o valor de 0&#44;5 para todos os estudos&#46; Valores positivos de <span class="elsevierStyleItalic">g</span> indicaram aumento no desempenho em rela&#231;&#227;o aos valores do grupo controle&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">A estat&#237;stica <span class="elsevierStyleItalic">Q</span> foi calculada para verificar se os graus de similaridade nos tamanhos dos efeitos observados foram significativos&#46; A estat&#237;stica <span class="elsevierStyleItalic">Q</span> foi convertida para medida padronizada de homogeneidade &#40;estat&#237;stica <span class="elsevierStyleItalic">I</span><span class="elsevierStyleSup"><span class="elsevierStyleItalic">2</span></span>&#41; e valores de 25&#44; 50 e 75&#37; indicam baixa&#44; moderada ou alta heterogeneidade&#44; respetivamente&#46; O risco de vi&#233;s foi analisado pelo gr&#225;fico de funil <span class="elsevierStyleItalic">versus</span> diferen&#231;a m&#233;dia padronizada&#46; A an&#225;lise do vi&#233;s de publica&#231;&#227;o foi feita pela regress&#227;o n&#227;o param&#233;trica de Egger &#40;bicaudal&#41; e pelo m&#233;todo de Duval e Tweedie&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">An&#225;lises de subgrupos e vari&#225;veis moderadoras</span><p id="par0055" class="elsevierStylePara elsevierViewall">Meta&#8208;an&#225;lise e metarregress&#227;o foram feitas com o programa <span class="elsevierStyleItalic">Comprehensive Meta Analysis</span> &#40;vers&#227;o 2&#46;2&#44; Biostat<span class="elsevierStyleSup">TM</span> Inc&#46;&#44; Englewood&#44; NJ&#44; EUA&#41; e uso do modelo de efeitos aleat&#243;rios e fator de corre&#231;&#227;o <span class="elsevierStyleItalic">g</span> de Hedges&#46; Na presen&#231;a de heterogeneidade significativa&#44; a an&#225;lise de vari&#225;veis moderadoras foi usada para explicar a variabilidade nos <span class="elsevierStyleItalic">g</span><span class="elsevierStyleInf">s</span> dos desfechos&#46; Foram inclu&#237;das como potenciais moderadoras as vari&#225;veis&#58; idade&#44; sexo&#44; IMC&#44; peso&#44; altura&#44; fra&#231;&#227;o de eje&#231;&#227;o inicial&#44; VO<span class="elsevierStyleInf">2</span> inicial&#44; tempo de treinamento&#44; frequ&#234;ncia semanal&#44; dura&#231;&#227;o do exerc&#237;cio aer&#243;bio&#44; qualidade dos estudos &#40;escala PEDro&#41;&#44; fator de impacto da publica&#231;&#227;o e ano de publica&#231;&#227;o do estudo&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A an&#225;lise de subgrupo incluiu como vari&#225;veis&#58; tipo de exerc&#237;cio &#40;aer&#243;bio&#59; aer&#243;bio &#43; resist&#234;ncia&#41;&#44; tipo de exerc&#237;cio aer&#243;bio &#40;caminhada&#44; bicicleta&#44; caminhada e&#47;ou bicicleta&#41;&#44; tipo de treinamento &#40;cont&#237;nuo&#59; progressivo&#41;&#44; local do treinamento &#40;domiciliar ou cl&#237;nica&#41;&#44; tipo de patologia e interven&#231;&#227;o &#40;angina&#44; enfarte agudo do mioc&#225;rdio&#44; insufici&#234;ncia card&#237;aca&#44; angioplastia e revasculariza&#231;&#227;o do mioc&#225;rdio&#41;&#46; Diferen&#231;as potenciais entre os subgrupos foram testadas pelo teste <span class="elsevierStyleItalic">Q</span> baseado na an&#225;lise de vari&#226;ncia&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Resultados</span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Descri&#231;&#227;o dos estudos inclu&#237;dos</span><p id="par0065" class="elsevierStylePara elsevierViewall">Os dados gerais dos estudos inclu&#237;dos est&#227;o descritos na <a class="elsevierStyleCrossRef" href="#tbl0005">Tabela 1</a>&#46; Foram identificados 15 estudos publicados entre 1996 e 2016&#46; A amostra total foi de 932 pacientes &#40;701 homens e 191 mulheres&#41;&#46; Em um estudo<a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">48</span></a> com 40 participantes&#44; o n&#250;mero de homens e mulheres n&#227;o foi especificado&#46; A m&#233;dia de idade variou entre 54&#44;4 e 75&#44;3 anos&#46; Catorze estudos usaram o TC6&#8217; para avaliar a capacidade de exerc&#237;cio e um estudo usou o <span class="elsevierStyleItalic">Shuttle Walk Test</span><a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">48</span></a>&#46; Dessa forma&#44; para fins de an&#225;lise estat&#237;stica de subgrupos e vari&#225;veis moderadoras&#44; foram considerados apenas os estudos que envolveram o TC6&#8217;&#46; Apenas sete estudos<a class="elsevierStyleCrossRefs" href="#bib0515"><span class="elsevierStyleSup">42&#44;43&#44;45&#44;49&#44;52&#44;54&#44;55</span></a> usaram o TECP em associa&#231;&#227;o com o teste de campo&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">Dez estudos foram feitos em pacientes com insufici&#234;ncia card&#237;aca<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#8211;47&#44;52&#44;54&#44;55</span></a>&#44; dois em pacientes ap&#243;s enfarte agudo do mioc&#225;rdio<a class="elsevierStyleCrossRefs" href="#bib0560"><span class="elsevierStyleSup">51&#44;53</span></a>&#44; um em pacientes com angina<a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">48</span></a>&#44; um em pacientes p&#243;s&#8208;angioplastia e revasculariza&#231;&#227;o do mioc&#225;rdio<a class="elsevierStyleCrossRef" href="#bib0550"><span class="elsevierStyleSup">49</span></a> e um estudo em pacientes no pr&#233;&#8208;operat&#243;rio de revasculariza&#231;&#227;o do mioc&#225;rdio<a class="elsevierStyleCrossRef" href="#bib0555"><span class="elsevierStyleSup">50</span></a>&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Dos 10 estudos feitos em pacientes com insufici&#234;ncia card&#237;aca&#44; em apenas um estudo<a class="elsevierStyleCrossRef" href="#bib0540"><span class="elsevierStyleSup">47</span></a> a RCV n&#227;o foi supervisionada&#46; A m&#233;dia de semanas de treinamento variou entre seis<a class="elsevierStyleCrossRef" href="#bib0525"><span class="elsevierStyleSup">44</span></a> e 20 semanas<a class="elsevierStyleCrossRef" href="#bib0515"><span class="elsevierStyleSup">42</span></a> e o n&#250;mero de sess&#245;es semanais foi de duas vezes<a class="elsevierStyleCrossRefs" href="#bib0515"><span class="elsevierStyleSup">42&#44;43</span></a>&#44; tr&#234;s vezes por semana<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#44;44&#8211;46</span></a>&#44; quatro vezes por semana<a class="elsevierStyleCrossRef" href="#bib0565"><span class="elsevierStyleSup">52</span></a>&#44; cinco vezes por semana<a class="elsevierStyleCrossRefs" href="#bib0575"><span class="elsevierStyleSup">54&#44;55</span></a> e sete vezes por semana<a class="elsevierStyleCrossRef" href="#bib0540"><span class="elsevierStyleSup">47</span></a>&#46; Em um estudo<a class="elsevierStyleCrossRef" href="#bib0580"><span class="elsevierStyleSup">55</span></a>&#44; os exerc&#237;cios foram feitos diariamente &#40;5&#8208;10<span class="elsevierStyleHsp" style=""></span>min&#41; para os pacientes com capacidade funcional inferior a 3 METS&#59; uma ou duas vezes por dia &#40;15<span class="elsevierStyleHsp" style=""></span>min&#41; nos pacientes com capacidade funcional entre 3&#8208;5 METS&#59; e tr&#234;s a cinco sess&#245;es&#47;semana &#40;20 a 30<span class="elsevierStyleHsp" style=""></span>min&#41; em pacientes com capacidade funcional maior do que 5 METS&#46; Todos os estudos usaram exerc&#237;cios aer&#243;bios no programa de RCV&#44; com caminhadas<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#44;47&#44;55</span></a>&#44; caminhada n&#243;rdica<a class="elsevierStyleCrossRef" href="#bib0575"><span class="elsevierStyleSup">54</span></a>&#44; bicicleta ergom&#233;trica<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#8211;43&#44;45&#44;52</span></a>&#44; esteira<a class="elsevierStyleCrossRefs" href="#bib0520"><span class="elsevierStyleSup">43&#44;45</span></a>&#44; escada<a class="elsevierStyleCrossRef" href="#bib0520"><span class="elsevierStyleSup">43</span></a> e erg&#243;metro de bra&#231;o<a class="elsevierStyleCrossRef" href="#bib0510"><span class="elsevierStyleSup">41</span></a>&#46; Um estudo<a class="elsevierStyleCrossRef" href="#bib0525"><span class="elsevierStyleSup">44</span></a> n&#227;o especificou o tipo do exerc&#237;cio aer&#243;bio&#46; Sete estudos<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#44;42&#44;46&#44;49&#44;50&#44;52&#44;55</span></a> usaram exerc&#237;cios de fortalecimento muscular&#44; tr&#234;s com aparelhos<a class="elsevierStyleCrossRefs" href="#bib0510"><span class="elsevierStyleSup">41&#44;49&#44;52</span></a>&#44; tr&#234;s com el&#225;sticos<a class="elsevierStyleCrossRefs" href="#bib0535"><span class="elsevierStyleSup">46&#44;50&#44;55</span></a> e um com circuito<a class="elsevierStyleCrossRef" href="#bib0515"><span class="elsevierStyleSup">42</span></a>&#46; O tempo do exerc&#237;cio aer&#243;bio variou entre 10<span class="elsevierStyleHsp" style=""></span>min<span class="elsevierStyleSup">47</span> e 90<span class="elsevierStyleHsp" style=""></span>min<span class="elsevierStyleSup">44</span>&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Dois estudos<a class="elsevierStyleCrossRefs" href="#bib0560"><span class="elsevierStyleSup">51&#44;53</span></a> foram feitos em pacientes p&#243;s&#8208;enfarte agudo do mioc&#225;rdio&#44; a RCV n&#227;o foi supervisionada e os exerc&#237;cios aer&#243;bicos foram caminhadas &#40;quatro semanas&#59; quatro vezes por semana&#41;&#46; Al&#233;m disso&#44; um estudo<a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">48</span></a> foi feito em pacientes com angina em um programa supervisionado &#40;circuito&#59; uma vez por semana&#59; oito semanas&#41;&#46; Um estudo foi conduzido em um programa supervisionado &#40;tr&#234;s vezes por semana&#59; 12 semanas&#59; exerc&#237;cios aer&#243;bios em bicicleta e de resist&#234;ncia com peso corporal e aparelhos&#41; com pacientes p&#243;s&#8208;angioplastia e revasculariza&#231;&#227;o do mioc&#225;rdio<a class="elsevierStyleCrossRef" href="#bib0550"><span class="elsevierStyleSup">49</span></a>&#46; Um estudo<a class="elsevierStyleCrossRef" href="#bib0555"><span class="elsevierStyleSup">50</span></a> foi feito em pacientes no pr&#233;&#8208;operat&#243;rio de revasculariza&#231;&#227;o do mioc&#225;rdio&#44; em programa supervisionado &#40;duas vezes por semana&#59; 16 semanas&#59; exerc&#237;cios aer&#243;bios em bicicleta e caminhadas e exerc&#237;cio de resist&#234;ncia com peso corporal e el&#225;sticos&#41;&#46; No geral&#44; o tempo do exerc&#237;cio aer&#243;bio variou de 10<span class="elsevierStyleHsp" style=""></span>min<a class="elsevierStyleCrossRefs" href="#bib0575"><span class="elsevierStyleSup">54&#44;55</span></a> a 80<span class="elsevierStyleHsp" style=""></span>min<span class="elsevierStyleSup">48</span>&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Teste de campo e meta&#8208;an&#225;lise</span><p id="par0085" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#fig0010">Figura 2</a> mostra o tamanho do efeito dos 15 estudos inclu&#237;dos&#46; Os dados foram analisados em metros&#44; consideraram&#8208;se as m&#233;dias e os desvios&#8208;padr&#227;o pr&#233; e p&#243;s&#8208;teste dos grupos controle e experimental&#44; assim como o n&#250;mero de sujeitos de cada sess&#227;o&#46; Os dados foram considerados heterog&#234;neos &#40;<span class="elsevierStyleItalic">Q</span> &#61; 42&#44;0&#59; df &#61; 14&#59; I<span class="elsevierStyleSup">2</span> &#61; 66&#44;7&#37;&#59; p &#60; 0&#44;001&#41;&#46; O tamanho do efeito de Hedges pelo modelo aleat&#243;rio foi de 0&#44;617 &#40;0&#44;373 a 0&#44;86&#59; p &#60; 0&#44;001&#41;&#44; o que significou um aumento de 20&#37; no desempenho do teste ap&#243;s a reabilita&#231;&#227;o cardiovascular&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0010">Tabela 2</a> mostra os dados das vari&#225;veis cont&#237;nuas tratadas pela metarregress&#227;o&#46; Apenas tr&#234;s vari&#225;veis mostram resultados significativos&#58; dura&#231;&#227;o do exerc&#237;cio aer&#243;bio &#40;p &#61; 0&#44;01&#41;&#44; VO<span class="elsevierStyleInf">2max</span> inicial &#40;p &#60; 0&#44;01&#41; e VO<span class="elsevierStyleInf">2max</span> final &#40;p &#61; 0&#44;01&#41;&#46; Nesse contexto&#44; em rela&#231;&#227;o &#224; dura&#231;&#227;o do exerc&#237;cio aer&#243;bio&#44; para cada aumento de um minuto na dura&#231;&#227;o do exerc&#237;cio&#44; ocorre o aumento de 0&#44;02 no tamanho do efeito para o desempenho no teste de campo&#46; J&#225; para o VO<span class="elsevierStyleInf">2max</span> inicial e final&#44; a associa&#231;&#227;o foi negativa&#46; Assim&#44; para cada redu&#231;&#227;o de 1<span class="elsevierStyleHsp" style=""></span>mL&#46;kg&#46;min<span class="elsevierStyleSup">&#8208;1</span> no VO<span class="elsevierStyleInf">2max</span> inicial&#44; h&#225; um aumento de 0&#44;23 no tamanho do efeito&#59; e para cada redu&#231;&#227;o de 1<span class="elsevierStyleHsp" style=""></span>mL&#46;kg&#46;min<span class="elsevierStyleSup">&#8208;1</span> no VO<span class="elsevierStyleInf">2max</span> final&#44; h&#225; o aumento de 0&#44;08 no tamanho do efeito&#46; Vari&#225;veis cont&#237;nuas como intensidade dos treinamentos aer&#243;bio e de resist&#234;ncia&#44; n&#250;mero de s&#233;ries e n&#250;mero de repeti&#231;&#245;es n&#227;o foram submetidas &#224; meta&#8208;regress&#227;o&#44; pois os dados foram apresentados em faixas amplas&#44; impossibilitaram tanto a an&#225;lise por metarregress&#227;o quanto a estratifica&#231;&#227;o para an&#225;lise por vari&#225;veis categ&#243;ricas&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">A <a class="elsevierStyleCrossRef" href="#tbl0015">Tabela 3</a> mostra a an&#225;lise de subgrupos das vari&#225;veis categ&#243;ricas tratadas pelo teste Q baseado na an&#225;lise de vari&#226;ncia&#46; Nesse grupo de vari&#225;veis&#44; a dura&#231;&#227;o do exerc&#237;cio aer&#243;bio foi estratificada em tr&#234;s categorias &#40;30&#8208;35<span class="elsevierStyleHsp" style=""></span>min&#59; 45<span class="elsevierStyleHsp" style=""></span>min&#59; acima de 60<span class="elsevierStyleHsp" style=""></span>min&#41;&#46; A dura&#231;&#227;o acima de 60<span class="elsevierStyleHsp" style=""></span>min apresentou um tamanho de efeito significativamente maior do que a dura&#231;&#227;o de 30&#8208;35<span class="elsevierStyleHsp" style=""></span>min&#46; Al&#233;m disso&#44; foi poss&#237;vel observar diferen&#231;a em rela&#231;&#227;o ao tipo de treinamento&#44; o efeito maior para o treinamento progressivo foi comparado ao treinamento cont&#237;nuo&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">N&#227;o foi identificado vi&#233;s de publica&#231;&#227;o pela regress&#227;o de Egger &#40;p &#61; 0&#44;06&#41; e pelo m&#233;todo de Duval e Tweedie &#40;K &#61; 15&#59; Q &#61; 31&#44;38&#41;&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Discuss&#227;o</span><p id="par0105" class="elsevierStylePara elsevierViewall">O objetivo do presente estudo foi verificar o tamanho do efeito e vari&#225;veis que influenciam os resultados de testes de campo usados em programas de RCV&#46; Os resultados mostraram um predom&#237;nio do TC6&#8217;&#44; o qual foi usado em 14 dos 15 estudos inclu&#237;dos&#46; O principal desfecho foi um aumento de 20&#37; no desempenho do teste de campo final comparado ao inicial&#46; Al&#233;m disso&#44; o desempenho no teste de campo est&#225; associado ao treinamento progressivo do exerc&#237;cio aer&#243;bio&#44; &#224; maior dura&#231;&#227;o desse exerc&#237;cio e aos valores iniciais e finais do VO<span class="elsevierStyleInf">2max&#46;</span></p><p id="par0110" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o ao exerc&#237;cio aer&#243;bio&#44; &#233; estabelecido que esse tipo de exerc&#237;cio proporciona benef&#237;cios em pacientes com insufici&#234;ncia card&#237;aca&#44; por meio de mecanismos centrais &#40;aumento do d&#233;bito card&#237;aco&#44; remodela&#231;&#227;o ventricular e modula&#231;&#227;o do sistema nervoso simp&#225;tico&#41; e perif&#233;ricos &#40;aumento da perfus&#227;o muscular perif&#233;rica e da extra&#231;&#227;o e uso de oxig&#233;nio&#41;<a class="elsevierStyleCrossRef" href="#bib0595"><span class="elsevierStyleSup">58</span></a>&#46; Em pacientes com fra&#231;&#227;o de eje&#231;&#227;o preservada&#44; ocorre o aumento do VO<span class="elsevierStyleInf">2max</span> por adapta&#231;&#245;es musculares e na microvasculatura<a class="elsevierStyleCrossRef" href="#bib0600"><span class="elsevierStyleSup">59</span></a>&#46; J&#225; em pacientes com doen&#231;a arterial coron&#225;ria&#44; o exerc&#237;cio aer&#243;bio diminui a progress&#227;o e reduz o tamanho das placas ateroscler&#243;ticas&#44; melhora a fun&#231;&#227;o endotelial e aumenta a fra&#231;&#227;o de eje&#231;&#227;o do ventr&#237;culo esquerdo ap&#243;s o enfarte agudo do mioc&#225;rdio<a class="elsevierStyleCrossRef" href="#bib0605"><span class="elsevierStyleSup">60</span></a>&#46; Portanto&#44; nossos resultados em rela&#231;&#227;o &#224; recomenda&#231;&#227;o do exerc&#237;cio aer&#243;bio refor&#231;am os dados j&#225; descritos na literatura&#46; Por outro lado&#44; o presente estudo identificou que os melhores desempenhos em testes de campo foram obtidos a partir da execu&#231;&#227;o do exerc&#237;cio aer&#243;bio progressivo&#44; ao inv&#233;s da manuten&#231;&#227;o de uma mesma carga de esfor&#231;o ao longo do per&#237;odo de treinamento&#46; Nesse contexto&#44; desde que o paciente tenha condi&#231;&#245;es f&#237;sicas e cl&#237;nicas para suportar um esfor&#231;o relativamente maior ap&#243;s um per&#237;odo de treinamento&#44; o aumento gradual da intensidade pode ser uma estrat&#233;gia interessante para um melhor desempenho&#46; Contudo&#44; os dados extra&#237;dos das refer&#234;ncias que compuseram o presente estudo n&#227;o possibilitaram concluir sobre a melhor intensidade de esfor&#231;o ou o modelo de progress&#227;o&#44; porque na maioria dos estudos esses dados foram mostrados em faixas amplas&#44; n&#227;o permitiram uma an&#225;lise estat&#237;stica adequada&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Sobre o tempo de execu&#231;&#227;o do exerc&#237;cio aer&#243;bio&#44; nossos resultados mostraram que o maior efeito ocorre em rela&#231;&#227;o direta com a dura&#231;&#227;o do exerc&#237;cio&#46; Contudo&#44; dos 15 estudos inclu&#237;dos&#44; nove refer&#234;ncias usaram um tempo de execu&#231;&#227;o entre 30 e 45<span class="elsevierStyleHsp" style=""></span>min&#59; e apenas dois estudos usaram um tempo maior do que 60<span class="elsevierStyleHsp" style=""></span>min&#46; Embora nossos resultados mostrem que a cada um minuto de aumento na dura&#231;&#227;o do exerc&#237;cio h&#225; um aumento de 0&#44;02 no efeito&#44; esse fato n&#227;o significa&#44; necessariamente&#44; que exerc&#237;cios extremamente longos ser&#227;o positivos para o paciente&#46; Dessa forma&#44; ainda &#233; prematuro assumir que os exerc&#237;cios aer&#243;bios devem ser feitos acima de 60<span class="elsevierStyleHsp" style=""></span>min por pacientes cardiopatas&#46; Por isso&#44; outros estudos devem ser conduzidos com dura&#231;&#245;es acima de 60<span class="elsevierStyleHsp" style=""></span>min para permitir uma melhor an&#225;lise dos resultados&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Sobre o VO<span class="elsevierStyleInf">2max</span>&#44; a metarregress&#227;o mostrou associa&#231;&#227;o significativa tanto para os valores iniciais quanto finais com o desempenho no teste de campo&#46; Esse fato sugere que pacientes com menor condicionamento f&#237;sico no in&#237;cio da RCV respondem melhor do que os pacientes mais condicionados&#46; De forma an&#225;loga&#44; os pacientes que exibiram menor condicionamento no fim da RCV apresentaram um melhor tamanho do efeito&#46; Ou seja&#44; os pacientes menos condicionados tendem a apresentar melhor resposta no teste de campo ap&#243;s a RCV&#46; Na mesma linha dos nossos achados&#44; Uddin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0610"><span class="elsevierStyleSup">61</span></a> demonstraram em um estudo de meta&#8208;an&#225;lise que o VO<span class="elsevierStyleInf">2max</span> no momento inicial consiste em uma vari&#225;vel preditora para a capacidade de exerc&#237;cio ap&#243;s a RCV&#46; Al&#233;m disso&#44; os autores tamb&#233;m observaram que a intensidade do exerc&#237;cio consiste em outra vari&#225;vel preditora da capacidade de exerc&#237;cio no fim do programa de reabilita&#231;&#227;o&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Algumas outras vari&#225;veis&#44; por&#233;m&#44; n&#227;o mostram rela&#231;&#227;o com o aumento do desempenho&#44; por exemplo sexo&#44; altura&#44; peso e IMC&#46; Considerando que o TC6&#8217; foi predominantemente citado e que esse tipo de teste pode ser afetado por diferen&#231;as antropom&#233;tricas&#44; poder&#8208;se&#8208;ia supor que sujeitos mais altos ou mais pesados sofressem alguma influ&#234;ncia no desempenho&#46; Por&#233;m&#44; uma das poss&#237;veis explica&#231;&#245;es para a n&#227;o confirma&#231;&#227;o dessa influ&#234;ncia pode estar associada &#224;s caracter&#237;sticas cl&#237;nicas das amostras&#46; Pelo fato de incluirmos apenas estudos com pessoas doentes&#44; diferen&#231;as de altura&#44; peso e sexo n&#227;o tiveram o poder estat&#237;stico de influenciar os resultados&#46; Contudo&#44; cabe ressaltar que os estudos inclu&#237;dos n&#227;o reportaram&#44; quando foi o caso&#44; desfechos separados para o sexo ou para pontos de corte do IMC&#46; Portanto&#44; mesmo que nosso estudo n&#227;o tenha identificado rela&#231;&#227;o entre tais vari&#225;veis com o desempenho no teste&#44; isso ainda precisa de confirma&#231;&#227;o&#46; Al&#233;m das vari&#225;veis antropom&#233;tricas&#44; o tempo de RCV e a frequ&#234;ncia semanal das terapias n&#227;o influenciaram o desempenho final&#46; Isso pode ser explicado pela dificuldade de an&#225;lise devido &#224; heterogeneidade dos protocolos quanto ao tipo de supervis&#227;o&#44; tipo de exerc&#237;cio aer&#243;bio&#44; dura&#231;&#227;o e intensidade do treinamento&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Para al&#233;m das vari&#225;veis fisiol&#243;gicas ou associadas com o treinamento <span class="elsevierStyleItalic">per si</span>&#44; tamb&#233;m foram analisados os dados relativos a fator de impacto da publica&#231;&#227;o&#44; qualidade dos estudos e ano de publica&#231;&#227;o&#46; A justificativa para a inclus&#227;o dessas an&#225;lises foi verificar a ocorr&#234;ncia de algum vi&#233;s sobre estudos com diferentes qualidades&#44; publicados em peri&#243;dicos com diferentes fatores de impacto ou publicados em anos diferentes&#46; Por&#233;m&#44; n&#227;o foram identificadas rela&#231;&#245;es entre essas vari&#225;veis e o desfecho final&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conclus&#227;o</span><p id="par0135" class="elsevierStylePara elsevierViewall">Essa revis&#227;o sistem&#225;tica com meta&#8208;an&#225;lise apresentou como principal resultado um aumento do desempenho dos testes de campo ap&#243;s a RCV e que a maior dura&#231;&#227;o do exerc&#237;cio aer&#243;bio representa melhor o desempenho&#46; Esses resultados podem contribuir para prescri&#231;&#227;o das sess&#245;es de exerc&#237;cio da RCV&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Fontes de Financiamento</span><p id="par0140" class="elsevierStylePara elsevierViewall">Estudo parcialmente financiado pelo Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico &#40;CNPq&#41;&#44; Brasil &#40;processo 303566&#47;2013&#8208;2&#41;&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A literatura mostra&#8208;se inconsistente sobre o efeito da reabilita&#231;&#227;o cardiovascular &#40;RVC&#41; nos resultados de testes de campo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fazer uma revis&#227;o sistem&#225;tica com meta&#8208;an&#225;lise sobre os resultados de testes de campo usados em programas de RCV&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">M&#233;todos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Foram analisados estudos publicados nas bases de dados <span class="elsevierStyleItalic">PubMed</span> e <span class="elsevierStyleItalic">Web of Science</span> at&#233; maio de 2016&#46; O tamanho do efeito &#40;<span class="elsevierStyleItalic">g</span>&#41; foi definido como a diferen&#231;a m&#233;dia padronizada corrigida por vi&#233;s &#40;<span class="elsevierStyleItalic">g</span> de Hedges&#41; e foi usado para medir a quantidade de modifica&#231;&#245;es no desempenho do teste ap&#243;s o per&#237;odo de RCV&#46; Diferen&#231;as potenciais entre os subgrupos foram testadas pelo teste Q baseado na an&#225;lise de vari&#226;ncia&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Compuseram a revis&#227;o 15 estudos publicados entre 1996 e 2016&#44; com amostra total de 932 pacientes e idade entre 54&#44;4 e 75&#44;3 anos&#46; Catorze estudos usaram o teste de caminhada de 6<span class="elsevierStyleHsp" style=""></span>min para avaliar a capacidade de exerc&#237;cio e um estudo usou o <span class="elsevierStyleItalic">Shuttle Walk Test</span>&#46; O <span class="elsevierStyleItalic">g</span> de Hedges pela an&#225;lise aleat&#243;ria foi de 0&#44;617 &#40;p &#60; 0&#44;001&#41;&#44; representou aumento de 20&#37; no desempenho do teste de campo ap&#243;s a RCV&#46; A metarregress&#227;o mostrou associa&#231;&#227;o significativa &#40;p &#61; 0&#44;01&#41; para a dura&#231;&#227;o do exerc&#237;cio aer&#243;bio&#44; ou seja&#44; para cada aumento de 1<span class="elsevierStyleHsp" style=""></span>min na dura&#231;&#227;o do exerc&#237;cio ocorre o aumento de 0&#44;02 no efeito para o desempenho no teste de campo&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Testes de campo identificam mudan&#231;as ap&#243;s a RCV e a maior dura&#231;&#227;o do exerc&#237;cio aer&#243;bio durante a RCV se associa com um melhor resultado&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The literature concerning the effects of cardiac rehabilitation &#40;CR&#41; on field tests results is inconsistent&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Purpose</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To perform a systematic review with meta&#8208;analysis on field tests results after programs of CR&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Studies published in PubMed and Web of Science databases until May 2016 were analyzed&#46; The standard difference in means correct by bias &#40;Hedges&#8217; <span class="elsevierStyleItalic">g</span>&#41; was used as effect size &#40;<span class="elsevierStyleItalic">g</span>&#41; to measure que amount of modifications in performance of field tests after CR period&#46; Potential differences between subgroups were analyzed by <span class="elsevierStyleItalic">Q&#8208;test</span> based on ANOVA&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Fifteen studies published between 1996 e 2016 were included in the review&#44; 932 patients and age ranged 54&#44;4 &#8208; 75&#44;3 years old&#46; Fourteen studies used the six&#8208;minutes walking test to evaluate the exercise capacity and one study used the <span class="elsevierStyleItalic">Shuttle Walk Test</span>&#46; The random Hedges&#39;s <span class="elsevierStyleItalic">g</span> was 0&#46;617 &#40;P&#60;0&#46;001&#41;&#44; representing a drop of 20&#37; in the performance of field test after CR&#46; The meta&#8208;regression showed significantly association &#40;P&#61;0&#46;01&#41; to aerobic exercise duration&#44; i&#46;e&#46;&#44; for each 1&#8208;min increase in aerobic exercise duration&#44; there is a 0&#46;02 increase in effect size for performance in the field test&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Field tests can detect physical modification after CR&#44; and the large duration of aerobic exercise during CR was associated with a better result&#46;</p></span>"
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          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Fluxograma do processo de sele&#231;&#227;o dos artigos inclu&#237;dos na revis&#227;o sistem&#225;tica&#46;</p>"
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Forest plot</span> dos 15 estudos inclu&#237;dos na meta&#8208;an&#225;lise&#46;</p>"
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          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">1<span class="elsevierStyleHsp" style=""></span>RM&#58; uma repeti&#231;&#227;o m&#225;xima&#59; EAM&#58; enfarte agudo do mioc&#225;rdio&#59; FC&#58; frequ&#234;ncia card&#237;aca&#59; GC&#58; grupo controle&#59; GI&#58; grupo interven&#231;&#227;o&#59; H&#58; homens&#59; IC&#58; insufici&#234;ncia card&#237;aca&#59; ISWT&#58; <span class="elsevierStyleItalic">Incremental Shuttle Walk Test</span>&#59; m&#58; metros&#59; M&#58; mulheres&#59; m&#225;x&#58; m&#225;xima&#59; min&#58; minutos&#59; RCV&#58; reabilita&#231;&#227;o cardiovascular&#59; RM&#58; revasculariza&#231;&#227;o do mioc&#225;rdio&#59; sem&#58; semanas&#59; TC6&#8217;&#58; teste de caminhada de seis minutos&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Autor e ano&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Pa&#237;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Amostra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Caracter&#237;stica do treinamento &#8211; RCV cl&#237;nica e domiciliar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Resultado do teste&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">McKelvie et al&#46;<a class="elsevierStyleCrossRef" href="#bib0510"><span class="elsevierStyleSup">41</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Canad&#225;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 90 H e M &#40;64&#44;8 anos&#41;<br><br>GC &#61; 91 H e M &#40;66&#44;1 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>GI &#61; RCV cl&#237;nica supervisionada&#44; caminhada&#44; bicicleta estacion&#225;ria&#44; erg&#243;metro de bra&#231;o&#44; 60 a 70&#37; da FC m&#225;x&#44; 30<span class="elsevierStyleHsp" style=""></span>min&#44; exerc&#237;cios de resist&#234;ncia com aparelhos 40 a 60&#37; de 1<span class="elsevierStyleHsp" style=""></span>RM&#44; 1 a 3 s&#233;ries&#44; 10 a 15 repeti&#231;&#245;es&#44; 3 vezes&#47;sem&#44; 12 sem<br><br>GC &#61; visitas mensais e encorajamento para continuar a atividade f&#237;sica habitual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 434&#177;66&#44;5<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 456&#177;71m<br>GC Inicial &#61; 421&#177;75&#44;84m&#44;<br>GC Final &#61; 436 &#177;70m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">J&#243;nsd&#243;ttir et al&#46;<a class="elsevierStyleCrossRef" href="#bib0515"><span class="elsevierStyleSup">42</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Isl&#226;ndia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 21 H e M &#40;68 anos&#41;<br><br>GC &#61; 22 H e M &#40;69 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; bicicleta&#44; 50&#37; da carga m&#225;xima &#40;W&#41;&#44; 15<span class="elsevierStyleHsp" style=""></span>min&#44; fortalecimento muscular com circuito&#44; 20 a 25&#37; de 1<span class="elsevierStyleHsp" style=""></span>RM&#44; 2 vezes&#47;sem&#44; 20 sem<br><br>GC &#61; n&#227;o informado no texto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 489&#44;3&#177;75m&#44;<br>GI Final&#61; 526&#44;4&#177;71&#44;9m<br>GC Inicial &#61; 489&#44;2&#177;66&#44;33m&#44;<br>GC Final &#61; 494&#44;6 &#177;66&#44;4m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Freimark et al&#46;<a class="elsevierStyleCrossRef" href="#bib0520"><span class="elsevierStyleSup">43</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Israel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 44 H e M &#40;62 anos&#41;<br><br>GC &#61; 12 H e M &#40;61 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>GI &#61; RCV cl&#237;nica supervisionada&#44; esteira&#44; escada e bicicleta&#44; 45<span class="elsevierStyleHsp" style=""></span>min&#44; 60 a 70&#37; da FC m&#225;x&#44; 2 vezes&#47;sem&#44; 18 sem<br><br>GC &#61; n&#227;o informado no texto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 316&#44;0&#177;84&#44;5<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 443&#44;6&#177;83&#44;8m<br>GC Inicial &#61; 320&#44;0&#177;99&#44;6<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GC Final &#61; 281&#44;7 &#177;126&#44;6m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Chan et al&#46;<a class="elsevierStyleCrossRef" href="#bib0525"><span class="elsevierStyleSup">44</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">China&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 30 H e M &#40;75&#44;3 anos&#41;<br><br>GC &#61; 28 H e M&#40;73&#44;5 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; exerc&#237;cios aer&#243;bios 90<span class="elsevierStyleHsp" style=""></span>min&#44; 60 a 80&#37; da FC reserva&#44; 3 vezes&#47;sem&#44; 6 sem&#44;<br><br>GC &#61; aconselhamento m&#233;dico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 232&#44;7&#177;110&#44;1<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 360&#44;2&#177;106&#44;9 m<br>GC Inicial &#61; 205&#44;8&#177;87&#44;7<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GC Final &#61; 299&#44;9 &#177; 56&#44;2m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Brubaker et al&#46;<a class="elsevierStyleCrossRef" href="#bib0530"><span class="elsevierStyleSup">45</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">EUA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 30 H e M &#40;70&#44;4 anos&#41;<br><br>GC &#61; 29 H e M &#40;69&#44;9 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;mica supervisionada&#44; esteira ou bicicleta&#44; 30 a 40<span class="elsevierStyleHsp" style=""></span>min&#44; 40 a 70&#37; da FC reserva&#44; 3 vezes&#47;sem&#44; 16 sem<br><br>GC &#61; liga&#231;&#245;es telef&#244;nicas dos pesquisadores a cada 2 sem por 16 sem&#44; perguntando sobre mudan&#231;as no tratamento medicamentoso&#46; N&#227;o foram questionados sobre a pr&#225;tica de exerc&#237;cios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 406&#44;3&#177;30&#44;6<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 461&#44;77&#177;29&#44;9m<br>GC Inicial &#61; 375&#44;51&#177;39&#44;68m&#44;<br>GC Final &#61; 423&#44;06 &#177;23&#44;8m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Gary et al&#46;<a class="elsevierStyleCrossRef" href="#bib0535"><span class="elsevierStyleSup">46</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">EUA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 12 H e M &#40;59 anos&#41;<br><br>GC &#61; 12 H e M &#40;61 anos&#41; &#43; 24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; 30 a 60<span class="elsevierStyleHsp" style=""></span>min&#44; 50 a 70&#37; da FC reserva&#44; 3 vezes&#47;sem&#44; 12 sem&#44; fortalecimento muscular com <span class="elsevierStyleItalic">theraband</span>&#44; 2 a 3 s&#233;ries&#44; 12 a 15 repeti&#231;&#245;es<br><br>GC &#61; 5 a 6 visitas domiciliares no per&#237;odo de 12 sem&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 364&#44;3&#177;80m&#44;<br>GI Final&#61; 410&#44;7&#177;91&#44;5m<br>GC Inicial &#61; 306&#44;6&#177;121&#44;3<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GC Final &#61; 309&#44;7 &#177;135&#44;4m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Babu et al&#46;<a class="elsevierStyleCrossRef" href="#bib0540"><span class="elsevierStyleSup">47</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 14H e M &#40;56&#44;9 anos&#41;<br><br>GC &#61; 13 H e M &#40;58&#44;8<span class="elsevierStyleHsp" style=""></span>anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV domiciliar n&#227;o supervisionada&#44; caminhada 10 a 80<span class="elsevierStyleHsp" style=""></span>min&#44; entre 4 e 6 na Escala de Borg Modificada&#44; 7 vezes&#47;sem&#44; 8 sem<br><br>GC &#61; aconselhamento m&#233;dico na alta hospitalar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 429&#44;33&#177;125&#44;15m&#44;<br>GI Final&#61; 514&#44;53&#177;135&#44;12m<br>GC inicial &#61; 310&#44;23 &#177; 121&#44;11m&#44; GC final &#61; 357&#44;15 &#177; 147&#44;95m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Asbury et al&#46;<a class="elsevierStyleCrossRef" href="#bib0545"><span class="elsevierStyleSup">48</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Inglaterra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Angina<br><br>GI &#61; 20 &#40;65&#44;1 anos&#41;<br><br>GC &#61; 20 &#40;65&#44;1 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; circuito&#44; 40 a 75&#37; da FC reserva&#44; 80<span class="elsevierStyleHsp" style=""></span>min&#44; 1 vez&#47;sem&#44; 8 sem<br>GC &#61; monitoriza&#231;&#227;o dos sintomas por 8 sem&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">ISWT<br>GI Inicial &#61; 248&#44;2&#177;121&#44;7<span class="elsevierStyleHsp" style=""></span>m&#44;<br>Final&#61; 305&#177;115&#44;8m<br><br>GC Inicial &#61; 222&#177;78&#44;4<span class="elsevierStyleHsp" style=""></span>m&#44;<br>Final&#61; 248&#44;5&#177; 80m<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Chen et al&#46;<a class="elsevierStyleCrossRef" href="#bib0550"><span class="elsevierStyleSup">49</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Taiwan&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Angioplastia e RM<br><br>GI &#61; 21 H e M &#40;69&#44;7 anos&#41;<br><br>GC &#61; 15 H e M &#40;65&#44;1 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; bicicleta&#44; 30<span class="elsevierStyleHsp" style=""></span>min&#44; 60 a 80&#37; da FC reserva&#44; 3 vezes&#47;sem&#44; 12 sem&#44; fortalecimento muscular com pesos livres e aparelhos&#44; 30<span class="elsevierStyleHsp" style=""></span>min&#44; 40 a 60&#37; de 1<span class="elsevierStyleHsp" style=""></span>RM&#44; 12 a 15 repeti&#231;&#245;es<br><br>GC &#61; tratamento medicamentoso e consultas m&#233;dicas se necess&#225;rio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 354&#44;6&#177;63&#44;7<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final &#61; 373&#44;3&#177;62&#44;4m<br>GC Inicial &#61; 329&#44;7&#177;47m&#44;<br>GC Final &#61; 323&#44;9 &#177; 146&#44;2m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sawatzky et al&#46;<a class="elsevierStyleCrossRef" href="#bib0555"><span class="elsevierStyleSup">50</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Canad&#225;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pr&#233;&#8208;operat&#243;rio de RM<br><br>GI &#61; 8 H e M &#40;64 anos&#41;<br><br>GC &#61; 7 H e M &#40;63 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; caminhada e bicicleta&#44; 60<span class="elsevierStyleHsp" style=""></span>min&#44; 85&#37; do VO<span class="elsevierStyleInf">2</span> m&#225;x&#44; fortalecimento muscular com o peso corporal e <span class="elsevierStyleItalic">theraband</span>&#44; 2 vezes&#47;sem&#44; 16 sem<br><br>GC &#61; 3 horas de reuni&#227;o com enfermeira e m&#233;dico anestesista&#44; aconselhamento para h&#225;bito de vida saud&#225;vel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 342&#177;79m&#44;<br>GI Final&#61; 474&#177;101m<br>GC Inicial &#61; 337&#177;52m&#44;<br>GC Final &#61; 357 &#177;27m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Begot et al&#46;<a class="elsevierStyleCrossRef" href="#bib0560"><span class="elsevierStyleSup">51</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Brasil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">EAM<br><br>GI &#61; 41 H e M &#40;59 anos&#41;<br><br>GC &#61; 45 H e M &#40;57 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV domiciliar n&#227;o supervisionada&#44; caminhada 20 a 40<span class="elsevierStyleHsp" style=""></span>min&#44; 4 vezes&#47;sem&#44; 4 sem<br><br>GC &#61; Informa&#231;&#245;es gerais sobre h&#225;bitos de vida saud&#225;vel e import&#226;ncia de continuar a pr&#225;tica de atividade f&#237;sica iniciada no hospital&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial&#61; 460&#177;106m&#44;<br>GI Final&#61; 536&#177;106m<br>GC Inicial &#61; 457&#177;73m&#44;<br>GC Final &#61; 487 &#177; 73m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Chrysohoou et al&#46;<a class="elsevierStyleCrossRef" href="#bib0565"><span class="elsevierStyleSup">52</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Gr&#233;cia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 33 H e M &#40;63 anos&#41;<br><br>GC &#61; 39 H e M &#40;56 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica supervisionada&#44; bicicleta&#44; 45<span class="elsevierStyleHsp" style=""></span>min&#44; 80 a 100&#37; do VO2&#44; 3 vezes&#47;sem&#44; 12 sem&#44; fortalecimento muscular com aparelhos&#44; 30 a 90&#37; de 1<span class="elsevierStyleHsp" style=""></span>RM&#44; 3 s&#233;ries&#44; 10 a 15 repeti&#231;&#245;es<br><br>GC &#61; tratamento m&#233;dico usual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 422&#177;77m&#44;<br>GI Final&#61; 476&#177;82 m<br>GC Inicial &#61; 406&#177;64m&#44;<br>GC Final &#61; 423 &#177; 65m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><br>Peixoto et al&#46;<a class="elsevierStyleCrossRef" href="#bib0570"><span class="elsevierStyleSup">53</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Brasil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">EAM<br><br>GI &#61; 45 H e M &#40;56&#44;8 anos&#41;<br><br>GC &#61; 43 H e M &#40;56 anos&#41;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV domiciliar n&#227;o supervisionada&#44; caminhada&#44; 20 a 40<span class="elsevierStyleHsp" style=""></span>min&#44; entre 4 e 5 na Escala de Borg Modificada&#44; 4 vezes&#47;sem&#44; 4 sem<br><br>GC &#61; tratamento padr&#227;o e orienta&#231;&#227;o de continuar a atividade f&#237;sica iniciada no per&#237;odo hospitalar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 434&#44;2&#177;86&#44;3<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 519&#44;7&#177;79&#44;3m<br>GC Inicial &#61; 439&#44;1&#177;78&#44;4<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GC Final &#61; 452&#44;1 &#177;111&#44;2m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Piotrowicz et al&#46;<a class="elsevierStyleCrossRef" href="#bib0575"><span class="elsevierStyleSup">54</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Pol&#244;nia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 75 H e M &#40;54&#44;4 anos&#41;<br><br>GC &#61; 32 H e M &#40;62&#44;1 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV cl&#237;nica telemonitorada&#44; caminhada n&#243;rdica&#44; in&#237;cio de 10<span class="elsevierStyleHsp" style=""></span>min &#40;VO<span class="elsevierStyleInf">2</span> &#60; 14 ml&#47;kg&#47;min&#41;&#59; 15<span class="elsevierStyleHsp" style=""></span>min &#40;se VO<span class="elsevierStyleInf">2</span> entre 14 &#8208; 20&#41;&#59; 20<span class="elsevierStyleHsp" style=""></span>min &#40;se VO<span class="elsevierStyleInf">2</span> &#62;20&#41; progredindo at&#233; 45 &#8208; 60<span class="elsevierStyleHsp" style=""></span>min&#44; 5 vezes&#47;sem&#44; 8 sem<br><br>GC &#61; tratamento padr&#227;o e recomenda&#231;&#245;es sobre mudan&#231;as no estilo de vida e autocuidado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 428&#177;93m&#44;<br>GI Final&#61; 480&#177;87m<br>GC Inicial &#61; 439&#177;76m&#44;<br>GC Final &#61; 465 &#177;91m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Safiyari&#8208;Hafizi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0580"><span class="elsevierStyleSup">55</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Canad&#225;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">IC<br><br>GI &#61; 20 H e M &#40;57&#44;8 anos&#41;<br><br>GC &#61; 20 H e M &#40;58&#44;9 anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">GI &#61; RCV domiciliar supervisionada&#44; caminhada progressiva&#44; 10 a 50<span class="elsevierStyleHsp" style=""></span>min&#44; 80 a 85&#37; do VO<span class="elsevierStyleInf">2</span> pico seguido de recupera&#231;&#227;o ativa de 40 a 50&#37; VO<span class="elsevierStyleInf">2</span> pico&#44; 2 vezes&#47;dia a 5 vezes&#47;sem&#44; 12 sem&#59; fortalecimento muscular com el&#225;sticos&#44; 10 exerc&#237;cios&#44; resist&#234;ncia pelo comprimento do el&#225;stico&#44; 1 a 3 s&#233;ries&#44; 15 repeti&#231;&#245;es&#44; 1 a 3&#47;sem&#46;<br><br>GC &#61; encorajamento para a pr&#225;tica de exerc&#237;cio moderado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">TC6&#8217;<br><br>GI Inicial &#61; 275&#177;37&#44;9<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GI Final&#61; 312&#44;2&#177;42&#44;1m<br>GC Inicial &#61; 259&#44;6&#177;25&#44;1<span class="elsevierStyleHsp" style=""></span>m&#44;<br>GC Final &#61; 235&#44;2 &#177;28&#44;6m&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">IMC&#58; &#237;ndice de massa corporal&#59; NS&#58; valor n&#227;o significativo&#59; VO<span class="elsevierStyleInf">2max</span>&#58; consumo de oxig&#233;nio m&#225;ximo&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Vari&#225;vel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">N&#250;mero de estudos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Slope</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">p&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Qualidade do estudo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208; 0&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Fator de impacto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208; 0&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ano de publica&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sexo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208; 0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Idade &#40;anos&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">IMC &#40;kg&#46;m<span class="elsevierStyleSup">&#8208;2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;04&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Peso &#40;kg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;0003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Altura &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Fra&#231;&#227;o de eje&#231;&#227;o inicial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">VO<span class="elsevierStyleInf">2max</span> inicial &#40;ml&#46;kg<span class="elsevierStyleSup">&#8208;1</span>&#46;min<span class="elsevierStyleSup">&#8208;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#60; 0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">VO<span class="elsevierStyleInf">2max</span> final &#40;ml&#46;kg<span class="elsevierStyleSup">&#8208;1</span>&#46;min<span class="elsevierStyleSup">&#8208;1</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Tempo de treinamento &#40;semanas&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Frequ&#234;ncia semanal &#40;dias&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8208;0&#44;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dura&#231;&#227;o do exerc&#237;cio aer&#243;bio &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">0&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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