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Heartfelt exercise: Physical exercise gets the cardiovascular system into shape
Sistema cardiovascular em forma com exercício físico
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Pereira" "autores" => array:1 [ 0 => array:4 [ "nombre" => "Frederico" "apellidos" => "C. Pereira" "email" => array:1 [ 0 => "fredcp@ci.uc.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Institute of Pharmacology and Experimental Therapeutics/IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "CNC.IBILI-University of Coimbra, Coimbra, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Sistema cardiovascular em forma com exercício físico" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The combination of a sedentary lifestyle and a Western-type (high-calorie) diet is the most important factor contributing to excess body weight, metabolic impairment, and increased risk of developing cardiovascular disease (CVD).<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> An estimated 17.9 million people died from CVD worldwide in 2016, representing 31% of all deaths.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> Of these, 85% are due to myocardial infarction and stroke. Moreover, epidemiological and clinical studies have shown an association between maternal malnutrition (under- and overnutrition, including Western-type diets) and the development of cardiovascular and metabolic dysfunction.<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The Western-style diet is characterized by highly processed and refined foods and high intakes of sugar, salt, and fat and protein from red meat.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Exercise and diet were important components of ancient medical theory. For example, Hippocrates (c. 460-370 BC) noted that “eating alone will not keep a man well; he must also take exercise.”<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Epidemiological studies in large cohorts support the notion that physical fitness is associated with reduced cardiovascular mortality and hospitalization due to CVD. During the last 20 years even the idea that patients should remain inactive after a myocardial infarction has dramatically changed, and nowadays patients are mobilized and included in exercise training programs very shortly after the event.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Exercise-based cardiac rehabilitation is accordingly given a class IA recommendation for patients with coronary artery disease and heart failure. Aerobic (continuous and/or interval training), resistance or respiratory muscle training are usually prescribed, depending on patient assessment and needs.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Combined resistance-endurance training has been shown to be more effective than aerobic endurance training in improving CV fitness.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> Moreover, resistance training alone has also been shown to improve cardiovascular health by reducing resting blood pressure, improving lipoprotein-lipid profiles and/or dyslipidemia, decreasing triglycerides, increasing high-density lipoprotein cholesterol, and improving cardiovascular response to exercise.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The paper by Santana-Filho et al. published in this issue of the <span class="elsevierStyleItalic">Journal</span><a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> is thus timely and addresses a hot topic regarding the impact of physical exercise, specifically resistance training, on cardiovascular and metabolic parameters.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society" "etal" => true "autores" => array:3 [ 0 => "M.D. Jensen" 1 => "D.H. 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| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 8 | 3 | 11 |
| 2024 Outubro | 32 | 27 | 59 |
| 2024 Setembro | 45 | 24 | 69 |
| 2024 Agosto | 39 | 28 | 67 |
| 2024 Julho | 35 | 29 | 64 |
| 2024 Junho | 30 | 30 | 60 |
| 2024 Maio | 32 | 15 | 47 |
| 2024 Abril | 37 | 30 | 67 |
| 2024 Maro | 46 | 20 | 66 |
| 2024 Fevereiro | 25 | 24 | 49 |
| 2024 Janeiro | 29 | 21 | 50 |
| 2023 Dezembro | 29 | 21 | 50 |
| 2023 Novembro | 38 | 34 | 72 |
| 2023 Outubro | 19 | 14 | 33 |
| 2023 Setembro | 26 | 14 | 40 |
| 2023 Agosto | 22 | 21 | 43 |
| 2023 Julho | 26 | 4 | 30 |
| 2023 Junho | 22 | 11 | 33 |
| 2023 Maio | 30 | 28 | 58 |
| 2023 Abril | 17 | 5 | 22 |
| 2023 Maro | 39 | 24 | 63 |
| 2023 Fevereiro | 39 | 17 | 56 |
| 2023 Janeiro | 23 | 21 | 44 |
| 2022 Dezembro | 44 | 17 | 61 |
| 2022 Novembro | 45 | 36 | 81 |
| 2022 Outubro | 44 | 28 | 72 |
| 2022 Setembro | 25 | 38 | 63 |
| 2022 Agosto | 25 | 40 | 65 |
| 2022 Julho | 25 | 41 | 66 |
| 2022 Junho | 17 | 27 | 44 |
| 2022 Maio | 21 | 31 | 52 |
| 2022 Abril | 27 | 27 | 54 |
| 2022 Maro | 30 | 44 | 74 |
| 2022 Fevereiro | 19 | 27 | 46 |
| 2022 Janeiro | 15 | 21 | 36 |
| 2021 Dezembro | 20 | 32 | 52 |
| 2021 Novembro | 19 | 44 | 63 |
| 2021 Outubro | 28 | 41 | 69 |
| 2021 Setembro | 24 | 29 | 53 |
| 2021 Agosto | 27 | 30 | 57 |
| 2021 Julho | 15 | 23 | 38 |
| 2021 Junho | 27 | 27 | 54 |
| 2021 Maio | 36 | 33 | 69 |
| 2021 Abril | 29 | 59 | 88 |
| 2021 Maro | 36 | 20 | 56 |
| 2021 Fevereiro | 25 | 24 | 49 |
| 2021 Janeiro | 31 | 17 | 48 |
| 2020 Dezembro | 32 | 13 | 45 |
| 2020 Novembro | 21 | 17 | 38 |
| 2020 Outubro | 30 | 21 | 51 |
| 2020 Setembro | 21 | 11 | 32 |
| 2020 Agosto | 16 | 13 | 29 |
| 2020 Julho | 20 | 8 | 28 |
| 2020 Junho | 20 | 16 | 36 |
| 2020 Maio | 22 | 9 | 31 |
| 2020 Abril | 23 | 17 | 40 |
| 2020 Maro | 19 | 15 | 34 |
| 2020 Fevereiro | 29 | 16 | 45 |
| 2020 Janeiro | 12 | 15 | 27 |
| 2019 Dezembro | 149 | 11 | 160 |
| 2019 Novembro | 23 | 5 | 28 |
| 2019 Outubro | 21 | 10 | 31 |
| 2019 Setembro | 31 | 14 | 45 |
| 2019 Agosto | 20 | 17 | 37 |
| 2019 Julho | 79 | 57 | 136 |
| 2019 Junho | 37 | 41 | 78 |
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