Calculo das intensidades de treinamento pela freqüência cardíaca de reserva Equação de Borg

• Equação de Borg

FCtr= (FC max – FCrep) X I + FCrep;

Onde:

FCtr: FC aferida durante o treinamento, a própria FC de reserva; FCmax: FC máxima estimada por 220-idade;

FCrep: freqüência cardíaca aferida antes do treino na situação de repouso; I= intensidade de treinamento em %. Por exemplo: 0,6 corresponde a 60%;

Matematicamente, isolando I: I= (FCtr-FCrep) /

• Exemplo 1:

Sujeito nº 5, grupo basquetebol: FCtr: 128

FCrep: 80

FCmax (corrigida pelo nível de LM, conforme prescrição obtida em Janssen14) = 158,4 Assim: I= (128-80)/(158,4-80) I= 61,22% da FC de reserva • Exemplo 2: FCtr: 92 FCtr corr: 105 FCrep: 72

FCmax (corrigida pelo nível de LM, conforme prescrição obtida em Janssen18_{) =} =154,8

Assim:

I= (105-72)/(154,8-72) I= 39,86% da FC de reserva

8. REFERÊNCIAS

1.Garshick E, Kelley A, Cohen SA, Garrison A, Tun CG, Gagnon D, Brown R. A prospective assessment of mortality in chronic spinal cord injury. Spinal Cord 2005; 43: 408-16.

2.Lammertse DP. Maintaining health long-term with spinal cord injury. Top Spinal

Cord Inj Rehabil 2001; 6 (3):1-21.

3.Bauman W A, Adkins RH, Spungen AM, BJ Kemp, RL Waters. The effect of residual neurological deficit on serum lipoproteins in individuals with chronical spinal cord injury. Spinal Cord 1998; 36: 13-36.

4.Whiteneck GG, Charlifue SW, Frankel HL, Fraser MH, Gardner BP, Gerhart KA et al. Mortality, morbidity and psychosocial outcomes of persons spinal cord injured more than 20 years ago. Paraplegia 1992; 30: 617-30.

5.Pereira MEMS, Araújo TCCF. Estratégias de enfrentamento na reabilitação do traumatismo raquimedular. Arq Neuro-psiquiatr 2005; 63 (2b):502-07.

6.Winslow C, Rosowsky J. Effect of spinal cord injury on the respiratory system. Am J Phys Med Rehabil 2003; 82: 803-14.

7.REDE SARAH DE HOSPITAIS DE REABILITAÇÃO. Disponível em:

8.Vall J, Comerlato EA, Schneider SAV, Dantas IKS. Neuropathic pain folwing spinal cord injury. In: International Congress on Neurosciences and rehabilitation, 1; 2004, Brasilia. Annals…Brasília: Sarah, p.78.

9.Sapru HN. Spinal Cord: anatomy, physiology and pathophysiology. In: Kirshblum S, Campagnolo DI, Delisa JA. Spinal Cord Medicine. Philadelphia-USA: Lippincott Williams and Wilkins, 2002,p.5-26.

10.Somers, MF. Spinal Cord injury: functional rehabilitation. New Jersey-USA: Prentice-Hall, 2001, p. 24-27.

11.American Spinal Injury Association. International Standards for neurological classification of spinal cord injury, revised 2000. 5d. Chicago : ASIA, 2000.

12.Maynard FM Jr, Bracken MB, Creasey J, Ditunno JF Jr, Donovan WH, Ducker TB et al. International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35: 266-74.

13.Sobsey D. Team Ethics in Rehabilitation. In: Kumar, S. Multidisciplinary approach to the rehabilitation. Woburn-MA: Butterworth-Heinemann, 2000; 27-42. 14.Latella D. Teamwork in Rehabilitation. In: Kumar, S. Multidisciplinary approach to the rehabilitation. Woburn-MA: Butterworth-Heinemann, 2000; 27-42.

15.Lacourse MG, Lawrence KE, Cohen MG, Young RK. “Lesão da Medula espinhal”. In: Frontera RW, Dawson DM, Slovik DM. Exercício físico e reabilitação. Porto Alegre: Artmed Editora; 2001; 246-67.

16.Haisma JA, van der Woude LHV, STam HJ, Bergen MP, Sluis TAR, Bussmann JBJ. Physical capacity in wheelchair-dependent persons with a spinal cord injury: acritical reviw of the literature. Spinal Cord 2006; 44: 642-52.

17.Mollinger LA, Spurr GB, El Ghatit AZ, Barboriak JJ, Rooney CB, Davidoff DD et al. Daily energy expenditure and basal metabolic rates of patients with spinal cord injuries. Arch Phys Med Rehabil 1985; 66 (7): 420-26.

18.Janssen TWJ, van Oers CAJM, van der Woude LHV, Hollander AP. Phyical strain in daily life of wheelchair users with spinal cord injuries. Med Scie Sports Exerc 1994; 20 (6) : 661-70.

19.Gorgatti, MG; Bohme MTS . “Atividade Física e Lesão Medular”. In: Gorgatti, MG; Costa RF.(org) Atividade Física Adaptada: Qualidade de vida para pessoas com necessidades especiais. São Paulo, Manole, 2005, p.147-81.

20.Guttman, L. Spinal Cord Injuries: Comprehensive Management and Research, 2ª ed. London. Blackwell Scientific Publications, 1976.

21.Silva AC “Atleta portador de deficiência”. In: Ghorayeb N, Barros Neto TL . O

Exercício. São Paulo: Ed. Atheneu, 1999; p. 321-36.

22.Heath GW, Fentem PH. Physical activity among persons with disabilities: a public health perspective. Exerc Sport Sci Rev 1997;25:195-234.

23.Slater D, Meade MA. Participation in recreation and sports for persons with spinal cord injury: review and recommendations. Neurorehabilitation 2004; 19: 421- 29.

24.Silva MCR, Oliveira RJ, Conceição MIG. Efeitos da natação sobre a independência funcional de pacientes com lesão medular. Rev Bras Med Esporte 2005; 11(4):251-56.

25.Muraki S, Tsunawake N, Hiramatsu S, Yamasaki M. The effect of frequency and mode of sports activity on the psychological status in tetraplegics ans paraplegics. Spinal Cord 2000; 38: 309-314.

26.Labronici RHD, Cunha MCB, Oliveira ASB, Gabbai AA. Esporte como fator de integração do deficiente físico na sociedade. Arq Neuropsiquiatr 2000; 58(4): 1092-99.

27.Yekutiel M, Brooks ME, Ohry A, Yarom J, Carel R. The prevalence of hypertension, ischaemic heart disease and diabetes in traumatic spinal cord injuried patients and amputees. Paraplegia 1989; 27: 58-62.

28.Frankel H, Coll JR, Cahrlifue S, Whiteneck GG, Gardner BP, Jamous MA, Krishnan KR, Nuseibeh I, Savic G, Sett P. Long-term survival in spinal cord injury: a fifty year investigation. Spinal Cord 1998; 36:266-74.

29.Krum H, Howes LG, Brown DJ, Ungar G, Moore P, Mc Neil JJ et al. Risk factors for cardiovascular disease in chronic spinal cord injury patients.Paraplegia 1992; 30(6): 381-8.

30.Demirel S ; Demirel G, Turek T ; Erk O ; Yilmaz G. Risk factors for coronary disease in patients with spinal cord injury in Turkey. Spinal Cord 2001; 39: 134-38. 31.Tharion G, Prasad KR, Gopalan L, Bhattacharji S. Glucose intolerance and dyslipidaemias in persons with paraplegia and tetraplegia in South India. Spinal

Cord 1998; 36: 228-30.

32.Bauman W, Spungen AM. Disorders of carbohydrate in lipid metabolism in veterans with paraplegia or quadriplegia: a model of premature aging. Metabolism 1994; 43 (6): 749-55.

33.Bauman W A, Adkins RH, Spungen AM, Herbert R, Schechter C, Smith D, Kemp BJ Maloney P, Gambino R, Waters RL. Is immobilization associated with an abnormal lipoprotein profile? Observations from a diverse cohort. Spinal Cord 1999; 37: 485-93.

34.Brenes G, Dearwater S, Shapera R. High density lipoprotein cholesterol concentrations in physically active and sedentary spinal cord injured patients. Arch.

Phys. Med. Rehábil 1986; 67: 445-50.

35.Vidal J, Javierre C, Curià FJ, Garrido E, Lizarraga M-A, Segura R. Long term evolution of blood lipid profiles and glycemic levels in patients after spinal cord injury. Spinal Cord 2003; 41: 178-81.

36.Walker J, Shepard R. Cardiac Risk factors immediately follow spinal injury. Arch Phys Med Rehabil 1993; 74: 1129-33.

37.Crespo CJ. Exercício e prevenção de doenças crônicas incapacitantes. In: Frontera RW, Dawson DM, Slovik DM. Exercício físico e reabilitação. Porto Alegre: Artmed, 2001; p. 151-72

38.Sociedade Brasileira de Cardiologia. III Diretrizes Brasileiras sobre Dislipidemias e Diretriz de Prevenção da Aterosclerose do Departamento de Aterosclerose. Arq Bras Cardiol 2001; 77 (sup 3): 1-48.

39.Cambri LT, Souza M, Mannrich G, Cruz RO, Gevaerd MS. Perfil lipídico, dislipidemias e exercícios físicos. Rev Bras Cineantropom Desempenho Hum 2006; 8 (3): 100-06.

40. Forti N, Diament J. Lipoproteínas de alta densidade: Aspectos metabólicos, clínicos, epidemiológicos e de intervenção terapêutica -atualização para os clínicos. Arq Bras Cardiol 2006; 87: 672-79.

41.Dioguardi GS, Faludi AA, Bertolami MC. Lípides nas atividades Física e desportiva. In: Ghorayeb N, Barros Neto TL . O Exercício. São Paulo: Ed. Atheneu, 1999; 107-16.

43.Castelli WP, Garrison RJ, Wilson PWF, Abbot RD, Kalousdian S, Kannel WB. Incidence of coronary heart disease and lipoprotein cholesterol levels: the Framingham Study. JAMA 1986;256: 2835-8.

44.Stampfer MJ, Sacks FM, S Salvini, Willet WC, Hennekens CH. A prospective study of cholesterol, apolipoproteins and the risk of myocardial infarction. The New England Journal of Medicine 1991; v325 (6); 373-81.

45.Rique ABR, Soares EA, Meirelles CM. Nutrição e exercício na prevenção e controle das doenças cardiovasculares. Rev Bras Med Esporte 2002; 8 (6): 244- 54.

46.Storch MJ, Konig D, Bultermann D, Blum A, Vogt S, Baumstark M et al. Lipid profile in spinal cord injured women with different levels. Preventive Medicine 2005; 40: 321-25.

47.Ghorayeb N, Carvalho T, Lazzoli JK. Atividade física não-competitiva para a população. In: Ghorayeb N, Barros NetoTL. O Exercício. São Paulo: Atheneu, 1999; p.249-59.

48.Blair SN, Kohl HW, Barlow CE, Paffenbarger RS, Gibbons LW, Macera CA. Changes in Physical fitness and all cause mortality: a prospective study of healthy and unhealthy men. JAMA 1995; 273 (14): 1093-98.

49.Mc Ardle WD, Katch FI, Katch VL. Fisiologia do exercício: energia, nutrição e

desempenho humano. Rio de janeiro: Guanabara Koogan,1998.

50.Warburton ER, CW Nicol, SSD Bredin.Health benefits of physical activity: the evidence. Can Med Assoc Journal 174 (6): 801-09.

51.Prado ES, Dantas EHM. Efeitos dos exercícios físicos aeróbio e de força nas lipoproteínas HDL, LDL e lipoproteína (a). Arq Bras Cardiol 2002; 79 (4): 429-33.

52.Tran ZV, Weltman A, Glass GV, Mood DP. The effects of exercise on blood lipids and lipoproteins: a meta-analysis of studies. Med Scie Sports Exerc 1983; 15 (5): 393-02.

53.Cauley JA, Laporte RE, Sandler RB, Orchard TJ, Slemenda CW, Petrini AM. The relationship of physical activity to high density lipoprotein cholesterol in postmenopausal women. J Chron Dis 1986, 39 (9): 687-97.

54.Hartung GH, Reeves RS, Foreyt JP, Patsch W, Gotto AM. Effect of alcohol and exercise on plasma high density lipoprotein cholesterol subfractions and apoliprotein A-I in women. Am J Cardiol 1986; 58: 148-151.

55.Marrugat J, Elosua R, Covas MI, Molina L, Rubles-Prat J, MARATHON investigators. Amount and intensity of physical activity, physical fitness, and serum lipids in men. Am J Epidemiol 1996; 143 (6): 562-69.

56.Herbert PN, Bernier DN, Cullinane EM, Edeltein L, Kantor MA, Thompson PD. High-density lipoprotein metabolism in runners and sedentary men. JAMA 1984; 252 (8): 1034-37.

57.Hooker SP, Wells CL. Effects of low and moderate intensity training in spinal cord injured persons. Med Sci Sports Exerc 1988; 21 (1): 18-22.

58.Nash MS, Jacobs PL.; Mendez AJ, Golberg RB. Circuit resistance training improves the atherogenic lipid profiles of persons with chronic paraplegia. The

Journal of Spinal Cord Medicine 2000; 24 (1): 2-9.

59.Sorg RS. HDL-Cholesterol: Exercise Formula. Results of long-term (6 years) strenuous swimming exercise in a middle-age male with paraplegia. JOSPT 1993; 17: 195-99.

60.de Groot PCE, Hjeltnes N, Heijboer AC, Stal W, Birkeland K. Effect of training intensity on physical capacity, lipid profile and insulin sensivity in early rehabilitation of spinal cord injured individuals. Spinal Cord 2003; 41: 673-79.

61.El-Sayed MS, Younesian A. Lipid profile are influenced by arm cranking exercise and training in individual with spinal cor injury. Spinal Cord 2005; 43: 299- 305.

62.Rodrigues FB, Rocha VM. O Efeito da atividade física sobre o colesterol HDL-C de indivíduos com lesão medular: uma revisão. Neurobiologia. No prelo 2007. 63.Hayes AM, Myers JN, Ho M, Lee MY, Perkash I, Kiratli BJ. Heart rate as predictor of energy expenditure in people with spinal cord injury. JRRD 2005; 42 (5): 617-24.

64.Merati G, Sarchi P, Ferrarin M, Pedotti A, Veicsteinas A. Paraplegic adaptation to assisted-walking: energy expenditure during wheelchair versus orthosis users. Spinal Cord 2000; 38: 37-44.

65.Beekman CE, Miller-Porter L, Schoneberger M. Energy cost of propulsion in Standard and ultralight wheelchairs in people with spinal cord injuries. Phys Therapy 1999; 79 (2): 146-58.

66.Astrand PO, Rodahl K. Textbook of work physiology. New York: McGraw-Hill; 1986

Abstract

EFFECT OF SWIMMING AND WHEELCHAIR BASKETBALL IN HDL-