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Article ; Online: A call for attention: Is it time to revise the exercise guidelines for hypertension in African and Asian populations?

Goessler, Karla F / Peçanha, Tiago

European journal of preventive cardiology

2019 Volume 27, Issue 5, Page(s) 455–456

MeSH term(s)	Asian Continental Ancestry Group ; Attention ; Blood Pressure ; Exercise ; Humans ; Hypertension/diagnosis ; Hypertension/epidemiology ; Hypertension/therapy ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2019-09-06
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	2626011-6
ISSN	2047-4881 ; 2047-4873
ISSN (online)	2047-4881
ISSN	2047-4873
DOI	10.1177/2047487319874896
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Article ; Online: Effects of exercise induced muscle damage on cardiovascular responses to isometric muscle contractions and post-exercise circulatory occlusion.

Zambolin, Fabio / Peçanha, Tiago / Pinner, Susan / Venturelli, Massimo / McPhee, Jamie Stewart

European journal of applied physiology

2023 Volume 123, Issue 12, Page(s) 2747–2754

Abstract: Purpose: The aim of the present study was to investigate whether exercise-induced muscle damage (EIMD) influences cardiovascular responses to isometric exercise and post-exercise circulatory occlusion (PECO). We hypothesized that EIMD would increase ... ...

Abstract	Purpose: The aim of the present study was to investigate whether exercise-induced muscle damage (EIMD) influences cardiovascular responses to isometric exercise and post-exercise circulatory occlusion (PECO). We hypothesized that EIMD would increase muscle afferent sensitivity and, accordingly, increase blood pressure responses to exercise and PECO. Methods: Eleven male and nine female participants performed unilateral isometric knee extension at 30% of maximal voluntary contraction (MVC) for 3-min. A thigh cuff was rapidly inflated to 250 mmHg for two min PECO, followed by 3 min recovery. Heart rate and blood pressure were monitored beat-by-beat, with stroke volume and cardiac output estimated from the Modelflow algorithm. Measurements were taken before and 48 h after completing eccentric knee-extension contractions to induce muscle damage (EIMD). Results: EIMD caused 21% decrease in MVC (baseline: 634.6 ± 229.3 N, 48 h: 504.0 ± 160 N), and a 17-fold increase in perceived soreness using a visual-analogue scale (0-100 mm; VAS Conclusion: The MAP correlations with muscle soreness, RPE and Pain during contractions of damaged muscles suggests that higher afferent activity was associated with higher MAP responses to exercise.
MeSH term(s)	Humans ; Male ; Female ; Muscle, Skeletal/physiology ; Isometric Contraction/physiology ; Cardiovascular System ; Myalgia ; Blood Pressure/physiology ; Muscle Contraction/physiology
Language	English
Publishing date	2023-06-27
Publishing country	Germany
Document type	Journal Article
ZDB-ID	124793-1
ISSN	1439-6327 ; 1432-1025 ; 0301-5548 ; 1439-6319
ISSN (online)	1439-6327 ; 1432-1025
ISSN	0301-5548 ; 1439-6319
DOI	10.1007/s00421-023-05255-8
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Article ; Online: Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease.

Peçanha, Tiago / Goessler, Karla Fabiana / Roschel, Hamilton / Gualano, Bruno

American journal of physiology. Heart and circulatory physiology

2020 Volume 318, Issue 6, Page(s) H1441–H1446

Abstract: Emerging data indicate a substantial decrease in global physical activity levels during the period of social isolation adopted worldwide to contain the spread of the coronavirus disease 2019 (COVID-19). Confinement-induced decreases in physical activity ... ...

Abstract	Emerging data indicate a substantial decrease in global physical activity levels during the period of social isolation adopted worldwide to contain the spread of the coronavirus disease 2019 (COVID-19). Confinement-induced decreases in physical activity levels and increases in sedentary behavior may provoke a rapid deterioration of cardiovascular health and premature deaths among populations with increased cardiovascular risk. Even short-term (1-4 wk) inactivity has been linked with detrimental effects in cardiovascular function and structure and increased cardiovascular risk factors. In this unprecedented and critical scenario, home-based physical activity programs arise as a clinically relevant intervention to promote health benefits to cardiac patients. Many studies have demonstrated the feasibility, safety, and efficacy of different models of home-based exercise programs in the primary and secondary prevention of cardiovascular diseases and major cardiovascular events among different populations. This body of knowledge can inform evidence-based policies to be urgently implemented to counteract the impact of increased physical inactivity and sedentary behavior during the COVID-19 outbreak, thereby alleviating the global burden of cardiovascular disease.
MeSH term(s)	COVID-19 ; Cardiovascular Diseases/epidemiology ; Coronavirus Infections/epidemiology ; Cost of Illness ; Global Health ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Sedentary Behavior ; Social Isolation
Keywords	covid19
Language	English
Publishing date	2020-05-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	603838-4
ISSN	1522-1539 ; 0363-6135
ISSN (online)	1522-1539
ISSN	0363-6135
DOI	10.1152/ajpheart.00268.2020
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Article ; Online: Potential Mechanisms Behind the Blood Pressure-Lowering Effect of Dynamic Resistance Training.

Fecchio, Rafael Y / Brito, Leandro C / Peçanha, Tiago / de Moraes Forjaz, Cláudia Lúcia

Current hypertension reports

2021 Volume 23, Issue 6, Page(s) 35

Abstract: Purpose of review: To elucidate the hemodynamic, autonomic, vascular, hormonal, and local mechanisms involved in the blood pressure (BP)-lowering effect of dynamic resistance training (DRT) in prehypertensive and hypertensive populations.: Recent ... ...

Abstract	Purpose of review: To elucidate the hemodynamic, autonomic, vascular, hormonal, and local mechanisms involved in the blood pressure (BP)-lowering effect of dynamic resistance training (DRT) in prehypertensive and hypertensive populations. Recent findings: The systematic search identified 16 studies involving 17 experimental groups that assessed the DRT effects on BP mechanisms in prehypertensive and/or hypertensive populations. These studies mainly enrolled women and middle-aged/older individuals. Vascular effects of DRT were consistently reported, with vascular conductance, flow-mediated dilation, and vasodilatory capacity increases found in all studies. On the other hand, evidence regarding the effects of DRT on systemic hemodynamics, autonomic regulation, hormones, and vasoactive substances are still scarce and controversial, not allowing for any conclusion. The current literature synthesis shows that DRT may promote vascular adaptations, improving vascular conductance and endothelial function, which may have a role in the BP-lowering effect of this type of training in prehypertensive and hypertensive individuals. More studies are needed to explore the role of other mechanisms in the BP-lowering effect of DRT.
MeSH term(s)	Autonomic Nervous System ; Blood Pressure ; Female ; Humans ; Hypertension/drug therapy ; Middle Aged ; Resistance Training ; Vasodilation
Language	English
Publishing date	2021-06-21
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2057367-4
ISSN	1534-3111 ; 1522-6417
ISSN (online)	1534-3111
ISSN	1522-6417
DOI	10.1007/s11906-021-01154-5
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Article ; Online: Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis.

Sieczkowska, Sofia Mendes / Smaira, Fabiana Infante / Mazzolani, Bruna Caruso / Gualano, Bruno / Roschel, Hamilton / Peçanha, Tiago

Seminars in arthritis and rheumatism

2021 Volume 51, Issue 3, Page(s) 576–587

Abstract: Introduction: Physical activity (PA) has been receiving increasing interest in recent years as an adjuvant therapy for autoimmune rheumatic disease (ARDs), but there is scarce information about the efficacy of home-based PA for patients with ARDs.: ... ...

Abstract	Introduction: Physical activity (PA) has been receiving increasing interest in recent years as an adjuvant therapy for autoimmune rheumatic disease (ARDs), but there is scarce information about the efficacy of home-based PA for patients with ARDs. Objective: To perform a systematic review and meta-analysis on the efficacy of home-based physical activity (PA) interventions in improving health-related quality of life, functional capacity, pain, and disease activity in patients with ARDs. Methods: Searches were performed in PubMed, Web of Science, Scopus, Cochrane, CINAHL database and Sport Discus. Trials were considered eligible if they included a home-based physical activity intervention. The population included adults with autoimmune rheumatic diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus, idiopathic inflammatory myopathies, systemic sclerosis and ankylosing spondylitis), comparisons included non-physical activity control or centre-based interventions (i.e., interventions performed on a specialized exercise centre) and the outcomes were quality of life, pain, functional capacity, disease activity and inflammation. Results: Home-based physical activity improved quality of life (p<0.01; g = 0.69; IC95%, 0.61 to 1.07) and functional capacity (p = 0.04; g = - 0.51; IC95%, -0.86; -0.16), and reduced disease activity (p = 0.03; g = - 0.60; IC95%, -1.16; -0.04) and pain (p = 0.01; g = -1.62; IC95%, -2.94 to -0.31) compared to the non-physical activity control condition. Additionally, home-based physical activity interventions were as effective as centre-based interventions for all investigated outcomes. Conclusion: Home-based PA is an efficacious strategy to improve disease control and aleviate symptoms in ARD.
MeSH term(s)	Adult ; Arthritis, Rheumatoid ; Exercise ; Exercise Therapy ; Humans ; Quality of Life ; Spondylitis, Ankylosing
Language	English
Publishing date	2021-04-16
Publishing country	United States
Document type	Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2021.04.004
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Zs.A 790: Show issues

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Article ; Online: Maintenance of Physical Activity Behavior by Individuals with Prediabetes and Diabetes during the COVID-19 Pandemic after Completing an Exercise Intervention in Brazil.

Ponciano, Isabela Coelho / Seixas, Mariana Balbi / Peçanha, Tiago / Pereira, Adriano Luiz / Trevizan, Patrícia Fernandes / Britto, Raquel Rodrigues / Silva, Lilian Pinto da

International journal of environmental research and public health

2022 Volume 19, Issue 14

Abstract: This cross-sectional study evaluated the perception of individuals with prediabetes/diabetes about their living conditions during the COVID-19 pandemic to identify the facilitators, barriers, and reasons to remain physically active at home and adhere to ... ...

Abstract	This cross-sectional study evaluated the perception of individuals with prediabetes/diabetes about their living conditions during the COVID-19 pandemic to identify the facilitators, barriers, and reasons to remain physically active at home and adhere to recommended exercise. It included individuals with prediabetes/diabetes who had completed an exercise intervention, which started on-site and moved to a remote home-based regime due to the COVID-19 pandemic and were advised to keep exercising at home. The outcomes were assessed by a bespoke questionnaire that was developed by the research team, the Brazilian Portuguese adapted version of the Exercise Adherence Rating scale, and the Motives for Physical Activity Measure-Revised scale. Of 15 participants (8 female, 58 ± 11 years), most reported positive perceptions about their living conditions and few difficulties maintaining some physical activity at home. However, only 53.8% of them adhered to the recommended exercise. Time flexibility, no need for commuting, and a sense of autonomy were the main facilitators of home exercise, while a lack of adequate space was the main barrier. The descending order of median scores that were obtained in each reason for physical activity was fitness, enjoyment, competence, social, and appearance. Individuals with prediabetes/diabetes maintained some physical activity during the pandemic, mainly motivated by health concerns.
MeSH term(s)	Brazil/epidemiology ; COVID-19/epidemiology ; Cross-Sectional Studies ; Diabetes Mellitus/epidemiology ; Exercise ; Exercise Therapy ; Female ; Humans ; Motivation ; Pandemics ; Prediabetic State/epidemiology ; Prediabetic State/therapy
Language	English
Publishing date	2022-07-21
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19148857
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Article ; Online: Inflammation and cardiovascular autonomic dysfunction in rheumatoid arthritis: a bidirectional pathway leading to cardiovascular disease.

Peçanha, Tiago / Lima, Aluísio Henrique Rodrigues de Andrade

The Journal of physiology

2017 Volume 595, Issue 4, Page(s) 1025–1026

MeSH term(s)	Arthritis, Rheumatoid ; Autonomic Nervous System ; Baroreflex ; Cardiovascular Diseases ; Humans ; Inflammation
Language	English
Publishing date	2017-02-08
Publishing country	England
Document type	Journal Article ; Comment
ZDB-ID	3115-x
ISSN	1469-7793 ; 0022-3751
ISSN (online)	1469-7793
ISSN	0022-3751
DOI	10.1113/JP273649
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Article ; Online: Post-exercise hypotension and its hemodynamic determinants depend on the calculation approach.

Fecchio, Rafael Yokoyama / Brito, Leandro Campos de / Peçanha, Tiago / Forjaz, Cláudia Lúcia de Moraes

Journal of human hypertension

2020 Volume 34, Issue 10, Page(s) 719–726

Abstract: Post-exercise hypotension (PEH) has been assessed by three calculation approaches: I = (post-exercise - pre-exercise), II = (post-exercise - post-control), and III = [(post-exercise - pre-exercise) - (post-control - pre-control)]. This study checked ... ...

Abstract	Post-exercise hypotension (PEH) has been assessed by three calculation approaches: I = (post-exercise - pre-exercise), II = (post-exercise - post-control), and III = [(post-exercise - pre-exercise) - (post-control - pre-control)]. This study checked whether these calculation approaches influence PEH and its determinants. For that, 30 subjects underwent two exercise (cycling, 45 min, 50% VO
MeSH term(s)	Blood Pressure ; Exercise ; Heart Rate ; Hemodynamics ; Humans ; Hypotension/etiology ; Post-Exercise Hypotension
Language	English
Publishing date	2020-01-21
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639472-3
ISSN	1476-5527 ; 0950-9240
ISSN (online)	1476-5527
ISSN	0950-9240
DOI	10.1038/s41371-020-0297-5
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Article ; Online: Consistency of hemodynamic and autonomic mechanisms underlying post-exercise hypotension.

Fecchio, Rafael Yokoyama / Brito, Leandro C / Peçanha, Tiago / Forjaz, Cláudia Lúcia de Moraes

Journal of human hypertension

2020 Volume 35, Issue 11, Page(s) 1003–1011

Abstract: Post-exercise hypotension (PEH) is a clinically relevant phenomenon, but its mechanisms vary between different studies and between the participants within each study. Additionally, it is possible that PEH mechanisms are not consistent in each individual ( ...

Abstract	Post-exercise hypotension (PEH) is a clinically relevant phenomenon, but its mechanisms vary between different studies and between the participants within each study. Additionally, it is possible that PEH mechanisms are not consistent in each individual (i.e. within-individual variation), which has not been investigated yet. Thus, the aim of the current study was to assess the within-individual consistency of PEH hemodynamic and autonomic mechanisms. For that, 30 subjects performed 4 sessions divided in 2 blocks (test and retest). In each block, an exercise (cycling, 45 min, 50%VO
MeSH term(s)	Autonomic Nervous System ; Baroreflex ; Blood Pressure ; Heart Rate ; Hemodynamics ; Humans ; Hypotension ; Post-Exercise Hypotension/diagnosis
Language	English
Publishing date	2020-12-01
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639472-3
ISSN	1476-5527 ; 0950-9240
ISSN (online)	1476-5527
ISSN	0950-9240
DOI	10.1038/s41371-020-00452-w
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Article: Passive Heating Attenuates Post-exercise Cardiac Autonomic Recovery in Healthy Young Males.

Peçanha, Tiago / Forjaz, Cláudia L de Moraes / Low, David A

Frontiers in neuroscience

2017 Volume 11, Page(s) 727

Abstract: Post-exercise heart rate (HR) recovery (HRR) presents a biphasic pattern, which is mediated by parasympathetic reactivation and sympathetic withdrawal. Several mechanisms regulate these post-exercise autonomic responses and thermoregulation has been ... ...

Abstract	Post-exercise heart rate (HR) recovery (HRR) presents a biphasic pattern, which is mediated by parasympathetic reactivation and sympathetic withdrawal. Several mechanisms regulate these post-exercise autonomic responses and thermoregulation has been proposed to play an important role. The aim of this study was to test the effects of heat stress on HRR and HR variability (HRV) after aerobic exercise in healthy subjects. Twelve healthy males (25 ± 1 years, 23.8 ± 0.5 kg/m
Language	English
Publishing date	2017-12-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2411902-7
ISSN	1662-453X ; 1662-4548
ISSN (online)	1662-453X
ISSN	1662-4548
DOI	10.3389/fnins.2017.00727
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