O exercício agudo modula as respostas induzidas pelo estresse mental em adultos jovens saudáveis e obesos

Autores

DOI:

https://doi.org/10.1590/1980-0037.2023v25e89526

Palavras-chave:

excesso de peso, gordura corporal, Teste de Stroop

Resumo

O objetivo deste estudo foi verificar se a obesidade e o exercício físico agudo podem influenciar a reatividade ao estresse mental. Foram avaliados 12 indivíduos eutróficos (E) e dez obesos (Ob) (31,82% mulheres), normotensos entre 18 e 40 anos. O teste de cor Stroop foi realizado em duas condições: 1) Linha de base e 2) 30 min após o término do exercício físico aeróbio. Os indivíduos realizaram 30 min de exercício físico (E: 3,38 e Ob: 2,99 km•h-1; p<0,05) entre 50-60% da frequência cardíaca de reserva (E 139±7 e Ob: 143±7 bpm). A reatividade ao estresse mental para pressão arterial sistólica - PAS (Δ2 min) e pressão arterial diastólica - PAD (Δ2 e Δ4 min) foi menor (p< 0,05) no grupo Ob comparado ao grupo E. A reatividade da PAS ao estresse mental foi menor (p< 0,05) pós-exercício em todos os momentos (Δ2 e Δ4 min), independente da obesidade, enquanto a reatividade da PAD ao estresse mental foi menor pós-exercício, apenas no E. A reatividade da PA ao estresse correlacionou-se negativamente com os indicadores de obesidade (r/Rho = – 0,42 a – 0,64), na condição basal, mas não pós-exercício físico. A obesidade embotou a reatividade da PA ao estresse mental em adultos jovens normotensos. O exercício aeróbico agudo de ientesidade moderada reduziu a reatividade da PAS ao estresse mental, independentemente da obesidade, enquanto reduziu a reatividade da PAD ao estresse mental, apenas no E. Em resumo, o exercício físico agudo pode ser um meio de prevenir alterações cardiovasculares.

Referências

Collaborators GBDRF. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1923-94.

Huang CJ, Webb HE, Zourdos MC, Acevedo EO. Cardiovascular reactivity, stress, and physical activity. Front Physiol. 2013;4:314.

Carroll D, Ginty AT, Der G, Hunt K, Benzeval M, Phillips AC. Increased blood pressure reactions to acute mental stress are associated with 16-year cardiovascular disease mortality. Psychophysiology. 2012;49(10):1444-8.

Steptoe A, Kivimaki M, Lowe G, Rumley A, Hamer M. Blood Pressure and Fibrinogen Responses to Mental Stress as Predictors of Incident Hypertension over an 8-Year Period. Ann Behav Med. 2016;50(6):898-906.

Carroll D, Phillips AC, Der G, Hunt K, Benzeval M. Blood pressure reactions to acute mental stress and future blood pressure status: data from the 12-year follow-up of the West of Scotland Study. Psychosom Med. 2011;73(9):737-42.

Chida Y, Steptoe A. Greater cardiovascular responses to laboratory mental stress are associated with poor subsequent cardiovascular risk status: a meta-analysis of prospective evidence. Hypertension. 2010;55(4):1026-32.

Carroll D, Ginty AT, Painter RC, Roseboom TJ, Phillips AC, de Rooij SR. Systolic blood pressure reactions to acute stress are associated with future hypertension status in the Dutch Famine Birth Cohort Study. Int J Psychophysiol. 2012;85(2):270-3.

Garafova A, Penesova A, Cizmarova E, Marko A, Vlcek M, Jezova D. Cardiovascular and sympathetic responses to a mental stress task in young patients with hypertension and/or obesity. Physiol Res. 2014;63(Suppl 4):S459-67.

Phillips AC, Roseboom TJ, Carroll D, de Rooij SR. Cardiovascular and cortisol reactions to acute psychological stress and adiposity: cross-sectional and prospective associations in the Dutch Famine Birth Cohort Study. Psychosom Med. 2012;74(7):699-710.

Boone JB, Jr., Probst MM, Rogers MW, Berger R. Postexercise hypotension reduces cardiovascular responses to stress. J Hypertens. 1993;11(4):449-53.

Santaella DF, Araujo EA, Ortega KC, Tinucci T, Mion D, Jr., Negrao CE, et al. Aftereffects of exercise and relaxation on blood pressure. Clin J Sport Med. 2006;16(4):341-7.

Rejeski WJ, Gregg, E., Thompson, A., & Berry, M. . The Effects of Varying Doses of Acute Aerobic Exercise on Psychophysiological Stress Responses in Highly Trained Cyclists. Journal of Sport & Exercise Psychology. 1991;13(188-199).

Hamer M, Jones J, Boutcher SH. Acute exercise reduces vascular reactivity to mental challenge in offspring of hypertensive families. J Hypertens. 2006;24(2):315-20.

Hobson MLR, W. Jack. Does the dose of acute exercise mediate psychophysiological responses to mental stress? Hobson, Michele L; Rejeski, W Jack. 1993;15:77-87.

Neves FJ, Carvalho AC, Rocha NG, Silva BM, Sales AR, de Castro RR, et al. Hemodynamic mechanisms of the attenuated blood pressure response to mental stress after a single bout of maximal dynamic exercise in healthy subjects. Braz J Med Biol Res. 2012;45(7):610-6.

Chen W, Ludin, AFM; Farah, NMF. Can Acute Exercise Lower Cardiovascular Stress Reactivity? Findings from a Scoping Review. Journal of Cardiovascular Development and Disease. 2022.

Probst M, Bulbulian R, Knapp C. Hemodynamic responses to the stroop and cold pressor tests after submaximal cycling exercise in normotensive males. Physiol Behav. 1997;62(6):1283-90.

Medeiros RF, Silva BM, Neves FJ, Rocha NG, Sales AR, Nobrega AC. Impaired hemodynamic response to mental stress in subjects with prehypertension is improved after a single bout of maximal dynamic exercise. Clinics (Sao Paulo). 2011;66(9):1523-9.

Tarvainen MP, Niskanen J-P, Lipponen JA, Ranta-Aho PO, Karjalainen PA. Kubios HRV–heart rate variability analysis software. Comput Methods Programs Biomed. 2014;113(1):210-20.

Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, N.J.: L. Erlbaum Associates. . 1988.

Floras JS. Epinephrine and the genesis of hypertension. Hypertension. 1992;19(1):1-18.

Goldberg AD, Becker LC, Bonsall R, Cohen JD, Ketterer MW, Kaufman PG, et al. Ischemic, Hemodynamic, and Neurohormonal Responses to Mental and Exercise Stress. Circulation. 1996;94(10):2402-9.

Carroll D, Phillips AC, Der G. Body mass index, abdominal adiposity, obesity, and cardiovascular reactions to psychological stress in a large community sample. Psychosom Med. 2008;70(6):653-60.

Ginty AT, Kraynak TE, Fisher JP, Gianaros PJ. Cardiovascular and autonomic reactivity to psychological stress: Neurophysiological substrates and links to cardiovascular disease. Auton Neurosci. 2017;207:2-9.

Jones A, McMillan MR, Jones RW, Kowalik GT, Steeden JA, Deanfield JE, et al. Adiposity is associated with blunted cardiovascular, neuroendocrine and cognitive responses to acute mental stress. PLoS One. 2012;7(6):e39143.

Brito LC, Queiroz AC, Forjaz CL. Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension. Braz J Med Biol Res. 2014;47(8):626-36.

Peronnet F, Massicotte D, Paquet JE, Brisson G, de Champlain J. Blood pressure and plasma catecholamine responses to various challenges during exercise-recovery in man. Eur J Appl Physiol Occup Physiol. 1989;58(5):551-5.

Brownley KA, Hinderliter AL, West SG, Girdler SS, Sherwood A, Light KC. Sympathoadrenergic mechanisms in reduced hemodynamic stress responses after exercise. Med Sci Sports Exerc. 2003;35(6):978-86.

Georgiades A, Sherwood A, Gullette EC, Babyak MA, Hinderliter A, Waugh R, et al. Effects of exercise and weight loss on mental stress-induced cardiovascular responses in individuals with high blood pressure. Hypertension. 2000;36(2):171-6.

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Publicado

2024-03-04