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1.
Nutrients ; 13(5)2021 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-34068460

RESUMEN

Parkinson's disease (PD) is a debilitating neurodegenerative disease, which progresses over time, causing pathological depigmentation of the substantia nigra (SN) in the midbrain due to loss of dopaminergic neurons. Emerging studies revealed the promising effects of some nutrient compounds in reducing the risk of PD. One such nutrient compound that possess neuroprotective effects and prevents neurodegeneration is tocotrienol (T3), a vitamin E family member. In the present study, a single dose intracisternal injection of 250 µg 6-hydroxydopamine (6-OHDA) was used to induce parkinsonism in male Sprague Dawley (SD) rats. Forty-eight hours post injection, the SD rats were orally supplemented with alpha (α)- and gamma (γ)-T3 for 28 days. The neuroprotective effects of α- and γ-T3 were evaluated using behavioural studies and immunohistochemistry (IHC). The findings from this study revealed that supplementation of α- and γ-T3 was able to ameliorate the motor deficits induced by 6-OHDA and improve the neuronal functions by reducing inflammation, reversing the neuronal degradation, and preventing further reduction of dopaminergic neurons in the SN and striatum (STR) fibre density.


Asunto(s)
Oxidopamina/toxicidad , Enfermedad de Parkinson/tratamiento farmacológico , Tocotrienoles/farmacología , Animales , Cuerpo Estriado/efectos de los fármacos , Cuerpo Estriado/metabolismo , Modelos Animales de Enfermedad , Inmunohistoquímica , Masculino , Fármacos Neuroprotectores/farmacología , Enfermedad de Parkinson/etiología , Trastornos Parkinsonianos/tratamiento farmacológico , Trastornos Parkinsonianos/etiología , Ratas , Ratas Sprague-Dawley , Sustancia Negra/efectos de los fármacos , Sustancia Negra/metabolismo
2.
Biomed Res Int ; 2014: 539540, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25114906

RESUMEN

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disease primarily involving inflammation of the joints. Although the management of the disease has advanced significantly in the past three decades, there is still no cure for RA. The aim of this study was to determine the therapeutic efficacy of δ-tocotrienol, in the rat model of collagen-induced arthritis (CIA). Arthritis was induced by intradermal injection of collagen type II emulsified in complete Freund's adjuvant. CIA rats were orally treated with δ-tocotrienol (10 mg/kg) or glucosamine hydrochloride (300 mg/kg) from day 25 to 50. Efficacy was assessed based on the ability to reduce paw edema, histopathological changes, suppression of collagen-specific T-cells, and a reduction in C-reactive protein (CRP) levels. It was established that δ-tocotrienol had the most significant impact in lowering paw edema when compared to glucosamine treatment. Paw edema changes correlated well with histopathological analysis where there was a significant reversal of changes in groups treated with δ-tocotrienol. The results suggest that δ-tocotrienol is efficient in amelioration of collagen-induced arthritis. Vitamin E delta-tocotrienol may be of therapeutic value against rheumatoid arthritis.


Asunto(s)
Artritis Experimental/tratamiento farmacológico , Vitamina E/análogos & derivados , Animales , Artritis Experimental/patología , Peso Corporal/efectos de los fármacos , Proteína C-Reactiva/análisis , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Colágeno , Femenino , Miembro Posterior/patología , Histocitoquímica , Ratas , Bazo/citología , Vitamina E/farmacología , Vitamina E/uso terapéutico
3.
Appl Physiol Nutr Metab ; 39(9): 1029-37, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25068790

RESUMEN

Tocopherols (commonly referred to as "vitamin E") are frequently studied antioxidants in exercise research. However, the studies are highly heterogeneous, which has resulted in contradicting opinions. The aim of this review is to identify similar studies investigating the effects of tocopherol supplementation on exercise performance and oxidative stress and to perform minimally biased qualitative comparisons and meta-analysis. The literature search and study selection were performed according to Cochrane guidelines. A 2-dimensional study execution process was developed to enable selection of similar and comparable studies. Twenty relevant studies were identified. The high variability of study designs resulted in final selection of 6 maximally relevant studies. Markers of lipid peroxidation (malondialdehyde) and muscle damage (creatine kinase) were the 2 most frequently and similarly measured variables. Meta comparison showed that tocopherol supplementation did not result in significant protection against either exercise-induced lipid peroxidation or muscle damage. The complex antioxidant nature of tocopherols and low accumulation rates in muscle tissues could underlie an absence of protective effects.


Asunto(s)
Antioxidantes/farmacología , Suplementos Dietéticos , Ejercicio Físico/fisiología , Estrés Oxidativo/efectos de los fármacos , Tocoferoles/farmacología , Vitaminas/farmacología , Humanos
4.
BMC Res Notes ; 7: 49, 2014 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-24443837

RESUMEN

BACKGROUND: Free radicals-induced neurodegeneration is one of the many causes of Parkinson's disease (PD). This study investigated the neuroprotective effects of flavonol isoquercitrin against toxicity induced by 6-hydroxy-dopamine (6-OHDA) in rat pheochromocytoma (PC12) cells. METHODS: PC12 cells were pretreated with different concentrations of isoquercitrin for 4, 8 and 12 hours and incubated with 6-OHDA for 24 hours to induce oxidative cell damage. RESULTS: A significant cytoprotective activity was observed in isoquercitrin pre-treated cells in a dose-dependent manner. There was a significant increase (P < 0.01) in the antioxidant enzymes namely superoxide dismutase, catalase, glutathione peroxidase, and glutathione in isoquercitrin pretreated cells compared to cells incubated with 6-OHDA alone. Isoquercitrin significantly reduced (P < 0.01) lipid peroxidation in 6-OHDA treated cells. These results suggested that isoquercitrin protects PC 12 cells against 6-OHDA-induced oxidative stress. CONCLUSIONS: The present study suggests the protective role of isoquercitrin on 6-hydroxydopamine-induced toxicity by virtue of its antioxidant potential. Isoquercitrin could be a potential therapeutic agent against neurodegeneration in Parkinson's disease.


Asunto(s)
Antioxidantes/farmacología , Neuronas Dopaminérgicas/efectos de los fármacos , Fármacos Neuroprotectores/farmacología , Neurotoxinas/antagonistas & inhibidores , Oxidopamina/antagonistas & inhibidores , Células PC12/efectos de los fármacos , Quercetina/análogos & derivados , Animales , Catalasa/metabolismo , Neuronas Dopaminérgicas/metabolismo , Relación Dosis-Respuesta a Droga , Evaluación Preclínica de Medicamentos , Radicales Libres/metabolismo , Glutatión/metabolismo , Glutatión Peroxidasa/metabolismo , Técnicas In Vitro , Peroxidación de Lípido/efectos de los fármacos , Neurotoxinas/toxicidad , Estrés Oxidativo/efectos de los fármacos , Oxidopamina/toxicidad , Quercetina/farmacología , Ratas , Superóxido Dismutasa/metabolismo
5.
ISRN Pharmacol ; 2013: 562905, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23476804

RESUMEN

The present study assessed the therapeutic efficacy of glucosamine hydrochloride against collagen-induced arthritis in female Dark Agouti rats (DA). Arthritis was induced by intradermaly injecting a collagen and complete Freund's adjuvant suspension at multiple sites in the rat at a dose of 4 mg/kg of body weight and thereafter followed by two more boosters of the same dose, after the 1st week and 2nd week of primary immunization. After 21 days from the day of primary immunization, the arthritic group rats were given oral supplementation of glucosamine hydrochloride at a dose of 300 mg/kg of body weight until day 45. The arthritic group treated with glucosamine hydrochloride from day 21 to day 45 showed significant reduction in arthritic histopathological changes of the joints, reduction in paw thickness and also a significant decrease in C-reactive protein and TNF-alpha in the serum. Treatment with 300 mg/kg of glucosamine hydrochloride was able to reverse the arthritic changes, hence suggesting that glucosamine has a therapeutic effect against collagen-induced arthritis.

6.
BMC Res Notes ; 5: 649, 2012 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-23173926

RESUMEN

BACKGROUND: This study examined the effects of bovine colostrum on exercise -induced modulation of antioxidant parameters in skeletal muscle in mice. Adult male BALB/c mice were randomly divided into four groups (control, colostrum alone, exercise and exercise with colostrum) and each group had three subgroups (day 0, 21 and 42). Colostrum groups of mice were given a daily oral supplement of 50 mg/kg body weight of bovine colostrum and the exercise group of mice were made to exercise on the treadmill for 30 minutes per day. Total antioxidants, lipid hydroperoxides, xanthine oxidase and super oxide dismutase level was assayed from the homogenate of hind limb skeletal muscle. RESULTS: Exercise-induced a significant oxidative stress in skeletal muscles as evidenced by the elevated lipid hydroperoxides and xanthine oxidase levels. There was a significant decrease in skeletal muscle total antioxidants and superoxide dismutase levels. Daily colostrum supplement significantly reduced the lipid hydroperoxides and xanthine oxidase enzyme level and increased the total antioxidant levels in the leg muscle. CONCLUSION: Thus, the findings of this study showed that daily bovine colostrum supplementation was beneficial to skeletal muscle to reduce the oxidant-induced damage during muscular exercise.


Asunto(s)
Antioxidantes/farmacología , Calostro/química , Suplementos Dietéticos , Músculo Esquelético/efectos de los fármacos , Animales , Antioxidantes/química , Bovinos , Peroxidación de Lípido , Peróxidos Lipídicos/metabolismo , Masculino , Malondialdehído/metabolismo , Ratones , Ratones Endogámicos BALB C , Músculo Esquelético/metabolismo , Estrés Oxidativo/efectos de los fármacos , Condicionamiento Físico Animal , Superóxido Dismutasa/metabolismo , Xantina Oxidasa/metabolismo
7.
Inflamm Res ; 60(10): 897-907, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21633874

RESUMEN

OBJECTIVES: The study investigated the effect of collagen-induced arthritis in Dark Agouti (DA) rats on the level of C-reactive protein and inflammatory cytokine tumour necrosis factor-alpha (TNF-α). SUBJECTS: Female Dark Agouti (DA) rats. METHODS: Three different dosages of (2 mg/kg of body weight, 3 mg/kg of body weight and 4 mg/kg of body weight) collagen and complete Freund's adjuvant suspension were tested. After 45 days, serum C-reactive protein, TNF-α, superoxide dismutase and total glutathione assays were done. Radiographic and histopathological changes in the joints were compared. RESULTS: All three groups showed signs of arthritic changes, confirmed by histopathological and radiographic changes. Severe arthritic changes were seen in the rats injected with 4 mg/kg of body weight of collagen. There was a significant increase in C-reactive protein, TNF-α, super oxide dismutase and total glutathione levels in the plasma in arthritis rats and the changes were more significant with 4 mg/kg of collagen. CONCLUSION: These results demonstrated that the optimal dose to inject to experimental animals in order to get server arthritic changes was 4 mg/kg of collagen with complete Freund's adjuvant suspension. Severe arthritis changes induced significant elevation in plasma C-reactive protein and TNF-α levels.


Asunto(s)
Artritis/metabolismo , Proteína C-Reactiva/biosíntesis , Colágeno/metabolismo , Factor de Necrosis Tumoral alfa/biosíntesis , Animales , Artritis/inducido químicamente , Peso Corporal , Pollos , Modelos Animales de Enfermedad , Femenino , Adyuvante de Freund , Glutatión/metabolismo , Estrés Oxidativo , Ratas , Especies Reactivas de Oxígeno , Superóxido Dismutasa/metabolismo , Factores de Tiempo
8.
J Toxicol Sci ; 35(5): 663-71, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20930461

RESUMEN

Lead is known to disrupt the biological systems by altering the molecular interactions, cell signaling, and cellular function. Exposure to even low levels of lead may have potential hazardous effects on brain, liver, kidneys and testes. The efficacy of Etlingera elatior (torch ginger) to protect hepatotoxicity induced by lead acetate was evaluated experimentally in male Sprague - Dawley rats. Rats were exposed to lead acetate in drinking water (500 ppm) for 21 days and the effects of concurrent treatment with extract of E. elatior on hepatic lipid hydroperoxides (LPO), protein carbonyl content (PCC), total antioxidants (TA), superoxide dismutase (SOD), glutathione peroxidase (GPX) and glutathione S- Transferase (GST) levels and histopathological changes in liver were evaluated. There was a significant decrease in TA and other antioxidant enzymes (p < 0.05) and increase in LPO and PCC (p < 0.05) with lead acetate ingestion. Concurrent treatment with E. elatior extract significantly reduced the LPO and PCC (p < 0.05) in serum and increased the antioxidant enzyme levels (p < 0.05) in the liver. Significant histopathological changes were seen in hepatic tissue with chronic lead ingestion. Treatment with E. elatior significantly reduced these lead-induced changes in hepatic architecture. E. elatior has also reduced the blood lead levels (BLL). Thus, there has been extensive biochemical and structural alterations indicative of liver toxicity with exposure to lead and E. elatior treatment significantly reduced these oxidative damage. Our results suggest that E. elatior has a powerful antioxidant effect against lead-induced hepatotoxicity.


Asunto(s)
Enfermedad Hepática Inducida por Sustancias y Drogas/prevención & control , Hígado/efectos de los fármacos , Compuestos Organometálicos/toxicidad , Extractos Vegetales/uso terapéutico , Zingiber officinale/química , Animales , Antioxidantes/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/enzimología , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Modelos Animales de Enfermedad , Flores/química , Peroxidación de Lípido/efectos de los fármacos , Hígado/enzimología , Hígado/metabolismo , Hígado/patología , Pruebas de Función Hepática , Masculino , Extractos Vegetales/administración & dosificación , Ratas , Ratas Sprague-Dawley
9.
Food Chem Toxicol ; 48(10): 2688-94, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20600524

RESUMEN

Several environmental toxins with toxic effects to the bone marrow have been identified. Pathology associated with lead intoxication is due to the cellular damage mediated by free radicals. In the current study, we examined the effect of Etlingera elatior extract on lead-induced changes in the oxidative biomarkers and histology of bone marrow of rats. Sprague-Dawley rats were exposed to 500 ppm lead acetate in their drinking water for 14 days. E. elatior extract was treated orally (100mg/kg body weight) in combination with, or after lead acetate treatment. The results showed that there was a significant increase in lipid hydroperoxide, protein carbonyl content and a significant decrease in total antioxidants, super oxide dismutase, glutathione peroxidase and glutathione--S-transferase in bone marrow after lead acetate exposure. Treatment with E. elatior decreased lipid hydroperoxides and protein carbonyl contents and significantly increased total antioxidants and antioxidant enzymes. Treatments with E. elatior extract also reduced, lead-induced histopathological damage in bone marrow. In conclusion, these data suggest that E. elatior has a powerful antioxidant effect, and it protects the lead acetate-induced bone marrow oxidative damage in rats.


Asunto(s)
Médula Ósea/metabolismo , Intoxicación por Plomo/prevención & control , Compuestos Organometálicos/toxicidad , Estrés Oxidativo/efectos de los fármacos , Sustancias Protectoras , Zingiberaceae/química , Fosfatasa Alcalina/metabolismo , Animales , Biomarcadores , Médula Ósea/efectos de los fármacos , Médula Ósea/enzimología , Etanol , Glutatión Peroxidasa/metabolismo , Glutatión Transferasa/metabolismo , Plomo/sangre , Intoxicación por Plomo/enzimología , Intoxicación por Plomo/patología , Peroxidación de Lípido/efectos de los fármacos , Peróxidos Lipídicos/metabolismo , Masculino , Extractos Vegetales/uso terapéutico , Carbonilación Proteica/efectos de los fármacos , Ratas , Ratas Sprague-Dawley , Especies Reactivas de Oxígeno/metabolismo , Solventes , Superóxido Dismutasa/metabolismo
10.
J Toxicol Sci ; 35(1): 41-7, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20118623

RESUMEN

Reactive oxygen species (ROS) play an important role in ageing and age-related neurodegenerative changes including Parkinson's disease (PD). PD is characterized by signs of major oxidative stress and mitochondrial damage in the pars compacta of the substantia nigra. Present study was designed to investigate whether the Centella asiatica extract (CAE) would prevent 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced neurotoxicity in aged Sprague-Dawley rats. Adult, male Sprague-dawley rats of 300-350 g were divided into control, C. asiatica alone, MPTP alone (20 mg/kg, for 21 days) and MPTP with C. asiatica (300 mg/kg for 21 days) groups. Effect of aqueous extract of C. asiatica on oxidative biomarker levels in corpus striatum and hippocampus homogenate was examined. MPTP-challenged rats elicited a significant increase in lipid hydroperoxides (LPO) (p < 0.01), protein-carbonyl-content (PCC) (p < 0.01) and xanthine oxidase (XO) (p < 0.01) when compared with control rats. There was a significant decrease in total antioxidants (TA) (p < 0.001), superoxide dismutase (SOD) (p < 0.001), glutathione peroxidase (GPx) (p < 0.01) and catalase (CAT) (p < 0.001) levels with MPTP treatment. Supplementation of CAE reduced LPO and PCC and significantly increased (p < 0.01) TA and antioxidant enzyme levels (p < 0.01) in corpus striatum and hippocampus. These results show that administration of C. asiatica was effective in protecting the brain against neurodegenerative disorders such as Parkinsonism.


Asunto(s)
Fármacos Neuroprotectores/farmacología , Trastornos Parkinsonianos/prevención & control , Fitoterapia , Extractos Vegetales/farmacología , Triterpenos/farmacología , Animales , Antioxidantes/metabolismo , Centella , Cuerpo Estriado/efectos de los fármacos , Cuerpo Estriado/metabolismo , Modelos Animales de Enfermedad , Hipocampo/efectos de los fármacos , Hipocampo/metabolismo , Peroxidación de Lípido/efectos de los fármacos , Masculino , Estrés Oxidativo/efectos de los fármacos , Oxidorreductasas/metabolismo , Trastornos Parkinsonianos/metabolismo , Trastornos Parkinsonianos/patología , Ratas , Ratas Sprague-Dawley , Resultado del Tratamiento
11.
Eur J Pharmacol ; 621(1-3): 46-52, 2009 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-19744476

RESUMEN

Quercetin is a bioflavonoid abundant in onions, apples, tea and red wine and one of the most studied flavonoids. Dietary quercetin intake is suggested to be health promoting, but this assumption is mainly based on mechanistic studies performed in vitro. The objective of this study was to investigate the effect of quercetin on stress-induced changes in oxidative biomarkers in the hypothalamus of rats. Adult male Sprague Dawley rats were subjected to forced swimming stress for 45 min daily for 14 days. Effect of quercetin at three different doses (10, 20 and 30 mg/kg body weight) on serum corticosterone and oxidative biomarkers (lipid hydroperoxides, antioxidant enzymes and total antioxidants) was estimated. Swimming stress significantly increased the serum corticosterone and lipid hydroperoxide levels. A significant decrease in total antioxidant levels and super oxide dismutase, glutathione peroxidase and catalase levels was seen in the hypothalamus after stress and treatment with quercetin significantly increased these oxidative parameters and there was a significant decrease in lipid hydroperoxide levels. These data demonstrate that forced swimming stress produced a severe oxidative damage in the hypothalamus and treatment with quercetin markedly attenuated these stress-induced changes. Antioxidant action of quercetin may be beneficial for the prevention and treatment of stress-induced oxidative damage in the brain.


Asunto(s)
Hipotálamo/efectos de los fármacos , Hipotálamo/metabolismo , Estrés Oxidativo/efectos de los fármacos , Quercetina/farmacología , Estrés Fisiológico , Estrés Psicológico , Natación/fisiología , Animales , Antioxidantes/metabolismo , Biomarcadores/metabolismo , Catalasa/metabolismo , Corticosterona/sangre , Glutatión Peroxidasa/metabolismo , Peróxidos Lipídicos/metabolismo , Masculino , Ratas , Ratas Sprague-Dawley , Superóxido Dismutasa/metabolismo
12.
Arq Bras Cardiol ; 92(6): 423-9, 440-7, 457-63, 2009 Jun.
Artículo en Inglés, Mul | MEDLINE | ID: mdl-19629309

RESUMEN

BACKGROUND: Reduced heart rate variability is associated with an unfavorable prognosis in patients with ischemic heart disease and diabetes. Whether change in breathing pattern can modify the risk factor in these patients has not been definitely proved. OBJECTIVE: To evaluate the effect of diaphragmatic breathing on heart rate variability (HRV) in ischemic heart disease patients with diabetes. METHODS: Study population consisted of 145 randomly selected male patients of which 45 had ischemic heart disease (IHD), 52 had IHD and diabetes (IHD-DM) and the remaining 48 had IHD and diabetic neuropathy (IHD-DN). HRV was assessed by 5 minute-electrocardiogram using the time domain method. The intervention group was divided into compliant and non-compliant groups and follow-up recording was carried out after three months and one year. RESULTS: Baseline recordings showed a significant decrease in HRV in ischemic heart disease (IHD) patients with or without diabetes (p<0.01). IHD patients had higher HRV than IHD patients with diabetes (p<0.01) or diabetic neuropathy (p<0.01). Increase in HRV was observed in patients who practiced diaphragmatic breathing for three months (IHD-DM: p<0.01; IHD-DN: p<0.05) and for one year (IHD-DM: p<0.01; IHD-DN: p<0.01). The HRV significantly decreased after one year in non-compliant patients. The regular practice of diaphragmatic breathing also improved the glycemic index in these patients. CONCLUSION: The regular practice of diaphragmatic breathing significantly improves heart rate variability with a favorable prognostic picture in ischemic heart disease patients who have diabetes. These effects seem to be potentially beneficial in the management of IHD patients with diabetes.


Asunto(s)
Ejercicios Respiratorios , Complicaciones de la Diabetes , Diafragma , Frecuencia Cardíaca/fisiología , Isquemia Miocárdica/terapia , Complicaciones de la Diabetes/clasificación , Métodos Epidemiológicos , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Isquemia Miocárdica/fisiopatología , Cooperación del Paciente/estadística & datos numéricos
13.
Arq. bras. cardiol ; 92(6): 457-463, jun. 2009. tab
Artículo en Inglés, Español, Portugués | LILACS | ID: lil-519967

RESUMEN

FUNDAMENTO: A diminuição da variabilidade da frequência cardíaca (VFC) está associada com um prognóstico desfavorável em pacientes com doença cardíaca isquêmica (DCI) e diabete. Ainda não foi provado em definitivo se a mudança no padrão respiratório pode modificar o fator de risco nesses pacientes. OBJETIVO: Avaliar o efeito da respiração diafragmática sobre a VFC em pacientes diabéticos com DCI. MÉTODOS: A população do estudo consistiu em 145 pacientes do sexo masculino selecionados ao acaso, dos quais 45 apresentavam DCI, 52 apresentavam DCI e diabete (DCI-DM) e 48 apresentavam DCI e neuropatia diabética (DCI-ND). A VFC foi avaliada através de ECG de 5 minutos usando o método de domínio de tempo. O grupo de intervenção foi dividido em grupo aderente e não-aderente e o seguimento foi registrado após três meses e um ano. RESULTADOS:A avaliação basal mostrou uma diminuição significante em VFC nos pacientes com doença cardíaca isquêmica com ou sem diabete (p<0,01). Os pacientes com DCI apresentavam VFC mais alta do que os pacientes com DCI-DM (p<0,01) e DCI-ND (p<0,01). Um aumento na VFC foi observado em pacientes que praticaram respiração diafragmática por três meses (DCI-DM: p<0,01; DCI-ND: p<0,05) e por um ano (DCI-DM: p<0,01; DCI-ND: p<0,01). A VFC diminuiu significantemente após um ano em pacientes não-aderentes. A prática regular de respiração diafragmática também melhorou o índice glicêmico nesses pacientes. CONCLUSÃO: A prática regular de respiração diafragmática melhora de forma significante a VFC em uma direção prognosticamente favorável em pacientes com DCI e diabete. Esses efeitos parecem ser potencialmente benéficos no manejo desses pacientes.


BACKGROUND: Reduced heart rate variability is associated with an unfavorable prognosis in patients with ischemic heart disease and diabetes. Whether change in breathing pattern can modify the risk factor in these patients has not been definitely proved. OBJECTIVE: To evaluate the effect of diaphragmatic breathing on heart rate variability (HRV) in ischemic heart disease patients with diabetes. METHODS: Study population consisted of 145 randomly selected male patients of which 45 had ischemic heart disease (IHD), 52 had IHD and diabetes (IHD-DM) and the remaining 48 had IHD and diabetic neuropathy (IHD-DN). HRV was assessed by 5 minute-electrocardiogram using the time domain method. The intervention group was divided into compliant and non-compliant groups and follow-up recording was carried out after three months and one year. RESULTS: Baseline recordings showed a significant decrease in HRV in ischemic heart disease (IHD) patients with or without diabetes (p<0.01). IHD patients had higher HRV than IHD patients with diabetes (p<0.01) or diabetic neuropathy (p<0.01). Increase in HRV was observed in patients who practiced diaphragmatic breathing for three months (IHD-DM: p<0.01; IHD-DN: p<0.05) and for one year (IHD-DM: p<0.01; IHD-DN: p<0.01). The HRV significantly decreased after one year in non-compliant patients. The regular practice of diaphragmatic breathing also improved the glycemic index in these patients. CONCLUSION: The regular practice of diaphragmatic breathing significantly improves heart rate variability with a favorable prognostic picture in ischemic heart disease patients who have diabetes. These effects seem to be potentially beneficial in the management of IHD patients with diabetes.


FUNDAMENTO: La disminución de la variabilidad de la frecuencia cardiaca (VFC) está asociada a un pronóstico desfavorable en pacientes con enfermedades cardiaca isquémica (DCI) y diabetes. Todavía no se aprobó en definitivo si el cambio en el estándar respiratorio puede modificar el factor de riesgo en esos pacientes. OBJETIVO: Evaluar el efecto de la respiración diafragmática sobre la VFC en pacientes diabéticos con DCI. MÉTODOS: La población del estudio consistió en 145 pacientes del sexo masculino seleccionados al azar, de los cuales 45 presentaban DCI, 52 presentaban DCI y diabetes (DCI-DM) y 48 presentaban DCI y neuropatía diabética (DCI-ND). La VFC se evaluó a través de ECG de 5 minutos con el empleo del método de dominio de tiempo. El grupo de intervención se dividió en grupo adherente y no-adherente y se registró el seguimiento tras tres meses y un año. RESULTADOS: La evaluación basal reveló una disminución significante en VFC en los pacientes con enfermedades cardiaca isquémica con o sin diabetes (p<0,01). Los pacientes con DCI presentaban VFC más alta que los pacientes con DCI-DM (p<0,01) y DCI-ND (p<0,01). Un aumento en la VFC se observó en pacientes que practicaron respiración diafragmática por tres meses (DCI-DM: p<0,01; DCI-ND: p<0,05) y por un año (DCI-DM: p<0,01; DCI-ND: p<0,01). La VFC disminuyó significantemente tras un año en pacientes no-adherentes. La práctica regular de respiración diafragmática también mejoró el índice glucémico en esos pacientes. CONCLUSIÓN: La práctica regular de respiración diafragmática mejora de forma significante la VFC en una dirección pronósticamente favorable en pacientes con DCI y diabetes. Esos efectos parecen ser potencialmente benéficos en el manejo de esos pacientes.


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Ejercicios Respiratorios , Complicaciones de la Diabetes , Diafragma , Frecuencia Cardíaca/fisiología , Isquemia Miocárdica/terapia , Complicaciones de la Diabetes/clasificación , Métodos Epidemiológicos , Estudios de Seguimiento , Isquemia Miocárdica/fisiopatología , Cooperación del Paciente/estadística & datos numéricos
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