RESUMO
The use of saliva to monitor immune and hormonal responses in training, competitions, and during recovery is an easy and non-invasive alternative means of collecting samples compared to serum collection. Saliva can provide insight into a number of interesting biomarkers such as cortisol, testosterone, immunoglobulins, alpha-amylase, and melatonin, among others. High-intensity and exhaustive exercises, such as training or competition, provide variations in immune, protein and hormonal markers. An adequate recovery period, calming down, and recovery methods can contribute to a fast normalization of these markers, decreasing illness, as well as the likelihood of overtraining and injuries, but their effectiveness is still inconclusive. The aim of this review was to investigate the evidence of salivary markers in post-exhaustive exercise during the recovery period. This study is a systematic review from three electronic databases with studies from 2011 to 2021 within healthy humans. The search found 213 studies, and after applying the inclusion and exclusion criteria, while excluding duplicated studies, 14 studies were included in this review. The most cited salivary markers were cortisol and testosterone, as well as their ratio, alpha-amylase and IgA. Half of the studies applied a variety of recovery methods that showed controversial results over salivary markers' impact. However, they showed an impact on the markers from the exercise, which was still dependent on exercise intensity, methodology, and duration.
RESUMO
This article is intended to contribute for the debate instituted about the composition of 'Family Health' teams. It must be understood as a reflection about the possibility of integrating the physiotherapist to those teams, aiming to present some aspects of the profession that might potentially improve the outcomes of primary health care. On this study, we analyze the legal documents that approve the rules for qualifying professional physiotherapists. In the 1970s and 1980s, following Brazilian sanitary reform, those documents made official the process that led physiotherapy, which was historically recognized for its clinic acting, into a shift on its work object. This change approximated physiotherapists to preventive and health promotion practices, typical of the first level of care. We conclude that such changes opened an important space for integration still little explored. We propose to strengthen these new fields, by focusing the reflection on integration forms and on the necessity to impose to managers to plan their actions in association with the community, taking into account the local health situation and assuring intervention on problems according to priority population groups.
