Manual Therapy, Posturology & Rehabilitation Journal
https://app.periodikos.com.br/journal/mtprehab/article/doi/10.17784/mtprehabjournal.2017.15.483
Manual Therapy, Posturology & Rehabilitation Journal
Review

Aerobic Exercise and Endothelium

D’Almeida, Allan Di Giaimo; Rica, Roberta Luksevicius; Evangelista, Alexandre Lopes; Silva, Ariana A.; Serra, Andrey Jorge; Gama, Eliane F.; Bocalini, Danilo Sales

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Abstract

Background: A few years ago, it was believed that the endothelium was just a membrane separating blood from the outermost layers of blood vessels. However, it has now become recognized as a mediator of vasoconstricting and vasodilatory substances, regulating vessel tone through the information received. The main vasodilatory substance released by the endothelium is nitric oxide, a gas responsible for the inhibition of neovascular growth and platelet aggregation, modulating inflammation and coagulation, and can be released through physical and humoral stimuli. Exercise is considered the best non-pharmacological mechanism in the prevention and treatment of cardiovascular diseases, by promoting greater blood flow, generating blood shear forces on the vessel wall and thus releasing nitric oxide, the most important vasodilator produced by the endothelium. Objective: Verify the effects of aerobic exercise on the endothelium. Methods: We reviewed the studies that evaluated the effects of aerobic exercise and its intensities on the endothelium. Results: According to the studies reviewed in this research, impaired endothelial function improves through aerobic training, whether low, moderate or high intensity. Conclusion: Physical activity, specifically aerobic exercise is an important tool in the production of nitric oxide, responsible for blood vasodilation, inhibition of platelet aggregation among other symptoms of endothelial dysfunction.

Keywords

Endothelium, Nitric Oxide, Dysfunction, Aerobic Exercise, Intensity

References

1. Bahia L, Aguiar LGK, Villela NR, Bottino D, Bouskela G. O endotélio na Síndrome Metabólica. Arquivos Brasileiros de Endocrinologia. Metabólica. 2006;5(2):291-303.

2. Chisi G, LM, Durieux A, Pinho R, Benetti M. Exercício Físico e Disfunção Endotelial. [dissertation]. Santa Catarina: Universidade do Estado de Santa Catarina; 2010.

3. Lima DS, Miranda JR, Hatta F, Lima W, Sato E. Função endotelial: considerações metodológicas. Revista Brasileira de Reumatologia. 1998; 38:229-53.

4. Powers SK, Howley ET. Fisiologia do Exercício. São Paulo: Manole; 2005.

5. Anderson TJ. Assessment ant treatment of endhotelial dysfunctions in humans. J Am Coll Cardiol. 1999;34:631-8.

6. Da Veiga ADR. Efeitos do treinamento aeróbio, em hidroginástica, na reatividade vascular em homens obesos. Programa de pós-graduação da Universidade Federal do Rio Grande do Sul: Porto Alegre; 2008.

7. Silva CA. Treinamento aeróbio de alta intensidade melhora a vasodilatação dependente do endotélio em pacientes com síndrome metabólica ou diabetes mellitus tipo 2 [dissertation]. Rio Grande do Sul: Universidade Federal do Rio Grande do Sul; 2006.

8. Dias RG, Negrão CE, Krieger MH. Óxido nítrico e sistema cardiovascular: ativação celular, reatividade vascular e variante genética. Instituto do Coração – InCor (HCFMUSP). São Paulo: Unicamp; 2009.

9. Hamet P, Tremblay J. A genetic determinants of the stress response in cardiovascular disease. Metabolism. 2002;(51):15-24.

10. Kelly AS, Wetzsteon RJ, Kaiser DR, Steinberger J, Bank A, Dengel DR. Inflammation, insulin, and endothelial function in overweight children and adolescents: the role exercise. J Pediatr. 2004;145:731-6.

11. Cooke JP, Rossitch E, Andon NA, Loscalzo J, Dzau V. Flow activates an endhotelial potassium chanel to release an endogenous nitrovasodilator. J. Clin. Invest. 1991;88:1663-71.

12. Luz PL, Uint L. O endotélio na aterosclerose: interações celulares e vasomotricidade. IN: Luz P, Laurindo F, Chagas ACP. Endotélio: Doenças cardiovasculares. São Paulo: Atheneu; 2005.

13. Thompson PD. O exercício e a Cardiologia do Esporte. São Paulo: Manole; 2004.

14. Cabral MD, Teixeira PFS, Leite SP, Vaisman M. Marcadores de função endotelial no hipotireoidismo. Arquivos Brasileiros de Endocrinologicos e Metab. 2009;53(3).

15. Gewaltig MT, Kodja G. Vasoprotection by Nitric Oxide: mechanisms and therapeutic potential. Cardiovasc Res. 2002;55(2):250-60.

16. Ozaki MR. Estudo do relaxamento dependente do endotélio em ratos submetidos a infarto experimental e tratados com inibidores da enzima conversora de angiotensina e bloqueadores específicos dos receptores AT1. São Paulo: Unicamp; 2001.

17. Zenere BM, Arcaro G, Saggiani F. Noninvasive detection of functional alterations of arterial wall in IDDM patients with microalbuminuria. Diabetes Care. 1995;18:975-82.

18. Mariorana A, O’Driscoll G, Cheetham C, Dembo L, Goodman C, Taylor R, et al. Effect of aerobic and resistance exercise training on vascular function in heart failure. American Journal of Physiology. 2000;279:1999-2005.

19. Virdis A, Ghiadoni L, Versari D, Giannarelli C, Salvetti A, Taddei S. Endothelial function assessment in complicated hypertension. Curr Pharm Dês. 2008;14(18):1761-70.

20. Apor P, Radi A. Vascular effects of physical activity. Orvosi Hetilap, 2005;146(2):483-9.

21. Kasapis C, Thompson PD. The effects of Physical Activity on serum C-reative protein and inflammatory markers: a systematic review. J Am Coll Cardiol. 2005;45(10):1563-9.

22. Ross MD, Malone E, Florida-James G. Vascular Ageing and Exercise: Focus on Cellular Reparative Processes. Oxid Med Cell Longev. 2016.

23. Hornig B, Maier V, Drexler H. Physical training improves endothelial function in patients with chronic heart failure. Circulation. 1996;93(2):210-14.

24. Lewis TV, Dart AM, Chin-Dusting JPF, Kingwell BA. Exercise training increases basal nitric oxide production from the forearm in hypercholesterolemic patients. Arterioscler Thromb Vasc Biol. 1999;19:2782-7.

25. Goto C, Higashi Y, Kimura M, Noma K, Hara K, Nakagama K, et al. Effect of different intensities of exercise on endothelial-dependent vasodilatation in humans: role of endothelium-dependent nitric oxide and oxidative stress. Circulation. 2003;108:530-5.

26. Green DJ, Cable NT, Fox C, Rankin JM, Taylor RR. Modification of forearm resistance vessels by exercise training in young men. J. Appl. Physiol. 1994;(77):1829-33.

27. Bergholm R, Makimattila S, Valkonen M, Liu M, Lahdenperas S, Taskinen M, et al. Intense physical training decreases circulating antioxidants and endothelium-dependent vasodilatation in vivo. Atherosclerosis. 1999;145:341-9.

28. Feairheller DL, Diaz KM, Kashem MA, Thakkar SR, Veerabhadrapp P, Sturgeon KM, et al. Effects of Moderate Aerobic Exercise Training on Vascular Health and Blood Pressure in African Americans. J Clin Hypertens. 2014; 16(7):504–10.

29. Ciolac EG. Efeito do exercício físico contínuo versus intervalado sobre a pressão arterial, rigidez arterial e qualidade de vida em pacientes hipertensos. Faculdade de Medicina da Universidade de São Paulo: São Paulo; 2006.

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