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Biomedical subjects

E C Lima-Filho

Publications and source records attributed to E C Lima-Filho.

13 recordsLinked to original sources

Heart rate variability in athletes and nonathletes at rest and during head-up tilt.

The purpose of the present study was to determine if autonomic heart rate modulation, indicated by heart rate variability (HRV), differs during supine rest and head-up tilt (HUT) when sedentary and endurance-trained cyclists are compared. Eleven sedentary young men (S) and 10 trained cyclists (C) were studied. The volunteers were submitted to a dynamic ECG Holter to calculate HRV at rest and during a 70 masculine HUT. The major aerobic capacity of athletes was expressed by higher values of VO2 at anaerobic threshold and peak conditions (P < 0.05). At rest the athletes had lower heart rates (P < 0.05) and higher values in the time domain of HRV compared with controls (SD of normal RR interval, SDNN, medians): 59.1 ms (S) vs 89.9 ms (C), P < 0.05. During tilt athletes also had higher values in the time domain of HRV compared with controls (SDNN, medians): 55.7 ms (S) vs 69.7 ms (C), P < 0.05. No differences in power spectral components of HRV at rest or during HUT were detected between groups. Based on the analysis of data by the frequency domain method, we conclude that in athletes the resting bradycardia seems to be much more related to changes in intrinsic mechanisms than to modifications in autonomic control. Also, HUT caused comparable changes in sympathetic and parasympathetic modulation of the sinus node in both groups.

Adult↗

[Noise-induced hearing loss and its association with cumulative working time among urban bus workers].

Through regression analysis the relationship between noise-induced hearing loss and variables "total cumulative working time", "arterial blood pressure" and "age" was examined. The study was carried out among 278 bus drivers and ticket takers, users of an occupational health center in Campinas, São Paulo State (Brazil). The main results were a positive association between hearing loss and cumulative working time, as well as an interaction between this variable and the bus workers' age.

English Abstract↗

[The inadequacy of threshold values for preventing lead poisoning in Brazil].

This article reviews studies performed since 1975 on the occurrence of central and peripheral neurological manifestations in low-level lead exposure. The review shows that in many workers exposed to lead who present indications of both biological effects and exposure below the limits established by the Brazilian laws, abnormalities are found in peripheral nerve conduction velocity and also in several central nervous system functions. The study thus suggests that the threshold values used in Brazil to confirm lead poisoning should be revised.

English Abstract↗

Effects of aerobic exercise training on heart rate variability during wakefulness and sleep and cardiorespiratory responses of young and middle-aged healthy men.

The purpose of the present study was to evaluate the effects of aerobic physical training (APT) on heart rate variability (HRV) and cardiorespiratory responses at peak condition and ventilatory anaerobic threshold. Ten young (Y: median = 21 years) and seven middle-aged (MA = 53 years) healthy sedentary men were studied. Dynamic exercise tests were performed on a cycloergometer using a continuous ramp protocol (12 to 20 W/min) until exhaustion. A dynamic 24-h electrocardiogram was analyzed by time (TD) (standard deviation of mean R-R intervals) and frequency domain (FD) methods. The power spectral components were expressed as absolute (a) and normalized units (nu) at low (LF) and high (HF) frequencies and as the LF/HF ratio. Control (C) condition: HRV in TD (Y: 108, MA: 96 ms; P<0.05) and FD - LFa, HFa - was significantly higher in young (1030; 2589 ms2/Hz) than in middle-aged men (357; 342 ms2/Hz) only during sleep (P<0.05); post-training effects: resting bradycardia (P<0.05) in the awake condition in both groups; VO2 increased for both groups at anaerobic threshold (P<0.05), and at peak condition only in young men; HRV in TD and FD (a and nu) was not significantly changed by training in either groups. The vagal predominance during sleep is reduced with aging. The resting bradycardia induced by short-term APT in both age groups suggests that this adaptation is much more related to intrinsic alterations in sinus node than in efferent vagal-sympathetic modulation. Furthermore, the greater alterations in VO2 than in HRV may be related to short-term APT.

Adult↗

Cardiorespiratory adaptations induced by aerobic training in middle-aged men: the importance of a decrease in sympathetic stimulation for the contribution of dynamic exercise tachycardia.

We investigated the effects of aerobic training on the efferent autonomic control of heart rate (HR) during dynamic exercise in middle-aged men, eight of whom underwent exercise training (T) while the other seven continued their sedentary (S) life style. The training was conducted over 10 months (three 1-h/sessions/week on a field track at 70-85% of the peak HR). The contribution of sympathetic and para-sympathetic exercise tachycardia was determined in terms of differences in the time constant effects on the HR response obtained using a discontinuous protocol (4-min tests at 25, 50, 100 and 125 watts on a cycle ergometer), and a continuous protocol (25 watts/min until exhaustion) allowed the quantification of the parameters (anaerobic threshold, VO2 AT; peak O2 uptake, VO2 peak; power peak) that reflect oxygen transport. The results obtained for the S and the T groups were: 1) a smaller resting HR in T (66 beats/min) when compared to S (84 beats/min); 2) during exercise, a small increase in the fast tachycardia (delta 0-10 s) related to vagal withdrawal (P < 0.05, only at 25 watts) was observed in T at all powers; at middle and higher powers a significant decrease (P < 0.05 at 50, 100 and 125 watts) in the slow tachycardia (delta 1-4 min) related to a sympathetic-dependent mechanism was observed in T; 3) the VO2 AT (S = 1.06 and T = 1.33 l/min) and VO2 peak (S = 1.97 and T = 2.47 l/min) were higher in T (P < 0.05). These results demonstrate that aerobic training can induce significant physiological adaptations in middle-aged men, mainly expressed as a decrease in the sympathetic effects on heart rate associated with an increase in oxygen transport during dynamic exercise.

Adaptation, Physiological↗

Evaluation of the autonomic nervous system of the heart in male patients with mitral valve prolapse syndrome using respiratory sinus arrhythmia and dynamic exercise.

The autonomic nervous system of the heart was evaluated in two male groups composed of 11 patients with mitral valve prolapse and of 10 normal subjects, using the heart rate response in two types of tests: respiratory sinus arrhythmia at rest and dynamic exercise. Sinus arrhythmia was of higher magnitude in patients with mitral valve prolapse when compared to the control group; however, the differences reached statistical significance only at a respiratory frequency of 7 cycles/min. With respect to dynamic exercise (25, 50, 100, 150 W during 4 min), the heart rate response, either in terms of the early, vagus-dependent fast tachycardia (first 10 s), or the late, sympathetic-dependent tachycardia (1-4 min) was normal in both groups studied, the same occurring with aerobic exercise capacity evaluated by measurement of the anaerobic threshold. Thus, our results show that in the group of male patients with mitral valve prolapse studied here, the parasympathetic abnormalities, if present, are of questionable physiological significance and do not affect the sympathetic and parasympathetic control of heart rate during dynamic exercise.

Adult↗

Anaerobic threshold estimation by statistical modelling.

Anaerobic threshold (AT) is usually estimated as a change point problem by visual analysis of the cardiorespiratory response to incremental dynamic exercise. In this study, two phase linear (TPL) models of the linear-linear and linear-quadratic type were used for the estimation of AT. The correlation coefficient between the classical and statistical approaches was 0.88, and 0.89 after outlier exclusion. The TPL models provide a simple method for estimating AT that can be easily implemented using a digital computer for the automatic pattern recognition of AT.

Anaerobic Threshold↗

The use of isometric exercise as a means of evaluating the parasympathetic contribution to the tachycardia induced by dynamic exercise in normal man.

Fourteen normal subjects were submitted to isometric exercise (IE), dynamic exercise (DE) and a combination of the two (IE + DE). The main purpose of the present study was to use IE as a means of evaluating the mechanism of the heart rate (HR) increase induced by DE. To this end, the magnitude of the IE (handgrip) was standardized so as to cause an elevation of HR almost exclusively by vagal withdrawal: IE was performed using a dynamometer strain-gauge system with a linear response at 75% of maximum voluntary contraction (MVC) for 10 s, repeated at 1 min intervals. The change in HR evoked by IE under control conditions was compared with that evoked during DE, and during the corresponding recovery period. DE was performed by the legs, with the subject in the seated position for 4 min, at workloads of 55 and 105 watts, separated by a rest period. In the combined protocol, IE was performed at the beginning of DE, as well as at 1, 2 and 3 min during DE, and at 0, 1, 2, 3 and 5 min during recovery period. The following results were obtained: (1) IE associated with DE always induced smaller increase in heart rate than IE alone, and this effect was more marked at 105 than at 55 W; this finding suggested a workload-dependent vagal withdrawal at the very beginning of DE that was sustained until the end of effort.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Inadequacy of first and second order models to characterize the heart rate response induced by dynamic exercise.

Six normal subjects were submitted to dynamic exercise at workloads of 25, 50, 100 and 150 w for 4 min, intercalated by periods of rest, before and after an aerobic training period of 10 weeks. The heart rate response was fitted to 2 mathematical models, a 1st-order model and a 2nd-order model. The results indicate that these 2 models were not adequate to characterize the physiological response of heart rate induced by dynamic exercise.

Exercise Test↗

Quantitative analysis of ultradian luteinizing hormone secretion in normal men.

Basal pulsatile secretion of luteinizing hormone (LH) was studied in 8 healthy adult men and analyzed by mathematical and statistical techniques. LH pulses previously defined by semiquantitative criteria resisted the data-smoothing techniques employed. LH values were shown to have normal distribution in normal men. No correlation was found between mean LH and testosterone levels for the same individual. On the basis of analysis of variance it was shown that the individual variability and not the collection time is important in determining each isolated LH value. The LH levels were located within a particular channel for each individual for each collection time.

Activity Cycles↗

Impairment of baroreflex control of the sinoatrial node after cardiac operations with extracorporeal circulation in man.

The sensitivity of the baroreceptor reflex to transient hypertension was determined in 13 patients before (control) and after (72 hours) open cardiac operations with extracorporeal circulation (ECC). In all patients early postoperative values were appreciably decreased (p less than 0.01) as compared to the preoperative values. This decrease suggested severe impairment of baroreflex control of the sinoatrial node. These changes were not correlated with concurrent alterations in heart rate or systemic arterial, left atrial, or right atrial pressures. In addition, respiratory sinus node arrhythmia was absent in all subjects. In four patients, subsequent studies 4, 8, 10, and 12 months, respectively, after the operation revealed good recovery of baroreflex sensitivity and respiratory influences on beat-to-beat variation. No similar effects were observed in two patients studied before and after cardiac operations without ECC. It is possible that direct trauma to the nervous supply of the sinoatrial node is a major factor in that reversible dysfunction; in fact, in three patients evidence was obtained that while sinoatrial node responses were impaired, the reflex control of the atrioventricular region remained unaltered. These findings point to further impairment of the fine control of heart rate imposed by the conditions of cardiac operations with ECC in patients with previously curtailed cardiac reserve.

Adolescent↗

Puberty and sexual maturation in hemidecorticate female rats.

The onset of puberty and sexual maturation were studied in female rats that had been hemidecorticated (HD) during the neonatal period (1-3 days old). Hemidecorticate and control rats submitted to photostimulation (14 h light: 10 h dark) had earlier and better synchronized vaginal opening (VO) than rats raised under natural light (12 h light: 12 h dark). HD rats maintained under 14 h light: 10 h dark had vaginal opening 4-5 days earlier than their controls under the same light conditions. Peaks of plasma gonadotrophin (LH) were observed in hemidecorticate animals 10 days (30th day of life) earlier than in the controls (40th day). These LH peaks were preceded by higher adenohypophyseal and uterine weights at 25 and 30 days of age. The estrous cycles observed in adult rats that were hemidecorticated during the neonatal period were similar to that of intact rats. These results suggest that hemidecortication induces early puberty. This effect could be due to accelerated maturation of the ovaries probably due to the unrestricted activity of the medial basal hypothalamus, which in turn might activate the hypothalamic mechanisms that trigger puberty.

Animals↗

Control of heart rate during exercise in health and disease.

The authors present a review of their contributions over the last decade to the study of the autonomic control of heart rate during dynamic exercise under physiological and pathological conditions. These studies included the development of new methods for the evaluation of autonomic control of heart rate during dynamic exercise in man. Pharmacological blockade of sympathetic (propranolol) and parasympathetic (atropine) efferent nerves was used to demonstrate differences in time constants and power-dependent relative participation of each division of the autonomic nervous system, as predominant mechanisms responsible for the tachycardia occurring during dynamic exercise. These findings have permitted the use of properly standardized dynamic exercise (discontinuous protocol: step powers, seated position on a bicycle ergometer, 4-min duration), as a simple and noninvasive test for the evaluation of autonomic control of the sinus node. This test has proved to be useful for detecting physiological autonomic adaptations induced by aerobic training, as well as dysfunctions occurring in pathologic conditions such as Chagas' disease and hyperthyroidism.

Atropine↗