Biomedical subjects

Sandro Soares Almeida

Publications and source records attributed to Sandro Soares Almeida.

2 recordsLinked to original sources

PubMed2026

Dose-response effects of isometric wall squats on postexercise hypotension in older women with hypertension.

OBJECTIVES: The isometric wall squat (IWS) is a promising nonpharmacological intervention for blood pressure (BP) management, but its optimal dosage in older adults remains unclear. This study compared postexercise hypotension (PEH) after two IWS doses in medicated older women with systemic arterial hypertension (SAH). METHODS: Thirty older hypertensive women (68.8 ± 10.0 years) were randomized into three groups: control (CG), 8-min IWS (G8-IWS; 4 × 2-min sets), and 12-min IWS (G12-IWS; 6 × 2-min sets). BP and heart rate (HR) were assessed at rest and at 0, 5, 10, 15, 30, 45, and 60 min postexercise and analyzed using linear mixed-effects models with Bonferroni correction ( P  < 0.05). RESULTS: G12-IWS significantly reduced systolic BP and mean arterial pressure (MAP) at 45-60 min and 30-60 min postexercise ( P  < 0.05), while G8-IWS showed no BP changes. G12-IWS decreased HR (30-60 min) and rate-pressure product (RPP; 15-60 min); G8-IWS reduced RPP from 30 to 60 min only. Diastolic BP and pulse pressure remained unchanged in both groups. CONCLUSION: A single G12-IWS session induced clinically meaningful PEH (~8-10 mmHg), exceeding reported with isometric handgrip exercise (~4-6 mmHg), with greater RPP suppression than G8-IWS. This equipment-free protocol represents a relevant nonpharmacological strategy for BP management in older women with SAH.

Humans↗

PubMed2025

The frequency of the ACTN3 polymorphism in Brazil: a systematic review and meta-analysis.

BACKGROUND: The ACTN3 gene encodes the protein alpha-actinin-3, which is crucial for fast-twitch muscle fibers, contributing to rapid and forceful contractions. The distribution of these genotypes and their impact on sports performance in Brazilian populations are not well-documented. This study aimed to determine the allelic and genotypic frequency of the ACTN3 R/X polymorphism in Brazil and its association with sports performance. METHODS: A systematic review was conducted, including studies sourced from PubMed, Scielo, LILACS, LIPECS, Coleciona SUS, CUMED, BINACIS, IBECS, and MEDLINE databases, resulting in 42 studies included. The quality of these studies was assessed using the Strengthening the Reporting of Genetic Association (STREGA) guidelines. RESULTS: Among all the 8,746 participants, 35.2% had the RR genotype, 46.2% had the RX genotype, and 18.6% had the XX genotype. Regarding allelic frequency, 58.3% were R allele carriers, while 41.7% were X allele carriers. Meta-analysis showed that there was no consistent association between the ACTN3 genotypes and sports performance, although some data suggested potential benefits in athletic performance. CONCLUSION: This study revealed that the RX genotype of the ACTN3 R577X polymorphism is the most prevalent in Brazil, followed by the RR and XX genotypes. While the R allele was more frequent, the meta-analysis did not confirm a consistent association between ACTN3 genotypes and sports performance, suggesting that other genetic and environmental factors contribute to athletic success.

Actinin↗