O EXERCÍCIO FÍSICO NA REABILITAÇÃO CARDIOPULMONAR PÓS-COVID-19

Autores

  • Mikele Costa de Lima
  • Vittória Rodrigues Felix
  • Kleyane Moraes Veras
  • Tiago dos Santos Nascimento

DOI:

https://doi.org/10.25110/arqsaude.v27i5.2023-051

Palavras-chave:

Covid-19, Exercício Físico, Reabilitação, Cardiopulmonar

Resumo

O estudo tem por objetivo avaliar a eficácia do exercício físico como ferramenta na reabilitação da capacidade cardiopulmonar de indivíduos pós-covid mediante ao esforço físico. Consistiu em uma pesquisa sistemática de literatura, com abordagem qualitativa, nas bases de dados “Pubmed” e “Scielo” utilizando os descritores “covid-19 and social determinants of health”, “covid-19 and physical exercise”, “covid-19 and rehabilitation”, “sars-cov-2 and pathophysiology” e “post covid-19”. O SARS-CoV-2 faz parte da família dos coronavírus (CoV), sua transmissão acontece principalmente de pessoa para pessoa por meio de gotículas respiratórias. A pandemia causou efeitos avassaladores nas estruturas sociais, nas populações e na economia, e com o isolamento social desencadeou diversos processos de adoecimento físico e mental. A covid afeta diretamente o sistema respiratório, pode comprometer também outras funções orgânicas, podendo obter melhoras através da reabilitação cardiopulmonar. O exercício físico desempenha papel fundamental no processo de reabilitação cardiopulmonar de indivíduos pós infecção pelo vírus da covid-19, acelerando a retomada das atividades de vida diária e consequentemente melhorando sua qualidade de vida.

Referências

ANTUNES, R. et al. Exploring Lifestyle Habits, Physical Activity, Anxiety and Basic Psychological Needs in a Sample of Portuguese Adults during COVID-19. International Journal of Environmental Research and Public Health, v. 17, n. 12, p. 4360, 18 jun. 2020.

ASTI VERA, A. Metodologia da pesquisa científica. 4 e d. ed. Porto Alegre: Globo, 1978.

AZER, S. A. COVID-19: Pathophysiology, diagnosis, complications and Investigational therapeutics. New Microbes and New Infections, v. 37, p. 100738, ago. 2020.

BRASIL. Painel Coronavírus. Disponível em: <https://covid.saude.gov.br/>. Acesso em: 6 jan. 2023.

BESNIER, F. et al. Cardiopulmonary Rehabilitation in Long-COVID-19 Patients with Persistent Breathlessness and Fatigue: The COVID-Rehab Study. International Journal of Environmental Research and Public Health, v. 19, n. 7, p. 4133, 31 mar. 2022.

CASCELLA, M. et al. Features, Evaluation, and Treatment of Coronavirus. Treasure Island (FL): StatPearls Publishing, 2022.

DAVIS, H. E. et al. Characterizing long COVID in an international cohort: 7 months of symptoms and their impact. EClinicalMedicine, v. 38, p. 101019, jul. 2021.

DONOGHUE, M. et al. A Novel Angiotensin-Converting Enzyme–Related Carboxypeptidase (ACE2) Converts Angiotensin I to Angiotensin 1-9. Circulation Research, v. 87, n. 5, set. 2000.

DWYER, M. J. et al. Physical activity: Benefits and challenges during the COVID‐19 pandemic. Scandinavian Journal of Medicine & Science in Sports, v. 30, n. 7, p. 1291–1294, 1 jul. 2020.

FAGHY, M. A. et al. The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network. Progress in Cardiovascular Diseases, v. 67, p. 2–10, 1 jul. 2021.

FERREIRA, B. F. C. et al. Reabilitação Cardiopulmonar na Covid-19. Revista da Sociedade de Cardiologia do Estado de São Paulo, v. 30, n. 4, p. 531–536, 10 dez. 2020.

FIGUEIREDO, A. M. et al. Letalidad del COVID-19: ausencia de patrón epidemiológico. Gaceta Sanitaria, v. 35, n. 4, p. 355–357, ago. 2021.

GLOSTER, A. T. et al. Impact of COVID-19 pandemic on mental health: An international study. PLOS ONE, v. 15, n. 12, p. e0244809, 31 dez. 2020.

GUO, Y. R. et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Medical Research, v. 7, n. 1, 13 mar. 2020.

HAWKINS, D. Social determinants of COVID-19 in Massachusetts: An ecological study. Journal of Preventive Medicine and Public Health, v. 53, n. 4, p. 220–227, 24 jun. 2020.

HEISTON, E. M. et al. Exercise improves adiposopathy, insulin sensitivity and metabolic syndrome severity independent of intensity. Experimental Physiology, v. 105, n. 4, p. 632–640, fev. 2020.

HOCKELE, L. F. et al. Pulmonary and Functional Rehabilitation Improves Functional Capacity, Pulmonary Function and Respiratory Muscle Strength in Post COVID-19 Patients: Pilot Clinical Trial. International Journal of Environmental Research and Public Health, v. 19, n. 22, p. 14899, 12 nov. 2022.

JIMENO-ALMAZÁN, A. et al. Post-COVID-19 Syndrome and the Potential Benefits of Exercise. International Journal of Environmental Research and Public Health, v. 18, n. 10, 17 maio 2021.

JIMENO-ALMAZÁN, A. et al. Effects of a concurrent training, respiratory muscle exercise, and self-management recommendations on recovery from post-COVID-19 conditions: the RECOVE trial. Journal of Applied Physiology, v. 134, n. 1, p. 95–104, 1 jan. 2023.

KHANNA, R. C. et al. COVID-19 pandemic: Lessons learned and future directions. Indian Journal of Ophthalmology, v. 68, n. 5, p. 703–710, 2020.

KOCH, T. Back to the future: Covid-19 and the recurring debate over social determinants of disease, and health. Social Sciences & Humanities Open, v. 6, n. 1, p. 100298, 2022.

LIANG, L.-L. et al. COVID-19 vaccinations are associated with reduced fatality rates: Evidence from cross-county quasi-experiments. Journal of Global Health, v. 11, 17 jul. 2021.

LIMA, M. G. et al. Associação das condições sociais e econômicas com a incidência dos problemas com o sono durante a pandemia de COVID-19. Cadernos de Saúde Pública, v. 37, n. 3, 2021.

LIU, K. et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complementary Therapies in Clinical Practice, v. 39, p. 101166, 1 maio 2020.

MARASHIAN, S. M. et al. Photobiomodulation Improves Serum Cytokine Response in Mild to Moderate COVID-19: The First Randomized, Double-Blind, Placebo Controlled, Pilot Study. Frontiers in Immunology, v. 13, p. 929837, 2022.

MASCARELLO, K. C. et al. Hospitalização e morte por COVID-19 e sua relação com determinantes sociais da saúde e morbidades no Espírito Santo: um estudo transversal. Epidemiologia e Serviços de Saúde, v. 30, n. 3, 2021.

MCNARRY, M. A. et al. Inspiratory Muscle Training Enhances Recovery Post COVID-19: A Randomised Controlled Trial. European Respiratory Journal, v. 60, n. 4, out. 2022.

NETO, M. S.; SOARES, E. A.; DUARTE, G. G. M. Alterações de sono em pacientes depressivos adultos: uma revisão integrativa. Arquivos de Ciências da Saúde da UNIPAR, Umuarama, v.27, n.4, p.1704-1714, 2023.

OSUCHOWSKI, M. F. et al. The COVID-19 puzzle: deciphering pathophysiology and phenotypes of a new disease entity. The Lancet Respiratory Medicine, v. 9, n. 6, p. 622–642, jun. 2021.

PALAU, P. et al. Effect of a home-based inspiratory muscle training programme on functional capacity in postdischarged patients with long COVID: the InsCOVID trial. BMJ Open Respiratory Research, v. 9, n. 1, p. e001439, dez. 2022.

PASSARELLI-ARAUJO, H. et al. The impact of COVID-19 vaccination on case fatality rates in a city in Southern Brazil. American Journal of Infection Control, v. 50, n. 5, p. 491–496, 1 maio 2022.

PETERSEN, M. S. et al. Long COVID in the Faroe Islands: A Longitudinal Study Among Nonhospitalized Patients. Clinical Infectious Diseases, v. 73, n. 11, p. 4058–4063, dez. 2021.

SAMPAIO, R. F.; MANCINI, M. C. Estudos de revisão sistemática: Um guia para síntese criteriosa da evidência científica. Rev. bras. fisioter., São Carlos, v. 11, n. 1, p. 83-89, jan./fev. 2007.

SEVERIN, R. et al. Respiratory Muscle Performance Screening for Infectious Disease Management Following COVID-19: A Highly Pressurized Situation. The American Journal of Medicine, v. 133, n. 9, p. 1025–1032, 1 set. 2020.

SHI, H. et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet Infectious Diseases, v. 20, n. 4, p. 425–434, abr. 2020.

SIDDIQ, M. A. B. et al. Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic. Turkish Journal of Physical Medicine and Rehabilitation, v. 66, n. 4, p. 480–494, 9 nov. 2020.

SILVA, H. P.; LIMA, L. D. Política, economia e saúde: lições da COVID-19. Cadernos de Saúde Pública, v. 37, n. 9, 2021.

SIRIPANTHONG, B. et al. Recognizing COVID-19–related myocarditis: The possible pathophysiology and proposed guideline for diagnosis and management. Heart Rhythm, v. 17, n. 9, p. 1463–1471, 5 maio 2020.

SKJØRTEN, I. et al. Cardiopulmonary exercise capacity and limitations 3 months after COVID-19 hospitalisation. European Respiratory Journal, v. 58, n. 2, p. 2100996, 1 jul. 2021.

SREEPADMANABH, M.; SAHU, A. K.; CHANDE, A. COVID-19: Advances in diagnostic tools, treatment strategies, and vaccine development. Journal of Biosciences, v. 45, n. 1, p. 148, 2020.

TARIBAGIL, P.; CREER, D.; TAHIR, H. “Long COVID” syndrome. BMJ Case Reports CP, v. 14, n. 4, p. e241485, 1 abr. 2021.

UFMG. Periódicos – UFMG, 2017. Disponível em: <https://www.ufmg.br/periodicos/voce-sabe-o-que-sao-indexadores-para-os-periodicos-cientificos-a-gente-te-conta/#:~:text=Alguns%20exemplos%20de%20indexadores%20de>. Acesso em: 7 fev. 2023.

VINCENT, J.-L.; TACCONE, F. S. Understanding pathways to death in patients with COVID-19. The Lancet Respiratory Medicine, v. 8, n. 5, p. 430–432, abr. 2020.

WALLENTIN, L. et al. Angiotensin-converting enzyme 2 (ACE2) levels in relation to risk factors for COVID-19 in two large cohorts of patients with atrial fibrillation. European Heart Journal, v. 41, n. 41, p. 4037–4046, 27 set. 2020.

WHO. WHO Guidelines on physical activity and sedentary behaviour. Disponível em: <https://apps.who.int/iris/bitstream/handle/10665/337004/9789240014817-spa.pdf>. Acesso em: 8 fev. 2023.

WHO. WHO COVID-19 Dashboard. Disponível em: <https://covid19.who.int/>. Acesso em: 6 jan. 2023.

WÖLFEL, R. et al. Virological assessment of hospitalized patients with COVID-2019. Nature, v. 581, p. 465–469, 1 abr. 2020.

WU, Z.; MCGOOGAN, J. M. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China. JAMA, v. 323, n. 13, p. 1239–1242, 24 fev. 2020.

XU, X. et al. Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission. Science China Life Sciences, v. 63, n. 3, 21 jan. 2020.

YAN, H. et al. Effect of respiratory rehabilitation training on elderly patients with COVID-19. Medicine, v. 99, n. 37, p. e22109, 11 set. 2020.

YANG, X. et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine, v. 8, n. 5, p. 475–481, 24 fev. 2020.

ZHANG, R. et al. Coagulopathy is associated with multiple organ damage and prognosis of COVID-19. EXCLI journal, v. 20, p. 174–191, 2021.

ZHOU, F. et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, v. 395, n. 10229, p. 1054–1062, mar. 2020.

Downloads

Publicado

29-05-2023

Como Citar

DE LIMA, Mikele Costa; FELIX, Vittória Rodrigues; VERAS, Kleyane Moraes; NASCIMENTO, Tiago dos Santos. O EXERCÍCIO FÍSICO NA REABILITAÇÃO CARDIOPULMONAR PÓS-COVID-19. Arquivos de Ciências da Saúde da UNIPAR, [S. l.], v. 27, n. 5, p. 2928–2948, 2023. DOI: 10.25110/arqsaude.v27i5.2023-051. Disponível em: https://revistas.unipar.br/index.php/saude/article/view/9940. Acesso em: 22 nov. 2024.

Edição

v. 27 n. 5 (2023)

Seção

Artigos

Licença

Os Direitos Autorais para artigos publicados são de direito da revista. Em virtude da aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com Creative Commons Attribution 4.0 International License.

A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores.

Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação.

As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.