Prior exercise training and experimental myocardial infarction: A systematic review and meta-analysis

Autor: Ricardo Simoes, Danilo Sales Bocalini, Stella S. Vieira, Eduardo Carvalho de Arruda Veiga, Brunno Lemes de Melo, Edmund Chada Baracat, Vitor Engrácia Valenti, Julien S. Baker, José Maria Soares-Júnior, Roberta Lukesvicius Rica, Joseane Elza Tonussi Mendez Rossetti do Vale, Andrey Jorge Serra, Marcelo Ferraz Campos
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinics, Volume: 75, Article number: e1293, Published: 20 JAN 2020
Clinics
Clinics; v. 75 (2020); e1293
Clinics; Vol. 75 (2020); e1293
Universidade de São Paulo (USP)
instacron:USP
ISSN: 1980-5322
1807-5932
Popis: Exercising prior to experimental infarction may have beneficial effects on the heart. The objective of this study was to analyze studies on animals that had exercised prior to myocardial infarction and to examine any benefits through a systematic review and meta-analysis. The databases MEDLINE, Google Scholar, and Cochrane were consulted. We analyzed articles published between January 1978 and November 2018. From a total of 858 articles, 13 manuscripts were selected in this review. When animals exercised before experimental infarction, there was a reduction in mortality, a reduction in infarct size, improvements in cardiac function, and a better molecular balance between genes and proteins that exhibit cardiac protective effects. Analyzing heart weight/body weight, we observed the following results - Mean difference 95% CI - -0.02 [-0.61,0.57]. Meta-analysis of the infarct size (% of the left ventricle) revealed a statistically significant decrease in the size of the infarction in animals that exercised before myocardial infarction, in comparison with the sedentary animals -5.05 [-7.68, -2.40]. Analysis of the ejection fraction, measured by echo (%), revealed that animals that exercised before myocardial infarction exhibited higher and statistically significant measures, compared with sedentary animals 8.77 [3.87,13.66]. We conclude that exercise performed prior to experimental myocardial infarction confers cardiac benefits to animals.
Databáze: OpenAIRE
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