Kontrolowany trening fizyczny w ramach profilaktyki chorób sercowo-naczyniowych istotnym elementem w organizacji kompleksowej rehabilitacji kardiologicznej

• Autorzy: Ireneusz Jurczak

Warianty tytułu

Controlled Physical Training on the Prevention of Cardiovascular Disease an Important Element in the Organization of the Comprehensive Cardiac Rehabilitation

• Języki publikacji: PL

Abstrakty

Nie ma wątpliwości, że trening fizyczny w profilaktyce zdrowia w ogóle, a w chorobach układu krążenia w szczególności, odgrywa rolę kluczową, bez względu na wiek chorego. Znane są mechanizmy wpływu treningu na regulację krążenia centralnego i obwodowego, a odpowiednia jego realizacja przekłada się na wzrost przeżycia chorych, zmniejszenie rehospitalizacji i poprawę jakości życia. Wprowadzenie optymalnego funkcjonowania ośrodków kompleksowej rehabilitacji pozwoli na szybszy powrót chorych do życia zawodowego, co znamiennie wpłynie na zmniejszenie kosztów generowanych przez Państwo. (fragment tekstu)

EN

Every year on cardiovascular disease dies about 17 million people in the world. Patients require long-term hospitalization, medical care, rehabilitation and drugs, which is associated with the generation costs. To effectively fight cardiovascular disease, it is important emphasis on prevention, which will reduce the action of the risk factors leading to the occurrence of cardiovascular disease and the implementation of the proper functioning of the organization and supervision of cardiac care at both national and regional levels. One of the modifiable risk factors are lack of physical activity. Physical training used in the framework of a comprehensive cardiac rehabilitation is an important and necessary part of the treatment of patients allowing to return to social and professional life. Every physical workout is connected with changes in the cardiovascular system. They determine to what extent the body has adapted to physical strain. In recent years there have been many hypotheses involving the pathogenesis of cardiovascular disease with peripheral pathomechanisms. These hypotheses are associated with reduced exercise tolerance of patients and progression of vascular disease. (original abstract)

Słowa kluczowe

PL

Choroby; Świadczenia rehabilitacyjne; Kultura fizyczna

EN

Illness; Rehabilitation benefits; Physical culture

• Czasopismo: Przedsiębiorczość i Zarządzanie
• Rocznik: 2016
• Numer: t. 17, z. 10, cz. 3 Zarządzanie w zdrowiu publicznym - aspekty społeczne i ekonomiczne
• Strony: 299-308

Twórcy

autor

Ireneusz Jurczak

• Społeczna Akademii Nauk

Bibliografia

• Abe J., Berk B.C. (2014), Novel mechanisms of endothelial mechanotransduction, "Arteriosclerosis thrombosis and Vascular Biology", nr 34(11).
• Bagher P., Segal S.S. (2011), Regulation of blood flow in the microcirculation: role of conducted vasodilation, "Acta Physiologica (Oxf)", nr 202(3).
• Borghi-Silva A., Carrascosa C., Oliveira C.C. (2008), Effects of respiratory muscle unloading on leg muscle oxygenation and blood volume during high-intensity exercise in chronic heart failure, "American Journal of Physiology. Heart and Circulatory Physiology", nr 294 (6).
• Clement M., Laurent M. (2008), Muscle (phosphocreatine) dynamics during exercise: implication for understanding the regulation of muscle oxidative metabolism, "The Journal of Physiology", nr 13.
• Clifford P.S. (2011), Local control of blood flow, "Advances in Physiology Education", nr 35.
• Crimi E., Ignarro L.J, Cacciatore F., Napoli C. (2009), Mechanisms by which exercise training benefits patients with heart failure, "Nature Reviews Cardiology", nr 6.
• Duncker D.J., Bache R.J. (2008), Regulation of coronary blood flow during exercise, "Physiological Reviews", nr 88(3).
• Duscha B.D. (2008), Implications of chronic heart failure on peripheral vasculature and skeletal muscle before and after exercise training, "Heart Failure Reviews", nr 13.
• Fetalvero K.M., Martin K.A., Hwa J. (2007), Cardioprotective prostacyclin signaling in vascular smooth muscle. Prostaglandins Other Lipid Mediators, "The Journal of Lipid Research", nr 82.
• Forstermann U. (2008), Oxidative stress in vascular disease: causes, defense mechanisms and potential therapies, "Nature Clinical Practice Cardiovascular Medicine", nr 5(6).
• Gorski J. (red.) (2006), Fizjologiczne podstawy wysiłku fizycznego, PZWL, Warszawa.
• Green D.J., Spence A., Halliwill J.R. (2011), Exercise and vascular adaptation in asymptomatic humans, "Experimental Physiology", nr 96(2).
• Guazzi M. (2014), Abnormalities in cardiopulmonary exercise testing ventilatory parameters in heart failure: pathophysiology and clinical usefulness, "Current Heart Failure Reports", nr 11(1).
• Ji J.W., Mac Gabhann F., Popel A.S. (2007), Skeletal Muscle VEGF gradients in peripheral arterial disease: simulations of rest and exercise, "American Journal of Physiology. Heart and Circulatory Physiology", nr 293(6).
• Joyner M.J., Casey D.P. (2015), Regulation of increased blood flow (hyperemia) to muscles during exercise: a hierarchy of competing physiological needs, "Physiological Reviews", nr 95(2).
• Kirby B.S., Crecelius A.R., Voyles W.F., Dinenno F.A. (2011), Modulation of postjunctional α-adrenergic vasoconstriction during exercise and exogenous ATP infusions in ageing humans, "The Journal of Physiology", nr 589 (10).
• Koch D.W., Newcomer S.C., Proctor D.N. (2005), Blood flow to exercising limbs varies with age, gender and training status, "Canadian Journal of Applied Physiology", nr 30 (5).
• Laughlin M.H., Davis M.J., Secher N.H. (2012), Peripheral circulation, "Comprehensive Physiology", nr 2(1).
• Lavie C.J., Arena R., Swift D.L. (2015), Exercise and the cardiovascular system: clinical science and cardiovascular outcomes, "Circulation Research", nr 117(2).
• Limberg J.K., Morgan B.J., Sebranek J.J. (2014), Neural control of blood flow during exercise in human metabolic syndrome, "Experimental Physiology", nr 99(9).
• Mezzani A., Corra U., Giannuzzi P. (2008), Central adaptations to exercise training in patients with chronic heart failure, "Heart Failure Reviews", nr 13.
• Musch T.I., Eklund K.E., Hageman K.S., Poole D.C. (2004), Altered regional blood flow responses to submaximal exercise in older rats, "Journal of Applied Physiology", nr 96.
• Newcomer S.C., Thijssen D.H., Green D.J. (2011), Effects of exercise on endothelium and endothelium/smooth muscle cross talk: role of exercise - induced hemodynamics, "Journal of Applied Physiology", nr 111 (1).
• Park K.H., Park W.J. (2015), Endothelial Dysfunction: Clinical Implications in Cardiovascular Disease and Therapeutic Approaches, "Journal of Korean Medical Science", nr 30(9).
• Paulsen G., Mikkelsen U.R., Raastad T., Peake J.M. (2012), Leucocytes, cytokines and satellite cells: what role do they play in muscle damage and regeneration following eccentric exercise?, "Exercise Immunology Review", nr 18.
• Phillips S.A., Mahmoud A.M., Brown M.D., Haus J.M. (2015), Exercise interventions and peripheral arterial function: implications for cardio-metabolic disease, "Progress in Cardiovascular Disease", nr 57(5).
• Piepoli M.F., Kaczmarek A., Francis D.P. (2006), Reduced peripheral skeletal muscle mass and abnormal reflex physiology in chronic heart failure, "Circulation", nr 114(2).
• Pipinos I.I., Judge A.R., Selsby J.T. (2008), The myopathy of peripheral arterial occlusive disease: Part 2. Oxidative stress, neuropathy, and shift in muscle fiber type, "Vascular and Endovascular Surgery", nr 42(2).
• Ramirez-Velez R., Bustamante J., Czerniczyniec A. (2013), Effect of exercise training on eNOS expression, NO production and oxygen metabolism in human placenta, "PLoS One", nr 8(11).
• Sarelius I., Pohl U. (2010), Control of muscle blood flow during exercise: local factors and integrative mechanisms, "Acta Physiologica (OXF)", nr 199 (4).
• Schiffrin E.L. (2003), Beyond blood pressure: the endothelium and atherosclerosis progression, "American Journal of Hypertension", nr 15.
• Scott A., Francis D.P., Davies L.C. (2000), Contribution of skeletal muscle 'ergoreceptors' in the human leg to respiratory control in chronic heart failure, "Journal of Physiology", nr 3.
• Spier S.A., Delp M.D., Meininger C.J. (2004), Effects of ageing and exercise training on endothelium - dependent vasodilatation and structure of rat skeletal muscle arterioles, "Journal of Physiology", nr 556.
• Taylor R.S., Jolly K. (2007), The evidence base for cardiac rehabilitation, [w:] Perk J., Mathes P., Gohlke H. (red.), Cardiovascular Prevention and Rehabilitaion, Springer-Verlag Limited, London.
• Whyte J.J., Laughlin Harold M. (2010), The effects of acute and chronic exercise on the vasculature, "Acta Physiologica (OXF)", nr 199 (4).
• Wojtyniak B., Jankowski K., Zdrojewski T., Opolski G. (2012), Regional differences in determining cardiovascular diseases as the cause of death in Poland: time for change, "Kardiologia Polska", nr 70 (7).
• Zhang L., Keung W., Samokhvalov V. (2010), Role of fatty acid uptake and fatty acid betaoxidation in mediating insulin resistance in heart and skeletal muscle, "Biochimica and Biophysica Acta", nr 1801 (1).