{"id":198690,"date":"2021-10-26T11:15:37","date_gmt":"2021-10-26T14:15:37","guid":{"rendered":"https:\/\/eephcfmusp.org.br\/portal\/online\/?p=198690"},"modified":"2025-07-23T14:53:28","modified_gmt":"2025-07-23T17:53:28","slug":"exercicio-fisico-e-dislipidemia","status":"publish","type":"post","link":"https:\/\/hcxfmusp.org.br\/portal\/exercicio-fisico-e-dislipidemia\/","title":{"rendered":"Exerc\u00edcio f\u00edsico e dislipidemia"},"content":{"rendered":"

A dislipidemia \u00e9 uma das principais causas modific\u00e1veis da doen\u00e7a cardiovascular (DCV) sendo reconhecida a import\u00e2ncia da modifica\u00e7\u00e3o do estilo de vida para o seu tratamento. Com a pandemia da COVID-19, os n\u00edveis de sedentarismo e inatividade f\u00edsica aumentaram em todo o mundo. Novos dados do VIGITEL 2020 apontaram que 47,2% da popula\u00e7\u00e3o n\u00e3o alcan\u00e7aram um n\u00edvel suficiente de pr\u00e1tica de atividade f\u00edsica para atingir seus benef\u00edcios.\u00a0<\/span><\/p>\n

Um estilo de vida ativo \u00e9 fundamental para a sa\u00fade do cora\u00e7\u00e3o e importante para o controle de outros fatores de risco de DCV, com destaque \u00e0s atividades f\u00edsicas como medida de aux\u00edlio no controle das dislipidemias e tratamento da doen\u00e7a coronariana. Cabe aqui exemplificar que todo exerc\u00edcio f\u00edsico \u00e9 uma atividade f\u00edsica, mas nem toda atividade f\u00edsica \u00e9 um exerc\u00edcio f\u00edsico. Ou seja, o exerc\u00edcio f\u00edsico \u00e9 um tipo de atividade f\u00edsica planejada, estruturada e repetitiva que tem o objetivo de melhorar ou manter as capacidades f\u00edsicas e o peso adequado.<\/span><\/p>\n

O treinamento f\u00edsico pode trazer efeitos importantes no controle da dislipidemia. Em s\u00edntese, podemos apontar a redu\u00e7\u00e3o dos triglic\u00e9rides e da rela\u00e7\u00e3o HDL\/Colesterol Total, manuten\u00e7\u00e3o ou redu\u00e7\u00e3o do colesterol total, do colesterol \u201cruim\u201d – LDL, e do VLDL e aumento das mol\u00e9culas do \u201cbom\u201d colesterol – HDL, com o treinamento. Por\u00e9m, \u00e9 evidente na literatura diferentes respostas entre os estudos que podem ser atribu\u00eddas principalmente a diferentes popula\u00e7\u00f5es, intensidade e dura\u00e7\u00e3o.<\/span><\/p>\n

Apesar do treinamento f\u00edsico n\u00e3o apontar altera\u00e7\u00f5es importantes no colesterol “ruim\u201d- LDL, maiores volumes e intensidade podem reduzir de maneira expressiva as mol\u00e9culas de menor densidade do LDL e contribuir com a redu\u00e7\u00e3o da oxida\u00e7\u00e3o sendo isto extremamente relevante. Um estudo realizado por pesquisadores do InCor demonstrou que praticar exerc\u00edcios f\u00edsicos regularmente modifica a estrutura do LDL tornando-o menos nocivo, mesmo que n\u00e3o haja redu\u00e7\u00e3o nos n\u00edveis medidos. Os autores constataram que os n\u00edveis de colesterol total, LDL e HDL n\u00e3o mudaram ap\u00f3s o treinamento. No entanto, as taxas de triglicer\u00eddeos ca\u00edram e a resist\u00eancia \u00e0 oxida\u00e7\u00e3o do LDL aumentou, al\u00e9m das mol\u00e9culas de LDL que tamb\u00e9m ficaram maiores e menos densas. Outro interessante estudo apontou redu\u00e7\u00e3o da atividade de oxida\u00e7\u00e3o do LDL ap\u00f3s dez semanas de treinamento aer\u00f3bico em indiv\u00edduos hipercolesterol\u00eamicos. Os dados anteriores apontam que o treinamento f\u00edsico pode trazer altera\u00e7\u00f5es importantes no padr\u00e3o e tamanho das mol\u00e9culas de LDL, al\u00e9m da redu\u00e7\u00e3o de sua oxida\u00e7\u00e3o de forma a conferir fator protetivo \u00e0 doen\u00e7a coronariana. Vale pontuar aqui que adicionalmente ao treino aer\u00f3bico, o treinamento de for\u00e7a de forma isolada ou combinado pode ser realizado de forma complementar e trazer benef\u00edcios adicionais.<\/span><\/p>\n

A Organiza\u00e7\u00e3o Mundial da Sa\u00fade tem enfatizado a import\u00e2ncia de qualquer movimento em nossa vida di\u00e1ria e seu benef\u00edcio para sa\u00fade do cora\u00e7\u00e3o, f\u00edsica e mental: todo movimento conta e qualquer atividade f\u00edsica \u00e9 melhor do que nenhuma. Al\u00e9m disso, a aten\u00e7\u00e3o \u00e0 redu\u00e7\u00e3o do tempo em que passamos sentados e deitados \u00e9 um aliado importante para a sa\u00fade metab\u00f3lica e cardiovascular. Em suma, para adultos, recomenda-se 150-300 min\/semana de atividades moderadas e\/ou 75 a 150 min\/semana de atividades vigorosas complementadas pelo treino de for\u00e7a, flexibilidade e neuromotor de 2 a 3 vezes\/ semana de moderada intensidade.<\/span><\/p>\n

Comece devagar e dentro dos seus limites, aumente progressivamente a intensidade e o volume da atividade escolhida e procure orienta\u00e7\u00e3o e avalia\u00e7\u00e3o pr\u00e9via de um profissional de educa\u00e7\u00e3o f\u00edsica. Fa\u00e7a da atividade f\u00edsica um momento de prazer e\u00a0 traga movimento \u00e0 sua vida e vida aos seus movimentos.<\/span>
\n
\n<\/strong>Prof. MSc. Bruno Modesto<\/strong><\/span><\/span><\/p>\n

Educador e pesquisador do HCX Fmusp.<\/span><\/p>\n

Refer\u00eancias<\/strong><\/span><\/p>\n

    \n
  1. Pe\u00e7anha, T., Goessler, K. F., Roschel, H., & Gualano, B. (2020). Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. American Journal of Physiology-Heart and Circulatory Physiology.<\/span><\/li>\n
  2. Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade. Departamento de An\u00e1lise em Sa\u00fade e Vigil\u00e2ncia de Doen\u00e7as n\u00e3o Transmiss\u00edveis. Vigitel Brasil 2020: vigil\u00e2ncia de fatores de risco e prote\u00e7\u00e3o para doen\u00e7as cr\u00f4nicas por inqu\u00e9rito telef\u00f4nico: estimativas sobre frequ\u00eancia e distribui\u00e7\u00e3o sociodemogr\u00e1fica de fatores de risco e prote\u00e7\u00e3o para doen\u00e7as cr\u00f4nicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2020. 2021.<\/span><\/li>\n
  3. Diretrizes do ACSM para os testes de esfor\u00e7o e sua prescri\u00e7\u00e3o \/ American College of Sports Medicine; tradu\u00e7\u00e3o Dilza Balteiro Pereira de Campos. \u2013 9. ed. \u2013 Rio de Janeiro: Guanabara, 2014.<\/span><\/li>\n
  4. Xavier, H. T., Izar, M. C., Faria Neto, J. R., Assad, M. H., Rocha, V. Z., Sposito, A. C., … & Ramires, J. A. F. (2013). V Diretriz brasileira de dislipidemias e preven\u00e7\u00e3o da aterosclerose. Arquivos brasileiros de cardiologia, 101(4), 1-20.<\/span><\/li>\n
  5. Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade. Departamento de Promo\u00e7\u00e3o da Sa\u00fade.Guia de Atividade F\u00edsica para a Popula\u00e7\u00e3o Brasileira [recurso eletr\u00f4nico] \/ Minist\u00e9rio da Sa\u00fade, Secretaria de Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade, Departamento de Promo\u00e7\u00e3o da Sa\u00fade. \u2013 Bras\u00edlia: Minist\u00e9rio da Sa\u00fade, 2021.<\/span><\/li>\n
  6. Durstine, J. L., Grandjean, P. W., Davis, P. G., Ferguson, M. A., Alderson, N. L., & DuBose, K. D. (2001). Blood lipid and lipoprotein adaptations to exercise. Sports medicine, 31(15), 1033-1062.<\/span><\/li>\n
  7. Casella-Filho, A., Trombetta, I. C., Casella, C. B., Cesena, F. H. Y., Favarato, D., Solimene, M. C., … & Chagas, A. C. P. (2008, September). Improvement in functional characteristics of lipoproteins precedes changes in blood levels after short-term exercise training in patients with metabolic syndrome. In EUROPEAN HEART JOURNAL (Vol. 29, pp. 762-762). GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND: OXFORD UNIV PRESS.<\/span><\/li>\n
  8. Ficker, E. S., Maranh\u00e3o, R. C., Chacra, A. P., Neves, V. C., Negr\u00e3o, C. E., Martins, V. C., & Vinagre, C. G. D. M. (2010). Exercise training accelerates the removal from plasma of LDL-like nanoemulsion in moderately hypercholesterolemic subjects. Atherosclerosis, 212(1), 230-236.- BR<\/span><\/li>\n
  9. Tambalis, K., Panagiotakos, D. B., Kavouras, S. A., & Sidossis, L. S. (2009). Responses of blood lipids to aerobic, resistance, and combined aerobic with resistance exercise training: a systematic review of current evidence. Angiology, 60(5), 614-632.<\/span><\/li>\n
  10. WHO Guidelines on Physical Activity and Sedentary Behaviour: at a glance]. Genebra: Organiza\u00e7\u00e3o Mundial da Sa\u00fade; [2020].<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    A dislipidemia \u00e9 uma das principais causas modific\u00e1veis da doen\u00e7a cardiovascular (DCV) sendo reconhecida a import\u00e2ncia da modifica\u00e7\u00e3o do estilo de vida para o seu tratamento. Com a pandemia da COVID-19, os n\u00edveis de sedentarismo e inatividade f\u00edsica aumentaram em todo o mundo. Novos dados do VIGITEL 2020 apontaram que 47,2% da popula\u00e7\u00e3o n\u00e3o alcan\u00e7aram […]<\/p>\n","protected":false},"author":9634,"featured_media":390732,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[390],"tags":[],"class_list":["post-198690","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"\nDislipidemia e Exerc\u00edcio F\u00edsico - EEP HCFMUSP<\/title>\n<meta name=\"description\" content=\"A dislipidemia \u00e9 uma das principais causas da doen\u00e7a cardiovascular (DCV) e praticar exerc\u00edcios f\u00edsicos podem ajudar a control\u00e1-la. 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