Como programas de treinamento atuam na composição corporal de jovens com Síndrome de Down: um estudo exploratório
DOI:
https://doi.org/10.34119/bjhrv8n3-179Keywords:
Síndrome de Down, composição corporal, exercício físicoAbstract
A síndrome de Down (SD) é a mais comum alteração genética humana, originada da trissomia do cromossomo 21. As características da SD, como a hipotonia muscular e alterações no metabolismo hormonal e enzimático favorecem a obesidade. O objetivo do estudo foi verificar o efeito de dois programas de treinamento combinado sobre a composição corporal de jovens com SD. Participaram da pesquisa 30 jovens com SD, de ambos os sexos, entre 13 e 24 anos, divididos entre o grupo controle (GC), grupo de treinamento resistido (GTR) e grupo de treinamento funcional (GTF). O programa de treinamento teve duração de 24 semanas, realizado em duas sessões semanais. Foi avaliada a composição corporal pelo DEXA. Efeitos quase perfeitos foram observados nas variáveis gordura androide e taxa A/G para o GTF. Efeitos grandes foram encontrados para o GTF nas variáveis DMO, gordura total e tecido magro absoluto. Efeito moderado foi verificado na variável gordura ginoide para o GTF. O TR promoveu efeitos moderados na gordura ginoide e IMG.Houve diminuição significante da gordura androide para o GTF e da gordura total absoluta para o GTR. Destaca-se a importância da prática regular de exercícios físicos por esta população, especialmente o TF.
References
AGUERO, A. G.; RODRÍGUEZ, G. V.; MORENO, L. A.; BALIE, M. G.; ARA, I.; CASAJÚS, J. A. Health-related physical fitness in children and adolescents with Down syndrome and response to training. Scandinavian Journal of Medicine & Science in Sports, v. 10, p. 716-742, 2011.
AGUERO, A. G.; ARA, I.; MORENO, L. A.; RODRÍGUEZ, G. V.; CASAJÚS, J. A. Fat and lean masses in youths with Down syndrome: Gender differences. Research in Developmental Disabilities, v. 32, p. 1685 – 1693, 2011B.
AGUERO, A. G.; RODRÍGUEZ, G. V.; CABELLO, A. G.; ARA, I.; MORENO, L. A.; CASAJÚS, J. A. A 21-week boné deposition promoting exercise programme increases boné mass in young people with Down Syndrome. Developmental Medicine & Child Neurology, v. 54, p.552-556, 2012.
BALIC , M. G.; MATEOS, E. C.; BLASCO, C. G.; FERNHALL, B. Physical fitness levels of physically active and sedentary adults with Down syndrome. Adapted Physical Activity Quartely, v. 17, p. 310-21, 2000.
BAYNARD, T.; PITETTI, K. H.; GUERRA, M.; UNNITHAN, V. B.; FERNHALL, B. Age-related changes in aerobic capacity in individuals with mental retardation: a 20-yr review. Medicine & Science in Sports & Exercise, v. 40, n. 11, p. 1984-1989, 2008.
BERTAPELLI, F.; PITETTI, K.; AGIOVLASITIS, S.; GUERRA-JUNIOR, G. Overweight and obesity in children and adolescents with Down Syndrome - prevalence, determinants, consequences, and interventions: a literature review. Research in Developmental Disabilities,v. 57, p. 181-192, 2016.
CRAWFORD, D. A.; DRAKE, N. B.; CARPER, M. J.; DeBLAUW, J.; HEINRICH, A. MAre Changes in Physical Work Capacity Induced byHigh-Intensity Functional Training Related toChanges in Associated Physiologic Measures? Sports, v. 6, n. 26, 2018.
DODD, K. J.; SHIELDS, N. A Systematic Review of the Outcomes of Cardiovascular Exercise Programs for People with Down Syndrome. Archives of Physical Medicine and Rehabilitation, v, 86, 2005.
DANCEY C, REIDY J. Statistics without maths for psychology. 5ed. Harlow: Pearson Education Limited; 2011.
DANKEL, S. J.; MOUSER, J. G.; MATTOCKS, K. T.; COUNTS, B. R.; JESSEE, M. B.; BUCKNER, S. L.; LOPRINZI, P. D.; LOENNEKE, J. P. The widespread misuse of effect sizes. Journal of Science and Medicine in Sport, v. 20, n. 5, p. 446-450, 2017.
FEITO, Y.; HOFFSTTER, W.; SERAFINI, P.; MANGINE, G. Changes in body composition, bonemetabolism, strength, and skill-specificperformance resulting from 16-weeks of HIFT. PLoS ONE, v. 13, n. 6, 2018.
FERNANDEZ, J. R.; REDDEN, D. T.; PIETROBELLI, A.; ALLISON, D. Waiscircunference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. The Journal of Pediatrics, v. 145, p. 439, 444, 2004.
HOPKINS, W. G.; MARSHALL, S. W.; BATTERHAM, A. M.; HANIN, J. Progressive statistics for studies in sports medicine and exercise science. Medicine & Science in Sports & Exercise, v. 41, n. 1, p. 3-13, 2009.
LANA-ELOLA, E.; SCLAES, S. D. W.; FISHER, E. M. C.; TYBULEWICZ, V. L. J. Down syndrome: searching for the genetic culprits. Disease Models & Mechanisms, v. 4, p. 586-595, 2011.
LI, C., CHEN, S., ZHANG, A. L., & HOW, Y. M. Benefits of physical exercise intervention on fitness of people with Down syndrome: A systematic review of randomized controlled trials. International Journal of Rehabilitation Research. DOI: 10.1097/MRR.0b013e3283634e9c, 2013.
LIN, H-C.; WUANG, Y-P. Strength and agility training in adolescents with Down syndrome: A randomized controlled trial. Research in Developmental Disabilities, v.33, n. 6, p.2236-2244, 2012.
MATUTE-LLORENTE, A.; AGUERO, A. G.; CABELLO, A. G.; OLMEDILLAS, H.; RODRÍGUEZ, A. V.; CASAJÚS, J. A. Effect of whole bodt vibration training on bone mineral density and bone quality in adolescents with Down Syndrome: a randomizes controlled trial. Osteoporosis International, v. 26, p. 2449-2459, 2015.
MURRAY, J.; KRAUSE, P. R. Obesity in children with Down Syndrome: Background and Recommendation for management. Pediatric Nursing, v. 36, n. 6, p. 314-319, 2010.
NAKAO, T.; KOMIYA, S. Reference norms for a Fat-Free Mass Index and Fat Mass Index in the child japanese population. Journal of Physiological Anthropology and Applied Human Science, v. 22, p. 293-298, 2003.
OLIVEIRA, P. A.; SILVA, F. A.; OLIVEIRA, R. M. S.; MENDES, L. L.; NETTO, M. P.; CÂNDIDO, A. P. C. Associação entre índice de massa de gordura e índice de massa livre de gordura e risco cardiovascular em adolescentes. Revista Paulista de Pediatria, v. 34, n. 1, p. 30-37, 2016.
ORDOÑES, F. J.; ROSETY, M.; ROSETY-RODRIGUEZ, M. Influence of 12-week exercise training os fat mass percentage in adolescents with Down Syndrome. Medical Science Monitor, v. 12, n. 10, p. 416-419, 2006.
ORGANIZAÇÃO MUNDIAL DA SAÚDE. Estratégia global em alimentação saudável, atividade física e saúde. Genebra: Organização Mundial da Saúde; 2004.
PIETTI, K. BAYNARD, T. AGIOVLASTIS, S. Children and adolescents with Down syndrome, physical fitness and physical activity. Journal of Sport and Health Science, v. 2, p. 47-57, 2013.
REZA, S. M.; RASSOL, H.; MANSOUR, S.; ABDOLLAH, H. Effects of calcium and training on the development of bone density in children with Down Syndrome. Research in Developmental Disabilities, v. 34, p. 4304-4309, 2013.
RIMMER, J. H.; HELLER, T.; WANG, E.; VALERIO, I. Improvements in Physical Fitness in Adults with Down Syndrome. American Journal on Mental Retardation, v. 109, n. 2, p. 165-174, 2004.
RIMMER, J. H.; YAMAKI, K.; DAVIS, B. M.; WANG, E.; VOGEL, L. C. Obesity and Overweight Prevalence Among Adolescents with Disabilities. Preventing Chronic Disease: public health research, practice, and policy, v. 8, n. 2, p. 1-6, 2011.
ROSSI, F. E.; FORTALEZA, A. C. S.; NEVES, L. M.; DINIZ, T. A.; CASTRO, M. R.; BUONAMI, C.; MOTA, J.; FREITAS JUNIOR, I. F. Combined training (strength plus aerobic) potentiates areduction in body fat but only functional training reducedlow-density lipoprotein cholesterol in postmenopausal women with a similar training load. Journal of Exercise Rehabilitation, n. 13, v. 3, p. 322-329, 2017.
RUSCIO, J. A probability-based measure of effect size: robustness to base rates and other factors. Psychological Methods, v. 13, n. 1, p. 19-30, 2008.
RUSCIO, J.; MULLEN, T. Confidence Intervals for the Probability of Superiority Effect Size Measure and the Area Under a Receiver Operating Characteristic Curve. Multivariate Behavior Research, v. 47, n. 2, p. 201-223, 2012.
SAMSELL, L.; REIGER, M.; WALTON, C.; COTTRELL, L. Importance of android/ginoid fat ratio in predicting metabolic and cardiovascular disease risk in normal weight as well as overweight and obese children. Journal of Obesity, v. 2014, 2014.
SERON, B. B.; GREGUOL, M. Assessment protocols of maximum oxygen consumption in young people with Down Syndrome - a review. Research in Developmental Disabilities, v. 35, p. 676-685, 2014.
SPERLICH, B.; WALLMANN-SPERLICH, B.; ZINNER, C.; VON STAUFFENBERG, V.; LOSERT, H.; HOLBERG, H. C. Functional High-Intensity Circuit Training Improves Body Composition, Peak Oxygen Uptake, Strength, and Alters Certain Dimensions of Quality of Life in Overweight Women. Frontiers in Physiology, v. 8, 2017.
