Efeitos do treinamento de força e/ou treinamento físico combinado em mulheres com doença arterial coronariana: Revisão sistemática e Metanálise

Abstract

Objective: to identify the effects of the strength training (RT) protocol and combined training (strength and aerobic) (CT) on physical performance and cardiovascular and respiratory responses in women with coronary artery disease (CAD). Materials and Methods: The research was developed with a search strategy elaborated from indexed words, using the acronym PICO (patient, intervention, comparator, development). The searches were performed in the PubMed, Cochrane, Web of Science, Scopus, SportDiscus, Embase and ProQuest databases. Data analysis was performed descriptively, quantitatively and meta-analytically, with the results presented in tables and figures, using Stata 16.1. The Cochrane Rob 2.0 tool was used to assess risk and vision and the degree of use to assess the quality of the evidence. Results: Ten studies met the inclusion criteria. The cardiorespiratory results did not show sufficient evidence to determine the improvement in peak oxygen consumption (VO2 peak) at RT and CT (SMD: -0.43; 95% CI: -1.63, 0.77), as well as at the 6-minute walk test (6MWT). In physical performance, there was a gain in strength in the upper limbs (ULs) (bench press - SMD: 8.99; 95% CI: 1.85 to 16.14; and shoulder development with free weights - SMD: 5.73; 95% CI: 2.78 to 8.68). For the lower limbs, the positive results were positive (knee extension - SMD: 2.67; 95% CI: -0.84 to 6.18). Conclusion: The results regarding strength performance were evident after TF and CT and were proven to have positive and beneficial effects on women's health, but cardiorespiratory interruptions were less evident.