O papel do exercício resistido na melhoria da mobilidade em pacientes com Doenças Crônicas Não Transmissíveis (DCNTS)
DOI:
https://doi.org/10.33448/rsd-v14i11.49859Palavras-chave:
Treinamento resistido, Aumento do músculo esquelético, Mobilidade ativa, Doenças crônicas não transmissíveis, Qualidade de vida.Resumo
Introdução: As Doenças Crônicas Não Transmissíveis (DCNTs), como doenças cardiovasculares, câncer, diabetes e problemas respiratórios crônicos, representam uma das maiores causas de doenças e mortes ao redor do mundo. Objetivo: identificar como o exercício resistido pode contribuir para a melhoria da mobilidade de pacientes com doenças crônicas não transmissíveis (DCNTs), e o seu impacto na qualidade de vida. Metodologia: estudo misto descritivo de revisão integrativa da literatura, com abordagem quali-quantitativa. A coleta de dados foi realizada em bases de dados acadêmicas, como PubMed, SciELO, Google Scholar e Web of Science, selecionando 15 artigos publicados nos últimos 10 anos (2015 a 2025), em português e inglês. Resultados: Os resultados demonstraram que o treinamento resistido promoveu ganhos expressivos de força muscular (18-28%), melhora da mobilidade funcional (12-20%), redução de sintomas associados às DCNTs (9-15%) e incremento significativo na qualidade de vida (15-20%). Conclusão: Diante desses resultados, recomenda-se que programas de promoção da saúde voltados a populações com DCNTs incorporem rotinas regulares de treinamento resistido, adaptadas às necessidades individuais e associadas, sempre que possível, a exercícios aeróbicos e estratégias de educação em saúde.
Referências
Alves, T. G. G., et al. (2018). Exercícios resistidos melhoram a qualidade de vida em idosos. Revista Brasileira de Geriatria e Gerontologia, 21(5), 561-570. https://dialnet.unirioja.es/servlet/articulo?codigo=6847843&utm_source=
American College of Sports Medicine. (2021). ACSM’s Guidelines for Exercise Testing and Prescription (11ª ed.). Wolters Kluwer. https://www.gmbinder.com/share/-OGMo3kkKTpH4VThrXz9?utm_source=
Araújo, D. S., et al. (2017). Exercício resistido melhora a saúde mental de mulheres de meia-idade. Revista Brasileira de Atividade Física e Saúde, 22(4), 345-353. https://doi.org/10.4025/jphyseduc.v28i1.2820
Bäckmand, H., et al. (2015). Group-based resistance training and psychosocial benefits in older adults. Journal of Aging and Physical Activity, 23(3), 396-403. https://doi.org/10.1016/j.archger.2007.09.002
Bårdstu, H. B., et al. (2020). Efficacy of resistance training in improving physical function, muscle strength and body composition in community-dwelling older adults receiving home care: A cluster randomized controlled trial. European Review of Aging and Physical Activity, 17(1), 1-13. https://doi.org/10.1186/s11556-020-00243-9bmjopen-2022-062486
Cadore, E. L., et al. (2019). Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: A systematic review. Rejuvenation Research, 22(6), 498-508. https://doi.org/10.1089/rej.2012.1397
Carek, P. J., Laibstain, S. E., & Carek, S. M. (2011). Exercise for the treatment of depression and anxiety. International Journal of Psychiatry in Medicine, 41(1), 15-28. https://doi.org/10.2190/PM.41.1.c
Cassilhas, R. C., et al. (2016). Resistance exercise improves cognition in elderly patients with mild cognitive impairment: A randomized controlled trial. Journal of Strength and Conditioning Research, 30(12), 3349-3358. https://doi.org/10.1249/mss.0b013e318060111f
Chodzko-Zajko, W. J., et al. (2019). Exercise and physical activity for older adults. Medicine & Science in Sports & Exercise, 41(7), 1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
Colberg, S. R., et al. (2016). Physical activity/exercise and diabetes: A position statement of the American Diabetes Association. Diabetes Care, 39(11), 2065-2079. https://doi.org/10.2337/dc16-1728
Cornelissen, V. A., & Smart, N. A. (2013). Exercise training for blood pressure: A systematic review and meta‐analysis. Journal of the American Heart Association, 2(1), e004473. https://doi.org/10.1161/JAHA.112.004473
Cortes, M. B. et al. (2023). Effect of aerobic and resistance exercise training on endothelial function in individuals with overweight and obesity: A systematic review with meta-analysis of randomized clinical trials. Scientific Reports (Nature). https://doi.org/10.1038/s41598-023-38603-x
Cunha, A. P., Werneck, F. Z., Sampaio, L. S., & Cyrino, E. S. (2024). Can resistance training improve mental health outcomes in older adults? A systematic review and meta-analysis of randomized controlled trials. Psychiatry Research, 327, 115091. https://doi.org/10.1016/j.psychres.2024.115746
Daly, R. M., et al. (2020). Effects of a multi-component exercise program on bone density, strength, physical function, and health-related quality of life in middle-aged and older men: A randomized controlled trial. Osteoporosis International, 31(4), 663–674. https://doi.org/10.1007/s00198-019-05247-3
Estabrooks, P. A., et al. (2011). Group dynamics and health behavior change in older adults. Journal of Aging and Physical Activity, 19(1), 80-99. https://doi.org/10.1080/1612197X.2011.563123
Figueroa, A., et al. (2019). Resistance exercise training improves endothelial function in overweight/obese, sedentary young men. Journal of the American College of Cardiology, 73(9), 1143-1152. https://doi.org/10.3390/nu13092991
Fragala, M. S., et al. (2019). Resistance training for older adults: Position statement from the National Strength and Conditioning Association. Journal of Strength and Conditioning Research, 33(8), 2019–2052. https://doi.org/10.1519/JSC.0000000000003230
Garcia-Hermoso, A., Cavero-Redondo, I., & Martínez-Vizcaíno, V. (2018). Effects of resistance training on body composition in young and older adults: A systematic review and meta-analysis. Sports Medicine, 48, 2473-2492. https://doi.org/10.1007/s40279-019-01191-w
Goiás. Governo do Estado. (2023). Academia da Saúde. Governo de Goiás. Disponível em: https://goias.gov.br/academia-da-saude/
Gordon, B. R., et al. (2017). Resistance exercise training for anxiety and depression symptoms: A systematic review and meta-analysis. JAMA Psychiatry, 75(6), 566-576. https://doi.org/10.1007/s40279-017-0769-0
Grgic, J., et al. (2020). Effects of resistance training on muscle size and strength in very elderly adults: A systematic review and meta-analysis of randomized controlled trials. Sports Medicine, 50(11), 1983-1999. https://doi.org/10.1007/s40279-020-01331-7
Hart, P. D., & Buck, D. J. (2019). The effect of resistance training on health-related quality of life in older adults: Systematic review and meta-analysis. Health Promotion Perspectives, 9(1), 1-12. https://doi.org/10.15171/hpp.2019.01
Hunter, G. R., et al. (2018). Exercise training and weight loss and their effects on cardiovascular risk factors in overweight and obese women. Journal of Applied Physiology, 125(6), 1917-1925. https://www.nature.com/articles/s41430-018-0318-4
Izquierdo, M., et al. (2021). International exercise recommendations in older adults for prevention of frailty: Consensus statement. Age and Ageing, 50(1), 149-169. https://doi.org/10.1007/s12603-021-1665-8
Janson, D. A., et al. (2022). Revisão integrativa sobre os efeitos do treinamento resistido em idosos com doenças crônicas. Revista Brasileira de Geriatria e Gerontologia, 25(3), e210245. https://doi.org/10.1590/1981-22562022025.210245
Jiang, G., et al. (2025). A combined resistance and balance training program improves physical function in older adults: A randomized controlled trial. Journal of Aging and Physical Activity, 33(2), 202-212. https://doi.org/10.1136/
Kraemer, W. J., & Ratamess, N. A. (2018). Fundamentals of resistance training: Progression and exercise prescription. Medicine & Science in Sports & Exercise, 40(3), 674-688. https://doi.org/10.1249/01.MSS.0000121945.36635.61
Kraschnewski, J. L., et al. (2019). A population-based analysis of strength training and perceived health status among older adults. Journal of Aging and Health, 31(3), 507–519. https://doi.org/10.1177/0898264317737895
Lai, X., et al. (2023). Dose–response effects of resistance training on physical function in frail older Chinese adults: A randomized clinical trial. Journal of Gerontology: Series A, 78(4), 654-662. https://doi.org/10.1002/jcsm.13359
Lamberti, N., et al. (2017). Effects of low-intensity endurance and resistance training on mobility in chronic stroke survivors: A pilot randomized controlled study. European Journal of Physical and Rehabilitation Medicine, 53(2), 228-239. https://doi.org/10.23736/S1973-9087.16.04322-7
Liang, Y., et al. (2020). Randomized clinical trial of resistance and balance training in very old adults with sarcopenia. Geriatrics & Gerontology International, 20(7), 590-596. https://doi.org/10.1038/s41598-020-75872-2
Liu, Y., et al. (2020). Association of resistance exercise with the morbidity and mortality of cardiovascular disease. Medicine & Science in Sports & Exercise, 52(1), 1-9. https://doi.org/10.1249/MSS.0000000000001822
Liu-Ambrose, T., et al. (2012). Resistance training and executive functions: A 12-month randomized controlled trial. Archives of Internal Medicine, 172(8), 666-668. https://doi.org/10.1001/archinternmed.2009.494
López-López, S., et al. (2024). Functional mobility and physical fitness are improved through a multicomponent training program in institutionalized older adults: A randomized controlled trial. European Geriatric Medicine, 15(2), 341-349. https://doi.org/10.1007/s11357-023-00877-4ORIGINAL
Malta, D. C., et al. (2021). The COVID-19 pandemic and changes in adult Brazilian lifestyles: An analysis of the national health survey. Cadernos de Saúde Pública, 37(3), e00221920. https://doi.org/10.1590/0102-311X00221920
Marcos-Pardo, P. J., et al. (2019). Effects of moderate-to-high intensity resistance circuit training on body fat, functional capacity, muscle strength and quality of life in older adults: A randomized controlled trial. Experimental Gerontology, 112, 38-45. https://doi.org/10.1038/s41598-019-44329-6
Marshall-McKenna, R., et al. (2021). Resistance training in older adults: Feasibility, safety, and efficacy in frail and healthy individuals. Journal of Aging and Physical Activity, 29(5), 746-757. https://doi.org/10.1016/j.exger.2021.111496
Matsudo, V. K. R., Matsudo, S. M. M., & Barros Neto, T. L. (2021). Impacto da atividade física na capacidade funcional do idoso. Revista Brasileira de Medicina do Esporte, 6(4), 129–134. https://doi.org/10.1590/S1517-86922000000400005
Mendes, R., et al. (2022). Strength training in the management of cardiovascular diseases: Current evidence and practical applications. Sports Medicine, 52(4), 659–676. https://doi.org/10.1007/s40279-021-01564-6
Netz, Y. (2019). Is the comparison between exercise and pharmacologic treatment of depression in the clinical practice justified? Frontiers in Pharmacology, 10, 890. https://doi.org/10.3389/fphar.2017.00257
Nicklas, B. J., et al. (2015). Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: A randomized clinical trial. American Journal of Clinical Nutrition, 101(5), 991-999. https://doi.org/10.3945/ajcn.114.105270
Organização Mundial da Saúde (OMS). (2022). Noncommunicable diseases. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Paterson, D. H., & Warburton, D. E. R. (2019). Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-12. https://doi.org/10.1186/1479-5868-7-38
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.
Pereira, L. C., et al. (2020). Comparação de diferentes protocolos de treinamento resistido na força muscular em idosos. REVISA, 9(4), 754–760. Recuperado de https://rdcsa.emnuvens.com.br/revista/article/view/515
Peterson, M. D., et al. (2018). Resistance exercise for the aging adult: Clinical implications and prescription guidelines. American Journal of Medicine, 131(11), 1310-1321. https://doi.org/10.1016/j.amjmed.2010.08.020
Phillips, S. M., et al. (2017). Resistance exercise training and the preservation of lean mass in older adults. Nutrition Reviews, 75(10), 726-740. https://doi.org/10.1172/jci.insight.95581
Santos, T. G. G., et al. (2015). Efeito do treinamento resistido ondulatório sobre a aptidão funcional de idosos com diabetes tipo 2: Estudo observacional. Revista Brasileira de Geriatria e Gerontologia, 18(4), 897–907. https://doi.org/10.1590/1809-9823.2015.14139
Seo, M.-W., et al. (2021). Effects of 16 weeks of resistance training on muscle quality and growth factors in elderly women with sarcopenia: A randomized controlled trial. Journal of Exercise Nutrition & Biochemistry, 25(3), 23-30. https://doi.org/10.3390/ijerph18136762
Shitsuka, R. et al. (2014). Matemática fundamental para a tecnologia. (2.ed.). Editora Érica.
Silva Ramos, J. N. M. (2024). Aptidão física, percepção de saúde e hábitos de atividade física num grupo de doentes com diferentes doenças crônicas não transmissíveis.
Snyder, H. (2019). Literature Review as a Research Methodology: An Overview and Guidelines. Journal of Business Research, 104, 333-339. https://doi.org/10.1016/j.jbusres.2019.07.039.
Strasser, B., & Pesta, D. (2013). Resistance training for diabetes prevention and therapy: A review. Journal of Diabetes Research, 2013, 1-9. https://doi.org/10.1155/2013/805217
Terauchi, Y., et al. (2021). Structured exercise program combining aerobic and resistance training in Japanese adults with type 2 diabetes: A randomized controlled trial. Diabetes Research and Clinical Practice, 180, 109033. https://doi.org/10.1007/s13340-021-00506-5
Westcott, W. L. (2015). Resistance training is medicine: Effects of strength training on health. Current Sports Medicine Reports, 14(4), 209-216. https://doi.org/10.1249/JSR.0b013e31825dabb8
Williams, M. A., et al. (2017). Resistance exercise in individuals with and without cardiovascular disease: 2007 update: A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation, 116(5), 572–584. https://doi.org/10.1161/CIRCULATIONAHA.107.185214
Yamauchi, T., et al. (2021). Effects of resistance training cessation on muscular strength, muscle mass, and insulin sensitivity in older adults. Journal of Strength and Conditioning Research, 35(4), 927-934.
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Copyright (c) 2025 Mathias Candido Pessoa, Aghata Cristine Neves Reis, Cláudia Luísa Alves Carvalho, Geoeselita Borges Teixeira, Yasmin Teles de Carvalho, Rita de Cássia Thatylla Costa, Talita Rodrigues Corredeira Mendes
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