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  2. Keyword: hydroxymethylglutaryl-CoA reductases inhibitors
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ABC
Original Article

Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial

Rochelle Rocha Costa et al. Alexandra Ferreira Vieira Leandro Coconcelli Alex de Oliveira Fagundes … Adriana Cristine Koch Buttelli Laura Frances Pereira Ricardo Stein Luiz Fernando Martins Kruel

Abstract

Background:

Statin use is highlighted as the most commonly utilized therapy for the treatment of dyslipidemias and can be considered as the most efficient pharmacological intervention for low-density lipoprotein (LDL) reduction. On the other hand, physical training can be considered an efficient and safe non-pharmacological strategy to promote improvements in lipid profile. However, the influence of statins on lipid adaptations arising from water-based training in populations with dyslipidemia is not known.

Objectives:

To analyze the influence of simvastatin use on lipid adaptations arising from water-based aerobics and resistance training in elderly women with dyslipidemia.

Methods:

Sixty-nine elderly (66.13 ± 5.13 years), sedentary, and dyslipidemic women, both non-users and users of simvastatin (20 mg and 40 mg), were randomized into the following 3 groups: water-based aerobic training (WA), water-based resistance training (WR), and control group (CG). Total duration of interventions, for all experimental groups consisted of 10 weeks, with 2 weekly sessions. Biochemical analyses were performed before the beginning of the interventions and repeated after the end of the trial. Generalized estimating equations were used to compare these data, setting α = 0.05.

Results:

In intention-to-treat analysis, the medicated participants obtained a greater magnitude of decrease in total cholesterol (TC) (−3.41 to −25.89 mg.dl−1; p = 0.038), LDL (−5.58 to −25.18 mg.dl−1; p = 0.007) and TC/HDL ratio (−0.37 to −0.61; p = 0.022) when compared to the non-medicated participants, and this decrease was statistically significant only in the WR group.

Conclusions:

Statin use enhances the adaptations promoted by water-based physical training in CT, LDL levels, and CT/HDL ratio, and it is more pronounced after WR.

  • Aquatic Environment
  • Diabetes Mellitus
  • Exercise
  • hydroxymethylglutaryl-CoA reductases inhibitors
  • Hypertension
  • Metabolic Syndrome/complications
  • Obesity
  • Physical activity
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Creative Commons Attribution (CC BY) Creative Commons license
06/09/2021 DOI: 10.36660/abc.20200197 Views 2
Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery
ABC
Artigo Original

Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery

Renato Jorge Alves et al. Rodrigo Noronha Campos Kenji Nakiri

BACKGROND: Atrial fibrillation is a common complication after cardiac surgery. The previous use of statins may reduce the incidence of this arrhythmia. OBJECTIVE: To evaluate whether the chronic and regular use of statins, for a period of six months, prevents atrial fibrillation after elective cardiac surgery. METHODS: A study carried out with 107 patients that underwent cardiac surgery, including 66% of males and their mean age was 60.4 years (25 to 84). We evaluated the presence of atrial fibrillation among patients that used statins or not on a regular basis in the preoperative period. We excluded patients with urgent heart surgery, kidney failure, inflammatory diseases, previous atrial fibrillation, patients with thyroid disease and those using a permanent pacemaker. RESULTS: In the postoperative period, atrial fibrillation was present in 42 patients (39%) of the sample, including 11 (26%) people that had used statins on a regular basis in the preoperative period and 31 (74%) who had not. It was possible to observe that, in 22% of the patients that were using statin, there was no development of atrial fibrillation, while 45% of those who did not take statin had arrhythmia (ρ = 0.02). In the isolated myocardial revascularization, 47% of the patients that did not take statin and 23% of those that took statin developed atrial fibrillation ( ρ = 0.02). There was no statistically significant difference in the analysis of groups with or without statin for the presence of risk factors for the development of atrial fibrillation (ρ = 0.34). CONCLUSION: The regular use of statin, for six months or more in the preoperative period, reduced the incidence of atrial fibrillation after elective cardiac surgery.

  • Arrhythmias Cardiac
  • Atrial Fibrillation
  • hydroxymethylglutaryl-CoA reductases inhibitors
  • Postoperative Care
  • Thoracic Surgery
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Creative Commons Attribution (CC BY) Creative Commons license
24/09/2010 DOI: 10.1590/S0066-782X2010005000129 Views 1

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Costa RR, Vieira AF, Coconcelli L, Fagundes AO, Buttelli ACK, Pereira LF, Stein R, et al. Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial. Arquivos Brasileiros de Cardiologia 2021;117(2):270-8.

Electronic Document Format (ABNT)

Costa, Rochelle Rocha; Vieira, Alexandra Ferreira; Coconcelli, Leandro; Fagundes, Alex de Oliveira; Buttelli, Adriana Cristine Koch; Pereira, Laura Frances; Stein, Ricardo; Kruel, Luiz Fernando Martins. Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial. Arquivos Brasileiros de Cardiologia, v. 117, n. 2, p. 270-278, Sep. 2021.

Electronic Document Format (APA)

Costa, R. R., Vieira, A. F., Coconcelli, L., Fagundes, A. O., Buttelli, A. C. K., Pereira, L. F., Stein, R., & Kruel, L. F. M. (2021). Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial. Arquivos Brasileiros de Cardiologia, 117(2), 270-278.

Electronic Document Format (ISO)

Costa, Rochelle Rocha and Vieira, Alexandra Ferreira and Coconcelli, Leandro and Fagundes, Alex de Oliveira and Buttelli, Adriana Cristine Koch and Pereira, Laura Frances and Stein, Ricardo and Kruel, Luiz Fernando Martins. Statin Use Improves Cardiometabolic Protection Promoted By Physical Training in an Aquatic Environment: A Randomized Clinical Trial. Arquivos Brasileiros de Cardiologia [online]. 2021, vol. 117, n. 2, [cited 2026-10-14], pp. 270-278. Available from: <https://journals.cardiol.br/en/article/statin-use-improves-cardiometabolic-protection-promoted-by-physical-training-in-an-aquatic-environment-a-randomized-clinical-trial-2/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Alves RJ, Campos RN, Nakiri K. Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery. Arquivos Brasileiros de Cardiologia 2010;95(5):614-20.

Electronic Document Format (ABNT)

Alves, Renato Jorge; Campos, Rodrigo Noronha; Nakiri, Kenji. Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery. Arquivos Brasileiros de Cardiologia, v. 95, n. 5, p. 614-620, Sep. 2010.

Electronic Document Format (APA)

Alves, R. J., Campos, R. N., & Nakiri, K. (2010). Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery. Arquivos Brasileiros de Cardiologia, 95(5), 614-620.

Electronic Document Format (ISO)

Alves, Renato Jorge and Campos, Rodrigo Noronha and Nakiri, Kenji. Chronic and regular use of statin prevents atrial fibrillation in period after cardiac surgery. Arquivos Brasileiros de Cardiologia [online]. 2010, vol. 95, n. 5, [cited 2026-10-14], pp. 614-620. Available from: <https://journals.cardiol.br/en/article/chronic-and-regular-use-of-statin-prevents-atrial-fibrillation-in-period-after-cardiac-surgery/>. ISSN 0066-782X

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