tag:blogger.com,1999:blog-25290512355930020332024-03-12T20:27:54.691-07:00Fisiologia do Exercício ClínicoEste blogger tem como objetivo trazer informações aos leitores acerca de exercícico físico, saúde e qualidade de vida.Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.comBlogger59125tag:blogger.com,1999:blog-2529051235593002033.post-72657577195689833752016-02-25T05:24:00.001-08:002016-02-25T05:24:16.894-08:00Translocação da GLUT-4 (vocês sabem o que é isso?)<!--[if gte mso 9]><xml>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A glicose é essencial para vida. Uma queda brusca leva
a um quadro de hipoglicemia que pode evoluir para o óbito caso não seja
revertida em tempo hábil. No entanto, a hiperglicemia crônica, comum em
pacientes diabéticos não controlados, leva o indivíduo a lesão em órgãos-alvo
que podem trazer consequências adversas importantes para a saúde. A insulina é
o único hormônio hipoglicemiante que temos, ela exerce uma função importante no
controle glicêmico, principalmente no tecido muscular e adiposo que são
dependentes desse hormônio. Só existem duas maneiras de tornar a membrana do
tecido muscular permeável à glicose, via insulina e contração muscular
(exercício físico). Uma sessão apenas de atividade física é capaz de aumentar a
sensibilidade à insulina por até 48 horas, inclusive em pessoas obesas que
normalmente possuem uma resistência maior a ação desse hormônio. Existe uma
proteína chamada de GLUT-4 que é a responsável pela permeabilidade celular para
as moléculas de glicose em células insulino-dependentes. Vejamos abaixo como
isso acontece.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Mecanismos envolvidos na translocação do GLUT-4 em
células musculares e adipócitos: Insulina age de modo diferente do exercício,
mas ambos reduzem a glicemia.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Músculos e panículo adiposo são os principais
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">O único GLUT dependente da insulina é o GLUT4. Mas
existe GLUT4 dependente de exercício.</span></div>
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transportadores de glicose na membrana, pois estão ancorados próximo à face
interna da membrana plasmática. Esse "sequestro" dos GLUT4 é feito em
vesículas que também contém diversas outras proteínas, como v-SNARE, proteína-2
associada às vesículas (ou sinaptobrevina, para os íntimos) e RAB4.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Insulina provoca a migração destas vesículas com
GLUT4, que se fundem à membrana plasmática, tornando esta permeável à glicose,
deste modo aumentando a captação de glicose. Quando diminui a insulina
plasmática, as vesículas se destacam da membrana, voltando para o seu
"ancoradouro" intracelular.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A insulina, quando se liga ao seu receptor, forma com
este um Complexo Enzimático que fosforila tirosinas (inclusive as próprias
tirosinas de sua molécula), por isso é conhecida como "tirosina
autoquinase". Segue-se a cascata do IP3 (inositol fosfocinase 3) e
migração das vesículas internalizadas contendo GLUT4.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">O exercício também mobiliza as vesículas que contém
GLUT4, por mecanismo diferente do IP3.</span></div>
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">#fisiologiadoexercícioclínico</span></div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-75086389286043613092016-02-24T10:33:00.003-08:002016-02-24T10:33:59.000-08:00Fisiologia Cardiovascular<!--[if gte mso 9]><xml>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
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<span style="color: red; font-family: "Times New Roman",serif;">O Sistema Cardiovascular</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="color: red; font-family: "Times New Roman",serif;">Funções</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif;">A função básica do sistema
cardiovascular é o transporte de uma massa fluida, o sangue, que mantém a
constância do meio interno, o líquido intersticial. Com a especialização das
células e dos tecidos, o fluxo sanguíneo deve não apenas suprir as necessidades
metabólicas, mas também exerce outras funções. Dentre várias funções, o
sistema:</span></div>
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<span style="font-family: "Times New Roman",serif;">1. Distribui substratos e oxigênio
a todas as células do organismo</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif;">2. Coleta produtos do metabolismo
celular, como gás carbônico e escórias nitrogenadas, para posterior excreção</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif;">3. Controla o fluxo de sangue pela
pele e extremidades, para aumentar ou diminuir a perda de calor para o ambiente</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif;">4. Distribui hormônios para
órgãos-alvo à distância</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman",serif;">5. Dá suporte aos mecanismos de
defesa imunológica através do fornecimento de anticorpos, plaquetas e
leucócitos para as áreas afetadas do organismo.</span></div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-8207466905191097612016-02-24T10:25:00.000-08:002016-02-24T10:25:30.308-08:00Fisiologia Cardiovascular: excitação elétrica do coração<!--[if gte mso 9]><xml>
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<span style="color: red; font-size: 16.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A
Excitação Elétrica do Coração</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">1. A maioria dos
músculos só se contrai quando estimulado por um nervo (dito “motor”). Ao
contrário, no músculo cardíaco (miocárdio) os estímulos elétricos necessários
para as contrações originam-se no próprio coração.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">Um coração
continua a se contrair mesmo depois de removido do corpo, se for mantido em
solução nutriente. No feto, o coração começa a bater muito cedo, antes mesmo
que apareça qualquer inervação para o coração. Dizemos que o coração é dotado
de automatismo.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">2. A batida do
músculo cardíaco é iniciada por uma área especial do coração, chamado nó ou
nódulo sinoatrial ("sinusal"), localizado no átrio direito; ele
funciona como um marcapasso cardíaco. O marcador é composto de tecido nodal.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">O tecido nodal é
único: pode despolarizar-se espontaneamente e iniciar seu próprio potencial de
ação, pode contrair-se como um músculo e pode ainda transmitir impulsos como um
nervo.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">3. Do nó
sinoatrial, uma onda de excitação se propaga pelo átrio direito para o átrio
esquerdo. Cerca de 60-100 milissegundos depois do disparo do marcapasso,
impulsos estimulam uma segunda área de tecido nodal, a junção átrio-ventricular
(AV).</span></div>
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</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">A junção AV
(antigamente conhecida como "nó AV", em desuso porque não é um ponto
específico) é a única ponte elétrica normal entre os átrios e os ventrículos;
consiste em fibras de condução lenta, que impõem uma diferença de tempo entre
as contrações atriais e as ventriculares, de modo que a contração atrial é
completada antes do início da contração dos ventrículos. Dizemos que as
sístoles atrial e ventricular estão "defasadas".</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">4. Da junção AV
(atrioventricular), o estímulo passa ao "Sistema His-Purkinje" (cujo
nome é uma homenagem ao seus descobridores), que produz contração quase
simultânea dos dois ventrículos.</span></div>
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</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">Assim, embora o
coração seja funcionalmente dois órg<span></span>ãos - o coração direito e o esquerdo, ambos
batem simultaneamente.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">O Sistema
His-Purkinje é formado por 4 componentes: tronco do feixe de His, ramo direito
e ramo esquerdo do feixe de His e as fibras de Purkinje, que se espalham pela
superfície subendocárdica de ambos os ventrículos formando um
"tapete" de fibras de altíssima velocidade de condução.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">Cada fibra de
Purkinje toca a superfície de cada uma e todas as fibras ventriculares,
garantindo que todas as fibras ventriculares sejam convocadas para o trabalho
sistólico de modo simultâneo.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">Esse sistema de
condução extracelular é continuum com o "sistema de condução
intracelular", altamente sofisticado como se verá adiante.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">5. A junção AV -
única comunicação elétrica entre os átrios e os ventrículos pode ser superada
por vias anômalas de comunicação rápida entre átrios e ventrículos.</span></div>
<span style="background-color: white;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="background-color: white;">Tais
comunicações geram arritmias devido à pré-excitação ventricular. As mais comuns
são a síndrome de Wolff-Parkinson-White e a síndrome de Lown-Ganong-Levine. Em
ambas existem feixes de condução accessória, que ativam o ventrículo sem o
devido atraso juncional. Tais assuntos são estudados em “propriedades elétricas
do coração”.</span></div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-79368315214634669462015-09-21T07:46:00.001-07:002015-09-21T07:47:38.296-07:00<!--[if !mso]>
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<div class="Default" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; mso-fareast-language: PT-BR;">Bioenergética e Metabolismo</span></b></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; mso-fareast-language: PT-BR;"><span style="mso-tab-count: 1;"> </span></span></b><span style="color: windowtext; font-family: "Arial",sans-serif; mso-fareast-language: PT-BR;">A maioria dos tratados de fisiologia do exercício traz o capítulo de
bioenergética e metabolismo nas suas partes iniciais. Isso se justifica pelo
simples fato de que sem energia o organismo não funciona, ou seja, o músculo
esquelético e o músculo cardíaco não se contraem, os hormônios não são
produzidos e secretados, o sistema nervoso não transmite informações, não
ocorrem os processos digestivos e, assim, sucessivamente. </span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<span style="color: windowtext; font-family: "Arial",sans-serif; mso-fareast-language: PT-BR;"><span style="mso-tab-count: 1;"> </span>A energia é exigida por
todas as células do organismo, por isso elas possuem vias metabólicas que
convertem os nutrientes (carboidratos, gorduras e proteínas) em uma forma de
energia biologicamente utilizável pelas células, o ATP (trifosfato de adenosina).
Esse processo metabólico de transformar nutrientes em energia é chamado de
bioenergética </span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">(Powers et al., 2011). Aliás, energia é um termo que possa ser
considerado um denominador comum para os aspectos da educação física, do
exercício físico e das atividades esportivas, pois o termo energia aparece em
todos os assuntos da fisiologia do exercício (Fox, 2000).</span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;"><span style="mso-tab-count: 1;"> </span>O metabolismo é a soma de todos os
processos químicos que ocorrem dentro do corpo </span><span style="font-family: "Arial",sans-serif;">(Plowman & Smith, 2009). O metabolismo quando participa
do processo de construção ou transformando partículas menores em outras partículas
mais complexas chamamos de anabolismo. A utilização de aminoácidos para formar
uma proteína específica e a formação de glicogênio muscular e hepático a partir
de moléculas de glicose, são alguns exemplos de anabolismo que podemos citar. </span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif;">O catabolismo é o processo inverso do
anabolismo. Quando fracionamos o glicogênio armazenado para utilizarmos durante
o exercício, ele precisa ser degradado até formar glicose novamente, assim a
célula pode produzir energia utilizável na forma de ATP. Nesse sentido, o
catabolismo é de fundamental importância no metabolismo do exercício. Entretanto,
podemos concluir que o catabolismo é um processo de fracionamento que
transforma moléculas maiores e mais complexas em outras mais simples e menores.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif;"><span style="mso-tab-count: 1;"> </span>A
energia pode ser definida como a capacidade de realizar trabalho. Em todo
momento o corpo precisa de energia, seja no sono ou na vigília o organismo não
para de trabalhar. Mesmo quando estamos dormindo, todas as funções orgânicas
continuam acontecendo (Plowman & Smith, 2009). </span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif;">Para proporcionar a energia necessária
para os processos metabólicos, o organismo obedece à primeira lei da
termodinâmica, a qual estabelece que <span style="mso-bidi-font-weight: bold;">a
energia não pode ser criada nem destruída, mas pelo contrário, transformada de
uma forma para outra sem ser depletada. </span></span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-weight: bold;">Como seria a
representação dessa lei: <b><u>combustível</u></b> (carboidrato, gordura,
proteínas); <b><u>energia</u></b> (ATP); <b><u>trabalho</u></b> (funções
fisiológicas, calor). As principais formas de energia encontradas na natureza
são: química, térmica, mecânica, luminosa, nuclear e elétrica. Sendo que a
nossa principal fonte de energia para os processos do metabolismo é a química.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>Já vimos que o ATP é a nossa “moeda”
de energia, no entanto, as células possuem uma capacidade de armazenamento
muito limitada para essa molécula. Temos ATP armazenado na célula capaz de
sustentar apenas 1 a 2 segundos de trabalho muscular vigoroso. </span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-weight: bold;">Nesse sentido,
precisamos de vias metabólicas que sejam capazes de produzir, ou melhor,
ressintetizar o ATP. Durante o exercício, por exemplo, precisamos de um
suprimento constante de ATP para fornecer a energia necessária para a contração
muscular </span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">(Powers et al., 2011). </span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">As células
musculares podem produzir energia a partir de vias metabólicas e dos diferentes
sistemas energéticos, a saber:</span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif;">Vias
Metabólicas:</span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif;">Aeróbica;
</span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif;">Anaeróbica</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif;">Isso significa que podemos produzir
energia tanto aerobicamente quanto anaerobicamente. Vale ressaltar que somos
seres aeróbicos por natureza, determinado pelo processo evolutivo. Possuímos
células “recheadas” de mitocôndrias (nossa usina produtora de energia), então,
qualquer produção de energia que não seja pela via aeróbica, acontece em
condições especiais, como durante o exercício de alta intensidade e curta
duração ou em algumas doenças.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Por que é considerada mais desejável a reciclagem do metabolismo
aeróbico do ATP, e não anaeróbico? Podemos dar pelo menos duas razões para
responder essa pergunta. A primeira razão é que o metabolismo aeróbico tem uma
capacidade muito maior de produzir ATP e, uma segunda razão, está no fato de
que durante essa fase do metabolismo não ocorre à acidose metabólica, condição
característica do metabolismo anaeróbico.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<br /></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif;">Sistemas
Energéticos:</span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Anaeróbico Alático
(ATP-CP);</span><span style="font-family: "Arial",sans-serif;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Anaeróbico Lático (glicólise anaeróbica ou
sistema do ácido lático);</span><span style="font-family: "Arial",sans-serif;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Aeróbico (fosforilação oxidativa).</span><span style="font-family: "Arial",sans-serif;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">É necessário o entendimento de cada um desses processos metabólicos,
pois sem essa compreensão todo o entendimento acerca da prescrição de
exercícios estará comprometido. É fato, também, que todas as três fases do
processo metabólico operam desde o primeiro momento do exercício. A única
diferença está na contribuição relativa de cada fase. Essa contribuição depende
da velocidade (intensidade do exercício) e do tempo gasto para realizar a
atividade. Outro fato importante que precisa ficar claro na cabeça do leitor,
antes de começarmos a caracterizar os sistemas energéticos, refere-se à
condição de que esses sistemas não são importantes apenas durante os exercícios
físicos, a sua contribuição é decisiva e fundamental para as nossas atividades
de vida do cotidiano, como por exemplo, subir escadas, caminhar em casa, na
escola e no trabalho, corremos para apanharmos um ônibus, trem ou metrô e assim
por diante. Então caracterizemos esses sistemas.</span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.4pt; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif;">Anaeróbico
alático: <b style="mso-bidi-font-weight: normal;"><u>sistema ATP-CP</u></b><u> <b style="mso-bidi-font-weight: normal;">ou Fosfagênio</b></u> – refere-se à rápida
reciclagem de ATP em decorrência da hidrólise da creatina fosfato. Esse sistema
é predominante quando realizamos exercícios de alta intensidade e curta
duração. O sistema fosfagênio tem uma enorme importância em alguns desportos e
nas atividades do cotidiano, vejamos alguns exemplos: na corrida de 100m,
natação de 25m, levantamento de cargas elevadas, <span style="mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">chute no futebol, saque e cortada no vôlei,
arremesso no basquete, são exemplos dos desportos. Quando damos um pique para
pegar o ônibus, quando levantamos rapidamente, quando deslocamos algum móvel
pesado em nossas casas utilizamos, também, esse sistema de produção de energia.</span></span></div>
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<br /></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial",sans-serif;">Características
do Sistema ATP-CP:</span></b></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Fonte mais rapidamente
disponível de ATP</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Permite movimentos rápidos e vigorosos.</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Não depende de uma longa série de reações
químicas.</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Independe do O<sub>2</sub></span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><sub><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span></span></sub><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Reação catalisada pela
enzima creatina cinase</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>Na célula há aproximadamente quatro a seis
vezes mais CP que ATP</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">O suprimento de ATP-CP
consegue proporcionar pouco menos de 10 segundos de atividade máxima</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Não há produção excessiva
e acúmulo de ácido lático</span><span style="font-family: "Arial",sans-serif;"></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Arial",sans-serif;">Ressíntese
de ATP via CP:</span></b></div>
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<span style="mso-ignore: vglayout;">
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<span style="color: #002060; font-family: "Arial",sans-serif;"> </span>
<br />
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<span style="font-family: "Arial",sans-serif;"><span style="mso-spacerun: yes;"> CP </span>→ ação da enzima </span><u><span style="color: #002060; font-family: "Arial",sans-serif;">creatina cinase</span></u><span style="font-family: "Arial",sans-serif;"> </span><span style="color: windowtext; font-family: "Arial",sans-serif;">→ Creatina fosfato depois de clivada da origem à: </span><u><span style="color: #002060; font-family: "Arial",sans-serif;">creatina</span></u><span style="color: windowtext; font-family: "Arial",sans-serif;"> e </span><u><span style="color: #002060; font-family: "Arial",sans-serif;">Pi </span></u><span style="color: windowtext; font-family: "Arial",sans-serif;">→ Liberação de <b style="mso-bidi-font-weight: normal;">ENERGIA</b></span></div>
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<br /></div>
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<span style="color: windowtext; font-family: "Arial",sans-serif;">A <b style="mso-bidi-font-weight: normal;">ENERGIA</b> liberada da reação anterior vai ser utilizada para a
ressíntese de ATP. </span></div>
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<span style="color: windowtext; font-family: "Arial",sans-serif;">Vejamos como acontece:</span></div>
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<br /></div>
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<span style="color: windowtext; font-family: "Arial",sans-serif;"> </span>
<br />
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<span style="color: windowtext; font-family: "Arial",sans-serif;"><span style="mso-tab-count: 1;"> Energia </span>→
<b style="mso-bidi-font-weight: normal;">ADP</b> + <b style="mso-bidi-font-weight: normal;">Pi</b>:<span style="mso-tab-count: 1;"> </span><b style="mso-bidi-font-weight: normal;"><span style="background: yellow; mso-highlight: yellow;">ATP</span></b></span></div>
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<br /></div>
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<span style="font-family: "Arial",sans-serif; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">Anaeróbico Lático</span></b><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">
(glicólise anaeróbica ou sistema do ácido lático) – a glicólise anaeróbica é a
fonte mais primitiva de produção de energia. A glicólise deriva do grego que
quer dizer dissolução do açúcar, ou seja, responsável pela desintegração
incompleta dos carboidratos até o ácido lático. </span><span style="font-family: "Arial",sans-serif;"></span></div>
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<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Requer 10 reações químicas separadas a partir
da degradação da glicose ou 11 reações a partir do glicogênio. A glicólise
ocorre no sarcoplasma da célula muscular e produz um ganho real de duas
moléculas de ATP e é crucial em atividades que exijam esforços intensos em
duração de até 90 segundos. É dependente de enzimas específicas, chamadas de
glicolíticas e da quantidade de glicose que chega e consegue entrar na célula,
via proteínas transportadoras de glicose específicas do tecido muscular
chamadas de GLUT<sub>1</sub> e GLUT<sub>4</sub>. A densidade de GLUT<sub>4 </sub>é
aumentada em resposta à insulina a ao exercício (Robergs & Roberts, 2002).
A glicólise é limitada pela enzima <b><u>Fosfofrutoquinase (PFK)</u>:<i> </i></b>que
governa a conversão de frutose-6-fosfato em frutose 1,6-fosfato.</span></div>
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<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">A glicólise pode ser aeróbica ou anaeróbica;
quando a reação termina com a produção de ácido pirúvico, chamamos de glicólise
aeróbica; mas quando o produto final é o ácido lático, a glicólise é
anaeróbica. Nesse sentido, podemos concluir que o único substrato capaz de
fornecer energia anaerobicamente é o carboidrato.</span></div>
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<b><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">Formação de
ácido lático:</span></b></div>
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<b><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;"><span style="mso-tab-count: 1;"> </span></span></b><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">O
ácido lático pode ser formado de duas maneiras: no repouso e principalmente
durante os exercícios mais intensos. Durante o repouso, produzimos certa
quantidade de ácido lático que mantém as suas concentrações em torno de 0,8 mmol.
Isso é possível devido a alguns tecidos produzirem energia exclusivamente
através do metabolismo anaeróbico e por limitações impostas pela atividade
enzimática das fibras musculares tipo IIx, antiga fibra tipo IIB. O principal
exemplo acontece nas hemácias, célula responsável por transportar oxigênio para
todos os tecidos. Essa condição é chamada de paradoxo das hemácias. Todo
metabolismo aeróbico só pode acontecer na presença de oxigênio e nas mitocôndrias,
isso é fato. Mas como uma célula que transporta o oxigênio não o faz? Pelo
simples fato das hemácias não possuírem mitocôndrias. Isso acontece para que as
hemácias aumentem a sua capacidade de transportar hemoglobina para carrear mais
oxigênio para os tecidos. Por isso que toda atividade metabólica que ocorre nas
hemácias é via glicólise com concomitante produção de ácido lático.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>O músculo estriado
esquelético é o principal local de produção de ácido lático, mas também é um
tecido primário na sua remoção via oxidação </span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">(Powers et al., 2011). Isso
significa que o ácido lático é uma fonte valiosa de energia, inclusive para o
coração. O ácido lático é produzido via ação de uma enzima denominada lactato
desidrogenase (LDH), como indicado na reação a seguir:</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; mso-bidi-font-style: italic;">PIRUVATO
+ NADH + H<sup>+<span style="mso-spacerun: yes;"> LDH
</span></sup>ÁCIDO LÁTICO</span></b><br />
<div class="Default" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: windowtext; font-family: "Arial",sans-serif;">As condições
metabólicas que geram o aumento da produção de ácido lático constituem tópicos
especiais em fisiologia do exercício e bioquímica </span><span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">(Robergs & Roberts, 2002). Essas condições, conhecidas como
limiares metabólicos, são de fundamental importância e têm sido amplamente
utilizado por pesquisadores, fisiologistas, preparadores físicos e médicos. </span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif;">Entre 1957 e 1963, foi introduzido por
alguns pesquisadores o conceito de início do metabolismo anaeróbico para
avaliar a capacidade de desempenho aeróbico cardiopulmonar e periférico.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><span style="color: windowtext; font-family: "Arial",sans-serif;">O termo limiar
anaeróbico foi introduzido por <span style="mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Wasserman & Mcllroy na década de 1960 onde eles
identificaram na resposta do lactato sanguíneo ao exercício um índice que
também poderia ser utilizado para a avaliação aeróbica dos indivíduos. Esse
índice foi definido pelo próprio Wasserman como a Intensidade de exercício na
qual a concentração sanguínea de lactato aumenta de forma exponencial e a
ventilação pulmonar se intensifica também de maneira não linear ao oxigênio
consumido (Wasserman, 1967), ou seja, ele sugeriu que as trocas gasosas fossem usadas
para determinar o ponto de início do acúmulo de lactato. Pois, as mudanças na
ventilação e no lactato eram coincidentes. A origem do conceito foi proposta
inicialmente para cardiopatas, posteriormente para desempenho de atletas de
alto nível. Segundo Macintosh (2003), o limiar anaeróbico é definido como a
intensidade do exercício acima da qual o consumo de oxigênio não é capaz de
suprir a demanda energética. Nesse sentido, há um aumento da concentração de
lactato sanguíneo que leva a uma fadiga em poucos minutos. </span></span><span style="font-family: "Arial",sans-serif;"></span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-weight: bold;">O nível de
ácido lático no sangue constitui um excelente indicador do sistema energético
que está sendo usado predominantemente</span><span style="font-family: "Arial",sans-serif;">
<span style="mso-bidi-font-weight: bold;">durante o exercício. Vale ressaltar que
alguns autores consideram e <span style="mso-bidi-font-style: italic;">adotam concentrações
fixas de 2 e 4 mmol de lactato no sangue. Já outros autores preferem não adotar
esse critério das concentrações fixas de lactato, devido à grande variação que
pode ocorrer entre os indivíduos. A partir desses achados, foi introduzido na
literatura o termo limiar anaeróbico individual (IAT). Particularmente o IAT
individualiza os resultados e podem ser mais bem aplicados para os propósitos
desejados.</span></span></span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; mso-bidi-font-style: italic; mso-bidi-font-weight: bold;">Alguns fatores estão relacionados ao limiar de lactato, como por
exemplo: quantidade de oxigênio tecidual baixa, dependência da glicólise ou
glicólise acelerada, ativação das fibras musculares de contração rápida,
atividade adrenérgica elevada e remoção reduzida do lactato.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: windowtext; font-family: "Arial",sans-serif;">O que ocorre com o
ácido lático após o exercício? De que maneira ele é removido? No início das
investigações científicas, foi proposto que a maior parte do ácido lático
produzido durante o exercício era convertido em glicose pelo fígado, processo
metabólico conhecido como Ciclo de Cori. Na verdade esse ciclo ocorre e é muito
importante, mas não nessa proporção. O Ciclo de Cori é um processo de
gliconeogênese (formação de glicose a partir de substâncias não carboidratadas)
do ácido lático. Essa conversão, como já citada, ocorre no fígado e tem um
papel muito importante, inclusive para a manutenção da glicemia. Atualmente, as
pesquisas convergem para novas evidências acerca do destino do ácido lático
pós-exercício. A maior parte é oxidada (cerca de 70%) pelos tecidos,
principalmente coração e músculo esquelético, 20% são convertidos em glicose
(Ciclo de Cori) e 10% são convertidos em aminoácidos.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: windowtext; font-family: "Arial",sans-serif;">Existe a possibilidade
de que o excesso de ácido lático produzido durante o exercício seja removido
mais rapidamente quando nos exercitamos em uma intensidade entre 30 e 40% da
potência aeróbica máxima do que se ficarmos em repouso.</span> <span style="font-family: "Arial",sans-serif;">Então, podemos observar o quanto ele é
importante e os seus níveis no sangue podem nos fornecer informações
importantes acerca da nossa condição física e, também, de saúde.</span></div>
<div class="Default" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif;">Importância desse parâmetro:</span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: windowtext; font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: windowtext; font-family: "Arial",sans-serif;">Prescrição da intensidade relativa de esforço;</span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: windowtext; font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: windowtext; font-family: "Arial",sans-serif;">Controle e determinação dos efeitos do treinamento ou
destreinamento;</span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: windowtext; font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: windowtext; font-family: "Arial",sans-serif;">Predição de desempenho físico principalmente em atividades de
predomínio aeróbico;</span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: windowtext; font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: windowtext; font-family: "Arial",sans-serif;">Avaliação de cardiopatas</span></div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-924552196550569182015-09-21T07:46:00.000-07:002015-09-21T07:46:04.625-07:00<!--[if gte mso 9]><xml>
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<div class="Default" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; mso-fareast-language: PT-BR;">Termorregulação</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">A regulação da
temperatura corporal é um processo fisiológico de extrema importância para
manter a homeostase (estado de equilíbrio) e a manutenção da vida. Tanto o
excesso de calor ou a escassez podem colocar em risco a vida se alguma
providência imediata não for tomada (McArdle et al, 2011). As estruturas
celulares e as vias metabólicas são afetadas por essas alterações. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Uma temperatura
corporal acima de 45°C pode destruir as estruturas protéicas de enzimas,
resultando em morte. Uma diminuição acentuada na temperatura corporal, abaixo
de 34°C, pode causar uma lentidão do metabolismo e função cardíaca anormal, que
leva a uma alteração do ritmo dos batimentos cardíacos, condição essa conhecida
como arritmia (Powers et al., 2011)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">A temperatura
interna é fisiologicamente regulada para manter-se em certo nível. Geralmente
essa flutuação não ultrapassa 1°C, exceto:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l7 level1 lfo1; tab-stops: list 36.0pt 53.4pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Durante exercício intenso e
prolongado.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l7 level1 lfo1; tab-stops: list 36.0pt 53.4pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Doenças.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l7 level1 lfo1; tab-stops: list 53.4pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Condições extremas de calor ou
de frio<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Quando esse controle
térmico falha algumas complicações resultantes da flutuação da temperatura
corporal interna podem ocorrer:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Hipertermia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Hipotermia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Desidratação </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Hiponatremia (diminuição da
concentração de sódio no plasma)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">q<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Morte</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">O corpo humano é
sensível a diversas alterações, não apenas às alterações condizentes à
temperatura corporal. Nesse sentido, o organismo possui um controle estreito
para a manutenção da temperatura interna que é feito pelo hipotálamo. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">O hipotálamo é o centro de controle
da temperatura corporal e está localizado no encéfalo. Nessa região, existem
neurônios (células nervosas) especializados que são sensíveis a modificações da
temperatura corporal. O hipotálamo funciona como se fosse um termostato. Ele
inicia um aumento da produção de calor quando a temperatura corporal diminui e
aumenta a taxa de perda de calor quando a temperatura corporal aumenta. O
aumento da temperatura do sangue e os receptores térmicos da pele são os
mensageiros desse importante órgão. Quando acionado enviam e desencadeiam uma
resposta para que a temperatura fique dentro dos limites compatíveis coma vida.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Mecanismos que regulam o calor:
ativação.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Receptores
térmicos da pele</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Alterações
na temperatura do sangue</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Perda de
Calor</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-tab-count: 1;"> </span>A perda de
calor é um processo fisiológico fundamental para a manutenção da temperatura em
níveis fisiológicos. Essa perda acontece via 04 mecanismos ou processos a
conhecer:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.7pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Radiação: transferência de calor sem que haja contato
físico. Ocorre principalmente em repouso quando a temperatura cutânea é maior
do que a temperatura de objetos próximos. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.7pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Condução: transferência de calor com contato físico. Quando
estamos com calor e deitamos em um assoalho frio vivenciamos esse fenômeno.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.7pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Convecção: é a perda de calor transmitida para as moléculas
do ar ou da água em contato com o corpo. Um exemplo clássico desse fenômeno é o
ventilador ou quando corremos ao ar livre e podemos perceber aquela brisa
“ajudando” a eliminarmos o excesso de calor produzido pelo corpo. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.7pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Evaporação: é o mais importante meio de perda de calor
durante o exercício. O calor produzido é transferido do corpo para a água sobre
a superfície da pele.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Os três primeiros processos de perda de calor
ocorrem quando há um gradiente de temperatura (gradiente térmico), ou seja, o
calor se desloca de um corpo ou superfície de maior temperatura para um outro
de menor temperatura. Nos seres humanos o gradiente é entre a pele e o meio
ambiente.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: #002060; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Condições
adversas relacionadas ao calor durante o exercício</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-tab-count: 1;"> </span>Lesões
causadas pelo calor ocorrem principalmente quando nos exercitamos em
intensidades e volumes mais elevados nos climas mais quentes e úmidos. A
hipertermia é mais comum quando a temperatura aumenta acima de 40° a 41°C, onde
podem ocorrem alguns sintomas: náuseas, cefaléia, tontura, diminuição da taxa
de sudorese e confusão mental.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-tab-count: 1;"> </span>A
prevenção é a melhor maneira e a mais segura de evitá-la. Vejamos agora algumas
medidas preventivas para evitar a hipertermia e suas complicações:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Exercitar-se no período mais fresco do dia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Diminuir a intensidade e o volume do exercício em climas
quentes e úmidos</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Utilizar roupas leves e que não prejudiquem a evaporação do
suor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.4pt; mso-list: l0 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Hidratação antes, durante e após o exercício</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">O desempenho físico está prejudicado em
ambiente quente, seja em atletas profissionais, em atletas amadores ou até
mesmo em esportistas recreativos. Essa diminuição do desempenho que ocorre no
exercício realizado no calor pode ser explicada pelo uso maior do glicogênio
muscular (principal substrato energético para a contração muscular durante o
exercício) e pelo aumento da produção de ácido lático que pode acarretar em
fadiga precoce. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A aclimatação e o consumo de líquidos antes e
durante o exercício parecem ser as principais estratégias para evitar
complicações e aumentar a tolerância ao exercício em ambientes quentes (McArdle
et al., 2011). </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Quando praticamos exercícios físicos em
ambientes quentes, o organismo precisa fazer uma série de ajustes fisiológicos
com o objetivo de atenuar as complicações decorrentes do estresse térmico. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Nesse sentido, a elevação da temperatura
central é o principal estímulo para promover a aclimatação ao calor, ou seja,
quando nos submetemos a fazer exercícios físicos em condições de temperatura
elevada sofremos algumas adaptações que ocorrem como resultado da aclimatação
ao calor, tais adaptações são:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Aumento do volume plasmático</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Início mais precoce da transpiração</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Maior taxa de transpiração</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Redução da perda de cloreto de sódio no suor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Redução do fluxo sanguíneo cutâneo</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l5 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Aumento das proteínas de choque térmico nos tecidos</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Essas adaptações costumam ocorrer em torno de 7
a 14 dias após a primeira sessão de exercício em exposição ao calor (Plowman
& Smith, 2009). Da mesma forma que o organismo se adapta a diversas
condições, essas adaptações podem ser perdidas quando não mais estimulamos o
organismo a aquela condição. Sendo assim, a perda de aclimatação vai começar a
ocorrer em poucos dias de inatividade, diminui significativamente em sete dias,
ocorrendo uma perda completa em 28 dias (Powers & Howley, 2009).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Alguns pontos importantes precisam ser
observados, como por exemplo, durante o exercício prolongado em condições
climáticas moderadas, a temperatura central aumenta gradualmente acima dos
valores de repouso, mas atinge um platô em aproximadamente 30 a 45 minutos. Já
em condições quente/úmida, a temperatura central não atinge um platô e continua
a aumentar. Portanto, o exercício prolongado nessas condições implica em um
risco aumentado de lesão induzida pelo calor.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Da mesma maneira que o exercício no calor pode
trazer complicações importantes à saúde dos indivíduos, o mesmo pode acontecer
em climas frios (Powers & Howley, 2009). A aclimatação também ocorre ao
frio e para isso é preciso que fiquemos expostos cronicamente. Em humanos
parecem ocorrem pelo menos 03 adaptações fisiológicas importantes:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Diminuição da temperatura cutânea média (tremores começam)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A temperatura dos pés e das mãos tende a aumentar durante a
exposição ao frio</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Aumento da capacidade de dormir em ambientes frios.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Saiba mais!</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-tab-count: 1;"> </span></span></b><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Etapas de como ocorre o<b style="mso-bidi-font-weight: normal;"> </b>resfriamento
por evaporação:</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l9 level1 lfo6; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Aumento da
temperatura corporal</span></li>
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l9 level1 lfo6; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Glândulas
sudoríparas estimuladas pelo sistema nervoso</span></li>
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l9 level1 lfo6; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">O suor é secretado
sobre a superfície da pele</span></li>
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l9 level1 lfo6; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Na evaporação do
suor, o calor é perdido para o meio ambiente, o que diminui a temperatura
corporal.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Você sabia?</span></b><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-tab-count: 1;"> </span>O
mecanismo de evaporação do suor não é tão simples e depende de três fatores que
influenciam diretamente a termorregulação:</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l3 level1 lfo7; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Temperatura
ambiente e umidade relativa do ar</span></li>
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l3 level1 lfo7; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Correntes
convectivas em torno do corpo</span></li>
<li class="MsoNormal" style="color: red; line-height: 150%; mso-list: l3 level1 lfo7; text-align: justify;"><span style="font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">Quantidade de
superfície cutânea exposta ao ambiente</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 17.4pt;">
<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">A umidade relativa
do ar pode ser o fator mais importante na taxa de perda de calor por
evaporação, principalmente em temperaturas elevadas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt;">É importante frisar que nem sempre as
taxas elevadas de sudorese garantem o resfriamento do corpo. Em um ambiente
quente e com umidade relativa do ar elevada a perda de água pode se tornar
inútil, contribuindo apenas para a desidratação. Nesse sentido, podemos
concluir que a transpiração em si não resfria a pele; sendo a evaporação do
suor que a resfria.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Sugestão de atividade:</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Faça uma
pesquisa nos principais livros de fisiologia do exercício, artigos ou sites
especializados para tentar responder as seguintes perguntas:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
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</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Quais as quatro vias principais para a perda de calor corporal?</span></div>
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</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">Qual dessas quatro vias é a mais importante no controle da temperatura
corporal em repouso e durante o exercício?</span></div>
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<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;">O que ocorre à temperatura corporal durante o exercício e por quê?</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo2; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
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</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;"><span style="mso-spacerun: yes;"> </span>Por que a umidade é um fator
importante para a atividade no calor?</span></div>
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<span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;"><span style="mso-spacerun: yes;"> </span>O que você entende por
aclimatação?</span></div>
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</span></span></span><span style="color: red; font-family: "Arial",sans-serif; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-style: italic;"><span style="mso-spacerun: yes;"> </span>É necessário aclimatar sujeitos
não atletas? Justifique sua resposta.</span></div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-86656652694088570982013-05-25T18:04:00.000-07:002013-05-25T18:04:12.655-07:00Carboidratos<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Carboidratos:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Importância dos
carboidratos como fonte de energia durante o exercício;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Biópsia: relação
entre disponibilidade de glicogênio e desempenho físico;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Supercompensação
do glicogênio;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Estudo do metabolismo
dos carboidratos;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Implicações na
fadiga e no desempenho</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Implicações nas
doenças metabólicas (Diabetes Mellitus, Obesidade, Dislipidemias, Doença de
McArdle);</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Maior fonte de
energia na dieta humana;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Moléculas
complexas (amido) e moléculas simples (glicose, frutose e galactose);</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Fibras (não
digeríveis, ausência de enzimas para essa função);</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Fonte: origem
vegetal (pode ser encontrado em pequena quantidade sob a forma de glicogênio no
fígado e no músculo);</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">3 a 6% do peso
do leite na forma de LACTOSE;</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 200%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Digestão
necessária para absorção intestinal;</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-bidi-font-size: 11.0pt;">Digestão e Absorção</span></b></div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-spacerun: yes;"> </span>Digestão:
começa na boca (enzima <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">α</span> amilase)</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Continua no intestino delgado (enzimas
pancreáticas e enzimas intestinais reduzem os polissacarídeos em dissacarídeos
e em monossacarídeos);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>GLUT 2 principal responsável pela absorção de
glicose para o ENTERÓCITO;</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Frutose: absorção mais lenta na forma livre
(sacarose mais rápida), não depende de sódio, GLUT 5;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Alterações hormonais (INSULINA/GLUCAGON) levam a
um aumento da captação de glicose pelo músculo e pelo tecido adiposo. <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">↑</span>
síntese de glicogênio (<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">↓</span> glicogênio fosforilase e <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">↑</span> glicogênio sintetase);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Estoques de glicose na forma de glicogênio são
fisicamente limitados, uma vez que são moléculas altamente hidratadas;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Reservas hepáticas 10 a 15 horas de energia
(100g de glicogênio);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>As reservas musculares, em maior volume, podem
atingir cerca de 500 gramas (variação devido ao estado nutricional ou de
treinamento);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>O excesso de carboidrato na dieta leva a
formação de triglicerídeos pelo fígado;</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Os triglicerídeos formados no fígado são
transportados pela lipoproteína VLDL;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>VLDL transportam os triglicerídeos para o tecido
adiposo;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Após o período absortivo, a glicemia retorna aos
níveis normais (em saudáveis) e as alterações hormonais (relação
INSULINA/GLUCAGON) são revertidas;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Período pós-absortivo ocorre mobilização do
glicogênio hepático e aumento das enzimas que participam da gliconeogênese para
manutenção da glicemia;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>O glicogênio muscular só pode ser utilizado pela
própria célula, devido a ausência da enzima glicose – 6 – fosfatase;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Cabe somente ao fígado a função de manutenção da
glicemia (contribuição menor dos rins);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Manutenção da glicemia importante para cérebro,
células do sistema imune, sistema nervoso central, hemácias e medula renal.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Em condições de repouso o músculo esquelético
consome cerca de 15 a 20% da glicose circulante;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A glicose liberada pelo fígado vem
preponderantemente da glicogenólise (75%)<span style="mso-spacerun: yes;">
</span>com importante participação da gliconeogênese (25%);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>O processo de gliconeogênese ocorre
preferencialmente no fígado, mas os rins é capaz de auxiliar o fígado nessa
produção;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A principal enzima responsável pela
giconeogênese é a PEPCK, que é capaz de utilizar esqueletos de carbono de
aminoácidos (principalmente de cadeia ramificada) na produção de molécula de
glicose;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Durante o jejum prolongado e exercício, vale
lembrar, que a manutenção da glicemia se dá pela gliconeogênese hepática;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>No exercício a glicogenólise muscular tem um
papel muito importante: além de fornecer energia para a contração muscular, o
músculo gera intermediários para a gliconeogênese hepática (LACTATO);</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Algumas células como as hemácias e os neurônios,
utilizam preferencialmente a glicose como substrato energético. Os neurônios
conseguem utilizar corpos cetônicos em condições especiais, tais quais, jejum
prolongado ou inanição. Só que é preciso tempo para que haja essa adaptação
enzimática, que dura em torno de 5 dias;</div>
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</span></span></span>As células do sistema imunológico consomem
glicose para manter sua proliferação, formação de anticorpos e atividade
fagocitária;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A utilização de glicose pelo sistema imune
explica a imunossupressão que ocorre em pacientes diabéticos;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A frutose não estimula a liberação de insulina,
por isso vem sendo utilizada em muitos adoçantes;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>O transporte de glicose do plasma para o espaço
intracelular é realizado por meio de proteínas transportadoras GLUTS;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>GLUT4 é uma proteína transportadora de glicose
insulinodependente, ou seja, onde houver GLUT 4 a permeabilidade da glicose e
dependente da insulina ou do exercício físico;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tecido muscular e tecido adiposo possuem GLUT 4;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A presença de GLUT 4 no músculo esquelético
torna esse sítio responsável pela remoção de até 85% da glicose plasmática;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>O exercício promove o transporte da glicose para
dentro da célula independente da insulina por em fibras tipo I e tipo II;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A contração muscular aumenta a translocação de
vesículas contendo GLUT 4 para a membrana das células musculoesqueléticas por
aumentar o teor de cálcio intracelular;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Esse aumento da translocação da GLUT 4 ocorre
tanto em exercícios aeróbicos quanto nos exercícios resistidos;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Outras enzimas, como a AMPK, aumentam também a
translocação desse transportador de glicose;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A contração muscular aumenta a atividade da
AMPK;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Metforminas aumenta a atividade da AMPK;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Após a entrada da glicose na célula ela pode
metabolizada por diferentes vias, como a formação de glicogênio ou oxidada até
piruvato;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A glicose pode ser hidrolisada até glicerol para
formar triglicerídeos;</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Piruvato pode gerar ácido lático;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>A formação de oxaloacetato é oriunda do
piruvato. Esta via de conversão é de fundamental importância, pois garante a
capacidade de oxidação do ACETIL- CoA oriundo do metabolismo dos lipídios;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sem a formação de oxaloacetato oriundo do
piruvato a oxidação dos lipídeos está comprometida;</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Durante a contração muscular, a atividade da
enzima PIRUVATO CARBOXILASE (que converte piruvato a oxaloacetato) é elevada em
11 vezes. </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="12" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Resumindo: a oxidação de lipídios é dependente
da disponibilidade de carboidratos;</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
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</span></span></span>Sendo assim, fazer exercício em jejum não
potencializa a oxidação de lipídios e ainda aumenta a contribuição de proteína
muscular (tecido nobre) para o metabolismo energético;</div>
Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-3284377917544484892013-05-25T17:57:00.003-07:002013-05-25T17:57:41.166-07:00Regulação Glicêmica<!--[if !mso]>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;">Regulação Glicêmica</b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Regulação
glicêmica significa o controle da concentração de glicose na corrente sanguínea.
Após uma refeição, a glicemia sobe alcançando seu pico na primeira hora
pós-prandial. Os valores, em pessoas saudáveis, não diabéticas, giram em torno
de 120 a 180 mg/dl.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mecanismos
de FEEDBACK entram em ação para controlar os valores de glicose no sangue.
Nesse sentido, após duas horas da refeição, haverá a normalização dos valores
glicêmicos. A glicemia sofre influência de fatores emocionais, hormonais e
genéticos, tendo na insulina o seu principal agente controlador.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Qual
a importância da manutenção da glicemia? A glicose é um substrato energético
nobre, fundamental para o bom funcionamento do sistema nervoso. O cérebro não é
capaz de utilizar outro substrato energético que não seja a glicose de forma
imediata. Para que isso aconteça é necessário um período de jejum prolongado ou
inanição para que o cérebro produza enzimas para metabolizar corpos cetônicos,
que é um produto do metabolismo “parcial” das gorduras.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Importância
da manutenção da Glicemia:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Combustível indispensável para o cérebro
(o cérebro não consegue sintetizar glicose);</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O estoque de glicogênio do cérebro é
insuficiente (dura poucos minutos);</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l6 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A glicose é a única fonte de energia
para as hemácias e alguns outros tecidos como as gônadas germinativas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A
glicemia é resultante de 02 fatores, a velocidade de entrada da glicose na
corrente sanguínea, assim como, a sua velocidade de saída, que está relacionada
com a sua utilização. O organismo consegue a glicose via alimentação e pela
produção endógena (gliconeogênese e glicogenólise). Sendo assim, a concentração
de glicose plasmática está relacionada a dois fatores: captação e utilização.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Formas
pelas quais o organismo capta glicose:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Absorção (intestino)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Produção endógena</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicogenólise hepática (que é a quebra da
molécula de glicogênio)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gliconeogênese (formação de glicose a
partir de substâncias não carboidratadas, tais quais, aminoácidos, ácido
lático, glicerol e piruvato).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
aumento da glicemia pós-prandial está relacionado com o escape esplênico, ou
seja, a glicose que é liberada pelo fígado após absorção. 70% da glicose fica
retida no fígado para ser armazenada na forma de glicogênio, formação de
gordura e colesterol (lipogênese), formação de proteínas (proteogênese). É
também utilizada pelos hepatócitos como fonte de energia. A glicose que
“escapa” do fígado é a responsável pela hiperglicemia pós-prandial e, é
utilizada pelo cérebro (15%), músculo (12%), hemácias (1%) e adipócitos (3%).
Duas horas após uma refeição a glicemia é normalizada.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicose que escapa do
Fígado:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Consumo
(cérebro, hemácias, músculo, tecido adiposo e etc.)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Causa
hiperglicemia pós-prandial que normaliza em 2 horas</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Destino da glicose no
fígado:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicogênese:
conversão em glicogênio (100 a 150g);</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lipogênese:
Síntese de gordura e colesterol, que são exportados na forma de VLDL;</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l7 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Proteogênese:
síntese de aminoácidos não essenciais, síntese de proteínas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reserva de substrato energético:</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gordura
(triglicerídeos): aproximadamente 20% do peso corporal;</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicogênio
hepático: 100 a 150g (regulador da glicemia)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicogênio
muscular 350 a 450g (uso interno do músculo)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: red; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">IMPORTANTE:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> O metabolismo anaeróbico da
glicose no músculo forma ácido lático, que serve como matéria prima para
gliconeogênese.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="13" src="file:///C:\Users\Marcos\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="13" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>A
má-nutrição e suas correlações clínicas:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Obesidade</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l1 level3 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diabetes
Mellitus, dislipidemias, Hipertensão, esteatose hepática........</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Desnutrição</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doenças imunológicas (AIDS, câncer,
tuberculose....)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="height: 404px; left: 0px; margin-left: 436px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 222px; z-index: 1;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr><td height="404" style="vertical-align: top;" width="222"></td></tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Marasmo (desnutrição crônica)</span>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Kwashiokor (Desnutrição)</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l1 level2 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Courier New"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Deficiências vitamínicas:</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l1 level3 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Beribéri (Deficiência de
vitamina B1)</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l1 level3 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Escorbuto (Deficiência
grave de Vit. C)</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l1 level3 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Anemia</span><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ciclo
jejum-alimentação</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Consumo</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
de combustíveis é contínuo. <u>Ingesta</u> é intermitente. Isso requer <u>armazenamento</u>
de combustíveis durante a ingesta, para uso entre refeições.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Esse
parágrafo acima resume por que temos a necessidade de ter estoques de energia
no nosso organismo. O metabolismo não para, ele é contínuo. O cérebro trabalha
a todo instante processando informações e enviado-as, o músculo cardíaco
contrai e relaxa sem parar, as glândulas endócrinas produzem hormônios durante
as 24 horas, enfim, para realizarmos a maioria dos trabalhos fisiológicos
necessitamos de energia. Como só nos alimentamos em determinados períodos do
dia, o organismo utiliza a energia das reservas biológicas no tecido adiposo e
nos estoques de glicogênio para realizar satisfatoriamente as suas funções</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
ciclo jejum-alimentação pode ser dividido basicamente em três etapas, a saber:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Período
absortivo (etapa de armazenamento)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pós-prandial
imediato (jejum entre as refeições)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l5 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pós-prandial
tardio (jejum prolongado, podendo chegar a inanição – fase 4?)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vamos
resumir cada uma dessas etapas do ciclo jejum-alimentação. Lembrando que antes
do processo de absorção, passamos pelo período prandial (ingesta de alimento)
que requer um complexo e eficiente processo digestivo dos nutrientes. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cada
uma das macromoléculas possui características próprias no processo de digestão.
As gorduras são de difícil digestão, por isso que precisamos de mais tempo para
que o processo ocorra plenamente. É de difícil digestão por ser pouco solúvel
na água dos sucos digestivos. Requer sais e ácidos biliares. A absorção é na
forma de quilomícrons (lipoproteína responsável por transportar a gordura
ingerida na dieta, ou seja, gordura exógena), após absorção os quilomícrons são
liberados nos capilares linfáticos.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Os
carboidratos começam a digestão na boca com a participação da α-amilase e
continua no intestino delgado, no qual as secreções pancreáticas e as enzimas
intestinais reduzem (digerem) os polissacarídeos (amido) a dissacarídeos, que
por sua vez são reduzidos a monossacarídeos, glicose, frutose e galactose
(hexoses). Os monossacarídeos são então absorvidos pela mucosa intestinal. No
final dos processos todo carboidrato é transformado em glicose.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">As
proteínas são catabolizadas até aminoácidos pelas proteases (enzimas que
digerem as proteínas).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Características
das fases do Ciclo Jejum-alimentação:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Período
absortivo (etapa de armazenamento – anabólica)</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Absorção de
carboidratos e proteínas pelo sangue portal; lipídeos pelos capilares
linfáticos e transportados pelos quilomícrons.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Os carboidratos são
absorvidos principalmente como glicose, os lipídeos como ácidos graxos e as
proteínas como aminoácidos.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O período absortivo é
conhecido como fase anabólica (síntese de substâncias).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Processos anabólicos:
glicogênese, lipogênese e proteogênese.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">70% da glicose fica retida no
fígado e 30% escapa para circulação sistêmica (escape esplâcnico).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Destino da Glicose nos tecidos
periféricos</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicose
oriunda do escape esplâcnico:</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicose:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
combustível universal, único combustível das hemácias e principal combustível
do cérebro.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
<b style="mso-bidi-font-weight: normal;">cérebro</b> oxida a glicose até CO<sub>2</sub>
E H<sub>2</sub>O + ATP. Consome cerca de 150g/dia, ou seja, 15% da glicose
ingerida (50% do escape esplâncnico normal).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemácias: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">glicose
é seu único combustível, por não ter mitocôndrias. Sendo assim, as hemácias só
podem obter ATP de modo anaeróbico, via fermentação.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A
glicose é o único substrato capaz de fornecer energia ATP anaerobicamente. Sem
glicose a hemácia morre (HEMÓLISE).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Músculos: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">faz
estoque intracelular de glicose na forma de glicogênio para uso próprio (pela
própria fibra muscular que armazenou).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Esse
glicogênio muscular é muito importante durante o exercício físico,
principalmente os de alta intensidade, explosão muscular (que é essencialmente
anaeróbico).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Músculos
precisam de GLUT4 para captar glicose. O GLUT4 é o único transportador de
glicose insulinodependente.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No
entanto, o GLUT4 pode ser transportada para a superfície celular via contração
muscular, devido ao aumento da concentração de cálcio citoplasmática que ativa
a cascatas que resultam na colocação do GLUT4 na superfície da célula muscular.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Esse
fenômeno supracitado da translocação do GLUT4 para a membrana celular, explica
um dos papéis do exercício físico na melhora do controle glicêmico, inclusive
com redução nas doses de insulina para os insulinodependentes.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Panículo adiposo: </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">adipócitos
têm baixa taxa metabólica; apesar disso, consomem uma quantidade razoável de
glicose.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
tecido adiposo não consegue captar glicerol, então, são obrigados a captar
glicose e sintetizar a partir desta o glicerol necessário para gerar
triglicerídeos (gorduras) e desse modo, manter a gordura “presa” no panículo
adiposo.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Estado de jejum:</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No
período absortivo, o pico de glicemia ocorre em geral 1h após a refeição. A
partir daí, cai a glicemia, que é consumida no metabolismo e, sobretudo
estocada na forma de glicogênio e gordura.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
jejum é dividido em imediato (horas), tardio (dias) e inanição (semanas).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A
manutenção da glicemia em níveis normais é responsabilidade conjunta do fígado
(principal regulador) e rins.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fígado
produz glicose mediante glicogenólise e gliconeogênese, enquanto os rins fazem
apenas gliconeogênese.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A
capacidade de produzir glicose é inteiramente influenciada pelos hormônios
insulina (hipoglicemiante “regulador”) e contra-regulatórios.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Período
pós-prandial imediato (jejum entre as refeições)</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cessam
todos os processos anabólicos (glicogênese, lipogênese e proteogênese).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ocorre
intensa <b style="mso-bidi-font-weight: normal;">GLICOGENÓLISE</b> hepática.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">As
vias gliconeogenéticas (ciclo de cori, alanina glicose) participam pouco da
produção hepática de glicose.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Esta
fase se encerra quando esgotam os estoques hepáticos de glicogênio.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 71.4pt; mso-add-space: auto; mso-list: l2 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Período pós-prandial tardio (jejum prolongado,
que pode durar até o estado de inanição).</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glicogênio
já exaurido</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gliconeogênese
caracteriza o período</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ciclo
de cori torna-se intenso, bem como o ciclo da alanina e demais vias
gliconeogenéticas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inicia
a cetogênese (conversão de ácidos graxos em corpos cetônicos), que pode se
tornar intensa para economizar glicose.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Músculos
reduzem o consumo de glicose como corpos cetônicos (que ficam preservados para
uso cerebral), passando a usar ácidos graxos como substrato energético
principal.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pode
ocorrer a cetoacidose</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
cérebro aumenta o consumo de corpos cetônicos, pois após 5 dias de jejum as
enzimas necessárias já foram produzidas pelo genoma celular.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apesar
dessa medida, glicose continua sendo o único combustível da hemácia e o
principal substrato do cérebro.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">POUPANÇA
DE GLICOSE: somente cérebro e hemácia estão autorizados a consumir glicose.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">O
aviso dado é simples: basta reduzir quase totalmente os níveis de insulina para
que desapareçam os GLUTS 4<span style="mso-spacerun: yes;"> </span>das células
alvo de insulina. Com isso, estas células se tornam impermeáveis à glicose.</span></div>
<span style="color: red;">
</span><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="color: red;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Determinantes da sobrevivência no
jejum:</span></b></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Percentual
de proteína corporal (fonte de aminoácidos para a gliconeogênese)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Quantidade
de gordura corporal (fonte de corpos cetônicos para manter cérebro vivo).</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Morte sobrevém quando a perda é maior
que 40% do peso original, quando a proteína mobilizável foi toda convertida em
glicose e toda a gordura foi convertida em corpos cetônicos ou consumida pelos
músculos.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Em geral, morrem mulheres com IMC <
11 e homens com IMC < 13.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="color: red;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Regulação Hormonal da Glicemia</span></b></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Temos
apenas um hormônio regulatório a insulina (único hormônio hipoglicemiante), mas
temos 6 hormônios hiperglicemiantes e apenas 4 contra-regulatórios, ou seja,
quatro hormônios que são liberados devido à hipoglicemia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">A
insulina permite que todos os tecidos possam usar glicose no período absortivo.
Quando a insulina é produzida a menos ou em excesso (mais comum), temos uma
condição clínica chamada diabetes mellitus.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <span style="color: blue;">Prof. MSc. Antonio Marcos Motta</span></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-87799294028869990562013-05-25T17:47:00.002-07:002013-05-25T17:47:37.503-07:00Equipe FSBA na sessão científica<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-13104077213583804402013-05-25T17:42:00.001-07:002013-05-25T17:42:50.638-07:00Sessão Científica: reabilitação física aplicada à articulação do joelho<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-20229596899808658042013-03-23T02:19:00.002-07:002013-03-23T02:19:23.045-07:00<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-85138698118943329532013-03-09T17:04:00.002-08:002013-03-09T17:04:29.651-08:00<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-58568038939502630082012-11-12T18:38:00.002-08:002012-11-12T18:38:44.736-08:00Hipertensão e Exercício: totalmente atualizado<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-19671468213006459862012-11-12T18:37:00.001-08:002012-11-12T18:37:03.679-08:00Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-44351783056220986472012-11-12T18:36:00.000-08:002012-11-12T18:36:05.417-08:00Corrida Contra Diabetes<div class="separator" style="clear: both; text-align: center;">
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Traga 1kg de alimento para doação e participe dessa atividade lúdica e extremamente saudável.Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-70941547824735642162012-11-12T18:21:00.001-08:002012-11-12T18:21:24.652-08:00Sessão Científica DEFIC: Exercício e Câncer<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-72335154043527440672012-10-30T04:18:00.001-07:002012-10-30T04:18:15.429-07:00Fisiologia do Exercício Clínico<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-1595708477360712432012-09-06T16:56:00.002-07:002012-09-06T16:56:19.284-07:00<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: Algerian; font-size: 22.0pt; mso-bidi-font-size: 14.0pt;">PROGRAMAÇÃO
CIENTÍFICA:</span></div>
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<br /></div>
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<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Parte I (8:00 às 10:00)</span></u></b></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Adiponectina e doenças cardiovasculares
</span></div>
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<b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span></b><b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof.
Marcelo Trote)</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Atualizações em sarcopenia </span></div>
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<b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span>(Prof. Antonio Marcos Motta)</span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Fisiologia do exercício molecular e
celular, uma nova tendência? </span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof.
Eduardo Silva)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Farmacologia
Aplicada ao exercício </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof.
Eduardo Ornelas)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
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<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Parte II (10:10 às 12:30)</span></u></b></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-pagination: none;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Fisiologia
do exercício aplicada ao futebol profissional </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof.
Valter Abrantes)</span></b><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Hidratação
no atleta de futebol profissional </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span>(Prof.
Thiago Onofre)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Reabilitação
do joelho </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof. José
Reynaldo Merlo)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Disfunção
patelo-femoral </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Lesões
meniscais</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Tendinopatias:
prevenção e tratamento.</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Papel
da leptina no desenvolvimento da obesidade <span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span>(Prof. Randison Menezes)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="mso-pagination: none; text-align: justify;">
<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Parte III (14:00 às 16:00)</span></u></b></div>
<div class="MsoNormal" style="mso-pagination: none; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Significado
clínico do comportamento da Frequência Cardíaca no repouso, durante o exercício
físico e na recuperação. </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Dr.
Luiz Ritt)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Exercício
Físico e arritmias: quando indicar e quando contra indicar?</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Dr. Luiz Magalhães)</span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Exercício
Físico em portadores de DAC: prescrição no limiar isquêmico ou abaixo do
limiar? </span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Dr. Maurício Maltez)</span></b></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Exercício
físico em portadores de marca-passo e CDI</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof. Francisco Oliveira)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="mso-pagination: none; text-align: justify;">
<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="text-decoration: none;"><br /></span></span></u></b></div>
<div class="MsoNormal" style="mso-pagination: none; text-align: justify;">
<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Parte IV (16:30 às 18:30)</span></u></b></div>
<div class="MsoNormal" style="mso-pagination: none; text-align: justify;">
<b><u><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="text-decoration: none;"><br /></span></span></u></b></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Treinamento
funcional e reabilitação física</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></span><b><span style="color: #c00000; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">(Prof. Bruno Castro)</span></b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Como
utilizar os dados da avaliação física na prescrição de exercícios</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-pagination: none; text-indent: -18.0pt;">
<b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span>(Prof.
Danilo Haun)</span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"></span></b></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Podemos
indicar exercício físico para o paciente renal crônico? </span><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin: 0cm 0cm 10pt 18pt; text-indent: -18pt;">
<span style="color: red; font-family: "Arial","sans-serif"; font-size: 14pt;"><span> </span><b>(Prof. Antonio Marcos
Motta)</b></span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;">Terapia
nutricional aplicada ao paciente renal crônico</span></div>
<div class="MsoNormal" style="margin-bottom: 10.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-pagination: none; text-indent: -18.0pt;">
<b><span style="color: red; font-family: "Arial","sans-serif"; font-size: 14.0pt; mso-bidi-font-size: 9.0pt;"><span style="mso-spacerun: yes;"> </span>(Prof. Lincon Pimentel)</span></b></div>
<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-26733482183788961322012-08-05T15:43:00.000-07:002012-08-05T15:43:02.713-07:00Sessão Científica DEFIC em Feira de Santana<div class="separator" style="clear: both; text-align: center;">
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<div style="color: red; text-align: center;">
CARDIOLOGIA DO EXERCÍCIO</div>
<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-14299336145001597512012-08-05T15:41:00.000-07:002012-08-05T15:41:00.923-07:00Sessão Científica Departatmentos: Arritmia, DERC e Educação Física<div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-76614270516702799792012-07-18T10:22:00.001-07:002012-07-18T10:22:09.819-07:00<a href="http://www.saude.ba.gov.br/cedeba/index.php?option=com_content&view=article&id=358&catid=13&Itemid=59">http://www.saude.ba.gov.br/cedeba/index.php?option=com_content&view=article&id=358&catid=13&Itemid=59</a><div class="separator" style="clear: both; text-align: center;">
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<br />Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-3428341243490077832012-06-29T10:26:00.001-07:002012-06-29T10:26:08.510-07:00Resistência à insulina, baixa aptidão cardiorrespiratória e pressão arterial de exercício aumentada<div class="section abstract" id="abstract-1" itemprop="description" style="background-color: white; color: blue;">
<h3 style="text-align: justify;">
</h3>
<span class="highwire-journal-article-marker-start"></span>
<h1 id="article-title-1" itemprop="headline" style="text-align: center;">
Insulin Resistance, Low Cardiorespiratory Fitness, and Increased Exercise Blood Pressure</h1>
<h2 class="subtitle" style="text-align: center;">
Contribution of Abdominal Obesity<span class="name" itemprop="name"> </span></h2>
<h4 class="subtitle" style="font-weight: normal; text-align: center;">
<i><span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Maxime+Huot&sortspec=date&submit=Submit">Maxime Huot</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Benoit+J.+Arsenault&sortspec=date&submit=Submit"> Benoit J. Arsenault</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Val%C3%A9rie+Gaudreault&sortspec=date&submit=Submit"> Valérie Gaudreault</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Paul+Poirier&sortspec=date&submit=Submit"> Paul Poirier</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Louis+P%C3%A9russe&sortspec=date&submit=Submit"> Louis Pérusse</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Angelo+Tremblay&sortspec=date&submit=Submit"> Angelo Tremblay</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Claude+Bouchard&sortspec=date&submit=Submit"> Claude Bouchard</a></span>,<span class="name" itemprop="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Jean-Pierre+Despr%C3%A9s&sortspec=date&submit=Submit"> Jean-Pierre Després</a></span>,<span class="name"><a class="name-search" href="http://hyper.ahajournals.org/search?author1=Caroline+Rh%C3%A9aume&sortspec=date&submit=Submit"> Caroline Rhéaume.</a></span></i></h4>
<h3 style="text-align: justify;">
Abstract</h3>
<h4 id="p-1" style="text-align: justify;">
Individuals with insulin resistance and
low cardiorespiratory fitness are frequently found to have an increased
waist circumference
and high exercise blood pressure. We tested the
hypothesis that the relationships among insulin resistance, low
cardiorespiratory
fitness, and increased exercise blood pressure
may be mediated by an elevated waist circumference. This study included
317
apparently healthy men and women (mean age:
34.8±12.8 years; mean body mass index: 26.1±5.2 kg/m<sup>2</sup>).
Exercise blood pressure values were measured using a submaximal
ergometer test evaluating physical working capacity. Plasma
insulin and glucose levels were measured during a
3-hour oral glucose tolerance test. Multivariate regression analyses
showed
that waist circumference accounted for 32.8% (<em>P</em><0.0001) and 45.1% (<em>P</em><0.0001)
of the variance in exercise systolic blood pressure in men and women,
respectively. Participants were classified
into tertiles according to either insulin
response, measured during the oral glucose tolerance test, or fitness
levels and
then further subdivided into 2 subgroups using
sex-specific waist circumference thresholds. Individuals with an
increased
waist circumference (≥94 cm and ≥80 cm for men
and women, respectively) had higher exercise systolic blood pressure
compared
with individuals with low waist circumference,
irrespective of their level of insulin resistance (10.6 versus 6.8, 12.2
versus
7.7, and 13.2 versus 8.7 mm Hg/metabolic
equivalent, respectively, for the low, intermediate, and high tertiles; <em>P</em><0.05) or fitness levels (13.1 versus 8.2, 12.0 versus 7.9, and 10.6 versus 7.1 mm Hg/metabolic equivalent, respectively,
for the low, intermediate, and high tertiles; <em>P</em><0.05). Individuals with a higher waist circumference have elevated exercise systolic blood pressure, regardless of their
insulin sensitivity or level of cardiorespiratory fitness.
</h4>
</div>Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-31867135414098761612012-06-27T18:20:00.000-07:002012-06-27T18:20:05.508-07:00<!--[if gte mso 9]><xml>
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<h2>
<strong><span lang="EN-US" style="background: white; color: #cc0000; font-size: 16.0pt; mso-bidi-font-size: 18.0pt;">Role</span></strong><span lang="EN-US" style="font-size: 16.0pt; mso-bidi-font-size: 18.0pt;"> <strong><span style="background: white; color: #cc0000;">of</span></strong> muscle loss in the
age-associated reduction in VO2 max</span></h2>
<div style="line-height: 150%;">
<strong><span lang="EN-US" style="font-size: 14.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-bidi-font-weight: bold;">J. L. Fleg and E. G. Lakatta</span></strong><strong><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"> </span></strong><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"><br />
</span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Gerontology Research Center, National Institute on Aging, Baltimore, Maryland
21224.</span><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">
</span></div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">A progressive decline
in maximal O<sub>2</sub> consumption (VO<sub>2max</sub>) expressed<sup> </sup>traditionally
as per kilogram body weight generally occurs with advancing<sup> </sup>age. To
investigate the extent to which this decline could be attributable<sup> </sup>to
the age-associated loss <strong><span style="background: white; color: #cc0000;">of</span></strong>
metabolically active tissue, i.e., muscle, we<sup> </sup>measured 24-h urinary
creatinine excretion, an index <strong><span style="background: white; color: #cc0000;">of</span></strong> muscle mass, in 184<sup> </sup>healthy nonobese
volunteers, ages 22-87 yr, from the Baltimore Longitudinal<sup> </sup>Study <strong><span style="background: white; color: #cc0000;">of</span></strong> Aging who had
achieved a true VO2max during graded treadmill<sup> </sup>exercise. A positive
correlation was found between VO2max and creatinine<sup> </sup>excretion in
both men (r = 0.64, P less than 0.001) and women (r = 0.47, P<sup> </sup>less
than 0.001). As anticipated, VO2max showed a strong negative linear<sup> </sup>relationship
with age in both men and women. Creatinine excretion also<sup> </sup>declined
with age in men and women. When VO2max was normalized for<sup> </sup>creatinine
excretion, the variance in the VO2max decline attributable to<sup> </sup>age
declined from 60 to 14% in men and from 50 to 8% in women. Thus<sup> </sup>comparing
the standard age regression <strong><span style="background: white; color: #cc0000;">of</span></strong>
VO2max per kilogram body weight<sup> </sup>with that in which VO2max is
normalized per milligram creatinine excretion,<sup> </sup>the decline in VO2max
between a hypothetical 30 yr old and a 70 yr old was<sup> </sup>reduced from 39
to 18% in men and from 30 to 14% in women. We conclude that<sup> </sup>in both
sexes, a large portion <strong><span style="background: white; color: #cc0000;">of</span></strong>
the age-associated decline in VO2max in<sup> </sup>non-endurance-trained
individuals is explicable by the loss <strong><span style="background: white; color: #cc0000;">of</span></strong> muscle mass,<sup> </sup>which is observed
with advancing age. </span>Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-11201311861867994412012-06-27T09:51:00.001-07:002012-06-27T09:51:29.385-07:00Teste de Exercício Cardiopulmonar<!--[if gte mso 9]><xml>
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<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">Cardiopulmonary
Exercise Testing</span></b></div>
<div class="MsoNormal" style="line-height: 200%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 5; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">“Physical exercise requires the interaction of physiological mechanisms
that enable the cardiovascular and respiratory systems to support the increased
energy demands of contracting muscles. Both systems are consequently stressed
during exercise. Their ability to respond adequately to this stress is a
measure of their functional competence or “health”. Exercise testing offers the
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<i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">Karlman Wasserman in his book „Principles of Exercise Testing and
Interpretation</span></i><span lang="EN-US" style="font-size: 14.0pt; line-height: 200%; mso-ansi-language: EN-US;"></span></div>Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-85776917760672066932012-06-27T09:46:00.003-07:002012-06-27T09:46:57.839-07:00Glicemia e Prática de Exercício<!--[if gte mso 9]><xml>
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Marcos Motta</span></b></div>
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<b><span style="color: #002060; font-family: "Times New Roman","serif"; font-size: 13.5pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">Valores de glicemia
contra-indicados para a prática de exercícios</span></b></div>
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<b><span style="color: #002060; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">Hiperglicemia</span></b><span style="color: #002060; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;"><br />
Segundo a Associação Americana de Diabetes, o exercício deve ser evitado caso a
glicemia de jejum estiver acima de 250 mg.dL-1 com presença de cetose. A
atividade física vigorosa deve ser evitada na presença de cetose. Entretanto a
recomendação para se evitar atividade física se a glicemia estiver acima de 300
mg.dL-1, mesmo na ausência de cetose provavelmente é mais prudente e necessária
para diabéticos tipo 2, especialmente em estado pós prandial. Na ausência de
severa deficiência de insulina, o exercício de intensidade leve ou moderada
pode auxiliar no decréscimo da glicemia. O ideal é que o paciente procure seu
médico para que ele seja avaliado sobre os adequados valores de forma
individual.<br />
<br />
<b>Hipoglicemia</b><br />
Em indivíduos que tomam insulina, a atividade física pode causar hipoglicemia
se a medicação ou ingestão de carboidrato não foi adequada. Isto ocorre
particularmente quando os níveis de insulina endógena estiver no pico e/ou a
atividade física for prolongada. A Associação Americana de Diabetes sugere que
carboidrato adicional deve ser ingerido se a glicemia estiver abaixo de 100
mg.dL-1. Essa recomendação é indicada apenas para pacientes que fazem uso de
insulina endógena ou secretagogos de insulina. Não foram localizados ainda
estudos que tenham relatado casos de hipoglicemia em diabéticos que controlam a
glicemia por meio de dieta, metformina ou tiazolidinediona. No entanto,
os pacientes que tomam estes medicamentos associados a insulina ou um
secretagogo podem necessitar de mais carboidratos antes de atividade física e /
ou reduzir a dose de insulina ou secretagogo para evitar hipoglicemia. Para uma
discussão detalhada sobre ajustes na medicação para reduzir o risco de
hipoglicemia converse com seu médico.<br />
<b><i>Tópico especial</i></b>:<i> Medicação para pressão arterial e colesterol
concomitante com outros agentes hipoglicemiantes e exercício físico</i><br />
Diabéticos freqüentemente tomam diuréticos, ß-bloqueadores, inibidores da ECA,
aspirina, e agentes de redução de lipídeos para controle da pressão arterial e
colesterol. Na maioria dos indivíduos diabéticos tipo 2, a medicação não irá
interferir nas atividades físicas. Diuréticos, especialmente em doses mais elevadas,
podem interferir no equilíbrio hidro eletrolítico. ß-bloqueadores podem reduzir
a capacidade de exercício máximo entretanto, a maioria das pessoas com diabetes
tipo 2 não optam por se exercitar em altas intensidades. Sendo assim, essa
redução da capacidade máxima, geralmente não será problema. Para maior
compreensão sobre o impacto da medicação concomitante a atividade física,
converse com seu médico e discuta as possibilidades. <br />
O ideal seria que seu professor de Educação Física entrasse em contato com seu
médico para que juntos possam decidir qual a melhor maneira de se controlar a
glicemia antes, durante e após o exercício. Em alguns casos, o exercício físico
regular pode reduzir a dosagem dos remédios.<br />
<br />
</span><span lang="EN-US" style="color: #002060; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: PT-BR;">Sigal RJ, Kenny GP,
Wasserman DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and type
2 diabetes: a consensus statement from the American Diabetes Association. Diabetes
Care. 2006 Jun;29(6):1433-8.</span></div>Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0tag:blogger.com,1999:blog-2529051235593002033.post-79194253109511177772012-06-27T09:41:00.000-07:002012-06-27T09:41:21.627-07:00Índice Glicêmico<!--[if gte mso 9]><xml>
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<br />
<div style="background-color: white; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 13.5pt;">Associação
Brasileira de Nutrologia traz algumas informações.</span></div>
<div align="center" style="background-color: white; text-align: center;">
<span style="font-family: "Arial","sans-serif"; font-size: 13.5pt; mso-bidi-font-weight: bold;">"Índice
Glicêmico dos Carboidratos: (GI) </span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif"; font-size: 13.5pt; line-height: 150%;"><br />
</span><span style="font-family: "Arial","sans-serif";">Denomina-se Índice
Glicêmico a velocidade com que cada carboidrato é digerido, absorvido e
transformado em glicose. Tal velocidade varia de acordo com a quantidade e
composição do carboidrato. Quanto mais alta for a velocidade de um carboidrato
ao ser convertido em glicose no nosso organismo maior será seu índice
glicêmico.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";"><span style="mso-spacerun: yes;"> </span>(Alimentos que se convertem vagarosamente e de
maneira constante são considerados de baixo IG (Índice Glicêmico), esses
alimentos tem um valor menor que 55 em uma escala de 1 a 100) Alimentos que se
convertem de maneira rápida são considerados de alto IG.Qualquer alimento que
possua um Índice Glicêmico maior que 70, já é considerado digno de risco. <br />
<br />
Alimentos com alto IG aumentam mais rápido a glicemia seguida de uma queda da
mesma, que também ocorre de maneira rápida. A excessiva quantidade de glicose extracelular
vai acarretar, a nível pancreático, uma liberação de insulina que se faz de
maneira rápida e em grande quantidade. Tal fenômeno propicia um grande afluxo
de glicose intracelular e a queda súbita da glicemia. A quantidade em excesso
de glicose dentro da célula é transformada e "guardada" sob a forma
de gordura. A queda súbita da glicemia, por sua vez, nos deixa ansiosos por outra
refeição.</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Portanto,
reduzir o Índice Glicêmico dos carboidratos deve ser uma preocupação constante,
para a manutenção de seu peso e de sua saúde Durante muitos anos o valor do
índice glicêmico foi questionado. Atualmente, vários estudos têm demonstrado o
benefício de dietas com alimentos com baixo índice glicêmico tanto no controle
da glicemia como na melhora do perfil lipídico. “</span></div>
<div style="line-height: 150%; text-align: justify;">
<span style="font-family: "Arial","sans-serif";">Uma
das primeiras tabelas foi publicada no Am J Clin Nutr. 1995:62:871S-93S,
com aproximadamente 600 alimentos.</span></div>
<div style="text-align: justify;">
<span style="color: #ff0033; font-family: "Arial","sans-serif";">Segue abaixo link para acesso a tabela internacional de indice
glicêmico atualizada</span><span style="font-family: "Arial","sans-serif";"></span></div>
<div style="text-align: justify;">
<span style="font-family: "Arial","sans-serif";"><a href="http://www.mendosa.com/gilists.zip" target="_top">http://www.mendosa.com/gilists.zip</a>
<span style="color: #ff0033;"></span></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Arial","sans-serif";"><a href="http://www.mendosa.com/gilists.zip" target="_top">http://www.mendosa.com/gilists.zip</a></span></div>Prof. MSc. Antonio Marcos Mottahttp://www.blogger.com/profile/11973043838513668836noreply@blogger.com0