Diferentes modalidades de exercício não influenciam a sensação de fome, consumo calórico e de macronutrientes em mulheres pós-menopáusicas
DOI:
https://doi.org/10.33233/nb.v18i3.3898Resumo
Durante a menopausa ocorre ganho de peso e massa adiposa. Paralelamente, ocorre uma diminuição da ingestão calórica, acompanhada por aumento da sensação de fome, uma consequência natural do envelhecimento. Considerando que exercícios são importantes para a promoção de saúde e podem influenciar no balanço energético, o objetivo do presente estudo foi avaliar se a ingestão calórica e de macronutrientes é influenciada agudamente por diferentes modalidades de exercício em mulheres pós-menopáusicas. Nove mulheres pós-menopáusicas, com idade entre 52 e 64 anos, com IMC entre 20 kg/m2 e < 30 kg/m2 participaram do estudo. Foi realizada avaliação antropométrica e de capacidade de exercício aeróbico. As sessões de teste foram compostas de: descanso na posição supino por 30 minutos (sessão controle), exercício aeróbico realizado durante 30 minutos de exercício em cicloergômetro com intensidade de 60% do VO2pico (exercício aeróbico) ou exercício de força realizando sete exercícios de força com 3 séries de 15 RM e intervalo entre séries de um minuto (exercício de força). Nossos resultados mostram que não houve influência do exercício na sensação de fome, densidade calórica, composição de macronutrientes em uma refeição livre. De uma maneira geral, nossos achados estão de acordo com a literatura indicando que não há aumento compensatório aguda da fome ou da ingestão de alimentos após exercício.
Palavras-chave: menopausa, apetite, saúde.
Referências
Gordon T, Kannel WB, Hjortland MC, McNamara PM. Menopause and coronary heart disease. The Framingham Study. Ann Intern med 1978;89(2):157-61.
Soules MR, Sherman S, Parrott E, Rebar R, Santoro N, Utian W et al. Executive summary: Stages of Reproductive Aging Workshop (STRAW). Climacteric 2001;4(4):267-72. https://doi.org/10.1080/cmt.4.4.267.272
Nedrow A, Miller J, Walker M, Nygren P, Huffman LH, Nelson HD. Complementary and alternative therapies for the management of menopause-related symptoms: a systematic evidence review. Arch Intern Med 2006;166(14):1453-65. https://doi.org/10.1001/archinte.166.14.1453
Messier V, Rabasa-Lhoret R, Barbat-Artigas S, Elisha B, Karelis AD, Aubertin-Leheudre M. Menopause and sarcopenia: A potential role for sex hormones. Maturitas 2011;68(4):331-6. https://doi.org/10.1016/j.maturitas.2011.01.014
Kemmler W, Lauber D, Weineck J, Hensen J, Kalender W, Engelke K. Benefits of 2 years of intense exercise on bone density, physical fitness, and blood lipids in early postmenopausal osteopenic women: results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Intern Med 2004;164(10):1084-91. https://doi.org/10.1001/archinte.164.10.1084
Poehlman ET, Toth MJ, Gardner AW. Changes in energy balance and body composition at menopause: a controlled longitudinal study. Ann Intern Med 1995;123(9):673-5.
Campos H, McNamara JR, Wilson PW, Ordovas JM, Schaefer EJ. Differences in low density lipoprotein subfractions and apolipoproteins in premenopausal and postmenopausal women. J Clin Endocrinol Metab 1988;67(1):30-5. https://doi.org/10.1210/jcem-67-1-30
Kim OY, Chae JS, Paik JK, Seo HS, Jang Y, Cavaillon JM, et al. Effects of aging and menopause on serum interleukin-6 levels and peripheral blood mononuclear cell cytokine production in healthy nonobese women. Age 2012;34(2):415-25. https://doi.org/10.1007/s11357-011-9244-2
Perry CD, Alekel DL, Ritland LM, Bhupathiraju SN, Stewart JW, Hanson LN, et al. Centrally located body fat is related to inflammatory markers in healthy postmenopausal women. Menopause 2008;15(4Pt1):619-27. https://doi.org/10.1097/gme.0b013e318159f1a2
Zitnanova I, Rakovan M, Paduchova Z, Dvorakova M, Andrezalova L, Muchova J et al. Oxidative stress in women with perimenopausal symptoms. Menopause 2011;18(11):1249-55. https://doi.org/10.1097/gme.0b013e318224fa3d
McNeil J, Prud'homme D, Strychar I, Rabasa-Lhoret R, Brochu M, Lavoie JM et al. Satiety quotient linked to food intake and changes in anthropometry during menopause: a MONET Study. Climacteric 2014;17(4):449-55. https://doi.org/10.3109/13697137.2014.895320
Pines A. Lifestyle and diet in postmenopausal women. Climacteric 2009;12(Suppl 1):62-5. https://doi.org/10.1080/13697130902785449
Bloomer RJ. Energy cost of moderate-duration resistance and aerobic exercise. J Strength Cond Res 2005;19(4):878-82. https://doi.org/10.1519/00124278-200511000-00026
American College of Sports Medicine. Riebe D, Ehrman JK, Liguori G, Magal M. ACSM's Guidelines for exercise testing and prescription 2018.
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, Salem GJ et al. Exercise and physical activity for older adults. Med Sci Sports Exerc 2009;41(7):1510-30. https://doi.org/10.1249/mss.0b013e3181a0c95c
Marfell-Jones M, Olds T, Stewart A, Carter JEL. International standards for anthropometric assessment. Potchefstroom: North-West University; 2006.
Lombardi VP. Beginning weight training: the safe and effective way. Dubuque, Iowa: WC Brown; 1989.
UNICAMP. UEDC. Tabela brasileira de composição de alimentos - TACO. 4th ed. Campinas: UNICAMP/NEPA.
Flint A, Raben A, Blundell JE, Astrup A. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes 2000;24(1):38-48. https://doi.org/10.1038/sj.ijo.0801083
Guthrie JR, Dennerstein L, Dudley EC. Weight gain and the menopause: a 5-year prospective study. Climacteric 1999;2(3):205-11. https://doi.org/10.3109/13697139909038063
Abdulnour J, Doucet E, Brochu M, Lavoie JM, Strychar I, Rabasa-Lhoret R et al. The effect of the menopausal transition on body composition and cardiometabolic risk factors: a Montreal-Ottawa New Emerging Team group study. Menopause 2012;19(7):760-7. https://doi.org/10.1097/gme.0b013e318240f6f3
Blundell JE, Stubbs RJ, Hughes DA, Whybrow S, King NA. Cross talk between physical activity and appetite control: does physical activity stimulate appetite? Proc Nutr Soc 2007;62(3):651-61. https://doi.org/10.1079/pns2003286
Dorling J, Broom DR, Burns SF, Clayton DJ, Deighton K, James LJ et al. Acute and chronic effects of exercise on appetite, energy intake, and appetite-related hormones: the modulating effect of adiposity, sex, and habitual physical activity. Nutrients 2018;10(9):1140. https://doi.org/10.3390/nu10091140
Klok MD, Jakobsdottir S, Drent ML. The role of leptin and ghrelin in the regulation of food intake and body weight in humans: a review. Obes Rev 2007;8(1):21-34. https://doi.org/10.1111/j.1467-789x.2006.00270.x
Carteri RB, Genario R. Influence of the environment and temperature in acute exercise-induced appetite regulation. In: Hertz D, ed. Ghrelin: function, mechanism of action and role in health and disease. 1. Hauppauge/NY: Nova Science; 2019. p.160.
Stensel D. Exercise, appetite and appetite-regulating hormones: implications for food intake and weight control. Ann Nutr Metab 2010;57(Suppl2):36-42. https://doi.org/10.1159/000322702
Duval K, Prud'homme D, Rabasa-Lhoret R, Strychar I, Brochu M, Lavoie JM, et al. Effects of the menopausal transition on dietary intake and appetite: a MONET Group Study. Eur J Clin Nutr 2014;68(2):271-6. https://doi.org/10.1038/ejcn.2013.171
Hirschberg AL. Sex hormones, appetite and eating behaviour in women. Maturitas 2012;71(3):248-56.
Carteri RB, Lopes AL, Scholer CM, Correa CS, Macedo RC, Gross JS et al. Acylated ghrelin and circulatory oxidative stress markers responses to acute resistance and aerobic exercise in postmenopausal women. J Phys Activ Health 2016;13(6):632-9. https://doi.org/10.1123/jpah.2015-0413
King JA, Wasse LK, Ewens J, Crystallis K, Emmanuel J, Batterham RL et al. Differential acylated ghrelin, peptide YY3-36, appetite, and food intake responses to equivalent energy deficits created by exercise and food restriction. J Clin Endocrinol Metab 2011;96(4):1114-21. https://doi.org/10.1210/jc.2010-2735
King JA, Miyashita M, Wasse LK, Stensel DJ. Influence of prolonged treadmill running on appetite, energy intake and circulating concentrations of acylated ghrelin. Appetite 2010;54(3):492-8. https://doi.org/10.1016/j.appet.2010.02.002
Broom DR, Batterham RL, King JA, Stensel DJ. Influence of resistance and aerobic exercise on hunger, circulating levels of acylated ghrelin, and peptide YY in healthy males. Am J Physiol Regul Integr Comp Physiol 2009;296(1):R29-35. https://doi.org/10.1152/ajpregu.90706.2008
Douglas JA, King JA, Clayton DJ, Jackson AP, Sargeant JA, Thackray AE et al. Acute effects of exercise on appetite, ad libitum energy intake and appetite-regulatory hormones in lean and overweight/obese men and women. Int J Obes 2017;41(12):1737-44. https://doi.org/10.1038/ijo.2017.181
Alajmi N, Deighton K, King JA, Reischak-Oliveira A, Wasse LK, Jones J et al. Appetite and energy intake responses to acute energy deficits in females versus males. Med Sci Sports Exerc 2016;48(3):412-20. https://doi.org/10.1249/mss.0000000000000793
Balaguera-Cortes L, Wallman KE, Fairchild TJ, Guelfi KJ. Energy intake and appetite-related hormones following acute aerobic and resistance exercise. Appl Physiol Nutr Metab 2011;36(6):958-66. https://doi.org/10.1139/h11-121
Jokisch E, Coletta A, Raynor HA. Acute energy compensation and macronutrient intake following exercise in active and inactive males who are normal weight. Appetite 2012;58(2):722-9. https://doi.org/10.1016/j.appet.2011.11.024
Cadieux S, McNeil J, Lapierre MP, Riou ME, Doucet E. Resistance and aerobic exercises do not affect post-exercise energy compensation in normal weight men and women. Physiol Behav 2014;130:113-9. https://doi.org/10.1016/j.physbeh.2014.03.031
Laan DJ, Leidy HJ, Lim E, Campbell WW. Effects and reproducibility of aerobic and resistance exercise on appetite and energy intake in young, physically active adults. Appl Physiol Nutr Metab 2010;35(6):842-7. https://doi.org/10.1139/h10-072
McNeil J, Cadieux S, Finlayson G, Blundell JE, Doucet E. The effects of a single bout of aerobic or resistance exercise on food reward. Appetite 2015;84:264-70. https://doi.org/10.1016/j.appet.2014.10.018
Hubert P, King NA, Blundell JE. Uncoupling the effects of energy expenditure and energy intake: appetite response to short-term energy deficit induced by meal omission and physical activity. Appetite 1998;31(1):9-19. https://doi.org/10.1006/appe.1997.0148
Lawton CL, Burley VJ, Wales JK, Blundell JE. Dietary fat and appetite control in obese subjects: weak effects on satiation and satiety. Int J Obes Relat Metab Disord 1993;17(7):409-16.
Lopes AL, T Fayh AP, de Souza Campos LG, Teixeira BC, Kreismann Carteri RB, Ribeiro JL et al. The effects of diet- and diet plus exercise-induced weight loss on basal metabolic rate and acylated ghrelin in grade 1 obese subjects. Diabetes Metab Syndr Obes 2013;6:469-75. https://doi.org/10.2147/dmso.s53501
