{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:32:43Z","timestamp":1772253163863,"version":"3.50.1"},"reference-count":35,"publisher":"Sociedade Brasileira de Cardiologia","issue":"12","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  As diretrizes atuais orientam a pr\u00e1tica de exerc\u00edcios para a maioria dos pacientes com cardiopatia cong\u00eanita (CPC). No entanto, a atividade f\u00edsica continua baixa em indiv\u00edduos com CPC, com pesquisas limitadas sobre os efeitos dos exerc\u00edcios em adultos.  Objetivos  O objetivo deste estudo \u00e9 avaliar a seguran\u00e7a e a efic\u00e1cia do treinamento f\u00edsico sobre a capacidade de realiza\u00e7\u00e3o do exerc\u00edcio e a qualidade de vida para pacientes com cardiopatia cong\u00eanita adulta (CPCA).  M\u00e9todos  Pesquisamos as bases de dado da PubMed\/Medline, Cochrane Library, Web of Science e Scopus at\u00e9 dezembro de 2022 em busca de estudos cl\u00ednicos randomizados que avaliassem os efeitos do treinamento aer\u00f3bico e de resist\u00eancia sobre a capacidade de realiza\u00e7\u00e3o de exerc\u00edcios e a qualidade de vida na CPCA. Das 3.517 cita\u00e7\u00f5es obtidas, dez artigos eleg\u00edveis foram inclu\u00eddos.  Resultados  A metan\u00e1lise dos estudos cl\u00ednicos randomizados inclu\u00eddos (286 participantes) n\u00e3o revelou mudan\u00e7as significativas no consumo de m\u00e1ximo de oxig\u00eanio ou na qualidade de vida na CPCA com treinamento com exerc\u00edcios (diferen\u00e7a m\u00e9dia combinada = 0,33 ml\/kg\/min [IC de 95%, -0,88 a 1,54 ml\/kg\/min]; p = 0,60; I2 = 3%). No entanto, o aumento na carga de trabalho m\u00e1xima foi significativo (diferen\u00e7a m\u00e9dia combinada = 8,86 watts [IC de 95%, 0,78 a 16,93], p = 0,03, I2 = 0%).  Conclus\u00f5es  Nossa revis\u00e3o confirma que o treinamento com exerc\u00edcios aumenta a carga de trabalho m\u00e1xima em pacientes com CPCA. No entanto, a falta de um protocolo padronizado entre as interven\u00e7\u00f5es de exerc\u00edcios nessa popula\u00e7\u00e3o pode ter contribu\u00eddo para a aus\u00eancia de uma mudan\u00e7a significativa no pico de VO2 e na qualidade de vida observada nos estudos conduzidos. Al\u00e9m disso, a heterogeneidade dos programas de exerc\u00edcios pode ser um fator contribuinte para a inconsist\u00eancia dos resultados. Neste contexto, a implementa\u00e7\u00e3o de protocolos de exerc\u00edcios padronizados em pesquisas futuras, particularmente com tamanhos de amostra maiores, \u00e9 fundamental para melhorar a comparabilidade dos resultados. Estudos cl\u00ednicos randomizados bem projetados, que avaliem o treinamento com exerc\u00edcios estruturados em pacientes com CPCA, fornecer\u00e3o dados mais claros.<\/jats:p>","DOI":"10.36660\/abc.20240294","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T11:36:39Z","timestamp":1734089799000},"source":"Crossref","is-referenced-by-count":0,"title":["O Papel do Treinamento F\u00edsico na Melhoria da Qualidade de Vida para Cardiopatia Cong\u00eanita Adulta: Revis\u00e3o Sistem\u00e1tica"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6004-1734","authenticated-orcid":false,"given":"Tugba","family":"Siyah","sequence":"first","affiliation":[{"name":"Hacettepe University,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0218-140X","authenticated-orcid":false,"given":"Naciye Vardar","family":"Yagli","sequence":"additional","affiliation":[{"name":"Hacettepe University,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-0568","authenticated-orcid":false,"given":"Ilker","family":"Ertugrul","sequence":"additional","affiliation":[{"name":"Hacettepe University,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5136-3977","authenticated-orcid":false,"given":"Hayrettin Hakan","family":"Aykan","sequence":"additional","affiliation":[{"name":"Hacettepe University,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5323-1943","authenticated-orcid":false,"given":"Melda","family":"Saglam","sequence":"additional","affiliation":[{"name":"Hacettepe University,  Turquia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"25","key":"ref1","first-page":"2982","article-title":"Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update from the GBD 2019 Study","volume":"76","author":"Roth GA","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"e1502","DOI":"10.1542\/peds.2012-3435","article-title":"Temporal Trends in Survival Among Infants with Critical Congenital Heart Defects","volume":"131","author":"Oster ME","year":"2013","journal-title":"Pediatrics"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1161\/CIRCRESAHA.116.309302","article-title":"Changing Landscape of Congenital Heart Disease","volume":"120","author":"Bouma BJ","year":"2017","journal-title":"Circ Res"},{"key":"ref4","series-title":"Diagnosis and Management of Adult Congenital Heart Disease","author":"Gatzoulis MA","year":"2010"},{"issue":"11","key":"ref5","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1016\/S0195-668X(03)00131-3","article-title":"Management of Grown Up Congenital Heart Disease","volume":"24","author":"Deanfield J","year":"2003","journal-title":"Eur Heart J"},{"issue":"12","key":"ref6","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/S0895-4356(98)00131-0","article-title":"The Delphi List: A Criteria List for Quality Assessment of Randomized Clinical Trials for Conducting Systematic Reviews Developed by Delphi Consensus","volume":"51","author":"Verhagen AP","year":"1998","journal-title":"J Clin Epidemiol"},{"key":"ref7","series-title":"Review manager (RevMan). 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