PAPEL DO MÚSCULO ESQUELÉTICO NA ATEROSCLEROSE

Autores

  • Joana Ferreira Life and Health Science Research Institute (ICVS), School of Medicine, University of Minho, Guimarães/Braga, Portugal; Vascular Surgery Department- Hospital da Senhora da Oliveira, Guimarães
  • Pedro Cunha Life and Health Science Research Institute (ICVS), School of Medicine, University of Minho, Guimarães/Braga; Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department- Hospital da Senhora da Oliveira, Guimarães; Vascular Surgery Department- Hospital de São João, Portugal
  • Armando Mansilha Faculty of Medicine, Porto University; Vascular Surgery Department, Hospital CUF Porto
  • Cristina Cunha Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department- Hospital da Senhora da Oliveira, Guimarães
  • Cristina Silva Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department- Hospital da Senhora da Oliveira, Guimarães
  • Isabel Vila Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department- Hospital da Senhora da Oliveira, Guimarães
  • Jorge Cotter Life and Health Science Research Institute (ICVS), School of Medicine, University of Minho, Guimarães/Braga, Portugal; Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department- Hospital da Senhora da Oliveira, Guimarães
  • Amílcar Mesquita Vascular Surgery Department- Hospital da Senhora da Oliveira, Guimarães

DOI:

https://doi.org/10.48750/acv.220

Palavras-chave:

Músculo esquelético, Aterosclerose, Sarcopenia, Doença arterial periférica, Doença coronária, Doença carotídea

Resumo

O papel da obesidade visceral na doença aterosclerótica está bem definido. Pelo contrário, a importância do músculo esquelético não está completamente esclarecido. O músculo é entendido hoje, como um órgão endócrino produtor de mioquinas com uma acção direta em vários mecanismos fisiológicos e fisiopatológicos, incluindo a aterosclerose.  As mioquinas reduzem a produção da neo-íntima, a expressão de mediadores inflamatórios, o recrutamento de células inflamatórias e a formação de “foam cells”. Os estudos epidemiológicos demonstram uma associação entre a redução da massa muscular e a doença cardiovascular. A baixa massa muscular está associada a aumento da prevalência da doença coronária, calcificação aórtica, aterosclerose carotídea, espessamento média-íntima, estenose das artérias cerebrais e disfunção endotelial. Deste modo, os exercícios de resistência, que causam hipertrofia muscular e aumentam a foça muscular, podem ter um papel na aterosclerose. A ingestão proteica, em particular pelos idosos parece ser crítica para a manutenção da massa muscular e para aumentar a sobrevivência. O objetivo deste artigo é proceder a uma revisão da literatura relativamente ao papel musculo esquelético na  aterosclerose.

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Publicado

2019-10-16

Como Citar

1.
Ferreira J, Cunha P, Mansilha A, Cunha C, Silva C, Vila I, Cotter J, Mesquita A. PAPEL DO MÚSCULO ESQUELÉTICO NA ATEROSCLEROSE. Angiol Cir Vasc [Internet]. 16 de Outubro de 2019 [citado 24 de Novembro de 2024];15(2):65-70. Disponível em: https://acvjournal.com/index.php/acv/article/view/220

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