BLOOD PRESSURE, SLEEP AND PHYSICAL EXERCISE IN EXTREME ENVIRONMENTS: AN INTEGRATIVE REVIEW
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Abstract
This article presents an integrative review of the literature on blood pressure, sleep and physical exercise in humans linked to extreme environments, specifically Antarctica. The aim of this study was to analyze the scientific research available in the literature on the impact of extreme environments (antarctica) on blood pressure levels, sleep and physical exercise in humans. For data collection, a search was carried out in the LILACS and PUBMED databases. Articles published between 2000 and 2024 were analyzed, resulting in a sample of 9 studies selected for the review. The main results address various aspects of the effects of prolonged stay in Antarctica on the physical health of individuals. Sleep disturbances and high blood pressure at night were observed after a year in these extreme environments, suggesting persistent cardiovascular stress. In addition, thermoregulatory adaptations were found in response to physical exertion and the adverse environment, resulting in changes in the participants' aerobic capacity and sleep pattern. Mental health problems, such as symptoms of insomnia, were more common during the winter, possibly related to the extreme weather and isolation. In addition, changes in light sensitivity were revealed, indicating the impact of prolonged exposure to extreme photoperiod conditions on human physiology, highlighting the importance of considering these factors when planning living activities in antarctica. In this way, studies on the effects of the Antarctic environment offer a multifaceted perspective on the challenges and adaptations faced by individuals living or working in this remote region.
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Copyright (c). Conjuncture Bulletin (BOCA)
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
ASSUNÇÃO, K. N. et al. “Sleep disorders and regular physical exercise in primary health care: an observational study”. Revista Brasileira de Atividade Física e Saúde, vol. 27, n. 1, 2022.
BASNER, M. et al. “Mars 520-d mission simulation reveals protracted crew hypokinesis and alterations of sleep duration and timing”. Proceedings of the National Academy of Sciences, vol. 110, n. 1, 2013.
BLUME, C.; GARBAZZA, C.; SPITSCHAN, M. “Auswirkungen von Licht auf zirkadiane Rhythmen, Schlaf und die Stimmung bei Menschen”. Somnologie, vol. 23, n. 3, 2019.
BRITO, V. F. et al. “O ensino remoto e pandemia: saúde mental e vivências subjetivas dos adolescentes”. Boletim de Conjuntura (BOCA), vol. 17, n. 50, 2024.
BROOK, R. D. “The Environment and Blood Pressure”. Cardiology Clinics, vol. 35, n. 2, 2017.
BROTHERHOOD, J. R. et al. “The physical characteristics of the members during the International Biomedical Expedition to the Antarctic”. European Journal of Applied Physiology and Occupational Physiology, vol. 55, n. 5, 1986.
CANCIAN, Q. G. et al. “Qualidade de vida no desenvolvimento do trabalho nas percepções dos professores universitários”. Boletim de Conjuntura (BOCA), vol. 13, n. 39, 2023.
CARVALHO, S. T. A. et al. “Saúde mental de mulheres rurais no brasil: uma revisão integrativa da literatura”. Boletim de Conjuntura (BOCA), vol. 15, n. 45, 2023.
CHUNG, S. et al. “The prevalence and incidence of insomnia in Korea during 2005 to 2013”. Psychiatry Investigation, vol. 17, n. 6, 2020.
COLLET, G. et al. “Altitude and seasonality impact on sleep in Antarctica”. Aerospace Medicine and Human Performance, vol. 86, n. 4, 2015.
CUTULI, D. et al. “Physical Exercise as Disease-Modifying Alternative against Alzheimer's Disease: A Gut-Muscle-Brain Partnership”. International Journal of Molecular Sciences, vol. 24, n. 19, 2023.
EDINGER, J. D. et al. “Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine Work Group”. Sleep, vol. 27, n. 8, 2004.
FOLGUEIRA, A. et al. “Sleep, napping and alertness during an overwintering mission at Belgrano II Argentine Antarctic station”. Scientific Reports, vol. 9, n. 1, 2019.
FURIAN, M. et al. “Acetazolamide to Prevent Adverse Altitude Effects in COPD and Healthy Adults”. Nejm Evidence, vol. 1, n. 1, 2022.
FURIAN, M. et al. “Blood pressure and sleep during a 12-month stay at Concordia Station (3233 m), Antarctica”. Pulmonology, vol. 29, n. 5, 2023.
GIBSON, O. R. et al. “Heat alleviation strategies for athletic performance: A review and practitioner guidelines”. Temperature, vol. 12, n. 1, 2020.
GOLDEN, S. J.; CHANG, C.; KOZLOWSKI, S. W. J. “Teams in isolated, confined, and extreme (ICE) environments: review and integration”. Journal of Organizational Behavior, vol. 39, n. 6, 2018.
HAWKES, C.; NORRIS, K. “Time-dependent mood fluctuations in Antarctic personnel: a meta-analysis”. Polar Record, vol. 53, n. 5, 2017.
JARDIM, T. V. et al. “Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão”. Arquivos Brasileiros de Cardiologia, vol. 115, n. 2, 2020.
JAVIER NIETO, F. “Siesta by decree or sound policy to promote sleep health? Lessons from a municipal proclamation in a rural Spanish town”. Sleep Health, vol. 1, n. 1, 2015.
KANG, J. M. et al. “Mood and Sleep Status and Mental Disorders During Prolonged Winter-Over Residence in Two Korean Antarctic Stations”. Nature And Science Of Sleep, vol. 14, n. 1, 2022.
KAWASAKI, A. et al. “Impact of long-term daylight deprivation on retinal light sensitivity, circadian rhythms and sleep during the Antarctic winter”. Scientific Reports, vol. 8, n. 1, 2018.
MAIRESSE, O. et al. “Preparing for Mars: human sleep and performance during a 13 month stay in Antarctica”. Sleep, vol. 42, n. 1, 2019.
MARTINS, Y. A.T. et al. “A 32-day long fieldwork in Antarctica improves heat tolerance during physical exercise”. Anais da Academia Brasileira de Ciências, vol. 94, n. 1, 2022.
MORAES, M. M. E. et al. “The changes in maximal oxygen uptake (V̊O2MAX) induced by physical exertion during an Antarctic expedition depend on the initial V̊O2MAX of the individuals: a case study of the brazilian expedition”. International Journal of Circumpolar Health, vol. 77, n. 1, 2018.
MORAES, M. M. et al. “Sleep impairment and altered pattern of circadian biomarkers during a long-term Antarctic summer camp”. Scientific Reports, vol. 13, n. 1, 2023.
NIEMAN, D. C. et al. “Proteomics-Based Detection of Immune Dysfunction in an Elite Adventure Athlete Trekking Across the Antarctica”. Proteomes, vol. 8, n. 1, 2020.
PADILHA, M. V.; MARTINS, W.; STRADA, C. F. O. “O papel da equipe de enfermagem no centro de material e esterilização: uma revisão integrativa da literatura”. Boletim de Conjuntura (BOCA), vol. 8, n. 24, 2021.
PALINKAS, L. A. et al. “Incidence of psychiatric disorders after extended residence in Antarctica”. International Journal of Circumpolar Health, vol. 63, n. 2, 2004.
PARATI, G. et al. “Changes in 24 h ambulatory blood pressure and effects of angiotensin II receptor blockade during acute and prolonged high-altitude exposure: A randomized clinical trial”. European Heart Journal, vol. 35, n. 44, 2014.
PATTYN, N. et al. “Sleep during an Antarctic summer expedition: New light on polar insomnia”. Journal of Applied Physiology, vol. 22, n. 1, 2017.
PAUL, M. et al. “Sleep and the endogenous melatonin rhythm of high arctic residents during the summer and winter”. Physiology and Behavior, vol. 141, n. 1, 2015.
PÉRIARD, J. D.; RACINAIS, S.; SAWKA, M. “Adaptations and mechanisms of human heat acclimation: Applications for competitive athletes and sports”. Scandinavian Journal of Medicine and Science in Sports, vol. 25, n. 1, 2015.
REITER, A. M.; ROACH, G. D.; SARGENT, C. “The night before night shift: Chronotype impacts total sleep and rapid eye movement sleep during a strategically delayed sleep”. Journal of Sleep Research, vol. 32, n. 1, 2022.
SALAZAR, J. F. “Antarctica and outer space: relational trajectories”. Polar Journal, vol. 7, n. 2, 2017.
SCHWEBACH, C. L. et al. “The roles of actin-binding domains 1 and 2 in the calcium-dependent regulation of actin filament bundling by human plastins”. Journal of Molecular Biology, vol. 419, n. 16, 2017.
SHEPHARD, R. J. et al. “Stresses encountered in the trans-polar ski-trek”. Arctic Medical Research, n. 480, 1991.
STEINACH, M. et al. “Sleep quality changes during overwintering at the German Antarctic stations Neumayer II and III: the gender factor”. Plos One, vol. 11, n. 2, 2016.
TASSINO, B. et al. “Extreme late chronotypes and social jetlag challenged by Antarctic conditions in a population of university students from Uruguay”. Sleep Science, vol. 9, n. 1, 2016.
TOMITA, T.; MORI, T.; ONISHI, Y. “β-Arrestin 1 (ARRB1) serves as a molecular marker of the peripheral circadian rhythm”. International Journal of Oral Science, vol. 11, n. 4, 2019.
TORTELLO, C. et al. “Chronotype delay and sleep disturbances shaped by the Antarctic polar night”. Scientific Reports, vol. 13, n. 1, 2023.
TYLER, C. J. et al. “The Effects of Heat Adaptation on Physiology, Perception and Exercise Performance in the Heat: A Meta-Analysis”. Sports Medicine, vol. 46, n. 1, 2016.
WANG, S. et al. “S100A8/A9 in inflammation”. Frontiers Immunology, vol. 9, n. 1, 2018.
YANG, K. J. et al. “Incidence and direct medical cost of adjustment disorder and in Korea using national health insurance service claims data from 2011 to 2017”. Psychiatry Investigation, vol. 18, n. 8, 2021.