1
|
Rodrigues MDL, Carrijo VHV, Amaral AL, Cunha ACR, Tavares JB, Costa JG, Gonçalves LF, de Souza TCF, Mariano IM, Puga GM. Acute effect of interval step exercise versus continuous walk exercise on cardiovascular parameters in hypertensive postmenopausal women: A clinical, controlled, and randomized study. J Bodyw Mov Ther 2023; 35:124-129. [PMID: 37330757 DOI: 10.1016/j.jbmt.2023.04.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 02/13/2023] [Accepted: 04/12/2023] [Indexed: 06/19/2023]
Abstract
Aiming the prevention and treatment of hypertension, regular physical exercise has become important to reduce blood pressure. The present experiment compared the effect of interval step exercise with continuous walking exercise on cardiovascular parameters of post-menopausal hypertensive women. The volunteers were submitted to three experimental sessions: control (CO), interval exercise (IE) and continuous exercise (CE), in randomized order. The sessions lasted 120 min and during this period, resting blood pressure was evaluated after 10min of siting rest before exercise, and 30, 40 and 60min of siting rest position after exercise. Heart rate variability (HRV) were estimated at rest before exercise and 30min after exercise. Blood pressure reactivity (BPR) to the Stroop Color-Word test was measured at rest before exercise and 60min after exercise. Twelve women finished the study (59 ± 4 years and BMI of 29.78 ± 4.10 kg/m2). The One way ANOVA showed that systolic blood pressure (SBP) area under the curve over time were lower (p = 0.014) in both exercise sessions comparing with control session. The Generalized estimation equations (GEE) showed that SDNN and RMSSD indices of HRV decreases (p < 0.001) in both exercises session as well, comparing with CO. Maximal SBP during Stroop test were lower after both IE and CE exercises session comparing with CO session. We conclude that interval step exercise can reduce blood pressure responses and improve HRV acutely after its performance and these responses are similar to continuous walking exercise.
Collapse
Affiliation(s)
- Mateus de L Rodrigues
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Victor Hugo V Carrijo
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Ana Luiza Amaral
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Ana Clara R Cunha
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Julia B Tavares
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Juliene G Costa
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Ludimila F Gonçalves
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Tállita Cristina F de Souza
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Igor M Mariano
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil
| | - Guilherme M Puga
- Physical Education Department, Federal University of Uberlandia, Uberlândia, R. Benjamin Constant, 1286 - Nossa Sra, Aparecida, Uberlândia, MG, 38400-678, Brazil.
| |
Collapse
|
2
|
Roxburgh BH, Campbell HA, Cotter JD, Reymann U, Williams MJA, Gwynne-Jones D, Thomas KN. Acute and adaptive cardiovascular and metabolic effects of passive heat therapy or high-intensity interval training in patients with severe lower-limb osteoarthritis. Physiol Rep 2023; 11:e15699. [PMID: 37300374 DOI: 10.14814/phy2.15699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 04/27/2023] [Indexed: 06/12/2023] Open
Abstract
Exercise is painful and difficult to perform for patients with severe lower-limb osteoarthritis; consequently, reduced physical activity contributes to increased cardiometabolic disease risk. The aim of this study was to characterize the acute and adaptive cardiovascular and metabolic effects of two low or no impact therapies in patients with severe lower-limb osteoarthritis: passive heat therapy (Heat) and high-intensity interval training (HIIT) utilizing primarily the unaffected limbs, compared to a control intervention of home-based exercise (Home). Participants completed up to 12 weeks of either Heat (20-30 min immersed in 40°C water followed by ~15-min light resistance exercise), HIIT (6-8 × 60-s intervals on a cross-trainer or arm ergometer at ~90-100% peak V ̇ $$ \dot{V} $$ O2 ) or Home (~15-min light resistance exercise); all 3 sessions/week. Reductions in systolic (12 & 10 mm Hg), diastolic (7 & 4 mm Hg), and mean arterial (8 & 6 mm Hg) blood pressure (BP) were observed following one bout of Heat or HIIT exposure, lasting for the duration of the 20-min monitoring period. Across the interventions (i.e., 12 weeks), resting systolic BP and diastolic BP decreased with Heat (-9 & -4 mm Hg; p < 0.001) and HIIT (-7 & -3 mm Hg; p ≤ 0.011), but not Home (0 & 0 mm Hg; p ≥ 0.785). The systolic and diastolic BP responses to an acute exposure of Heat or HIIT in the first intervention session were moderately correlated with adaptive responses across the intervention (r ≥ 0.54, p ≤ 0.005). Neither intervention improved indices of glycemic control (p = 0.310). In summary, both Heat and HIIT induced potent immediate and adaptive hypotensive effects, and the acute response was moderately predictive of the long-term response.
Collapse
Affiliation(s)
- Brendon H Roxburgh
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
- HeartOtago, University of Otago, Dunedin, New Zealand
| | - Holly A Campbell
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- HeartOtago, University of Otago, Dunedin, New Zealand
| | - James D Cotter
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
- HeartOtago, University of Otago, Dunedin, New Zealand
| | - Ulla Reymann
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Michael J A Williams
- HeartOtago, University of Otago, Dunedin, New Zealand
- Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - David Gwynne-Jones
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- Department of Orthopaedic Surgery, Dunedin Hospital, Southern District Health Board, Dunedin, New Zealand
| | - Kate N Thomas
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
- HeartOtago, University of Otago, Dunedin, New Zealand
| |
Collapse
|
3
|
Krzesiak A, Lavoie JL, Sebille S, Cognard C, Bosquet L, Delpech N. Post-exercise hypotension in male spontaneously hypertensive rats: The issue of calculation method. Physiol Rep 2023; 11:e15524. [PMID: 36807709 PMCID: PMC9937782 DOI: 10.14814/phy2.15524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 10/30/2022] [Accepted: 11/07/2022] [Indexed: 02/19/2023] Open
Abstract
In spontaneously hypertensive rats, exercise can lead to a post-exercise decrease in blood pressure, named post-exercise hypotension (PEH). This can be following physical training but also after a single bout of mild to moderate exercise when measured with tail-cuff or externalized catheter methods. Our aim was to assess the PEH obtained with different calculation methods and to compare the magnitude of this effect induced by a moderate-intensity continuous exercise or a high-intensity intermittent exercise. Thirteen 16-week-old male spontaneously hypertensive rats performed two types of aerobic exercise (continuous or intermittent) on a treadmill. Arterial pressure was recorded by telemetry for 24 h which was started 3 h before physical exercise. Based on the literature, PEH was first evaluated with two different baseline values, and then with three different approaches. We observed that the identification of PEH depended on the method used to measure the rest value, and that its amplitude was also influenced by the calculation approach and the type of exercise performed. Hence, the calculation method and the amplitude of the detected PEH can significantly influence their physiological and pathophysiological inferences.
Collapse
Affiliation(s)
- Amandine Krzesiak
- Laboratoire MObilité, Vieillissement et Exercice; EA 6314, Faculté des Sciences du SportPoitiersFrance,Laboratoire Signalisation & Transports Ioniques MembranairesERL CNRS/Université de Poitiers no 7368PoitiersFrance
| | - Julie L. Lavoie
- Centre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM)MontréalCanada,École de kinésiologie et des sciences de l'activité physiqueUniversité de MontréalMontréalCanada
| | - Stéphane Sebille
- Laboratoire Signalisation & Transports Ioniques MembranairesERL CNRS/Université de Poitiers no 7368PoitiersFrance
| | - Christian Cognard
- Laboratoire Signalisation & Transports Ioniques MembranairesERL CNRS/Université de Poitiers no 7368PoitiersFrance
| | - Laurent Bosquet
- Laboratoire MObilité, Vieillissement et Exercice; EA 6314, Faculté des Sciences du SportPoitiersFrance,École de kinésiologie et des sciences de l'activité physiqueUniversité de MontréalMontréalCanada
| | - Nathalie Delpech
- Laboratoire MObilité, Vieillissement et Exercice; EA 6314, Faculté des Sciences du SportPoitiersFrance
| |
Collapse
|
4
|
Ketelhut S, Möhle M, Gürlich T, Hottenrott L, Hottenrott K. Comparing Post-Exercise Hypotension after Different Sprint Interval Training Protocols in a Matched Sample of Younger and Older Adults. J Clin Med 2023; 12:jcm12020640. [PMID: 36675569 PMCID: PMC9861373 DOI: 10.3390/jcm12020640] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 01/06/2023] [Accepted: 01/11/2023] [Indexed: 01/15/2023] Open
Abstract
This study assessed the post-exercise hypotension (PEH) effect in a sample of matched young and older adults after different sprint interval training (SIT) protocols. From forty-three participants enrolled in this study, twelve younger (24 ± 3 years) and 12 older (50 ± 7 years) participants, matched for the body mass index, systolic blood pressure, and VO2max-percentiles, were selected. The participants completed two SIT protocols consisting of 4 × 30 s exercise bouts interspersed by either one (SIT1) or three minutes (SIT3) of active rest. The peripheral systolic (pSBP) and diastolic (pDBP) blood pressure, central systolic (cSBP) and diastolic (cDBP) blood pressure, pulse wave velocity (PWV), and heart rate (HR) were obtained before and at different measurement time points (t5, t15, t30, t45) after the exercise. No significant time × group interactions were detected in pSBP (p = 0.242, η² = 0.060), pDBP (p = 0.379, η² = 0.046), cSBP (p = 0.091, η² = 0.861), cDBP (p = 0.625, η² = 0.033), PWV (p = 0.133, η² = 0.076), and HR (p = 0.190, η² = 0.123) after SIT1. For SIT3 no significant time × group interactions could be detected for pSBP (p = 0.773, η² = 0.020), pDBP (p = 0.972, η² = 0.006), cSBP (p = 0.239, η² = 0.060), cDBP (p = 0.535, η² = 0.036), PWV (p = 0.402, η² = 0.044), and HR (p = 0.933, η² = 0.009). Matched samples of young and older adults reveal similar PEH effects after HIIT. Accordingly, age does not seem to affect PEH after SIT. These results show that rest interval length and age modulate the PEH effect after SIT.
Collapse
Affiliation(s)
- Sascha Ketelhut
- Institute of Sport Science, University of Bern, 3012 Bern, Switzerland
- Correspondence: (S.K.); (M.M.)
| | - Martin Möhle
- Institute of Sport Science, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany
- Correspondence: (S.K.); (M.M.)
| | - Tina Gürlich
- Institute of Sport Science, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany
| | - Laura Hottenrott
- Institute of Performance Diagnostics and Health Promotion, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany
| | - Kuno Hottenrott
- Institute of Sport Science, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany
- Institute of Performance Diagnostics and Health Promotion, Martin-Luther-University Halle-Wittenberg, 06120 Halle (Saale), Germany
| |
Collapse
|
5
|
de Freitas VH, Mariano IM, Amaral AL, Rodrigues ML, Carrijo VHV, Nakamura FY, Puga GM. Blood Pressure and Heart Rate Variability Responses to High-Intensity Interval Training in Untrained Postmenopausal Women. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2022; 93:749-757. [PMID: 34709130 DOI: 10.1080/02701367.2021.1917756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 04/09/2021] [Indexed: 06/13/2023]
Abstract
Purpose: The aim of this study was to analyze the blood pressure (BP) and heart rate variability (HRV) responses in untrained postmenopausal women submitted to acute single sessions of high-intensity interval training (HIT). Method: Sixteen postmenopausal women (59.9 ± 5.6 years, 26.7 ± 3.0 kg/m2) participated in a random order of two acute sessions in a balanced crossover format: control without exercise in sitting position or HIT session. BP and heart rate (HR) were recorded before and during 60 min following the sessions. Results: Diastolic (DBP), mean BP (MBP), and double product (DPO) showed interaction (p < .01). DBP, MBP, and DPO increased (p < .01) after HIT but not after the control session. The area under the curve (AUC) of DBP (p = .02) and DPO (p < .01) were different between conditions. Time and frequency indices of HRV presented interaction (p < .05) which impaired these indices post-HIT, but not post-control. The AUC of time and frequency HRV indices were different between conditions. Conclusions: A single session of HIT may increase BP and cardiac stress and cause perturbation of the autonomic function in untrained postmenopausal women.
Collapse
|
6
|
Gargallo P, Casaña J, Suso-Martí L, Cuenca-Martínez F, López-Bueno R, Andersen LL, López-Bueno L, Cuerda-del Pino A, Calatayud J. Minimal Dose of Resistance Exercise Required to Induce Immediate Hypotension Effect in Older Adults with Hypertension: Randomized Cross-Over Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14218. [PMID: 36361100 PMCID: PMC9658099 DOI: 10.3390/ijerph192114218] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
To determine the optimal exercise volume to generate a hypotension response after the execution of a single strength exercise in elderly subjects with hypertension (HT), a randomized crossover design was performed. A total of 19 elderly subjects with HT performed one control session and three experimental sessions of resistance training with different volumes in a randomized order: three, six, and nine sets of 20 repetitions maximum (RM) of a single elbow flexion exercise with elastic bands. The systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean heart rate (MHR) were tested at the beginning and immediately afterwards, at 30 and 60 min, and at 4, 5, and 6 h after the resistance exercise. The results show that the volumes of six and nine sets of 20 RM obtained statistically significant differences in the SBP at 30 and 60 min post-exercise (p < 0.05); in the DBP at 30 min after exercise (p < 0.05); and in the MHR immediately after exercise at 30 and 60 min (p < 0.05), compared to a control session. A single resistance exercise with a minimum volume of six sets of 20 RM generated an acute post-exercise antihypertensive response that was maintained for 60 min in elderly people with controlled HT.
Collapse
Affiliation(s)
- Pedro Gargallo
- Department of Physiotherapy, Faculty of Medicine and Health Science, Catholic University of Valencia, 46001 Valencia, Spain
| | - José Casaña
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
| | - Luis Suso-Martí
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
| | - Ferran Cuenca-Martínez
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
| | - Rubén López-Bueno
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
- Department of Physical Medicine and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| | - Lars Louis Andersen
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
- Department of Health Science and Technology, Aalborg University, 9220 Aalborg, Denmark
| | - Laura López-Bueno
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
| | | | - Joaquín Calatayud
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46001 Valencia, Spain
- National Research Centre for the Working Environment, 2100 Copenhagen, Denmark
| |
Collapse
|
7
|
Ramis TR, Boeno FP, Leal-Menezes R, Munhoz SV, Farinha JB, Ribeiro JL, Reischak-Oliveira A. Effects of exercise modalities on decreased blood pressure in patients with hypertension. Front Physiol 2022; 13:993258. [PMID: 36311227 PMCID: PMC9614347 DOI: 10.3389/fphys.2022.993258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/26/2022] [Indexed: 11/23/2022] Open
Abstract
This study aimed to evaluate the acute effects of aerobic and resistance exercises on blood pressure and endothelial blood markers. We also correlated post-exercise blood pressure response with baseline cardiovascular parameters in middle-aged patients with hypertension. This cross-sectional study randomized 54 volunteers into the aerobic exercise group (AG, n = 27; 45.6 ± 7.7 years) or dynamic resistance exercise group (RG, n = 27; 45.8 ± 8.4 years). Blood marker evaluation, cardiopulmonary exercise tests, resting blood pressure monitoring, ambulatory blood pressure monitoring (ABPM), flow-mediated dilatation monitoring, and body composition evaluation were carried out. Exercise sessions were performed to evaluate post-exercise hypotension (PEH) and endothelial marker responses, in addition to post-exercise ABPM (ABPMex). This study is an arm of the study which was approved by the local ethics committee (No. 69373217.3.0000.5347) in accordance with the Helsinki Declaration and was registered at ClinicalTrials.gov (NCT03282942). The AG performed walking/running at 60% of the reserve heart rate, while the RG performed 10 exercises with two sets of 15–20 repetitions. The mean 24 h ABPM and ABPMex values showed no significant statistical differences. Systolic and diastolic blood pressure hypotension after aerobic and dynamic resistance were −10.59 ± 5.24/−6.15 ± 6.41 mmHg and −5.56 ± 7.61/−6.20 ± 8.25 mmHg, respectively. For an up-to-7 h assessment of resting pressure, there was a positive effect in the aerobic group. The concentrations of nitrites/nitrates (NOx) and endothelin-1 (ET-1) did not change during hypotension. Moreover, PEH and ABPMex were significantly correlated with baseline health variables. Thus, when middle-aged patients with hypertension perform aerobic or resistance exercise, the NOx/ET-1 pathway does not provide the best explanation for PEH. Finally, we found associations between baseline cardiovascular variables and endothelial vasoconstrictors with PEH.
Collapse
Affiliation(s)
- Thiago Rozales Ramis
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- *Correspondence: Thiago Rozales Ramis,
| | - Franccesco Pinto Boeno
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, United States
| | - Rodrigo Leal-Menezes
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Samuel Vargas Munhoz
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Juliano Boufleur Farinha
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Jerri Luiz Ribeiro
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Alvaro Reischak-Oliveira
- Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| |
Collapse
|
8
|
de Freitas VH, Mariano IM, Amaral AL, Rodrigues ML, Carrijo VHV, Puga GM. Effects of light-emitting diode therapy on cardiovascular and salivary nitrite responses in postmenopausal women submitted to a single bout of high-intensity interval training. Lasers Med Sci 2022; 37:2655-2665. [PMID: 35235082 DOI: 10.1007/s10103-022-03533-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 02/21/2022] [Indexed: 10/19/2022]
Abstract
The aim of the present study was to analyze the effects of light-emitting diode therapy (LEDT) on cardiovascular effort during a single bout of high-intensity interval training (HIIT) and on blood pressure (BP), salivary nitrite, and heart rate variability (HRV) responses after the exercise session in postmenopausal women. Sixteen postmenopausal women between 50 and 70 years of age participated in the present study. The intervention comprised two sessions: placebo plus HIIT and LEDT plus HIIT, with a 14-day interval between sessions. The oxygen uptake (VO2), heart rate (HR), and rating of perceived exertion (RPE) were monitored throughout the HIIT sessions. Salivary samples were taken before, immediately post, and 30' and 60' post-HIIT sessions for nitric oxide (NO) analysis. In addition, HR and BP were checked before, 15 min, 30 min, 45 min, and 60 min post-HIIT sessions. HR data were used to calculate the HRV indices. Cardiovascular parameters during HIIT and BP, HRV, and NO responses were not different between placebo and LEDT conditions (p > 0.05). BP responses increased after compared to pre-exercise (p < 0.01). HRV was impaired post- compared to pre-exercise (p < 0.05). LEDT did not improve physiological performance during HIIT and did not accelerate the recovery of BP and autonomic modulation or change the NO release after exercise in postmenopausal women.
Collapse
Affiliation(s)
- Victor Hugo de Freitas
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil.,Department of Physical Education, Federal University of Bahia, Salvador, BA, Brazil
| | - Igor Moraes Mariano
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil
| | - Ana Luiza Amaral
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil
| | - Mateus Lima Rodrigues
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil
| | - Victor Hugo Vilarinho Carrijo
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil
| | - Guilherme Morais Puga
- Faculty of Physical Education, Federal University of Uberlandia, Rua Benjamin Constant, 1286, Bairro: Aparecida, MG, 38400-678, Uberlândia, Brazil.
| |
Collapse
|
9
|
Sriton B, Ruangthai R, Phoemsapthawee J. Postexercise hypotension and heart rate variability response after water- and land-based high-intensity interval exercise in prehypertensive obese men. J Exerc Rehabil 2022; 18:57-67. [PMID: 35356142 PMCID: PMC8934611 DOI: 10.12965/jer.2142644.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 12/12/2021] [Indexed: 11/22/2022] Open
Abstract
A randomized crossover trial was carried out in prehypertensive obese men to compare postexercise hypotension and heart rate variability (HRV) following water-based and land-based high-intensity interval exercises (HIIEs). Nine prehypertensive obese participants, aged 23.6± 2.4 years, were randomly assigned to one of three interventions: no-exercise control, HIIE with immersion up to the chest, or HIIE on dry land. In the evenings of three separate days, participants performed either of the interventions. Matched with exercise volume, both HIIEs composed of 5 repetitions of 30-sec sprints at maximum effort followed by a 4-min rest. Ambulatory blood pressure and HRV were measured before the interventions and over the 24-hr following period. Both HIIEs resulted in significant reductions of average 24-hr mean arterial pressure (−6.7 mmHg). Notably, the water-based HIIE resulted in a significantly higher reduction of 24-hr systolic blood pressure (SBP) (−9 mmHg) than the land-based HIIE, particularly at night, in addition to a significantly longer duration of postexercise hypotension. Finally, the water-based HIIE was more effective at restoring HRV during recovery. Our findings demonstrated postexercise hypotension following the HIIEs, particularly the water-based HIIE. During recovery, the water-based HIIE was remarkably effective at restoring HRV. These findings indicate that water-based HIIE is more effective at reducing SBP and requires less recovery time than land-based HIIE in prehypertensive obese men.
Collapse
Affiliation(s)
| | | | - Jatuporn Phoemsapthawee
- Corresponding author: Jatuporn Phoemsapthawee, Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom 73140, Thailand,
| |
Collapse
|
10
|
Lapointe T, Trudeau F, Sia YT, Houle J. Post-exercise hypotensive response in stroke patients following acute moderate or high intensity cycling session. J Sports Med Phys Fitness 2021; 62:974-980. [PMID: 34651612 DOI: 10.23736/s0022-4707.21.12823-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Hypertension is highly prevalent in stroke patients and reducing blood pressure is a priority. Aerobic exercise is known to induce post-exercise hypotensive responses, but limited studies have documented this concept in stroke patients. The purpose was to investigate the effect of a single bout of moderate intensity continuous training (MICT) and high intensity interval training (HIIT) on post-exercise ambulatory blood pressure with patients with prior ischemic stroke or transient ischemic attack (TIA). METHODS Ten hypertensive adults (mean age: 70 ± 9 years) with prior ischemic stroke or TIA participated using a randomized crossover design. Ambulatory blood pressure was monitored for up to 8 hours after isocaloric either ergocycle MICT or HIIT of respectively 50% and 95% of peak power output. Blood pressure was compared to pre-exercise resting measure. RESULTS HIIT and MICT induced a decrease of systolic blood pressure of -11.0 ± 9.2 mmHg and -4.7 ± 4.5 mmHg respectively (p= 0.03) immediately after the exercise. Ambulatory systolic blood pressure showed a steady linear increase (R2 = 0.90; p< 0.001) of ~1.2 mmHg/hour and returned to pre-exercise measure after 8 hours. Effect of the two exercise conditions over time did not significantly differ (p= 0.278). Diastolic blood pressure was not affected by both exercises. CONCLUSIONS Those results suggest that HIIT induce a systolic blood pressure reduction of greater magnitude than MICT immediately after cycling exercise among patients with prior ischemic stroke or TIA. For both exercises, effects on ambulatory blood pressure are similar and persist up to 8 hours.
Collapse
Affiliation(s)
- Thalia Lapointe
- Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada -
| | - François Trudeau
- Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
| | - Ying T Sia
- Centre intégré universitaire de santé et de services de la Mauricie and Centre-du-Québec, Trois-Rivières, Québec, Canada
| | - Julie Houle
- Centre intégré universitaire de santé et de services de la Mauricie and Centre-du-Québec, Trois-Rivières, Québec, Canada.,Department of Nursing, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
| |
Collapse
|
11
|
Marçal IR, Goessler KF, Buys R, Casonatto J, Ciolac EG, Cornelissen VA. Post-exercise Hypotension Following a Single Bout of High Intensity Interval Exercise vs. a Single Bout of Moderate Intensity Continuous Exercise in Adults With or Without Hypertension: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Front Physiol 2021; 12:675289. [PMID: 34262474 PMCID: PMC8274970 DOI: 10.3389/fphys.2021.675289] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 05/20/2021] [Indexed: 11/16/2022] Open
Abstract
Background: Post-exercise hypotension (PEH) is an important tool in the daily management of patients with hypertension. Varying the exercise parameters is likely to change the blood pressure (BP) response following a bout of exercise. In recent years, high-intensity interval exercise (HIIE) has gained significant popularity in exercise-based prevention and rehabilitation of clinical populations. Yet, to date, it is not known whether a single session of HIIE maximizes PEH more than a bout of moderate-intensity continuous exercise (MICE). Objective: To compare the effect of HIIE vs. MICE on PEH by means of a systematic review and meta-analysis. Methods: A systematic search in the electronic databases MEDLINE, Embase, and SPORTDiscus was conducted from the earliest date available until February 24, 2020. Randomized clinical trials comparing the transient effect of a single bout of HIIE to MICE on office and/or ambulatory BP in humans (≥18 years) were included. Data were pooled using random effects models with summary data reported as weighted means and 95% confidence interval (CIs). Results: Data from 14 trials were included, involving 18 comparisons between HIIE and MICE and 276 (193 males) participants. The immediate effects, measured as office BP at 30- and 60-min post-exercise, was similar for a bout of HIIE and MICE (p > 0.05 for systolic and diastolic BP). However, HIIE elicited a more pronounced BP reduction than MICE [(−5.3 mmHg (−7.3 to −3.3)/ −1.63 mmHg (−3.00 to −0.26)] during the subsequent hours of ambulatory daytime monitoring. No differences were observed for ambulatory nighttime BP (p > 0.05). Conclusion: HIIE promoted a larger PEH than MICE on ambulatory daytime BP. However, the number of studies was low, patients were mostly young to middle-aged individuals, and only a few studies included patients with hypertension. Therefore, there is a need for studies that involve older individuals with hypertension and use ambulatory BP monitoring to confirm HIIE's superiority as a safe BP lowering intervention in today's clinical practice. Systematic Review Registration: PROSPERO (registration number: CRD42020171640).
Collapse
Affiliation(s)
- Isabela Roque Marçal
- Exercise and Chronic Disease Research Laboratory, Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil.,Research Group for Cardiovascular Rehabilitation, Department of Rehabilitation Sciences, University of Leuven, KU Leuven, Leuven, Belgium
| | - Karla Fabiana Goessler
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculty of Medicine (FMUSP), University of Saõ Paulo, Saõ Paulo, Brazil
| | - Roselien Buys
- Research Group for Cardiovascular Rehabilitation, Department of Rehabilitation Sciences, University of Leuven, KU Leuven, Leuven, Belgium
| | - Juliano Casonatto
- Research Group in Physiology and Physical Activity, University of Northern Paraná, Londrina, Brazil
| | - Emmanuel Gomes Ciolac
- Exercise and Chronic Disease Research Laboratory, Department of Physical Education, School of Sciences, São Paulo State University (UNESP), Bauru, Brazil
| | - Véronique A Cornelissen
- Research Group for Cardiovascular Rehabilitation, Department of Rehabilitation Sciences, University of Leuven, KU Leuven, Leuven, Belgium
| |
Collapse
|
12
|
Bommasamudram T, Gandhi P, Iype RO, Raj B, Chandrasekaran B. Circadian influence on post-exercise hypotension: a review. COMPARATIVE EXERCISE PHYSIOLOGY 2021. [DOI: 10.3920/cep200051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Circadian rhythm (CR) can influence the physiological and psychological parameters in every individual. There is a sinusoidal response to blood pressure brought about by the CR. A drop in blood pressure response immediately after an exercise is termed as post-exercise hypotension (PEH). The objective of the present paper is to review the influence of CR on PEH. Comparing the types of exercises, aerobic training showed a higher magnitude of the drop in PEH than resistance training. However, the majority of the studies have not considered the CR influence on PEH. With the evidence available, we can conclude that morning exercise shows the higher magnitude of the drop in PEH and could be sustained for a longer duration.
Collapse
Affiliation(s)
- T. Bommasamudram
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Marena, Manipal, Udupi 576104, Karnataka, India
| | - P. Gandhi
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Marena, Manipal, Udupi 576104, Karnataka, India
| | - R. Oommen Iype
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Marena, Manipal, Udupi 576104, Karnataka, India
| | - B. Raj
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Marena, Manipal, Udupi 576104, Karnataka, India
| | - B. Chandrasekaran
- Department of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Marena, Manipal, Udupi 576104, Karnataka, India
| |
Collapse
|
13
|
Henderson GC, Meyer JM. Transient elevation of triacylglycerol content in the liver: a fundamental component of the acute response to exercise. J Appl Physiol (1985) 2021; 130:1293-1303. [PMID: 33475457 DOI: 10.1152/japplphysiol.00930.2020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Exercise is well appreciated as a therapeutic approach to improve health. Although chronic exercise training can change metabolism, even a single exercise session can have significant effects upon metabolism. Responses of adipose tissue lipolysis and skeletal muscle triacylglycerol (TAG) utilization have been well appreciated as components of the acute exercise response. However, there are other central components of the physiological response to be considered, as well. A robust and growing body of literature depicts a rapid responsiveness of hepatic TAG content to single bouts of exercise, and there is a remaining need to incorporate this information into our overall understanding of how exercise affects the liver. TAG content in the liver increases during an exercise session and can continue to rise for a few hours afterwards, followed by a fairly rapid return to baseline. Here, we summarize evidence that rapid responsiveness of hepatic TAG content to metabolic stress is a fundamental component of the exercise response. Adipose tissue lipolysis and plasma free fatty acid concentration are likely the major metabolic controllers of enhanced lipid storage in the liver after each exercise bout, and we discuss nutritional impacts as well as health implications. Although traditionally clinicians would be merely concerned with hepatic lipids in overnight-fasted, rested individuals, it is now apparent that the content of hepatic TAG fluctuates in response to metabolic challenges such as exercise, and these responses likely exert significant impacts on health and cellular homeostasis.
Collapse
Affiliation(s)
| | - Juliauna M. Meyer
- Department of Nutrition Science, Purdue University, West Lafayette, Indiana
| |
Collapse
|
14
|
Prolonged Post-Exercise Hypotension: Effects of Different Exercise Modalities and Training Statuses in Elderly Patients with Hypertension. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063229. [PMID: 33804738 PMCID: PMC8003987 DOI: 10.3390/ijerph18063229] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/12/2021] [Accepted: 03/16/2021] [Indexed: 12/14/2022]
Abstract
Background: In this study, we aimed at comparing the effects of three different exercise modalities on post-exercise hypotension (PEH) in elderly hypertensive patients and at investigating whether PEH responses to the same exercises are affected by their training status. Methods: Thirty-six male sedentary hypertensive patients over 60 years old, were included. They were divided into three groups each one corresponding to a different exercise modality, i.e., aerobic continuous exercise (ACE), high-intensive interval exercise (HIIE), and combined (aerobic and resistance) exercise (CE). PEH was assessed in each group by ambulatory blood pressure monitoring (ABPM) in two different conditions as follows: (1) sedentary status and (2) trained status, at the end of a 12 week of ACE training program. A cardiopulmonary test was performed before and at the end of the training program. Results: In the sedentary status, 24-h and nocturnal systolic and diastolic blood pressure (BP) decreased in all groups as compared with top pre-exercise, with a greater but not significant reduction in the ACE and CE groups as compared with HIIE. ACE and HIIE groups presented a more sustained PEH than CE. In the trained status, 24-h and nighttime systolic and diastolic BP decreased significantly only after HIIE, but were unchanged as compared with pre-exercise in the ACE and CE groups. Conclusions: ACE and CE produced greater PEH than HIIE in sedentary elderly hypertensive patients. However, after training, HIIE produced the greater and more sustained PEH. The training status appears to exert significant effects on PEH produced by different exercise modalities.
Collapse
|
15
|
Lopes J, Fonseca M, Torres-Costoso A, López-Muñoz P, Alves AJ, Magalhães P, Ribeiro F. Low- and moderate-intensity aerobic exercise acutely reduce blood pressure in adults with high-normal/grade I hypertension. J Clin Hypertens (Greenwich) 2021; 22:1732-1736. [PMID: 33460204 DOI: 10.1111/jch.14000] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 05/07/2020] [Accepted: 05/23/2020] [Indexed: 11/28/2022]
Abstract
The aim of the study is to compare the acute effects of low- and moderate-intensity aerobic exercise on post-exercise blood pressure in active adults with high-normal/grade I hypertension. Thirteen physically active adults (67.0 ± 8.7 years) randomly completed two aerobic exercise sessions of 30 minutes at low (30% heart rate reserve [HRres]) and moderate (60% HRres) intensity. Blood pressure was assessed pre-session and every hour until 3 hours after. Systolic blood pressure decreased after both exercise intensities without significant differences between sessions at 1 hour after the session (30%: -10.0 ± 12.6% vs 60%: -11.4 ± 12.7 mm Hg, P > .05). Three hours after the 60% session, the systolic blood pressure remained significantly lower than baseline (139.9 ± 12.9 to 129.3 ± 11.9 mm Hg, P < .05), but without significant differences between sessions. No relevant changes were observed in diastolic and mean blood pressure. In conclusion, a single session of aerobic exercise acutely reduces systolic blood pressure in active adults with high-normal/grade I hypertension.
Collapse
Affiliation(s)
- José Lopes
- Institute of Biomedicine - iBiMED, School of Health Sciences, University of Aveiro, Aveiro, Portugal
| | - Márcio Fonseca
- School of Higher Education, Polytechnic Institute of Bragança, Bragança, Portugal
| | - Ana Torres-Costoso
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
| | | | - Alberto Jorge Alves
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University Institute of Maia, Maia, Portugal
| | - Pedro Magalhães
- School of Higher Education, Polytechnic Institute of Bragança, Bragança, Portugal
| | - Fernando Ribeiro
- Institute of Biomedicine - iBiMED, School of Health Sciences, University of Aveiro, Aveiro, Portugal
| |
Collapse
|
16
|
Stutz J, Oliveras R, Eiholzer R, Spengler CM. No Decrease in Blood Pressure After an Acute Bout of Intermittent Hyperpnea and Hypoxia in Prehypertensive Elderly. Front Physiol 2020; 11:556220. [PMID: 33123023 PMCID: PMC7566905 DOI: 10.3389/fphys.2020.556220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Accepted: 09/08/2020] [Indexed: 11/15/2022] Open
Abstract
Prevalence of hypertension, subjective sleep complaints and snoring increases with age. Worse sleep and snoring, in turn, are independent risk factors to develop hypertension. Both respiratory muscle training (RMT) and intermittent hypoxia (IH) are suggested to have positive effects on these physiological and behavioral variables. This study therefore aimed to test the acute effects of a single bout of RMT, with and without IH, on resting blood pressure (BP) and sleep. Fourteen prehypertensive elderly performed a 60-min session of (a) intermittent voluntary normocapnic hyperpnea (HYP) alone, (b) HYP in combination with IH (HYP&IH) and (c) a sham intervention in randomized order. BP, hemodynamics, heart rate variability (HRV), cardiac baroreflex sensitivity (BRS) and pulse wave velocity (PWV) were assessed before and 15, 30 and 45 min after each intervention. Variables of sleep were assessed with actigraphy, pulse oximetry and with questionnaires during and after the night following each intervention. Neither HYP nor HYP&IH resulted in a decrease in BP. Repeated measures ANOVA revealed no significant interaction effect for systolic BP (p = 0.090), diastolic BP (p = 0.151), HRV parameters, BRS and PWV (all p > 0.095). Fragmentation index was lower after both HYP (−6.5 units) and HYP&IH (−8.4 units) compared to sham, p(ANOVA) = 0.046, although pairwise comparisons reveal no significant differences. There were no other significant effects for the remaining sleep variables. We conclude that one bout of intermittent hyperpnea, alone or in combination with IH, is not effective in lowering blood pressure or improving sleep in prehypertensive elderly.
Collapse
Affiliation(s)
- Jan Stutz
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zürich, Zurich, Switzerland
| | - Ruben Oliveras
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zürich, Zurich, Switzerland
| | - Remo Eiholzer
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zürich, Zurich, Switzerland
| | - Christina M Spengler
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, ETH Zürich, Zurich, Switzerland
| |
Collapse
|
17
|
Kleinnibbelink G, Stens NA, Fornasiero A, Speretta GF, Van Dijk AP, Low DA, Oxborough DL, Thijssen DH. The acute and chronic effects of high-intensity exercise in hypoxia on blood pressure and post-exercise hypotension: A randomized cross-over trial. Medicine (Baltimore) 2020; 99:e22411. [PMID: 32991471 PMCID: PMC7523751 DOI: 10.1097/md.0000000000022411] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Acute exercise leads to an immediate drop in blood pressure (BP), also called post-exercise hypotension (PEH). Exercise in hypoxia is related to additional vasodilation, potentially contributing to more profound PEH. Therefore, we investigated the impact of hypoxia versus normoxia on the magnitude of PEH. Second, we examined whether these changes in PEH relate to the BP-lowering effects of 12-week exercise training under hypoxia. METHODS In this prospective study, 21 healthy individuals (age 22.2 ± 3.0 years, 14 male) performed a 45-minute high-intensity running exercise on 2 different days in a random order, under hypoxia (fraction of inspired oxygen 14.5%) and normoxia (fraction of inspired oxygen 20.9%). BP was examined pre-exercise (t = 0) and at t = 15, t = 30, t = 45, and t = 60 minutes post-exercise. Afterward, subjects took part in a 12-week hypoxic running exercise training program. Resting BP was measured before and after the 12-week training program. RESULTS Acute exercise induced a significant decrease in systolic BP (systolic blood pressure [SBP], P = .001), but not in diastolic BP (diastolic blood pressure [DBP], P = .113). No significant differences were observed in post-exercise BP between hypoxic and normoxic conditions (SBP, P = .324 and DBP, P = .204). Post-exercise changes in SBP, DBP, and mean arterial pressure significantly correlated to the 12-week exercise training-induced changes in SBP (r = 0.557, P = .001), DBP (r = 0.615, P < .001), and mean arterial pressure (r = 0.458, P = .011). CONCLUSION Our findings show that hypoxia does not alter the magnitude of PEH in healthy individuals, whilst PEH relates to the BP-lowering effects of exercise. These data highlight the strong link between acute and chronic changes in BP.
Collapse
Affiliation(s)
- Geert Kleinnibbelink
- Department of Physiology
- Department of Cardiology, Research Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Niels A. Stens
- Department of Physiology
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Alessandro Fornasiero
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
- CeRiSM Sport Mountain and Health Research Centre, University of Verona, Rovereto, Italy
| | - Guilherme F. Speretta
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
- Department of Physiological Sciences, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Arie P.J. Van Dijk
- Department of Cardiology, Research Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - David A. Low
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - David L. Oxborough
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| | - Dick H.J. Thijssen
- Department of Physiology
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
| |
Collapse
|
18
|
Perrier-Melo RJ, Costa EC, Farah BQ, Costa MDC. Acute Effect of Interval vs. Continuous Exercise on Blood Pressure: Systematic Review and Meta-Analysis. Arq Bras Cardiol 2020; 115:5-14. [PMID: 32401846 PMCID: PMC8384323 DOI: 10.36660/abc.20190107] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Accepted: 06/23/2019] [Indexed: 12/22/2022] Open
Abstract
Fundamento O exercício aeróbio contínuo (EC) é uma das principais recomendações não farmacológicas para prevenção e tratamento da hipertensão arterial sistêmica. O EC é seguro e eficaz para reduzir a pressão arterial cronicamente, assim como nas primeiras horas após sua realização, fenômeno conhecido por hipotensão pós-exercício (HPE). O exercício intervalado (EI) também gera HPE. Objetivo Essa revisão sistemática e metanálise buscou comparar a magnitude da HPE entre o EC e EI em adultos. Métodos Realizou-se uma revisão sistemática de estudos publicados em revistas indexadas nas bases PubMed, Web of Knowledge, Scopus e CENTRAL até março de 2020 que compararam a magnitude da HPE entre o EC versus EI. Foi definida HPE entre 45 e 60 minutos pós-exercício. As diferenças entre grupos sobre a pressão arterial foram analisadas por meio do modelo de efeito aleatório. Os dados foram reportados como diferença média ponderada (WMD) e 95% de intervalo de confiança (IC). Valor p menor que 0,05 foi considerado estatisticamente significativo. A escala TESTEX (0 a 15) foi usada para verificação da qualidade metodológica dos estudos. Resultados O EI apresentou HPE de maior magnitude sobre a pressão arterial sistólica (WMD: -2,93 mmHg [IC95%: -4,96, -0,90], p = 0,005, I2 = 50%) e pressão arterial diastólica (WMD: -1,73 mmHg [IC95%: -2,94, -0,51], p = 0,005, I2 = 0%) quando comparado ao EC (12 estudos; 196 participantes). A pontuação dos estudos na escala TEXTEX variou entre 10 e 11 pontos. Conclusões O EI gerou HPE de maior magnitude quando comparado ao EC entre 45 e 60 minutos pós-exercício. A ausência de dados sobre eventos adversos durante o EI e EC nos estudos impede comparações sobre a segurança dessas estratégias. (Arq Bras Cardiol. 2020; 115(1):5-14)
Collapse
|
19
|
Acute effects of moderate-intensity and high-intensity exercise on hemodynamic and autonomic reactivity to the cold pressor test in young adults with excess body weight. Blood Press Monit 2020; 25:82-88. [DOI: 10.1097/mbp.0000000000000422] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
|
20
|
Costa EC, Kent DE, Boreskie KF, Hay JL, Kehler DS, Edye-Mazowita A, Nugent K, Papadopoulos J, Stammers AN, Oldfield C, Arora RC, Browne RA, Duhamel TA. Acute Effect of High-Intensity Interval Versus Moderate-Intensity Continuous Exercise on Blood Pressure and Arterial Compliance in Middle-Aged and Older Hypertensive Women With Increased Arterial Stiffness. J Strength Cond Res 2020; 34:1307-1316. [DOI: 10.1519/jsc.0000000000003552] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
|
21
|
Effects of different aerobic exercise programs on cardiac autonomic modulation and hemodynamics in hypertension: data from EXERDIET-HTA randomized trial. J Hum Hypertens 2020; 34:709-718. [DOI: 10.1038/s41371-020-0298-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2019] [Revised: 12/02/2019] [Accepted: 12/31/2019] [Indexed: 02/07/2023]
|