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Brasil IA, Silva JCPL, Pescatello LS, Farinatti P. Central and peripheral mechanisms underlying postexercise hypotension: a scoping review. J Hypertens 2024; 42:751-763. [PMID: 38525904 DOI: 10.1097/hjh.0000000000003702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/26/2024]
Abstract
Blood pressure (BP) reduction occurs after a single bout of exercise, referred to as postexercise hypotension (PEH). The clinical importance of PEH has been advocated owing to its potential contribution to chronic BP lowering, and as a predictor of responders to exercise training as an antihypertensive therapy. However, the mechanisms underlying PEH have not been well defined. This study undertook a scoping review of research on PEH mechanisms, as disclosed in literature reviews. We searched the PubMed, Web of Science, Scopus, Cumulated Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Sport Discus databases until January 2023 to locate 21 reviews - 13 narrative, four systematic with 102 primary trials, and four meta-analyses with 75 primary trials involving 1566 participants. We classified PEH mechanisms according to major physiological systems, as central (autonomic nervous system, baroreflex, cardiac) or peripheral (vascular, hemodynamic, humoral, and renal). In general, PEH has been related to changes in autonomic control leading to reduced cardiac output and/or sustained vasodilation. However, the role of autonomic control in eliciting PEH has been challenged in favor of local vasodilator factors. The contribution of secondary physiological outcomes to changes in cardiac output and/or vascular resistance during PEH remains unclear, especially by exercise modality and population (normal vs. elevated BP, young vs. older adults). Further research adopting integrated approaches to investigate the potential mechanisms of PEH is warranted, particularly when the magnitude and duration of BP reductions are clinically relevant. (PROSPERO CRD42021256569).
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Affiliation(s)
- Iedda A Brasil
- Graduate Program in Exercise and Sport Sciences, University of Rio de Janeiro State, Rio de Janeiro, Brazil
| | - José Cristiano P L Silva
- Graduate Program in Exercise and Sport Sciences, University of Rio de Janeiro State, Rio de Janeiro, Brazil
- Faculty of Physical Education, University Center of Volta Redonda, Volta Redonda, Brazil
| | - Linda S Pescatello
- Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA
| | - Paulo Farinatti
- Graduate Program in Exercise and Sport Sciences, University of Rio de Janeiro State, Rio de Janeiro, Brazil
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Usui N, Nakata J, Uehata A, Kojima S, Saitoh M, Chiba Y, Ando S, Inatsu A, Hisadome H, Ota S, Suzuki Y. Comparison of intradialytic continuous and interval training on hemodynamics and dialysis adequacy: A crossover randomized controlled trial. Nephrology (Carlton) 2024; 29:214-221. [PMID: 37986674 DOI: 10.1111/nep.14255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 10/17/2023] [Accepted: 11/04/2023] [Indexed: 11/22/2023]
Abstract
AIM Circulating blood volume (BV) during exercise changes depending on the intensity and duration, and post-exercise hypotension is observed after continuous exercise. We investigated the safety and efficacy of both interval and continuous IDE at anaerobic threshold (AT) levels with respect to hemodynamic stability and dialysis efficiency. METHODS In this crossover randomized controlled trial, 16 patients on haemodialysis were subjected to three trial arms, including non-IDE, interval-IDE, and continuous-IDE arms. Systolic blood pressure (SBP), BV, and ultraviolet absorbance - an indicator of dialysis efficiency - were continuously measured, and each change was compared between the three arms by two-way analysis of variance. RESULTS Continuous IDE decreased SBP from post-exercise to the end of dialysis compared with baseline (pre 142.8 ± 19.0 vs. post 127.5 ± 24.5 mmHg, p = .02), whereas interval IDE maintained better SBP levels post-exercise (pre 139.9 ± 17.1 vs. post 140.1 ± 15.8 mmHg, p = 1.0) than continuous IDE (non-IDE 133.2 ± 19.9 vs. interval 140.1 ± 15.8 vs. continuous 127.5 ± 24.5 mmHg, p = .04). Moreover, interval IDE caused less tiredness and few symptoms (p < .05), despite reaching higher intensity than continuous IDE (p = .001). The BV of each IDE arm decreased during exercise and recovered post-exercise to the same level as non-IDE. Ultraviolet absorbance was not different between each arm (p = .16). CONCLUSION AT-level interval IDE maintains better hemodynamic stability from post-exercise to the end of dialysis and may represent a novel approach that can be effectively performed with fewer symptoms.
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Affiliation(s)
- Naoto Usui
- Department of Rehabilitation, Kisen Hospital, Tokyo, Japan
- Department of Nephrology, Graduate School of Medicine, Juntendo University, Tokyo, Japan
| | - Junichiro Nakata
- Department of Nephrology, Graduate School of Medicine, Juntendo University, Tokyo, Japan
| | - Akimi Uehata
- Division of Cardiology, Kisen Hospital, Tokyo, Japan
| | - Sho Kojima
- Department of Rehabilitation, Kisen Hospital, Tokyo, Japan
- Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Masakazu Saitoh
- Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan
| | - Yasuo Chiba
- Department of Clinical Engineering, Kisen Hospital, Tokyo, Japan
| | - Shuji Ando
- Department of Information Sciences, Tokyo University of Science, Chiba, Japan
| | | | | | | | - Yusuke Suzuki
- Department of Nephrology, Graduate School of Medicine, Juntendo University, Tokyo, Japan
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Cardiovascular Autonomic Responses to Aerobic, Resistance and Combined Exercises in Resistance Hypertensive Patients. BIOMED RESEARCH INTERNATIONAL 2022; 2022:8202610. [PMID: 35496038 PMCID: PMC9046001 DOI: 10.1155/2022/8202610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 11/29/2021] [Accepted: 03/26/2022] [Indexed: 11/18/2022]
Abstract
Here, we report the acute effects of aerobic (AER), resistance (RES), and combined (COM) exercises on blood pressure, central blood pressure and augmentation index, hemodynamic parameters, and autonomic modulation of resistant (RH) and nonresistant hypertensive (NON-RH) subjects. Twenty participants (10 RH and 10 NON-RH) performed three exercise sessions (i.e., AER, RES, and COM) and a control session. Hemodynamic (Finometer®, Beatscope), office blood pressure (BP), and autonomic variables (accessed through spectral analysis of the pulse-to-pulse BP signal, in the time and frequency domain-Fast Fourrier Transform) were assessed before (T0), one-hour (T1), and twenty-four (T2) hours after each experimental session. There were no changes in office BP, pulse wave behavior, and hemodynamic parameters after (T0 and T1) exercise sessions. However, AER and COM exercises significantly reduced sympathetic modulation in RH patients. It is worth mentioning that more significant changes in sympathetic modulation were observed after AER as compared to COM exercise. These findings suggest that office blood pressure, arterial stiffness, and hemodynamic parameters returned to baseline levels in the first hour and remained stable in the 24 hours after the all-exercise sessions. Notably, our findings bring new light to the effects of exercise on RH, indicating that RH patients show different autonomic responses to exercise compared to NON-RH patients. This trial is registered with trial registration number NCT02987452.
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Diesel M, Heberle I, Juchem G, de Barcelos GT, Cavestré Coneglian J, Gerage AM, Delevatti RS. Blood Pressure and Blood Glucose Responses to Combined Exercise Sessions of Different Intensities in Individuals with Cardiovascular Risk Factors. Clin Exp Hypertens 2022; 44:436-441. [PMID: 35420926 DOI: 10.1080/10641963.2022.2065289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVE The purpose of the present study was to verify the acute effects of blood pressure and blood glucose after two sessions of combined exercise sessions performed at two levels of intensity in trained individuals with cardiovascular risk factors. METHODS Eighteen individuals (66.22 ± 8.61 years) of both sexes (6 women/12 men) with cardiovascular risk factors performed two sessions of combined exercises at different levels of intensity: moderate (MOD) and high (HI). To control the intensity of the aerobic training, the Borg Rating of Perceived Exertion (RPE) Scale was used. For the strength training, the maximum number of repetitions was carried out within a predetermined duration of sets. Blood pressure and blood glucose measurements were collected before and 20 minutes after the sessions. The data were analyzed using Generalized Estimating Equations, α 5%. RESULTS Reductions were observed in systolic blood pressure (MOD - Δ = -4.95 mmHg; HI - Δ = -3.31 mmHg) and blood glucose (MOD - Δ = -16.06 mg/dL; HI - Δ = -29.45 mg/dL) after the two sessions, with no difference between sessions. Diastolic blood pressure did not change (p < .05). CONCLUSION Combined exercises sessions of moderate or high intensity can promote an acute reduction in systolic blood pressure and glycemia in individuals with cardiovascular risk factors.
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Affiliation(s)
- Mabel Diesel
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Isabel Heberle
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Gabriel Juchem
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Guilherme Tadeu de Barcelos
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Juliana Cavestré Coneglian
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Aline Mendes Gerage
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | - Rodrigo Sudatti Delevatti
- Grupo de Pesquisa em Exercício Clínico (GPEC), Centro de Desportos (CDS), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
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Heberle I, de Barcelos GT, Silveira LMP, Costa RR, Gerage AM, Delevatti RS. Effects of aerobic training with and without progression on blood pressure in patients with type 2 diabetes: A systematic review with meta-analyses and meta-regressions. Diabetes Res Clin Pract 2021; 171:108581. [PMID: 33307131 DOI: 10.1016/j.diabres.2020.108581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 11/19/2020] [Accepted: 11/23/2020] [Indexed: 12/29/2022]
Abstract
AIMS To analyze the effects of aerobic training with and without progression on blood pressure in patients with type 2 diabetes. METHODS The databases used for the systematic search were PubMed, Cochrane Central, SPORTDiscus and LILACS. Studies which analyzed blood pressure before and after an intervention period of eight or more weeks of aerobic training compared to a control group without training in patients with type 2 diabetes were included. RESULTS Of the 4186 studies found, 17 clinical trials were included (912 participants). Systolic blood pressure (SBP) decreased after aerobic training with progression (-6.78 mmHg; 95% CI -8.36, -5.19; p < 0.001) and without progression (-8.07 mmHg; 95% CI -9.37, -6.77; p < 0.001). The same happened regarding diastolic blood pressure (DBP), which decreased with aerobic training with progression (-3.10 mmHg; 95% CI -4.90, -1.31; p < 0.001) and without progression (-5.71 mmHg; 95% CI -7.15, -4.28; p < 0.001). CONCLUSION Aerobic training is effective in reducing blood pressure in patients with type 2 diabetes, regardless of progression in training variables.
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Affiliation(s)
- Isabel Heberle
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil.
| | - Guilherme Tadeu de Barcelos
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil
| | | | - Rochelle Rocha Costa
- Universidade Federal do Rio Grande do Sul (UFRGS), Departamento de Educação Física, Fisioterapia e Dança, Porto Alegre, Rio Grande do Sul, Brazil
| | - Aline Mendes Gerage
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil
| | - Rodrigo Sudatti Delevatti
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, Santa Catarina, Brazil
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Abrantes C, Martins S, Pereira A, Policarpo F, Machado I, Sousa N. Physiological Exercise and Post-Exercise Effects of Inverse Sequences of Combined Bench-Step Aerobics and Resistance Exercise. J Hum Kinet 2021; 77:61-70. [PMID: 34168692 PMCID: PMC8008291 DOI: 10.2478/hukin-2021-0011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The purpose of this study was to compare the effects of using inverse sequences of combined bench-step aerobics and resistance exercise on cardiorespiratory, hemodynamic and perceptual variables during exercise and one-hour post-exercise. The tested sequences were bench-step aerobics immediately before and immediately after resistance exercise. Thirteen apparently healthy and physically active women (age = 21.9 ± 6.1 years, body height = 160 ± 0.1 cm, body mass = 58.8 ± 7.5 kg, estimated fat mass = 17.2 ± 2.0% and estimated maximal oxygen uptake = 37.5 ± 2.6 mL∙kg-1∙min-1) performed a 20-minute bench-step aerobics routine, immediately before (STEP_RES) and after (RES_STEP) resistance exercise. Oxygen uptake and heart rate were continuously measured, systolic and diastolic blood pressure, body temperature and perceived exertion were measured at rest, immediately after each type of exercise and at 15, 30, 45 and 60 min after exercise. When resistance exercise was performed first (RES_STEP), oxygen uptake was higher (23.2 ± 3.9 vs. 20.5 ± 4.8 mL∙kg-1∙min-1), but the heart rate (164.5 ± 9.1 vs. 173.9 ± 11.7 bpm) and body temperature (36.5 ± 0.4 vs. 37.6 ± 0.6 ºC) were lower. In both sequences, the type of exercise performed first was pointed out with a lower perceived exertion or lower perceived intensity. Exercise and 60-min post-exercise blood pressure had a similar response in both sequences, and systolic blood pressure along with diastolic blood pressure were lower than pre-exercise from 30 min until 60 min post-exercise. The results suggest that the sequence affected oxygen uptake and perceived exertion during exercise and that this total workload, despite the sequence, promoted a post-exercise blood pressure decrease in normotensive participants.
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Affiliation(s)
- Catarina Abrantes
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
- Exercise and Health Department, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
| | - Susana Martins
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
| | - Ana Pereira
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
- Research Community, Polytechnic Institute of Setúbal, School of Education, Setúbal, Portugal
| | - Fernando Policarpo
- Faculdades integradas de Patos, Laboratory of Bioscience of Human Movement, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Isabel Machado
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
| | - Nelson Sousa
- Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal
- Exercise and Health Department, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
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Exercise-Induced Changes in Bioactive Lipids Might Serve as Potential Predictors of Post-Exercise Hypotension. A Pilot Study in Healthy Volunteers. Cells 2020; 9:cells9092111. [PMID: 32948055 PMCID: PMC7563406 DOI: 10.3390/cells9092111] [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: 08/27/2020] [Revised: 09/14/2020] [Accepted: 09/14/2020] [Indexed: 01/22/2023] Open
Abstract
Post-exercise hypotension (PEH) is the phenomenon of lowered blood pressure after a single bout of exercise. Only a fraction of people develops PEH but its occurrence correlates well with long-term effects of sports on blood pressure. Therefore, PEH has been suggested as a suitable predictor for the effectivity of exercise as therapy in hypertension. Local vascular bioactive lipids might play a potential role in this context. We performed a cross-over clinical pilot study with 18 healthy volunteers to investigate the occurrence of PEH after a single short-term endurance exercise. Furthermore, we investigated the plasma lipid profile with focus on arachidonic acid (AA)-derived metabolites as potential biomarkers of PEH. A single bout of ergometer cycling induced a significant PEH in healthy volunteers with the expected high inter-individual variability. Targeted lipid spectrum analysis revealed significant upregulation of several lipids in the direct post-exercise phase. Among these changes, only 15- hydroxyeicosatetranoic acid (HETE) correlated significantly with the extent of PEH but in an AA-independent manner, suggesting that 15-HETE might act as specific PEH-marker. Our data indicate that specific lipid modulation might facilitate the identification of patients who will benefit from exercise activity in hypertension therapy. However, larger trials including hypertonic patients are necessary to verify the clinical value of this hypothesis.
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Mello DD, Ostolin TLVDP. Post-exercise hypotension in concurrent training: a systematic review. REVISTA BRASILEIRA DE CINEANTROPOMETRIA E DESEMPENHO HUMANO 2020. [DOI: 10.1590/1980-0037.2020v22e72211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Abstract Physical exercise is capable to reduce blood pressure (BP) acutely in a phenomenon described as post-exercise hypotension (PEH). However, the acute effect of concurrent training on PEH needs clarification. The present review aimed to verify and summarize the acute effect of concurrent training on PEH in normotensive and hypertensive subjects. The search was carried out in the databases PubMed, Scielo, and Lilacs, and resulted in 3806 articles. Only 14 studies met the eligibility criteria and were selected. According to included studies, concurrent training can promote PEH regardless of the order, volume, and intensity prescribed, being an effective strategy in the control of arterial hypertension. There is no consensus in the literature regarding the best prescription strategy, as well as the order of execution of the types of exercise.
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Rocha J, Cunha FA, Cordeiro R, Monteiro W, Pescatello LS, Farinatti P. Acute Effect of a Single Session of Pilates on Blood Pressure and Cardiac Autonomic Control in Middle-Aged Adults With Hypertension. J Strength Cond Res 2019; 34:114-123. [PMID: 30707138 DOI: 10.1519/jsc.0000000000003060] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Rocha, J, Cunha, FA, Cordeiro, R, Monteiro, W, Pescatello, LS, and Farinatti, P. Acute effect of a single session of Pilates on blood pressure and cardiac autonomic control in middle-aged adults with hypertension. J Strength Cond Res 34(1): 114-123, 2020-We investigated the blood pressure (BP) and heart rate variability (HRV) responses to a single session of Pilates among adults with hypertension. Thirteen participants (7 women), aged 44-66 years, underwent Pilates and nonexercise control sessions separated by 48-72 hours in a randomized counterbalanced order. Blood pressure and HRV indices were simultaneously assessed 10 minutes before and 60 minutes after all sessions in the supine position: root mean square of successive differences (rMSSD), percentage of successive normal sinus RR intervals >50 ms (pNN50), SD of all normal sinus RR intervals over 24 hours (SDNN), and low-frequency (LF) and high-frequency (HF) bands. After an acute session of Pilates, the mean values for area under the curve for systolic BP (p = 0.004, corresponding to -7.4 ± 8.2 mm Hg) and mean arterial pressure (p = 0.023, corresponding to -5.3 ± 5.4 mm Hg) were significantly lower compared to the control session. No significant difference was detected for diastolic BP (-4.2 ± 4.7 mm Hg, p = 0.106). Concomitant to BP reduction, significant lowering of parasympathetic HRV indices occurred: RR intervals (-64.1 ± 69.9 ms·min, p = 0.043), rMSSD (-8.3 ± 15.4 ms·min, p = 0.013), pNN50 (-3.6 ± 13%·min, p = 0.028), and total power (-3,089.4 ± 5,938 m·min, p = 0.037). No difference was found for sympathetic markers: SDNN (-17.7 ± 34.6 ms·min, p = 0.100), LF (-5.2 ± 21,6 n.u.·min, p = 0.417), and LF:HF ratio (-0.3 ± 5.2 ratio·min, p = 0.422). In conclusion, a single session of Pilates reduced BP by ∼5-8 mm Hg in adults with hypertension during the first 60 minutes of post-exercise recovery. Acute BP reduction was concomitant to lowered cardiac parasympathetic activity. Our findings are promising for the use of Pilates as an alternative exercise modality to lower BP.
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Affiliation(s)
- Jeferson Rocha
- Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Niterói, Rio de Janeiro, Brazil
| | - Felipe A Cunha
- Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ricardo Cordeiro
- Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Niterói, Rio de Janeiro, Brazil.,Estácio de Sá University, Cabo Frio, Rio de Janeiro, Brazil; and
| | - Walace Monteiro
- Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Niterói, Rio de Janeiro, Brazil.,Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Linda S Pescatello
- Department of Kinesiology, University of Connecticut, Storrs, Mansfield, CT
| | - Paulo Farinatti
- Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Niterói, Rio de Janeiro, Brazil.,Laboratory of Physical Activity and Health Promotion, University of Rio de Janeiro State, Rio de Janeiro, Rio de Janeiro, Brazil
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Cordeiro R, Monteiro W, Cunha F, Pescatello LS, Farinatti P. Influence of Acute Concurrent Exercise Performed in Public Fitness Facilities on Ambulatory Blood Pressure Among Older Adults in Rio de Janeiro City. J Strength Cond Res 2019; 32:2962-2970. [PMID: 29995693 DOI: 10.1519/jsc.0000000000002734] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Cordeiro, R, Monteiro, W, Cunha, F, Pescatello, LS, and Farinatti, P. Influence of acute concurrent exercise performed in public fitness facilities on ambulatory blood pressure among older adults in Rio de Janeiro city. J Strength Cond Res 32(10): 2962-2970, 2018-The project "Third-Age Academies'" (TAAs) is a public policy providing supervised physical activities to over 40,000 seniors at open-access facilities (squares etc.) in Rio de Janeiro, Brazil. We investigated whether TAA concurrent exercise circuit induced postexercise hypotension (PEH) in individuals older than 60 years. Blood pressure (BP) was measured by 24-hour ambulatory BP monitoring (ABPM) after counterbalanced CEX and nonexercise (CONT) sessions (n = 16; 66.8 ± 1.4 years; systolic/diastolic BP (SBP/DBP): 132.5 ± 4.3/78.0 ± 2.8 mm Hg). For statistical analyses purposes, groups were divided as exhibiting normal SBP (≤120 mm Hg) or high SBP (>120 mm Hg), based on 24-hour ABPM after CONT. The CEX included 2 aerobic and 9 resistance exercises performed alternately in circuit order (40 minutes at 60-70% heart rate reserve using body mass or fixed loads). 24-hour ambulatory BP monitoring lowered in individuals with high BP (n = 11; medicated = 5) (SBP: -6.5 ± 1.9 mm Hg; mean arterial pressure [MAP]: -4.3 ± 1.5 mm Hg; p < 0.015), particularly within the first 5-6 hours after exercise (SBP: -13.5 ± 2.6 mm Hg; DBP: -9.4 ± 2.2 mm Hg; and MAP: -11.4 ± 1.6 mm Hg, p < 0.05). Significant BP lowering was not detected among participants with normal BP (n = 5; medicated = 4). In conclusion, CEX provoked PEH in older adults with prehypertension to established hypertension. Because of the potential of TAAs to reach large numbers of older adults, our findings are encouraging and should be confirmed in subsequent studies.
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Affiliation(s)
- Ricardo Cordeiro
- Physical Activity Sciences Graduate Program, Salgado de Oliveira University, Niteroi, Brazil.,Physical Education Department, Estácio de Sá University, Cabo Frio, Brazil
| | - Walace Monteiro
- Physical Activity Sciences Graduate Program, Salgado de Oliveira University, Niteroi, Brazil.,Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil
| | - Felipe Cunha
- Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil.,Rehabilitation Sciences Graduate Program, Augusto Motta University Center, Rio de Janeiro, Brazil
| | - Linda S Pescatello
- Department of Kinesiology, University of Connecticut, Storrs, Connecticut
| | - Paulo Farinatti
- Physical Activity Sciences Graduate Program, Salgado de Oliveira University, Niteroi, Brazil.,Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rio de Janeiro, Brazil
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Mariano IM, Domingos DC, Ribeiro ALA, Peçanha T, Simões HG, Puga GM. Sex and exercise-mode differences in post-exercise blood pressure and heart rate variability responses during a workday. MOTRIZ: REVISTA DE EDUCACAO FISICA 2019. [DOI: 10.1590/s1980-6574201900010030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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12
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Intense aerobic exercise lowers blood pressure in individuals with metabolic syndrome taking antihypertensive medicine. Blood Press Monit 2018; 23:230-236. [PMID: 29768290 DOI: 10.1097/mbp.0000000000000328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE There is a growing tendency for physicians to prescribe exercise in accordance with the 'exercise is medicine' global health initiative. However, the exercise-pharmacologic interactions for controlling blood pressure are not well described. Our purpose was to study whether angiotensin II receptor type 1 blocker (ARB) antihypertensive medicine enhances the blood pressure-lowering effects of intense exercise. PARTICIPANTS AND METHODS Fifteen hypertensive individuals with metabolic syndrome chronically medicated with ARB underwent two exercise trials in a blind randomized order. One trial was conducted after taking their habitual dose of ARB (ARB MED trial) and another after 48 h of placebo medicine (i.e. dextrose; PLAC trial). RESULTS After placebo medication, brachial systolic blood pressure increased by 5.5 mmHg [P=0.009; effect size (ES)=0.476] and diastolic by 2.5 mmHg (P=0.030; ES=0.373). Exercise reduced systolic and diastolic blood pressures to the same extent in ARB MED and PLAC trials (7 and 8 mmHg, respectively, for systolic and 5 and 4 mmHg, respectively, for diastolic, all P<0.05). Pulsatile measures of arterial stiffness did not reveal an interaction effect between exercise and medication. However, postocclusion reactive hyperemia increased after exercise only in the ARB MED trial (361±169 to 449±240% from baseline; P=0.033; ES=0.429). CONCLUSION ARBs and a bout of intense exercise each have an independent effect on lowering blood pressure in hypertensive individuals, and these effects are additive.
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13
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Postexercise hypotension during different water-based concurrent training intrasession sequences in young women. ACTA ACUST UNITED AC 2017; 11:653-659. [PMID: 28865866 DOI: 10.1016/j.jash.2017.08.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 07/26/2017] [Accepted: 08/10/2017] [Indexed: 11/22/2022]
Abstract
The purpose of the study was to compare the acute effects of water-based resistance-aerobic (RA) and aerobic-resistance (AR) sequences on systolic blood pressure, diastolic blood pressure (DBP), and mean blood pressure (MBP) in young women. Thirteen active women participated in four sessions: (1) exercises familiarization, (2) aquatic maximal test to determine the heart rate (HR) corresponding to the anaerobic threshold (HRAT), (3) concurrent protocol RA, and (4) concurrent protocol AR. Both protocols were initiated with the blood pressure measurements at rest in supine position. After that, either RA or AR concurrent protocol was performed. At the end of both protocols, blood pressure was measured throughout 60 minutes (every 10 minutes). The water-based resistance protocol was made up by exercises at maximal velocity, and the water-based aerobic protocol was performed at ±5 bpm of HRAT continuously. Two-way analysis of variance with repeated measures was used to analyze the data (α = 0.05). There was no hypotensive effect on systolic blood pressure among the time points (P = .235) in both water-based intrasession exercise sequences (P = .423). Regarding the DBP and MBP, both intrasession exercise sequences presented similar (DBP: P = .980; MBP: P = .796) hypotensive effects in the first 10 minutes (DBP: P = .003; MBP: P = .008) at the end of RA and AR sessions (DBP: -4 vs. -13 mm Hg; MBP: -3 vs. -10 mm Hg). It was concluded that both RA and AR water-based concurrent training sessions resulted in postexercise hypotension (DBP and MBP) in normotensive young women.
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Effects of aerobic exercise intensity on ambulatory blood pressure and vascular responses in resistant hypertension: a crossover trial. J Hypertens 2017; 34:1317-24. [PMID: 27137175 DOI: 10.1097/hjh.0000000000000961] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Resistant hypertension often exposes patients to poor blood pressure (BP) control, resulting in clinical vulnerability, possible need for device-based procedures (denervation) and increased therapy costs. Regular exercise markedly benefits patients with hypertension, including resistant patients. However, little is known about short-term exercise effects in resistant hypertension. OBJECTIVE To evaluate acute hemodynamic effects of exercise in resistant hypertension. METHOD After maximal exercise testing, 20 patients (54.0 ± 5.7 years, 30.2 ± 4.9 kg/m) with resistant hypertension participated in three crossover interventions, in random order, and on separate days: control (45' of rest), and light intensity and moderate intensity (45' of aerobic exercise at 50 and 75% of maximum heart rate, respectively). Ambulatory BP, forearm blood flow (with subsequent calculation of vascular resistance), and reactive hyperemia were measured before and after interventions trough venous occlusion plethysmography. RESULTS Compared with control, both exercise intensities reduced ambulatory systolic pressure over 5 h (light: -7.7 ± 2.4 mmHg and moderate: -9.4 ± 2.8 mmHg, P < 0.01), whereas only light intensity reduced diastolic pressure (-5.7 ± 2.2 mmHg, P < 0.01). Light intensity also lowered systolic and diastolic pressures over 10-h daytime (-3.8 ± 1.3 and -4.0 ± 1.3 mmHg, respectively, P < 0.02), night-time (-6.0 ± 2.4 and -6.1 ± 1.6 mmHg, respectively, P < 0.05), and diastolic pressure over 19 h (-4.8 ± 1.2 mmHg, P < 0.01). Forearm blood flow changed (decreased) compared with baseline only at 50 min after light intensity (P < 0.05). After the control and light intensity sessions, vascular resistance increased at the end of 1 h, and after moderate intensity, it decreased only at the moment (∼2 min) immediately after intervention (P < 0.05). CONCLUSION A single session of light or moderate aerobic exercise acutely reduces ambulatory BP in resistant hypertension, although benefits persist longer following light intensity.
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Germano-Soares AH, Montenegro RA, Cavalcante BR, Domingues WJ, de Lima PF, Menêses AL, Almeida TR, Okano AH, Ritti-Dias RM. Hemodynamic and autonomic responses after a single session of resistance exercise following anodal motor cortex tDCS. ISOKINET EXERC SCI 2017. [DOI: 10.3233/ies-160653] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Antonio H. Germano-Soares
- Associated Graduated Program UPE/UFPB, Pernambuco, Brazil
- Department of Physical Education, University of Pernambuco, Pernambuco, Brazil
| | - Rafael A. Montenegro
- Physical Activity and Health Promotion Laboratory, Physical Education and Sports Institute, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Bruno R. Cavalcante
- Associated Graduated Program UPE/UFPB, Pernambuco, Brazil
- Department of Physical Education, University of Pernambuco, Pernambuco, Brazil
| | | | | | - Annelise L. Menêses
- School of Health and Sport Sciences, University of the Sunshine Coast, Queensland, Australia
| | | | - Alexandre H. Okano
- Research Group of Integrative Biology of Exercise, Physical Education Department, Rio Grande do Norte Federal University, Rio Grande do Norte, Brazil
| | - Raphael M. Ritti-Dias
- Associated Graduated Program UPE/UFPB, Pernambuco, Brazil
- Albert Einstein Hospital, São Paulo, Brazil
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Ambulatory blood pressure response to a bout of HIIT in metabolic syndrome patients. Eur J Appl Physiol 2017; 117:1403-1411. [PMID: 28493030 DOI: 10.1007/s00421-017-3631-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2017] [Accepted: 05/04/2017] [Indexed: 12/19/2022]
Abstract
PURPOSE The effectiveness of exercise to lower blood pressure may depend on the type and intensity of exercise. We study the short-term (i.e., 14-h) effects of a bout of high-intensity aerobic interval training (HIIT) on blood pressure in metabolic syndrome (MetS) patients. METHODS Nineteen MetS patients (55.2 ± 7.3 years, 6 women) entered the study. Eight of them were normotensive and eleven hypertensive according to MetS threshold (≥130 mmHg for SBP and/or ≥85 mmHg for DBP). In the morning of 3 separated days, they underwent a cycling exercise bout of HIIT (>90% of maximal heart rate, ~85% VO2max), or a bout of isocaloric moderate-intensity continuous training (MICT; ~70% of maximal heart rate, ~60% VO2max), or a control no-exercise trial (REST). After exercise, ambulatory blood pressure (ABP; 14 h) was monitored, while subjects continued their habitual daily activities wearing a wrist-band activity monitor. RESULTS No ABP differences were found for normotensive subjects. In hypertensive subjects, systolic ABP was reduced by 6.1 ± 2.2 mmHg after HIIT compared to MICT and REST (130.8 ± 3.9 vs. 137.4 ± 5.1 and 136.4 ± 3.8 mmHg, respectively; p < 0.05). However, diastolic ABP was similar in all three trials (77.2 ± 2.6 vs. 78.0 ± 2.6 and 78.9 ± 2.8 mmHg, respectively). Motion analysis revealed no differences among trials during the 14-h. CONCLUSION This study suggests that the blood pressure reducing effect of a bout of exercise is influence by the intensity of exercise. A HIIT exercise bout is superior to an equivalent bout of continuous exercise when used as a non-pharmacological aid in the treatment of hypertension in MetS.
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Azevêdo LM, de Souza AC, Santos LES, Miguel Dos Santos R, de Fernandes MOM, Almeida JA, Pardono E. Fractionated Concurrent Exercise throughout the Day Does Not Promote Acute Blood Pressure Benefits in Hypertensive Middle-aged Women. Front Cardiovasc Med 2017; 4:6. [PMID: 28261583 PMCID: PMC5308062 DOI: 10.3389/fcvm.2017.00006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 01/25/2017] [Indexed: 01/22/2023] Open
Abstract
Hypertension is a chronic disease that affects about 30% of the world’s population, and the physical exercise plays an important role on its non-pharmacological treatment. Anywise, the dose–response of physical exercise fractionation throughout the day demands more investigation, allowing new exercise prescription possibilities. Therefore, this study aimed to analyze the acute blood pressure (BP) kinetics after 1 h of exercises and the BP reactivity after different concurrent exercise (CE) sessions and its fractioning of hypertensive middle-aged women. In this way, 11 hypertensive women voluntarily underwent three experimental sessions and one control day [control session (CS)]. In the morning session (MS) and night session (NS), the exercise was fully realized in the morning and evening, respectively. For the fractionized session (FS), 50% of the volume was applied in the morning and the remaining 50% during the evening. The MS provided the greatest moments (p ≤ 0.05) of post-exercise hypotension (PEH) for systolic BP (SBP) and highest reduction of BP reactivity for SBP (~44%) and diastolic BP (DBP) (~59%) compared to CS (p ≤ 0.05). The findings of the present study have shown that MS is effective for PEH to SBP, as well as it promotes high quality of attenuation for BP reactivity, greater than the other sessions.
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Affiliation(s)
- Luan M Azevêdo
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
| | - Alice C de Souza
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
| | - Laiza Ellen S Santos
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
| | - Rodrigo Miguel Dos Santos
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
| | - Manuella O M de Fernandes
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
| | - Jeeser A Almeida
- Programa de Pós Graduação em Saúde e Desenvolvimento na Região Centro-Oeste (PPGSD), Universidade Federal de Mato Grosso do Sul , Campo Grande , Brazil
| | - Emerson Pardono
- Programa de Pós Graduação em Educação Física (PPGEF), Universidade Federal de Sergipe , São Cristóvão , Brazil
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18
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Anunciação PG, Farinatti PTV, Goessler KF, Casonatto J, Polito MD. Blood pressure and autonomic responses following isolated and combined aerobic and resistance exercise in hypertensive older women. Clin Exp Hypertens 2016; 38:710-714. [PMID: 27936947 DOI: 10.1080/10641963.2016.1200601] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE This study aimed to compare blood pressure (BP) after isolated and combined sessions of aerobic and resistance exercises in hypertensive older women. Heart rate (HR) and heart rate variability (HRV) were included as additional variables. METHODS Twenty-one older women (63±1.9 years; 69.9±2.7 kg; 158.8±2.1 cm) with controlled hypertension (resting BP = 132.2 ± 3.1/74.1 ± 4.0 mmHg) performed four random sessions on different days: 1) aerobic exercise (AE: treadmill walking/running; 40 min; 50-60% HRreserve); 2) resistance exercise (RE: 8 exercises; 3 sets; 15 reps; 40% 1RM)); 3) aerobic exercise followed by resistance exercise (A+R); 4); control (CON). BP, HR and HRV were measured at rest and during 180 min after the sessions. RESULTS The AE and A+R sessions demonstrated significant decreases in SBP and DBP (30, 60, 120, and 180 min; P < 0.05) and increases in HR (30 and 60 min; P < 0.05) compared to the CON. The RE session demonstrated significant reductions compared to the CON only for DBP (120 and 180 min; P < 0.05). No significant differences were observed in HRV between resting and all sessions. CONCLUSION All sessions that involved aerobic exercise (AE and A+R) caused postexercise hypotension in comparison to the CON, with no differences in HRV.
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Affiliation(s)
- Paulo G Anunciação
- a Department of Physical Education , State University of Londrina , Paraná , Brazil
| | - Paulo T V Farinatti
- b Laboratory of Physical Activity and Health Promotion , Rio de Janeiro State University , Rio de Janeiro , Brazil
| | - Karla F Goessler
- c Research Group of Cardiovascular Rehabilitation , KU Leuven , Belgium
| | - Juliano Casonatto
- d Center of Life Sciences and Health , University of North Paraná , Londrina , Brazil
| | - Marcos D Polito
- a Department of Physical Education , State University of Londrina , Paraná , Brazil
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Angadi SS, Bhammar DM, Gaesser GA. Postexercise Hypotension After Continuous, Aerobic Interval, and Sprint Interval Exercise. J Strength Cond Res 2016; 29:2888-93. [PMID: 25785706 DOI: 10.1519/jsc.0000000000000939] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We examined the effects of 3 exercise bouts, differing markedly in intensity, on postexercise hypotension (PEH). Eleven young adults (age: 24.6 ± 3.7 years) completed 4 randomly assigned experimental conditions: (a) control, (b) 30-minute steady-state exercise (SSE) at 75-80% maximum heart rate (HRmax), (4) aerobic interval exercise (AIE): four 4-minute bouts at 90-95% HRmax, separated by 3 minutes of active recovery, and (d) sprint interval exercise (SIE): six 30-second Wingate sprints, separated by 4 minutes of active recovery. Exercise was performed on a cycle ergometer. Blood pressure (BP) was measured before exercise and every 15-minute postexercise for 3 hours. Linear mixed models were used to compare BP between trials. During the 3-hour postexercise, systolic BP (SBP) was lower (p < 0.001) after AIE (118 ± 10 mm Hg), SSE (121 ± 10 mm Hg), and SIE (121 ± 11 mm Hg) compared with control (124 ± 8 mm Hg). Diastolic BP (DBP) was also lower (p < 0.001) after AIE (66 ± 7 mm Hg), SSE (69 ± 6 mm Hg), and SIE (68 ± 8 mm Hg) compared with control (71 ± 7 mm Hg). Only AIE resulted in sustained (>2 hours) PEH, with SBP (120 ± 9 mm Hg) and DBP (68 ± 7 mm Hg) during the third-hour postexercise being lower (p ≤ 0.05) than control (124 ± 8 and 70 ± 7 mm Hg). Although all exercise bouts produced similar reductions in BP at 1-hour postexercise, the duration of PEH was greatest after AIE.
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Affiliation(s)
- Siddhartha S Angadi
- 1Healthy Lifestyles Research Center, School of Nutrition and Health Promotion, Arizona State University, Phoenix, Arizona; and 2Department of Internal Medicine, Pulmonary and Critical Care Medicine Unit, Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital, University of Texas Southwestern Medical Center, Dallas, Texas
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20
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Cunha RM, Arsa G, Neves EB, Lopes LC, Santana F, Noleto MV, Rolim TI, Lehnen AM. Water aerobics is followed by short-time and immediate systolic blood pressure reduction in overweight and obese hypertensive women. ACTA ACUST UNITED AC 2016; 10:570-7. [PMID: 27245928 DOI: 10.1016/j.jash.2016.05.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Revised: 04/19/2016] [Accepted: 05/03/2016] [Indexed: 11/27/2022]
Abstract
One exercise training session such as walking, running, and resistance can lead to a decrease in blood pressure in normotensive and hypertensive individuals, but few studies have investigated the effects of exercise training in an aquatic environment for overweight and obese hypertensive individuals. We aimed to assess the acute effects of a water aerobics session on blood pressure changes in pharmacologically treated overweight and obese hypertensive women. A randomized crossover study was carried out with 18 hypertensive women, 10 of them were overweight (54.4 ± 7.9 years; body mass index: 27.8 ± 1.7 kg/m(2)) and eight obese (56.4 ± 6.6 years; body mass index: 33.0 ± 2.0 kg/m(2)). The water aerobics exercise session consisted of a 45-minute training at the intensity of 70%-75% of maximum heart rate adjusted for the aquatic environment. The control group did not enter the pool and did not perform any exercise. We measured systolic blood pressure (SBP) and diastolic blood pressure (DBP) before, immediately after, and every 10 minutes up to 30 minutes after the aerobic exercise or control session. Overall (n = 18), DBP did not change after the water aerobic exercise and control session, and SBP decreased at 10 and 20 minutes postexercise compared to the control session. Among overweight women, SBP decreased at 10 and 20 minutes postexercise. In contrast, among obese women, SBP decreased only at 10 minutes postexercise. SBP variation was -2.68 mm Hg in overweight and -1.24 mm Hg in obese women. In conclusion, the water aerobics session leads to a reduction in SBP, but not in DBP, during 10 and 20 minutes postexercise recovery. Thus, it may be safely prescribed to overweight and obese women.
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Affiliation(s)
- Raphael Martins Cunha
- Institute of Cardiology/University Foundation of Cardiology, Rio Grande do Sul, Brazil
| | - Gisela Arsa
- Faculty of Physical Education, Federal University of Mato Grosso, Mato Grosso, Brazil
| | - Eduardo Borba Neves
- Brazilian Army Research Institute of Physical Fitness, Rio de Janeiro, Brazil
| | | | - Fabio Santana
- Exercise Physiology Laboratory, State University of Goiás, Goiás, Brazil
| | | | - Thais I Rolim
- Exercise Physiology Laboratory, State University of Goiás, Goiás, Brazil
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Brito AF, Silva AS, Souza ILL, Pereira JC, Silva BAD. Intensity of swimming exercise influences aortic reactivity in rats. ACTA ACUST UNITED AC 2015; 48:996-1003. [PMID: 26397974 PMCID: PMC4671526 DOI: 10.1590/1414-431x20154397] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2014] [Accepted: 01/16/2015] [Indexed: 11/26/2022]
Abstract
Exercise is known to cause a vasodilatory response; however, the correlation between
the vasorelaxant response and different training intensities has not been
investigated. Therefore, this study evaluated the vascular reactivity and lipid
peroxidation after different intensities of swimming exercise in rats. Male Wistar
rats (aged 8 weeks; 250-300 g) underwent forced swimming for 1 h whilst tied to loads
of 3, 4, 5, 6, and 8% of their body weight, respectively (groups G3, G4, G5, G6 and
G8, respectively; n=5 each). Immediately after the test, the aorta was removed and
suspended in an organ bath. Cumulative relaxation in response to acetylcholine
(10−12-10−4 M) and contraction in response to phenylephrine
(10−12-10−5 M) were measured. Oxidative stress was estimated
by determining malondialdehyde concentration. The percentages of aorta relaxation
were significantly higher in G3 (7.9±0.20), G4 (7.8±0.29), and G5 (7.9±0.21),
compared to the control group (7.2±0.04), while relaxation in the G6 (7.4±0.25) and
G8 (7.0±0.06) groups was similar to the control group. In contrast, the percentage of
contraction was significantly higher in G6 (8.8 ±0.1) and G8 (9.7±0.29) compared to
the control (7.1±0.1), G3 (7.3±0.2), G4 (7.2±0.1) and G5 (7.2±0.2%) groups. Lipid
peroxidation levels in the aorta were similar to control levels in G3, G4 and G5, but
higher in G6 and G8, and significantly higher in G8 (one-way ANOVA). These results
indicate a reduction in vasorelaxing activity and an increase in contractile activity
in rat aortas after high-intensity exercise, followed by an increase in lipid
peroxidation.
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Affiliation(s)
- A F Brito
- Programa de Pós-Graduação em Produtos Naturais e Sintéticos Bioativos, Centro de Ciências da Saúde, Universidade Federal da Paraíba, Paraíba, Brasil
| | - A S Silva
- Laboratório de Estudos do Treinamento Físico Aplicado ao Desempenho e Saúde, Departamento de Educação Física, Centro de Ciências da Saúde, Universidade Federal da Paraíba, Paraíba, Brasil
| | - I L L Souza
- Programa de Pós-Graduação em Produtos Naturais e Sintéticos Bioativos, Centro de Ciências da Saúde, Universidade Federal da Paraíba, Paraíba, Brasil
| | - J C Pereira
- Programa de Pós-Graduação em Produtos Naturais e Sintéticos Bioativos, Centro de Ciências da Saúde, Universidade Federal da Paraíba, Paraíba, Brasil
| | - B A da Silva
- Programa de Pós-Graduação em Produtos Naturais e Sintéticos Bioativos, Centro de Ciências da Saúde, Universidade Federal da Paraíba, Paraíba, Brasil
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Mazzoccante RP, Sousa IRCD, Moreira SR, Prestes J, Simões HG, Campbell CSG. The period of the day affects the twenty-four hour blood pressure response to an acute combined exercise session in Brazilian jiu jitsu athletes. MOTRIZ: REVISTA DE EDUCACAO FISICA 2015. [DOI: 10.1590/s1980-65742015000300009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
AbstractThe purpose of this study was to compare the effect of a combined exercise session performed at different periods of the day on the 24h blood pressure (BP) response. Anaerobic threshold (AT) and 12 repetition maximum (12RM) tests were evaluated in nine Brazilian jiu-jitsu athletes (male) (22±3.7 y; 176±5.0 cm; 73.4±9.7 kg; 6.8±2.1 % body fat). Four experimental sessions were performed: resistance exercise followed by aerobic exercise [Morning (MornS) and Afternoon (AfternS)] and Control (C) [Morning and Afternoon]. The morning sessions were conducted at 09:00 a.m. and the afternoon sessions were conducted at 3:00 p.m. The resistance exercise consisted of three sets at 90% of a 12RM for six resistance exercises. The aerobic exercise consisted of 15min at 90% of the AT. Blood pressure (BP) was measured before, during and 1h (Microlife(r) BP3A1C) after the performance of exercises in laboratory, and then during daily activities for the succeeding 23h by ambulatory BP monitoring (Dyna-MAPA(r)). Analysis of the area under the curve (AUC) indicated significant reductions in blood pressure parameters at various time points during the 24h monitoring period. For systolic BP (SBP), significantly lower values were shown following the morning session versus the control (MornS: 1756.2±100.8 vs. C: 1818.2±84.3 mmHg*15h; p < .05) and total-24h (MornS: 2695.8±143.3 vs. C: 2784.1±143.2 mmHg*24h; p < .05). The total-24h mean BP (MAP) was also significantly lower following the morning session versus the control (MornS: 2015.7±121.2 vs. C: 2087.3±153.8 mmHg*24h; p < .05). There were significant differences in the sleeping AUC of SBP (AfternS: 883.6±27.0 vs. C: 965.2±67.9 mmHg*9h; p< .05), diastolic BP (DBP) (AfternS: 481.4±30.9 vs. MornS: 552.9±34.2 and C: 562.1±52.3 mmHg*9h; p < .01) and MBP (AfternS: 651.9±22.4 vs. MornS: 708.7±43.1 and C: 726.9±64.7 mmHg*9h; p < .01). The combined exercise performed at different periods of the day contributed distinctly to the reduction of BP. The morning session was important in reducing SBP and MBP in the total-24h monitoring, while the afternoon session reduced SBP, DBP and MBP during sleeping in jiu-Jitsu athletes.
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Bonsu B, Terblanche E. The training and detraining effect of high-intensity interval training on post-exercise hypotension in young overweight/obese women. Eur J Appl Physiol 2015; 116:77-84. [PMID: 26293124 DOI: 10.1007/s00421-015-3224-7] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Accepted: 07/16/2015] [Indexed: 11/30/2022]
Abstract
PURPOSE Studies evaluating the response in blood pressure (BP) following high-intensity interval training (HIIT) are scant even though there has been extensive work done on the BP response following acute and chronic low- to moderate-intensity aerobic and resistance exercise in both hypertensive and normotensive individuals. The present study sought to investigate the training and detraining effects of short-term HIIT on the post-exercise hypotension (PEH) response in overweight/obese young women. METHOD Twenty young untrained women volunteered for the study. Participants performed six HIIT sessions on a treadmill within 2 weeks (week 1: 10 × 1 min and week 2: 15 × 1 min intervals at 90-95% HRmax, separated by 1 min active recovery at 70% HRmax each session) and detrained for 2 weeks. Post-exercise BP was measured for 1 h following the first and last HIIT sessions. RESULTS Participants were normotensive (SBP: 119.2 ± 5.60 mmHg; DBP: 78.8 ± 4.12 mmHg) and had a BMI greater than 25 kg m(-2). The magnitude of the systolic hypotensive response was slightly greater after the six sessions HIIT compared to pre-training (5.04 and 4.28 mmHg, respectively), and both would be considered clinically significant (>3 mmHg decrease). After 2 weeks, detraining the PEH response was not clinically significant (1.08 mmHg decrease). The magnitude of the DBP response was only clinically significant following post- and detraining (4.26 and 3.87 mmHg, respectively). CONCLUSION The findings suggest that six HIIT sessions is sufficient to affect clinically significant PEH responses in young, overweight/obese women; however, the training effects are lost within 2 weeks of detraining.
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Affiliation(s)
- Biggie Bonsu
- Department of Sport Science, Stellenbosch University, Matieland, Private Bag X1, Stellenbosch, 7602, South Africa.
| | - Elmarie Terblanche
- Department of Sport Science, Stellenbosch University, Matieland, Private Bag X1, Stellenbosch, 7602, South Africa.
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Menêses AL, Forjaz CLDM, de Lima PFM, Batista RMF, Monteiro MDF, Ritti-Dias RM. Influence of Endurance and Resistance Exercise Order on the Postexercise Hemodynamic Responses in Hypertensive Women. J Strength Cond Res 2015; 29:612-8. [DOI: 10.1519/jsc.0000000000000676] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Sun P, Yan H, Ranadive SM, Lane AD, Kappus RM, Bunsawat K, Baynard T, Li S, Fernhall B. Blood pressure changes following aerobic exercise in Caucasian and Chinese descendants. Int J Sports Med 2014; 36:189-96. [PMID: 25329430 DOI: 10.1055/s-0034-1390493] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Acute aerobic exercise produces post-exercise hypotension (PEH). Chinese populations have lower prevalence of cardiovascular disease compared to Caucasians. PEH may be associated cardiovascular disease through its influence on hypertension. The purpose of this study was to compare PEH between Caucasian and Chinese subjects following acute aerobic exercise. 62 (30 Caucasian and 32 Chinese, 50% male) subjects underwent measurement of peripheral and central hemodynamics as well as arterial and cardiac evaluations, 30 min and 60 min after 45 min of treadmill exercise. Caucasians exhibited significantly higher baseline BP than the Chinese. While the reduction in brachial artery systolic BP was greater in Caucasian than in the Chinese, there was no difference in changes in carotid systolic BP between the groups. The increase in cardiac output and heart rate was greater in the Chinese than Caucasians, but total peripheral resistance and leg pulse wave velocity decreased by a similar magnitude in the Chinese and Caucasian subjects. We conclude that acute aerobic exercise produces a greater magnitude of PEH in peripheral systolic BP in Caucasian compared to Chinese subjects. The different magnitude in PEH was caused by the greater increase in cardiac output mediated by heart rate, with no change in stroke volume. It is possible that initial BP differences between races influenced the findings.
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Affiliation(s)
- P Sun
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, East China Normal University, Shanghai, China
| | - H Yan
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
| | - S M Ranadive
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
| | - A D Lane
- College of Applied Health Sciences, University of Illinois at Chicago, Chicago, United States
| | - R M Kappus
- Kinesiology, Nutrition and Rehabilitation, University of Illinois Chicago, Chicago, United States
| | - K Bunsawat
- College of Applied Health Sciences, University of Illinois at Chicago, Chicago, United States
| | - T Baynard
- Kinesiology & Nutrition, University of Illinois at Chicago, Chicago, United States
| | - S Li
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, East China Normal University, Shanghai, China
| | - B Fernhall
- Kinesiology, Nutrition and Rehabilitation, University of Illinois Chicago, Chicago, United States
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Souza GVD, Libardi CA, Rocha Jr. J, Madruga VA, Chacon-Mikahil MPT. Efeito do treinamento concorrente nos componentes da síndrome metabólica de homens de meia-idade. FISIOTERAPIA EM MOVIMENTO 2012. [DOI: 10.1590/s0103-51502012000300020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: A prática regular de exercícios físicos é considerada fundamental para prevenção e tratamento da Síndrome Metabólica, porém pouco se sabe sobre a forma ideal de treinamento. OBJETIVO: Verificar o efeito de 16 semanas de treinamento concorrente (TC) com frequência semanal e duração da sessão similar ao treinamento de força (TF) e treinamento aeróbio (TA) isolados sobre os componentes da síndrome metabólica (SM) de homens de meia-idade. MÉTODOS: Foram selecionados 42 homens clinicamente saudáveis distribuídos em quatro grupos: TA (n = 13), TF (n = 9), TC (n = 10) e grupo controle (GC, n = 10). Os treinamentos foram compostos por duas etapas (E1 e E2) com duração de oito semanas cada, e frequência de três sessões/semana (TF: dez exercícios com 3 x 8-10 RM; TA: 60 min. de caminhada ou corrida a 55-85% VO2pico; TC: seis exercícios com 3 x 8-10 RM, seguidos de 30 min. de caminhada ou corrida a 55-85% VO2pico). Foram avaliadas circunferência de cintura (CC), perfil lipídico, glicose, pressão arterial (PA) e força máxima e VO2pico. RESULTADOS: A CC reduziu para o TA (-1,70%; p = 0,023) e TC (-1,66%; p = 0,018) e o LDL para o TF (-25,03%; p = 0,047) e TC (29,74%; p = 0,011). O TC promoveu redução na PA sistólica (-7,83%; p = 0,029). A força máxima e VO2pico aumentaram para os três grupos de treinamento (p > 0,05). CONCLUSÃO: A realização do TC frequência semanal e duração das sessões similar ao TA e TF isolados é mais eficaz para a melhora de componentes da SM.
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