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Songcharern N, Ruangthai R, Tumnark P, Phoemsapthawee J. Improved arterial stiffness after combined aerobic and resistance training: correlation with heart rate variability change in prehypertensive offspring of hypertensive parents. J Exerc Rehabil 2022; 18:395-405. [PMID: 36684533 PMCID: PMC9816616 DOI: 10.12965/jer.2244416.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 10/01/2022] [Indexed: 12/29/2022] Open
Abstract
Prehypertensive offspring of hypertensive parents are strongly linked to pathological processes of hypertension in later life. It is observed that young adults with high blood pressure (BP) have increased arterial stiffness, which is linked to autonomic anomalies. The purpose of the present study was to assess the effect of combined resistance and aerobic exercise training on BP, brachial-ankle pulse wave velocity (baP-WV), and heart rate variability (HRV) in prehypertensive young men with hypertensive parents. Thirty prehypertensive males aged 19.6±1.2 years were randomly assigned to either a combined exercise training group (CBT, n=15) or no exercise group (CON, n=15). The CBT group performed combined exercise for 8 weeks, 3 times per week. BP, baP-WV, HRV, peak oxygen consumption (VO2peak), and muscle strength were measured before and after the exercise intervention. Systolic BP (-5.1 mmHg, 3.9% decrease, P<0.05), diastolic BP (-3.9 mmHg, 6.1% decrease, P<0.01), mean arterial pressure (-4.2 mmHg, 4.7% decrease, P<0.05), baPWV (-0.4 m/sec, 3.5% decrease, P<0.01), standard deviation of all RR intervals (+58.5% increase, P<0.05) and very low frequency (VLF) (+34.6% increase, P<0.01), VO2peak (+11.7% increase, P<0.01) and one-repetition maximum leg press (+30.3% increase, P<0.01) were significantly improved in the CBT group after 8 weeks of training versus the CON group. Additionally, a reduction in baPWV was associated with an increase in the VLF power of HRV (r=0.72, P<0.01). These findings indicate that the combined training improves BP, arterial stiffness, vagal activity, cardiorespiratory fitness, and lower-body muscle strength in prehypertensive offspring of hypertensive parents.
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Affiliation(s)
- Nattawut Songcharern
- Sports and Exercise Science Program, Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom,
Thailand
| | - Ratree Ruangthai
- Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom,
Thailand
| | - Piyaporn Tumnark
- Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom,
Thailand
| | - Jatuporn Phoemsapthawee
- Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom,
Thailand,Corresponding author: Jatuporn Phoemsapthawee, Department of Sports Science and Health, Faculty of Sports Science, Kasetsart University, Nakhon Pathom 73140, Thailand,
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Hu Q, Dong X, Zhang K, Song H, Li C, Zhang T, Feng J, Ke X, Li H, Chen Y, Nie R, Chen X, Liu Y. Fluid Shear Stress Ameliorates Prehypertension-Associated Decline in Endothelium-Reparative Potential of Early Endothelial Progenitor Cells. J Cardiovasc Transl Res 2022; 15:1049-1063. [PMID: 35391709 DOI: 10.1007/s12265-022-10235-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 03/07/2022] [Indexed: 11/30/2022]
Abstract
This study investigated the effects of prehypertension and shear stress on the reendothelialization potential of human early EPCs and explored its potential mechanisms. Early EPCs from the prehypertensive patients showed reduced migration and adhesion in vitro and demonstrated a significantly impaired in vivo reendothelialization capacity. Shear stress pretreatment markedly promoted the in vivo reendothelialization capacity of EPCs. Although basal CXCR4 expression in early EPCs from prehypertensive donors was similar to that from healthy control, SDF-1-induced phosphorylation of CXCR4 was lower in prehypertensive EPCs. Shear stress up-regulated CXCR4 expression and increased CXCR4 phosphorylation, and restored the SDF-1/CXCR4-dependent JAK-2 phosphorylation in prehypertensive EPCs. CXCR4 knockdown or JAK-2 inhibitor treatment prevents against shear stress-induced increase in the migration, adhesion and reendothelialization capacity of the prehypertensive EPCs. Collectively, CXCR4 receptor profoundly modulates the reendothelialization potential of early EPCs. The abnormal CXCR4-mediated JAK-2 signaling may contribute to impaired functions of EPCs from patients with prehypertension.
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Affiliation(s)
- Qingsong Hu
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China
| | - Xiaobian Dong
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China
| | - Kun Zhang
- Department of Cardiology, Guangdong Province Key Laboratory of Arrhythmia and Electrophysiology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, 510120, China
| | - Huangfeng Song
- Department of Cardiology, The Guangzhou Eighth People's Hospital, Guangzhou Medical University, NO.8 Huaying road, Baiyun district, Guangzhou city, 510000, Guangdong, China
| | - Cuizhi Li
- Department of Cardiology, The Guangzhou Eighth People's Hospital, Guangzhou Medical University, NO.8 Huaying road, Baiyun district, Guangzhou city, 510000, Guangdong, China
| | - Tao Zhang
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China
| | - Jianyi Feng
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China
| | - Xiao Ke
- Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, China.,Shenzhen Sun Yat-sen Cardiovascular Hospital, Shenzhen, 518057, China
| | - Hairui Li
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China
| | - Yangxin Chen
- Department of Cardiology, Guangdong Province Key Laboratory of Arrhythmia and Electrophysiology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, 510120, China
| | - Ruqiong Nie
- Department of Cardiology, Guangdong Province Key Laboratory of Arrhythmia and Electrophysiology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, 510120, China
| | - Xiaoming Chen
- Department of Cardiology, First Affiliated Hospital of Jinan University, NO.603, Huangpu Big Road, Tianhe District, Guangzhou City, 510630, China.
| | - Youbin Liu
- Department of Cardiology, The Guangzhou Eighth People's Hospital, Guangzhou Medical University, NO.8 Huaying road, Baiyun district, Guangzhou city, 510000, Guangdong, China.
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