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Corona G, Rastrelli G, Morelli A, Sarchielli E, Cipriani S, Vignozzi L, Maggi M. Treatment of Functional Hypogonadism Besides Pharmacological Substitution. World J Mens Health 2020; 38:256-270. [PMID: 31496147 PMCID: PMC7308235 DOI: 10.5534/wjmh.190061] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 06/14/2019] [Accepted: 06/16/2019] [Indexed: 02/06/2023] Open
Abstract
A dichotomic distinction between "organic" and "functional" hypogonadism is emerging. The former is an irreversible condition due to congenital or "acquired" "organic" damage of the brain centers or of the testis. Conversely, the latter is a potentially reversible form, characterized by borderline low testosterone (T) levels mainly secondary to age-related comorbidities and metabolic derangements, including metabolic syndrome (MetS). Life-style modifications, - here reviewed and, when possible, meta-analyzed -, have documented that weight-loss and physical exercise are able to improve obesity-associated functional hypogonadism and its related sexual symptoms. A rabbit experimental model, of MetS originally obtained in our lab, showed that endurance training (PhyEx) completely reverted MetS-induced hypogonadotropic hypogonadism by reducing hypothalamus inflammation and testis fibrosis eventually allowing for a better corpora cavernosa relaxation and response to sildenafil. Physicians should strongly adapt all the reasonable strategies to remove/mitigate the known conditions underlying functional hypogonadism, including MetS and obesity. Physical limitations, including reduced muscle mass and increased fat mass, along with low self-confidence, also due to the sexual problems, might limit a subject's propensity to increase physical activity and dieting. A short term T treatment trial, by improving muscle mass and sexual function, might help hypogonadal obese patients to overcome the overfed, inactive state and to become physically and psychologically ready for changing their lifestyle.
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Affiliation(s)
- Giovanni Corona
- Endocrinology Unit, Medical Department, Azienda Usl, Maggiore-Bellaria Hospital, Bologna, Italy
| | - Giulia Rastrelli
- Andrology, Female Endocrinology and Gender Incongruence Unit and Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy
| | - Annamaria Morelli
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Erica Sarchielli
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Sarah Cipriani
- Andrology, Female Endocrinology and Gender Incongruence Unit and Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy
| | - Linda Vignozzi
- Andrology, Female Endocrinology and Gender Incongruence Unit and Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy
| | - Mario Maggi
- Endocrinology Unit and Department of Experimental, Clinical and Biomedical Sciences, University of Florence, Florence, Italy.
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Coelho-Júnior HJ, Gonçalves IDO, Câmara NOS, Cenedeze MA, Bacurau RF, Asano RY, Santana J, Caperuto E, Uchida MC, Rodrigues B. Non-periodized and Daily Undulating Periodized Resistance Training on Blood Pressure of Older Women. Front Physiol 2018; 9:1525. [PMID: 30542289 PMCID: PMC6277793 DOI: 10.3389/fphys.2018.01525] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Accepted: 10/11/2018] [Indexed: 02/05/2023] Open
Abstract
The present study aimed at investigating the effects of a daily undulating periodization (DUP) and non-periodized (NP) resistance training programs on hemodynamic parameters of older women. Forty-two older women were randomized into one of the three experimental groups: NP, DUP, and control group (CG). Evaluations of the hemodynamic parameters occurred before, during and after the intervention. The exercise programs were performed twice a week over 22 weeks. NP and DUP groups were based on 3 sets of 8-10 repetitions in 9 exercises. In NP, the two exercise sessions were based on traditional strength training, which was performed at a Difficult intensity according to the rating of perceived exertion (RPE) method. In DUP, the first session was based on power resistance exercise, in which the concentric muscle contraction was performed as fast as possible at a moderate intensity based on RPE, while the second session was the same that was performed by NP. The findings demonstrated that diastolic blood pressure (90.4 vs. 76.2 mmHg) and mean arterial pressure (108.6 vs. 92.7 mmHg) were significantly reduced after NP, while no significant alterations were observed in DUP. Nevertheless, both training groups seem to have a cardio protective effect, since both training modes prevented the increase in HR reported in the experimental period in CG. In conclusion, our findings indicate that a 22-week NP resistance training program causes beneficial effects on hemodynamic parameters of older women. Trial Registration: NCT03443375.
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Affiliation(s)
- Hélio J. Coelho-Júnior
- Applied Kinesiology Laboratory, Department of Adapted Physical Activity, Faculty of Physical Education, Universidade Estadual de Campinas - UNICAMP, Campinas, Brazil
- Exercise Physiology Applied to Disease Research Group, Department of Adapted Physical Activity, Faculty of Physical Education, Universidade Estadual de Campinas - UNICAMP, Campinas, Brazil
| | | | - Niels O. S. Câmara
- Laboratory of Transplantation Immunology, Department of Immunobiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Marco A. Cenedeze
- Nephrology Division, Federal University of São Paulo, São Paulo, Brazil
| | - Reury F. Bacurau
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | - Ricardo Yukio Asano
- School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | - Jeferson Santana
- Human Movement Laboratory, Universidade São Judas Tadeu, São Paulo, Brazil
| | - Erico Caperuto
- Human Movement Laboratory, Universidade São Judas Tadeu, São Paulo, Brazil
| | - Marco C. Uchida
- Applied Kinesiology Laboratory, Department of Adapted Physical Activity, Faculty of Physical Education, Universidade Estadual de Campinas - UNICAMP, Campinas, Brazil
| | - Bruno Rodrigues
- Applied Kinesiology Laboratory, Department of Adapted Physical Activity, Faculty of Physical Education, Universidade Estadual de Campinas - UNICAMP, Campinas, Brazil
- Exercise Physiology Applied to Disease Research Group, Department of Adapted Physical Activity, Faculty of Physical Education, Universidade Estadual de Campinas - UNICAMP, Campinas, Brazil
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Orsano VSM, de Moraes WMAM, de Sousa NMF, de Moura FC, Tibana RA, Silva ADO, Schwerz Funghetto S, Schoenfeld BJ, Prestes J. Comparison of the acute effects of traditional versus high velocity resistance training on metabolic, cardiovascular, and psychophysiological responses in elderly hypertensive women. Clin Interv Aging 2018; 13:1331-1340. [PMID: 30104867 PMCID: PMC6074841 DOI: 10.2147/cia.s164108] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objectives The aim of the present study was to compare the acute effects of traditional resistance training (RT) versus high velocity RT (HVRT) on metabolic, cardiovascular, and psychophysiological responses in elderly hypertensive women. Methods Fifteen elderly women (mean age ± standard deviation, 67.1±6.9 years) classified as having hypertension stage 1 or 2 were randomly allocated to complete traditional RT or HVRT; 1 week later, subjects allocated to RT completed the HVRT session and vice-versa. Heart rate, blood pressure, affective response, perceived effort, and blood samples analyzing lactate, nitrate, nitrite, oxidative damage (thiobarbituric acid reactive substances [TBARS]), and 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid equivalent antioxidant capacity (TEAC) collected before and after training sessions were assessed. Nutritional counseling was provided regarding nutrients that could affect cardiovascular and nitrate/nitrite analysis. Results Systolic blood pressure was not statistically different (p>0.05) between conditions at the beginning and during 30 minutes after sessions. Diastolic blood pressure, rate pressure product, and heart rate were not statistically different (p>0.05) between conditions at the beginning and during 45 minutes after sessions. Nitric oxide was significantly higher (p<0.0005) for HVRT compared to RT after 30 minutes of exercise. TBARS and TEAC were significantly higher (p<0.05) for HVRT compared with RT only immediately after exercise. There were no differences for psychophysiological variables between protocols. Conclusion The acute cardiovascular and metabolic responses, including oxidative stress, are transient and within normal values. Taken together with the positive affective responses, both HVRT and RT with this intensity and volume seem to be safe for elderly hypertensive women under medication.
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Affiliation(s)
- Vânia Silva Macedo Orsano
- Department of Physical Education, Federal University of Piaui (UFPI), Piauí, Brazil.,Post Graduation Program on Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil,
| | | | | | - Felipe Carmo de Moura
- Post Graduation Program on Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil,
| | - Ramires Alsamir Tibana
- Department of Physical Education, Federal University of Mato Grosso (UFMT), Mato Grosso, Brazil
| | | | | | | | - Jonato Prestes
- Post Graduation Program on Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil,
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Bezerra MEDS, Deus LAD, Rosa TDS, Silva EELD, Simões HG, Vieira E. Acute effects of cycling exercise on post-exercise blood pressure in individuals with down syndrome. HUMAN MOVEMENT 2017. [DOI: 10.1515/humo-2017-0036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
AbstractPurpose. Studies have shown that even a single session of physical exercise lowers blood pressure after its completion. This phenomenon is called post-exercise hypotension (PEH) and has been considered as a non-pharmacological treatment to control blood pressure. However, there are no studies regarding the occurrence of PEH after acute exercise in individuals with Down syndrome (DS). This study aimed to analyse the occurrence of PEH in these subjects and the possible role of exercise intensity. Methods. Ten individuals with DS, of both genders, participated in the study (age, 29 ± 7 years; body mass, 60.7 ± 9 kg; height, 1.48 ± 0.11 m; BMI, 27.6 ± 2.4 kg/m2). The volunteers randomly underwent 2 sessions of exercise on a stationary bike for 20 minutes and 1 control session. Heart rate, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured after 15 minutes of resting, in the 20
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Coelho-Júnior HJ, Irigoyen MC, Aguiar SDS, Gonçalves IDO, Câmara NOS, Cenedeze MA, Asano RY, Rodrigues B, Uchida MC. Acute effects of power and resistance exercises on hemodynamic measurements of older women. Clin Interv Aging 2017; 12:1103-1114. [PMID: 28744114 PMCID: PMC5513809 DOI: 10.2147/cia.s133838] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Purpose The purpose of this study was to compare the acute effects of resistance training (RT) and power training (PT) on the hemodynamic parameters and nitric oxide (NO) bioavailability of older women. Materials and methods A randomized experimental design was used in this study. Twenty-one older women (age: 67.1±4.6 years; body mass index: 28.03±4.9 kg/m2; systolic blood pressure: 135.1±21.1 mmHg) were recruited to participate in this study. Volunteers were randomly allocated into PT, RT, and control session (CS) groups. The PT and RT groups underwent a single session of physical exercise equalized by training volume, characterized by 3 sets of 8–10 repetitions in 8 different exercises. However, RT group performed exercise at a higher intensity (difficult) than PT (moderate) group. On the other hand, concentric contractions were faster in PT group than in RT group. Hemodynamic parameters and saliva samples (for NO quantification) were collected before and during an hour after exercise completion. Results Results demonstrated post-exercise hypotension during 35 minutes in the PT when compared to rest period (P=0.001). In turn, RT showed decreased heart rate and double product (P<0.001) during the whole evaluation period after exercise completion compared with the rest period. NO levels increased in the PT and RT during the whole evaluation period in relation to rest period. However, there were no differences between PT, RT, and CS regarding hemodynamic and NO evaluations. Conclusion Data indicate that an acute session of power and resistance exercise can be effective to cause beneficial changes on hemodynamic parameters and NO levels in older women.
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Affiliation(s)
- Hélio José Coelho-Júnior
- Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, Barão Geraldo, Campinas, São Paulo.,Center of Health Sciences, University of Mogi das Cruzes, Mogi das Cruzes
| | | | - Samuel da Silva Aguiar
- Center of Health Sciences, University of Mogi das Cruzes, Mogi das Cruzes.,School of Physical Education, Catholic University of Brasília, Águas Claras, Brasília
| | - Ivan de Oliveira Gonçalves
- Center of Health Sciences, University of Mogi das Cruzes, Mogi das Cruzes.,Community Center for Older People of Poá, Poá
| | - Niels Olsen Saraiva Câmara
- Department of Immunobiology, Laboratory of Transplantation Immunology, Institute of Biomedical Sciences, University of São Paulo
| | | | - Ricardo Yukio Asano
- Center of Health Sciences, University of Mogi das Cruzes, Mogi das Cruzes.,School of Arts, Sciences and Humanities, University of São Paulo, São Paulo, Brazil
| | - Bruno Rodrigues
- Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, Barão Geraldo, Campinas, São Paulo
| | - Marco Carlos Uchida
- Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, Barão Geraldo, Campinas, São Paulo
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Casonatto J, Goessler KF, Cornelissen VA, Cardoso JR, Polito MD. The blood pressure-lowering effect of a single bout of resistance exercise: A systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol 2016; 23:1700-1714. [PMID: 27512052 DOI: 10.1177/2047487316664147] [Citation(s) in RCA: 88] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Accepted: 07/22/2016] [Indexed: 12/21/2022]
Abstract
BACKGROUND Current exercise guidelines recommend aerobic types of exercises on most days of the week, supplemented with dynamic resistance exercise twice weekly. Whereas the blood pressure (BP)-lowering effects of a single session of aerobic exercise have been well studied, less is known about the hypotensive effect of a single bout of resistance exercise. OBJECTIVES To evaluate the transient effect of resistance exercise on BP by means of meta-analytic techniques. METHODS A systematic electronic search in Medline, Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), Elton B Stephens Company (EBSCO), EMBASE and SPORTDiscus was completed in March 2015 identifying randomised controlled trials investigating the effect of a single bout of resistance exercise on resting or ambulatory BP in healthy adults. A subsequent meta-analysis was performed. RESULTS The meta-analysis involved 30 studies, 81 interventions and 646 participants (normotensive (n = 505) or hypertensive (n = 141)). A single bout of resistance exercise elicited small-to-moderate reductions in office systolic BP at 60 minutes postexercise [-3.3 (-4.0 to -2.6)/-2.7 (-3.2 to -2.1) mmHg (CI 95%)], 90 minutes postexercise [-5.3 (-8.5 to -2.1)/-4.7 (-6.9 to -2.4) mmHg (CI 95%)] and in 24-hour ambulatory BP [-1.7 (-2.8 to -0.67)/-1.2 (-2.4 to -0.022) mmHg (CI 95%)] compared to a control session. The reduction in office BP was more pronounced in hypertensive compared to normotensive individuals (p < 0.01), when using larger muscle groups (p < 0.05) and when participants were recovering in the supine position (p < 0.01). CONCLUSION A single bout of resistance exercise can have a BP-lowering effect that last for up to 24 hours. Supine recovery and the use of larger muscle groups resulted in greater BP reductions after resistance exercise.
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Affiliation(s)
- Juliano Casonatto
- Research Group of Physiology and Physical Activity, University of North Paraná, Brazil
| | - Karla F Goessler
- Research Group of Cardiovascular Rehabilitation, KU Leuven, Belgium
| | | | - Jefferson R Cardoso
- Laboratory of Biomechanics and Clinical Epidemiology, Londrina State University, Brazil
| | - Marcos D Polito
- Department of Physical Education, Londrina State University, Brazil
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Ramírez-Campillo R, Abad-Colil F, Vera M, Andrade DC, Caniuqueo A, Martínez-Salazar C, Nakamura FY, Arazi H, Cerda-Kohler H, Izquierdo M, Alonso-Martínez AM. Men and Women Exhibit Similar Acute Hypotensive Responses After Low, Moderate, or High-Intensity Plyometric Training. J Strength Cond Res 2016; 30:93-101. [DOI: 10.1519/jsc.0000000000001068] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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