Aging attenuates the interarm diastolic blood pressure difference induced by one-arm exercise

Wei, Hu; Li, Ju Xiang; Wang, Ji Wei; Xu, Jin; Yang, Qing; Geng, Yichao; Su, Hai; Xia, Cheng

doi:10.1097/mbp.0b013e32835d101b

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Our previous studies showed that 3-min one-arm exercise induced marked diastolic BP (DBP) decline only in the exercised arm, followed by increase in the inter-arm DBP difference [10]. Furthermore, the inter-arm DBP difference induced by one-arm exercise was age-dependent [11]. However, this action did not induce inter-arm systolic BP difference because the SBP of both arms changed simultaneously during the observation period.…”

Section: Introductionmentioning

confidence: 99%

The Inter-Arm Diastolic Blood Pressure Difference Induced by One Arm Ischemia: A New Approach to Assess Vascular Endothelia Function

Weitong

et al. 2014

PLoS ONE

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ObjectivesTo evaluate whether inter-arm diastolic blood pressure difference (DBPl-r) induced by one arm ischemia correlates with flow-mediated dilatation (FMD).MethodsBilateral arm BPs were simultaneously measured with two automatic devices and right brachial artery diameter (D) was measured by ultrasound technique in 108 subjects (56 hypertensives and 52 normotensives). Following baseline diameter (D0) and BP measurement, right brachial artery was occluded for 5 minutes. The diameter was measured at 1, 1.5 and 2 min, and bilateral BPs measured at 3, 4 and 5 min after occlusion release. Their averages were recorded as post-D and post-BP, respectively. The difference between post-D and D0 (ΔD) was calculated as the percentage increase of artery diameter (ΔD/D0). The BP difference between left and right arms was calculated as BPl-r, and the difference of post- BPl-r and baseline BPl-r was recorded as the net change of BPl-r (ΔBPl-r).ResultsAt baseline, bilateral SBPs and DBPs were similar. Right arm ischemia induced significant DBP decline only in the right arm (68.8±12.7 vs 72.6±12.0 mmHg, P<0.05), which led to an increase of ΔDBPl-r (4.00±3.75 vs 0.78±4.47 mmHg, P<0.05). A positive correlation was seen between ΔD/D0 and ΔDBPl-r (r = 0.744, p<0.001). Furthermore, the correlation between age and ΔDBPl-r (r = −0.358, P<0.01) was similar to that between age and D/D0 (r = −0.398, P<0.01). Meanwhile, both ΔDBPl-r and ΔD/D0 were significantly lower in hypertensive patients than in normotensive patients.ConclusionThe inter-arm DBP difference induced by one arm ischemia may be a potential index for clinical evaluation of vascular endothelial function.

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Section: Introductionmentioning

confidence: 99%

The Inter-Arm Diastolic Blood Pressure Difference Induced by One Arm Ischemia: A New Approach to Assess Vascular Endothelia Function

Weitong

et al. 2014

PLoS ONE

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“…Limitations to this study were that we only used a young, healthy population, therefore, we cannot make any inferences as to the reliability of this measurement in clinical or elderly populations. However, age may attenuate inter-arm differences in the cardiovascular response to unilateral exercise [17]. It should be highlighted that only one cuff (5 cm wide, nylon) was used in the current study.…”

Section: Discussionmentioning

confidence: 99%

Arterial occlusion pressure as a method to quantify cardiovascular responses to exercise

Jessee

Buckner

Dankel

et al. 2018

Biomed. Phys. Eng. Express

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The purpose was to compare unilateral exercise-induced changes in arterial occlusion pressure between the exercising and non-exercising arm. Participants had arterial occlusion pressure measured before and after exercise in: both arms simultaneously (Double AOP), the exercise limb only (Exercise AOP), and the non-exercise limb only (Non-exercise AOP). The blood flow restriction exercise protocol included four sets of biceps curls to failure in the dominant arm using 30% of one-repetition maximum and applying 40% of pre-exercise arterial occlusion pressure using a 5 cm nylon cuff. The change in arterial occlusion pressure from pre to post-exercise did not differ between the exercise limb [mean change (95%CI)=27 (20, 33) mmHg] and non-exercise limb [mean change (95%CI)=24 (18, 31) mmHg] during Double AOP (p=.325). When comparing the changes observed for each arm during Double AOP to their respective control conditions, there were no differences for the exercising arm [p=.554, mean change (95%CI) of Exercise AOP=28 (20, 33) mmHg] or the non-exercise arm [p=.147, mean change (95%CI) of Non-exercise AOP=18 (13, 23) mmHg]. The cardiovascular response to blood flow restriction, as measured by arterial occlusion pressure changes does not seem to be limb specific during unilateral exercise.

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“…The specific contents are as follows: before the measurement, the patients are required to empty the bladder, rest in a quiet and comfortable environment for 10–15 min, and take the decubitus position when the blood pressure is measured, with the sleeves rolled up and arms exposed. Two Omron sphygmomanometers of the same model are used to measure the patients' bilateral upper arm blood pressure once every 1 min, for a total of 3 times, to obtain the 3 blood pressure measurements and the average value [ 18 , 19 ]. After the basic data of interarm blood pressure differences are obtained, a relatively narrow sphygmomanometer cuff is used to fix the patient's right upper arm, and the air is inflated to more than 40 mmHg above the patient's systolic blood pressure, so that the brachial artery blood flow is blocked for about 5 minutes, and then, the patient is quickly deflated.…”

Section: General Information and Detailed Methodsmentioning

confidence: 99%

Investigation of the Correlation between Cuff Inflatable Hypertension and the Difference in Interarm Diastolic Pressure Induced by Single Arm Ischemia

Zhang

Weitong

et al. 2022

Contrast Media & Molecular Imaging

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The correlation between cuff inflatable hypertension and the difference in interarm diastolic pressure induced by single arm ischemia is investigated. A total of 126 patients undergoing coronary angiography in our hospital from January 2020 to January 2021 are selected and divided into the non-pseudohypertension (non-PHT) group (64 cases) and the PHT group (62 cases) according to the difference between systolic blood pressure and diastolic blood pressure measured directly and indirectly. The patients are subjected to the beam arm ischemia test and blood pressure measurement. The diastolic pressure differences between the patients before and after the beam arm are analyzed, and endothelial function and imaging indicators are compared. The risk factors for PHT are analyzed by binary logistic regression, and the diagnostic efficacy of diastolic blood pressure difference interarms (DBPI-r) for PHT patients is analyzed by receiver operating characteristic (ROC) curve. The experimental results show that the diastolic pressure difference induced by single arm ischemia can be used in the diagnosis of cuff inflatable hypertension.

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Aging attenuates the interarm diastolic blood pressure difference induced by one-arm exercise

Abstract: Aging attenuates the levels and duration of the dIAD induced by one-arm exercise in healthy adults.

Cited by 6 publications

References 11 publications

The Inter-Arm Diastolic Blood Pressure Difference Induced by One Arm Ischemia: A New Approach to Assess Vascular Endothelia Function

The Inter-Arm Diastolic Blood Pressure Difference Induced by One Arm Ischemia: A New Approach to Assess Vascular Endothelia Function

Arterial occlusion pressure as a method to quantify cardiovascular responses to exercise

Investigation of the Correlation between Cuff Inflatable Hypertension and the Difference in Interarm Diastolic Pressure Induced by Single Arm Ischemia

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