Immediate post‐exercise blood pressure and arterial stiffness in hypertensive and normotensive older females

Costa, Eduardo Caldas; Browne, Rodrigo Alberto Vieira; Câmara, Marcyo; Macêdo, Geovani Araújo Dantas; Lucena, Bruno; Vianna, Lauro C.; Duhamel, Todd A.

doi:10.1111/jch.14490

Cited by 9 publications

(7 citation statements)

References 29 publications

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“…The major findings of this study were as follows: (Costa et al, 2022) the post‐exercise BP response was greater in older normotensive and SBP‐controlled hypertensive than in SBP‐uncontrolled hypertensive females; (Costa et al, 2020) MVC and muscle thickness were not associated with the change in BP from pre‐ to post‐exercise in older females; (Millar et al, 2009) muscle echo intensity was negatively correlated with the change in DBP from pre‐ to post‐exercise in older normotensive females only. Further, exploratory analysis suggested that the increase in DBP from pre‐ to post‐exercise was smaller in older normotensive females with greater muscle echo intensity than in those with lower echo intensity.…”

Section: Discussionmentioning

confidence: 58%

“…Exaggerated post‐exercise blood pressure (BP) is associated with cardiovascular disease risk factors, such as higher arterial stiffness (Costa et al, 2022) and reduced arterial compliance (Costa et al, 2020) in older hypertensive and normotensive females. On the other hand, post‐exercise hypotension after resistance exercise also occurs in older females as well as males (Millar et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

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Impact of muscle echo intensity on post‐exercise blood pressure response in older normotensive and hypertensive females: Pilot study

Takeda

Hirono

Yoshiko

et al. 2022

Physiological Reports

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Exaggerated post‐exercise blood pressure (BP) is considered a risk factor for the development of cardiovascular disease in older females. Muscle echo intensity (EI) using ultrasound can be used to evaluate intramuscular fat, one of the risk factors for cardiovascular disease. This study aimed to determine whether intramuscular fat assessed by muscle echo intensity is associated with the post‐exercise BP response in older females. Ten older normotensive (SBP <130 mmHg, 71 ± 4 years), eight systolic BP‐controlled (78 ± 4 years), and 17 hypertensive (SBP ≥130 mmHg, 74 ± 6 years) females were studied. After obtaining ultrasound images to assess the EI, participants performed ramp‐up exercise until 50% maximal voluntary contraction (MVC: ~30‐s; 3% MVC/s gradually increased knee extension force from 0% to 50% MVC followed by sustaining the force at 50% MVC for 10‐s) and then five MVCs (~50 s; 10‐s rest between each contraction). BP was measured before and immediately after exercise. Mean arterial pressure (MAP) pre‐ and post‐exercise were significantly lower in normotensive and SBP‐controlled, than in ‐uncontrolled hypertensive females (PRE: 85 ± 5 and 87 ± 7 vs. 106 ± 9; POST: 92 ± 8 and 94 ± 9 vs. 103 ± 11 mmHg, respectively, p < 0.05). EI was negatively correlated with ∆diastolic BP (∆DBP) but not ∆SBP and ∆MAP in normotensive females only (∆SBP, r = −0.21, p = 0.56; ∆DBP, R = −0.73, p = 0.02; ∆MAP, R = −0.49, p = 0.15). Greater intramuscular fat as indicated by higher EI is associated with less BP elevation immediately after exercise in older normotensive females. Greater intramuscular fat may lead to lower intramuscular pressure, resulting in less post‐exercise BP elevation.

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Section: Discussionmentioning

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Impact of muscle echo intensity on post‐exercise blood pressure response in older normotensive and hypertensive females: Pilot study

Takeda

Hirono

Yoshiko

et al. 2022

Physiological Reports

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show abstract

“…They concluded that CAD patients likely benefit from dynamic exercise peripherally from lower body exercise. Blood pressure may be related to different BP and health status, for these (Costa et al, 2022) in cross-sectional research investigated whether the immediate post-exercise systolic BP following brief moderate exercise is associated with arterial stiffness in older females with different BP statuses. This cross-sectional study included 191 older females aged 60-80 years without known cardiovascular disease (CVD).…”

Section: Discussionmentioning

confidence: 99%

The effect of acute high-intensity interval exercise on post-exercise blood pressure in post coronary artery bypass graft surgery patients: a pilot study

Heidari¹

2022

Turkish Journal of Kinesiology

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Coronary artery disease is the main cause of death worldwide. Coronary artery bypass graft (CABG) is a preferred treatment option for multi-vessel disease and left main disease patients. Physical training (recovery) enhances exercise tolerance, an activity of daily living, and quality of life in this patient. For this, the aim of the current study was to investigate the effect of acute high-intensity interval exercise on post-exercise blood pressure in CABG patients. In this study, all patients underwent open-heart surgery at least 1 month before involvement in the study. All Subjects were included after Medical rigorous screening. Participants carried out two experimental sessions of high-intensity interval exercise (HIIE) and mild continuous exercise (MCE) with a minimum of 72 h intervals: This study employed a randomized, cross-over design, Brachial systolic blood pressure (SBP) and diastolic blood pressure (DBP) and heart rate (HR) were measured Immediately before (pre) and after (post) and approximately15 min(post-15) and 30 min (post-30) after each exercise bout. The Split-Plot Analysis of Variance with repeated measures (group × time) was used to analyze the data. Significant post-exercise increases in SBP, and HR were seen following each protocol (p

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“…31 A recent study showed that higher systolic blood pressure after exercise in older women with different blood pressure levels was linked to stiffer arteries. 32 The brachial-ankle pulse wave velocity (PWV) was used to measure the arterial stiffness index in 92 men (aged 42±9 years) without a history of cardiovascular disease or stroke. Regression analysis revealed a signi cant correlation between HRE and PWV.…”

Section: Studies Comparing Arterial Stiffness and Hypertensive Respon...mentioning

confidence: 99%

CAVI (cardio-ankle vascular index) as an independent predictor of hypertensive response to exercise

Wuttichaipradit

Tunhasiriwet

Yodwut

et al. 2022

European Heart Journal

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Objectives Hypertensive response to exercise (HRE) always acts as a relative indication to terminate exercise during treadmill stress test and prohibit the interpretation of inadequate result. We supposed the CAVI (Cardio-ankle vascular index) might be an initial clue to predict hypertensive response to exercise. Material and methods Retrospective chart review in cardiology unit, patients who attended health preventive program in our heart hospital, and performed both CAVI and treadmill stress test in the same day between June 2018 and December 2018. Variables for prediction of HRE were analyzed, using univariate analysis and significant variables were entered in multiple logistic regression. ROC curve was created to test the sensitivity and specificity when used CAVI >8 as a cut-point of increased arterial stiffness. Results 285 patients (157 females, 55.1%) were enrolled in this study. 58 patients (20.4%) who matched with HRE definition (SBP ≥210 mmHg or DBP ≥100 mmHg in male, SBP ≥190 mmHg or DBP ≥95 mmHg in female), mean age 46.4±12.8 years. In univariate analysis; age, diabetes mellitus, hypertension, dyslipidemia, history taking beta-blocker, and CAVI result were statistically significant. Multiple logistic regression revealed only CAVI result was statistically significant predictor of HRE (OR 5.8, 95% CI: 3.5–10.9, P<0.001). ROC curve analysis of the CAVI revealed AUC 0.827 (95% CI: 0.76–0.89, p<0.001) and the sensitivity and specificity of cut-point CAVI ≥8 were 53% and 92% respectively. Conclusion This study demonstrated CAVI is an independent predictor for hypertensive response to exercise. CAVI ≥8 is not the sensitive tool but quite specific to detect HRE. Funding Acknowledgement Type of funding sources: Private hospital(s). Main funding source(s): Bangkok Dusit Medical services

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Immediate post‐exercise blood pressure and arterial stiffness in hypertensive and normotensive older females

Cited by 9 publications

References 29 publications

Impact of muscle echo intensity on post‐exercise blood pressure response in older normotensive and hypertensive females: Pilot study

Impact of muscle echo intensity on post‐exercise blood pressure response in older normotensive and hypertensive females: Pilot study

The effect of acute high-intensity interval exercise on post-exercise blood pressure in post coronary artery bypass graft surgery patients: a pilot study

CAVI (cardio-ankle vascular index) as an independent predictor of hypertensive response to exercise

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