Sedentary Behavior and Arterial Stiffness in Adults with and without Metabolic Syndrome

Bohn, Lucimére; Ramõa, Ana; Silva, Gustavo; Silva, Nuno; Abreu, Sandra; Ribeiro, Fernando; Boutouyrie, Pierre; Laurent, Stéphane; Oliveira, José

doi:10.1055/s-0043-101676

Cited by 18 publications

(15 citation statements)

References 29 publications

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“…In our study, no association was found between moderateto-vigorous physical activity and cf-PWV. Although many studies reported an inverse association between moderate to vigorous physical activity and cf-PWV [15,17], others have reported no association [32,33]. It is important to note, however, that our participants presented levels of moderate physical activity similar to those of other studies with patients with hypertension [19,34].…”

Section: Discussionsupporting

confidence: 67%

“…These benefits include the reduction of blood pressure [9], the improvement of physical fitness, and the reduction of cardiovascular risk profile [10,11] and arterial stiffness [12]. Previous studies showed an inverse correlation between daily physical activity and arterial stiffness in healthy adults [13][14][15][16], adults with metabolic syndrome [17], patients with ischaemic heart disease [18], and patients with arterial hypertension [19]. Interestingly, a recent meta-analysis with 12 studies showed that objectively measured light and moderate physical activity is associated with lower arterial stiffness, as measured by carotid-femoral pulse wave velocity (cf-PWV).…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity is Associated With Lower Arterial Stiffness in Patients With Resistant Hypertension

Lopes

Mesquita-Bastos

Garcia

et al. 2021

Heart, Lung and Circulation

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BackgroundPhysical activity is associated with reduced arterial stiffness, although such a relationship has not been reported in those with resistant hypertension. Therefore, this study aimed to determine the association between daily physical activity and arterial stiffness in patients with resistant hypertension. MethodsFifty-seven (57) patients with resistant hypertension (50.9% men), aged 58.869.4 years, were consecutively recruited. Arterial stiffness was evaluated using carotid-femoral pulse wave velocity (cf-PWV). Daily physical activity was objectively assessed with accelerometers during 7 consecutive days. ResultsPatients had a body mass index of 29.064.0 kg/m 2 (84.3% overweight/obese) and were taking an average 4.5 antihypertensive medications. Overall, the cf-PWV was 9.262.4 m/s and the majority of participants (n=41, 71.9%) presented a cf-PWV ,10 m/s. The cf-PWV showed an inverse correlation with light-intensity physical activity (r = 20.290, p=0.029) and total daily physical activity (r = 20.287, p=0.030). The correlation between light physical activity and cf-PWV remained significant after adjustment for systolic and diastolic blood pressure, but lost significance when further adjusted for age. ConclusionsHigher daily levels of light-intensity and total physical activity were associated with lower arterial stiffness. Nonetheless, this association is weak and attenuated or abolished when adjusted for blood pressure and age. These results suggest that physical activity may play an important role as a lifestyle intervention for patients with resistant hypertension. Future studies with larger samples sizes are necessary to confirm this preliminary data.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Physical Activity is Associated With Lower Arterial Stiffness in Patients With Resistant Hypertension

Lopes

Mesquita-Bastos

Garcia

et al. 2021

Heart, Lung and Circulation

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“…A sampling frequency of 30 hertz, epoch length of 60 seconds, sleep time filter [42] and exclusion of inactive intervals ≥ 10 min [43] were employed. Counts were initially converted to MET using the equation [44] :…”

Section: Measured Total Energy Expenditure(tee)mentioning

confidence: 99%

Precision of Anthropometric Equations to Estimate Total Energy Expenditure of Older Adults With Sarcopenia: A Cross Sectional Study

Abdalla¹,

Carvalho²,

Ramos³

et al. 2020

CPAQV

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Purpose: The accuracy and errors of prediction of equations that estimate energy expenditure are unknown to seniors with sarcopenia. This study assessed the precision of predictive equations to estimate energy needs of sarcopenic seniors. Methods: Ninety-four community-dwelling older adults (female: 66; mean age: 75.9[5.7]) were tested for body dimensions derived from DXA. Performance tests and diagnosis of sarcopenia were performed. The total energy expenditure (TEE) of sarcopenic seniors (n=10) was measured by accelerometry and compared with three anthropometric equations: DRIs, Escott-Stump with upper (Escott-Stumpupp) and low energy margin (Escott-Stumplow). Results: Except for height, all other variables of body dimensions of sarcopenic seniors were smaller than non-sarcopenic ones (p<0.05). The slightly lower TEE values in the Escott-Stumplow equation were not different from accelerometry (-53kcal; t=0.606; p=0.560) but were overestimated by the DRIs (+358kcal; t=-3.163; p=0.011) and Escott-Stumpupp (+240kcal; t=-5.817; p<0.001), confirmed due to lack of agreement (Bland-Altman) with measured TEE. Conclusion: Smaller body dimensions of sarcopenic seniors suggest that their energy needs should be estimated from specific resources. The TEE assessed by the Escott-Stumplow equation was similar to that measured by accelerometry and therefore may be a good alternative for sarcopenic seniors where direct measurement of TEE is not possible.

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“…12 Other parameters related to CV disease have been also found to be connected with increased arterial stiffness. These factors are metabolic syndrome, 13 non-alcoholic fatty liver disease, 14 hyperuricemia 15 and chronic kidney disease. 16 Except from the association of carotid-femoral arterial stiffness with CV risk factors, data shows its association also with CV events and mortality.…”

Section: Importance Of Arterial Stiffness Measured As C-f Pwvmentioning

confidence: 99%

Measuring methods of blood pressure and arterial stiffness. A new approach

Antza¹,

Kotsis²

2019

JAPT

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Carotid-femoral pulse wave velocity (c-f PWV) is considered to be one of the main factors affecting CV risk in the hypertensive population and has been included to the detailed screening of the hypertensive patients according to the ESH guidelines. Despite the large number of studies proving the correlation of blood pressure (BP) and c-f PWV as well as arterial stiffness, there are only few studies to show which BP measurement method can better predict arterial stiffness. Generally, these studies express the superiority of ABPM in the prediction of c-f PWV and early vascular aging (EVA). Furthermore, while guidelines recommend measuring c-f PWV in the hypertensive population, on the other hand it is difficult, time consuming and expensive to measure arterial stiffness in the everyday clinical practice, limiting its use only for experts. These limitations lead to the creation of a new score, the Early Vascular Aging Ambulatory score (EVAAs), which uses parameters from the ABPM and other cardiovascular risk factors in order to identify the possibility of each patient to have EVA. The score should be further studied for its accuracy in a larger population, as well for predicting hard end points in prospective studies.

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Sedentary Behavior and Arterial Stiffness in Adults with and without Metabolic Syndrome

Cited by 18 publications

References 29 publications

Physical Activity is Associated With Lower Arterial Stiffness in Patients With Resistant Hypertension

Physical Activity is Associated With Lower Arterial Stiffness in Patients With Resistant Hypertension

Precision of Anthropometric Equations to Estimate Total Energy Expenditure of Older Adults With Sarcopenia: A Cross Sectional Study

Measuring methods of blood pressure and arterial stiffness. A new approach

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