Twenty-Four Hour Ambulatory Blood Pressure Monitoring to Evaluate Effects on Blood Pressure of Physical Activity in Hypertensive Patients

Pinto, Antonio; Raimondo, Domenico Di; Tuttolomondo, Antonino; Fernandez, Paola; Arna, Valentina; Licata, Giuseppe

doi:10.1097/00042752-200605000-00009

Cited by 59 publications

(44 citation statements)

References 41 publications

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“…Thus inflammation marker evaluation has in DFS multiple points of potential importance concerning a better evaluation and analysis of these crucial key points: (1) pathogenetic role in ulcers and their micro and macrovascular background; (2)possible link between inflammation state and adipo-metabolic axis; (3) predictive role towards foot complications such as ulcers incidence; (4) putative role as markers of gravity of wounds and ulcers in a diabetic foot; (5) association with cardiovascular co-morbidity (prevalent and incident) in subjects with DFS; (6) prognostic role towards ulcer healing; (7) strict association with peripheral artery comorbidity (PAD); and (8) pathogentic links with metabolic syndrome and NASH [93][94][95][96][97][98][99] . It explains that a strict and prospective inflammation marker evaluation could be useful in practical management of foot complications in diabetic subjects in every medical setting (Internal Medicine, Diabetology, Surgery, Orthopedics) to better evaluate a complex disease such as DFS in a multispecialistic management contest.…”

Section: Resultsmentioning

confidence: 99%

Diabetic foot syndrome: Immune-inflammatory features as possible cardiovascular markers in diabetes

Tuttolomondo

Maida

Pinto

2015

WJO

Self Cite

125

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Section: Resultsmentioning

confidence: 99%

Diabetic foot syndrome: Immune-inflammatory features as possible cardiovascular markers in diabetes

Tuttolomondo

Maida

Pinto

2015

WJO

Self Cite

125

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“…According to the current knowledge, regular exercise is a nonpharmacological therapeutic modality that enhances endothelial function in subjects with cardiovascular risk factors, including hypercholesterolemia [255], hypertension [29,256], metabolic syndrome [257], and type 2 diabetes mellitus [24,258], and in patients with established CAD [259,260] and heart failure [27,28,261]. In a prospective clinical study with CAD patients, 4 weeks of intensive exercise training decreased the coronary artery vasoconstriction, in response to acetylcholine, by 54% [259].…”

Section: Part III -Effect Of Chronic Exercise Training On Inflammatormentioning

confidence: 99%

Effects of Physical Exercise on Inflammatory Markers of Atherosclerosis

Pinto¹,

Raimondo

Tuttolomondo³

et al. 2012

CPD

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Abstract:It is well established that physically fit individuals have a reduced risk of developing CVD (cardiovascular disease) and other age-related chronic disorders. Regular exercise is an established therapeutic intervention with an enormous range of benefits. Chronic low-grade systemic inflammation may be involved in atherosclerosis, diabetes and in pathogenesis of several chronic pathological conditions; recent findings confirm that physical activity induces an increase in the systemic levels of a number of cytokines and chemokines with anti-inflammatory properties. The possibility that regular physical exercise exerts anti-inflammation activity, being the interaction between contracting muscle and the other tissues and the circulating cells mediated through signals transmitted by "myokines" produced with muscle contractions. To date the list of myokines includes IL-6, IL-8, and IL-15. During muscle contractions are also released IL1receptor antagonis and sTNF-R, molecules that contribute to provide anti-inflammatory actions.Nevertheless discrepancies, analysis of available researches seem to confirm the efficacy of regular physical training as a nonpharmacological therapy having target chronic low-grade inflammation. Given this, physical exercise could be considerate a useful weapon against local vascular and systemic inflammation in atherosclerosis. Several mechanisms explain the positive effect of chronic exercise, nevertheless, these mechanisms do not fully enlighten all pathways by which exercise can decrease inflammation and endothelial dysfunction, and hence modulate the progression of the underlying disease progress.

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“…Some of the results demonstrate that in patients with hypertension, median SBP and DBP values were lowered due to physical training [13][14][15]. On the other hand, in some cases, physical training did not provide the expected hypotensive effect in patients with hypertension [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

The application of Nordic walking in the treatment hypertension and obesity

Kucio¹,

Narloch²,

Kucio³

et al. 2017

fmpcr

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Background. Increasing physical activity is a widely recognized method of prevention and treatment of hypertension and obesity. Objectives. The aim of the following study was to assess the results of application of Nordic walking in the treatment of patients with hypertension and obesity. Material and methods. Participating in the study were 30 overweight or obese men with hypertension, undergoing pharmacological treatment, randomly assigned to one of the two study groups. The first group performed Nordic walking training for 4 weeks. The second group underwent pharmacological treatment only. The value of blood pressure measured with a 24-hour AMBP monitoring device, exercise tolerance based on the duration and value of the metabolic equivalent during the exercise test, body mass and BMI value, as well as total cholesterol, LDL, HDL and triglyceride values, were measured before and after the study. Results.The results of the study demonstrated the fact that the application of Nordic walking over the course of 4 weeks did not cause significant changes as far as the value of blood pressure. However, the training led to increased exercise tolerance, a reduced body mass and BMI value, as well as lowered triglyceride and total cholesterol levels. There were no cases of discontinuation of the training due to unwanted effects or symptoms. Conclusions. The 4-week period of Nordic walking training did not result in the lowering of blood pressure in patients with hypertension. However, Nordic walking training did result in improved exercise tolerance, decreased body mass, as well as reduced metabolic risk factors for cardiovascular disease.

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Twenty-Four Hour Ambulatory Blood Pressure Monitoring to Evaluate Effects on Blood Pressure of Physical Activity in Hypertensive Patients

Cited by 59 publications

References 41 publications

Diabetic foot syndrome: Immune-inflammatory features as possible cardiovascular markers in diabetes

Diabetic foot syndrome: Immune-inflammatory features as possible cardiovascular markers in diabetes

Effects of Physical Exercise on Inflammatory Markers of Atherosclerosis

The application of Nordic walking in the treatment hypertension and obesity

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