Under-appreciated and Overlooked Modes of Exercises on Key Vascular Functions

Abstract

The arterial system has two primary functions. The conduit function is to transport adequate supply of oxygen and nutrients to the tissues, and the cushioning function is to buffer and cushion the pulsatile pressure exerted by intermittent ventricular contractions. The impairments in these two functions often result from physiological changes characterized by endothelial dysfunction and arterial stiffening. Habitual physical exercise has been advocated to combat these physiological dysfunctions. However, exercise is remarkably diverse, as it can be performed in different media (water, land or snow), seasons (winter or summer), and settings (individual, pair or team). In contrast to mainstream modes of exercise including walking and running, many of the alternative or “minor” forms of exercise have been under-researched by investigators in research fields and overlooked by clinicians and practitioners in clinical settings. It remains largely unknown whether these alternative forms of exercise are associated with favorable changes in arterial stiffness and endothelium-dependent vasodilation. The current review introduces and summarizes research investigations that evaluated the impacts of these under-appreciated and overlooked exercises and their impacts on key markers of vascular functions in humans.

Key words

aging - arterial stiffness - endothelial function - physical activity

Publikationsverlauf

Eingereicht: 09. Juni 2020

Angenommen: 14. September 2020

Artikel online veröffentlicht:
19. Oktober 2020

• References

• 1 Virani SS, Alonso A, Benjamin EJ. et al. Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation 2020; 141: e139-e596
• 2 Liao D, Arnett DK, Tyroler HA. et al. Arterial stiffness and the development of hypertension. The ARIC study. Hypertension 1999; 34: 201-206
• 3 Tanaka H, Dinenno FA, Hunt BE. et al. Hemodynamic sequelae of age-related increases in arterial stiffness in healthy humans. Am J Cardiol 1998; 82: 1152-1155
• 4 Joyner MJ, Dietz NM. Nitric oxide and vasodilation in human limbs. J Appl Physiol (1985) 1997; 83: 1785-1796
• 5 Blair SN, Kohl HW, Barlow CE. et al. Changes in physical fitness and all-cause mortality. JAMA 1995; 273: 1093-1098
• 6 Pearson TA, Blair SN, Daniels SR. et al. AHA guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: Consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases. American Heart Association Science Advisory and Coordinating Committee. Circulation 2002; 106: 388-391
• 7 Fiuza-Luces C, Santos-Lozano A, Joyner M. et al. Exercise benefits in cardiovascular disease: Beyond attenuation of traditional risk factors. Nat Rev Cardiol 2018; 15: 731-743
• 8 Mora S, Cook N, Buring JE. et al. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation 2007; 116: 2110-2118
• 9 Tanaka H. Antiaging effects of aerobic exercise on systemic arteries. Hypertension 2019; 74: 237-243
• 10 Green DJ, Spence A, Halliwill JR. et al. Exercise and vascular adaptation in asymptomatic humans. Exp Physiol 2011; 96: 57-70
• 11 Seals DR, Desouza CA, Donato AJ. et al. Habitual exercise and arterial aging. J Appl Physiol (1985) 2008; 105: 1323-1332
• 12 Hartley CJ, Tanaka H. Assessment of macro- and microvascular function and reactivity. In: Naghavi M, Ed. Asymptomatic Atherosclerosis: Pathophysiology, Detection and Treatment. New York, NY: Humana Press; 2011: 265-278
• 13 Willum-Hansen T, Staessen JA, Torp-Pedersen C. et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation 2006; 113: 664-670
• 14 Meyer ML, Tanaka H, Palta P. et al. Correlates of segmental pulse wave velocity in older adults: The atherosclerosis risk in communities (ARIC) study. Am J Hypertens 2016; 29: 114-122
• 15 Kim ED, Ballew SH, Tanaka H. et al. Short-term prognostic impact of arterial stiffness in older adults without prevalent cardiovascular disease. Hypertension 2019; 74: 1373-1382
• 16 Cook JN, DeVan AE, Schleifer JL. et al. Arterial compliance of rowers: Implications for combined aerobic and strength training on arterial elasticity. Am J Physiol Heart Circ Physiol 2006; 290: H1596-H1600
• 17 Tanaka H, DeSouza CA, Seals DR. Absence of age-related increase in central arterial stiffness in physically active women. Arterioscler Thromb Vasc Biol 1998; 18: 127-132
• 18 Eskurza I, Seals DR, DeSouza CA. et al. Pharmacological vs. flow-mediated assessments of peripheral vascular endothelial vasodilatory function in humans. Am J Cardiol 2001; 88: 47-49
• 19 Veerasamy M, Bagnall A, Neely D. et al. Endothelial dysfunction and coronary artery disease: a state of the art review. Cardiol Rev 2015; 23: 119-129
• 20 Monahan KD, Dinenno FA, Seals DR. et al. Smaller age-associated reductions in leg venous compliance in endurance exercise-trained men. Am J Physiol Heart Circ Physiol 2001; 281: H1267-H1273
• 21 Hernandez JP, Franke WD. Effects of a 6-mo endurance-training program on venous compliance and maximal lower body negative pressure in older men and women. J Appl Physiol (1985) 2005; 99: 1070-1077
• 22 Azizi M, Rossignol P, Hulot JS. Emerging drug classes and their potential use in hypertension. Hypertension 2019; 74: 1075-1083
• 23 Whelton PK, Carey RM, Aronow WS. et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: A report of the American college of cardiology/American heart association task force on clinical practice guideline. Hypertension 2018; 71: 1269-1324
• 24 Thompson CE, Wankel LM. The effects of perceived activity choice upon frequency of exercise behavior. J Appl Soc Psych 1980; 10: 436-443
• 25 Tanaka H. Swimming exercise: impact of aquatic exercise on cardiovascular health. Sports Med 2009; 39: 377-387
• 26 Tanaka H, Bassett DR, Howley ET. et al. Swimming training lowers the resting blood pressure in individuals with hypertension. J Hypertens 1997; 15: 651-657
• 27 Levy CM, Kolin E, Berson BL. Cross training: risk or benefit? an evaluation of injuries in four athlete populations. Sports Med Clin. Forum 1986; 3: 1-8
• 28 Alkatan M, Baker JR, Machin DR. et al. Improved function and reduced pain after swimming and cycling training in patients with osteoarthritis. J Rheumatol 2016; 43: 666-672
• 29 Holmer I. Swimming physiology. Ann Physiol Anthropol 1992; 11: 269-276
• 30 Newcomer SC, Leuenberger UA, Hogeman CS. et al. Different vasodilator responses of human arms and legs. J Physiol 2004; 556: 1001-1011
• 31 Nualnim N, Barnes JN, Tarumi T. et al. Comparison of central artery elasticity in swimmers, runners, and the sedentary. Am J Cardiol 2011; 107: 783-787
• 32 Rowell LB, O’Leary D, Kellogg DL. Integration of cardiovascular control systems in dynamic exercise. In: Rowell LB, Shephard JT, Eds. Handbook of Physiology, Exercise: Regulation and Integration of Multiple Systems. Bethesda, MD: American Physiological Society; 1996: 770-838
• 33 Tanaka H, Shimizu S, Ohmori F. et al. Increases in blood flow and shear stress to nonworking limbs during incremental exercise. Med Sci Sports Exerc 2006; 38: 81-85
• 34 Alkatan M, Machin DR, Baker JR. et al. Effects of swimming and cycling exercise intervention on vascular function in patients with osteoarthritis. Am J Cardiol 2016; 117: 141-145
• 35 Hasegawa N, Fujie S, Horii N. et al. Effects of different exercise modes on arterial stiffness and nitric oxide synthesis. Med Sci Sports Exerc 2018; 50: 1177-1185
• 36 Nualnim N, Parkhurst K, Dhindsa M. et al. Effects of swimming training on blood pressure and vascular function in adults >50 years of age. Am J Cardiol 2012; 109: 1005-1010
• 37 Aizawa K, Petrella RJ. Acute and chronic impact of dynamic exercise on arterial stiffness in older hypertensives. Open Cardiovasc Med J 2008; 2: 3-8
• 38 Ferrier KE, Waddell TK, Gatzka CD. et al. Aerobic exercise training does not modify large-artery compliance in isolated systolic hypertension. Hypertension 2001; 38: 222-226
• 39 Seals DR, Tanaka H, Clevenger CM. et al. Blood pressure reductions with exercise and sodium restriction in postmenopausal women with elevated systolic pressure: role of arterial stiffness. J Am Coll Cardiol 2001; 38: 506-513
• 40 Sherlock L, Fournier S, DeVallancxe E. et al. Effects of shallow water aerobic exercise training on arterial stiffness and pulse wave analysis in older individuals. Int J Aquatic Res Educ 2014; 8: 310-320
• 41 Scheer AS, Naylor LH, Gan SK. et al. The effects of water-based exercise training in people with type 2 diabetes. Med Sci Sports Exerc 2020; 52: 417-424
• 42 Suntraluck S, Tanaka H, Suksom D. The relative efficacy of land-based and water-based exercise training on macro- and microvascular functions in older patients with type 2 diabetes. J Aging Phys Act 2017; 25: 446-452
• 43 Laurent M, Daline T, Malika B. et al. Training-induced increase in nitric oxide metabolites in chronic heart failure and coronary artery disease: An extra benefit of water-based exercises?. Eur J Cardiovasc Prev Rehabil 2009; 16: 215-221
• 44 Lambert BS, Greene NP, Carradine AT. et al. Aquatic treadmill training reduces blood pressure reactivity to physical stress. Med Sci Sports Exerc 2014; 46: 809-816
• 45 Parker Jones P, Davy KP, Desouza CA. et al. Total blood volume in endurance-trained postmenopausal females: relation to exercise mode and maximal aerobic capacity. Acta Physiol Scand 1999; 166: 327-333
• 46 Volianitis S, Yoshiga CC, Secher NH. The physiology of rowing with perspective on training and health. Eur J Appl Physiol 2020; 120: 1943-1963
• 47 Petersen SE, Wiesmann F, Hudsmith LE. et al. Functional and structural vascular remodeling in elite rowers assessed by cardiovascular magnetic resonance. J Am Coll Cardiol 2006; 48: 790-797
• 48 Kawano H, Iemitsu M, Gando Y. et al. Habitual rowing exercise is associated with high physical fitness without affecting arterial stiffness in older men. J Sports Sci 2012; 30: 241-246
• 49 Prasad K, Reriani MK, Murad MH. et al. Impact of mind body therapies on vascular endothelial dysfunction and implications for cardiovascular disease management. J Complement Integr Med 2011; 8: 1-13
• 50 Sugawara J, Tarumi T, Tanaka H. Effect of mirthful laughter on vascular function. Am J Cardiol 2010; 106: 856-859
• 51 Bressington D, Yu C, Wong W. et al. The effects of group-based Laughter Yoga interventions on mental health in adults: A systematic review. J Psychiatr Ment Health Nurs 2018; 25: 517-527
• 52 Prakhinkit S, Suppapitiporn S, Tanaka H. et al. Effects of Buddhist walking meditation on functional fitness, depression, and endothelium-dependent vasodilation in the elderly with depressive symptoms. J Alternat Complement Med 2014; 20: 411-416
• 53 Wang JS, Lan C, Chen SY. et al. Tai Chi Chuan training is associated with enhanced endothelium-dependent dilation in skin vasculature of healthy older men. J Am Geriatr Soc 2002; 50: 1024-1030
• 54 Arce-Esquivel AA, Ballard JE, Haas BK. et al. Effect of tai chi on vascular function among patients with peripheral neuropathy. J Heart Cardiol 2016; 2: 1-6
• 55 Lu X, Hui-Chan CW, Tsang WW. Effects of Tai Chi training on arterial compliance and muscle strength in female seniors: A randomized clinical trial. Eur J Prev Cardiol 2013; 20: 238-245
• 56 Gainey A, Himathongkam T, Tanaka H. et al. Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes. Complement Ther Med 2016; 26: 92-97
• 57 Wooten SV, Stray-Gundersen S, Tanaka H. Hemodynamic and pressor responses to combination of yoga and blood flow restriction. Int J Sports Med. 2020
• 58 Yamamoto K, Kawano H, Gando Y. et al. Poor trunk flexibility is associated with arterial stiffening. Am J Physiol Heart Circ Physiol 2009; 297: H1314-H1318
• 59 Miles SC, Chou CC, Lin HF. et al. Arterial blood pressure and hemodynamic responses to yoga practice. Alternat Therapies Health Med 2013; 19: 38-45
• 60 Cortez-Cooper MY, Anton MM, Devan AE. et al. The effects of strength training on central arterial compliance in middle-aged and older adults. Eur J Cardiovasc Prev Rehabil 2008; 15: 149-155
• 61 Lawrence MM, Cooley ID, Huet YM. et al. Factors influencing isometric exercise training-induced reductions in resting blood pressure. Scand J Med Sci Sports 2015; 25: 131-142
• 62 Melville GW, Chang D, Colagiuri B. et al. Fifteen minutes of chair-based yoga postures or guided meditation performed in the office can elicit a relaxation response. Evid Based Complement Alternat Med 2012; 2012: 501986
• 63 Hunter SD, Tarumi T, Dhindsa M. et al. Hatha yoga and vascular function: Results from cross-sectional and interventional studies. J Bodyw Mov Ther 2013; 17: 322-327
• 64 Kim S, Bemben MG, Bemben DA. Effects of an 8-month yoga intervention on arterial compliance and muscle strength in premenopausal women. J Sports Sci Med 2012; 11: 322-330
• 65 Patil SG, Aithala MR, Das KK. Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: A randomized controlled study. Complement Ther Med 2015; 23: 562-569
• 66 Hunter SD, Dhindsa MS, Cunningham E. et al. The effect of Bikram yoga on endothelial function in young and middle-aged and older adults. J Bodyw Mov Ther 2017; 21: 30-34
• 67 Hunter SD, Dhindsa MS, Cunningham E. et al. The effect of Bikram yoga on arterial stiffness in young and older adults. J Altern Complement Med 2013; 19: 930-934
• 68 Imamura M, Biro S, Kihara T. et al. Repeated thermal therapy improves impaired vascular endothelial function in patients with coronary risk factors. J Am Coll Cardiol 2001; 38: 1083-1088
• 69 Brunt VE, Jeckell AT, Ely BR. et al. Acute hot water immersion is protective against impaired vascular function following forearm ischemia-reperfusion in young healthy humans. Am J Physiol Regul Integr Comp Physiol 2016; 311: R1060-R1067
• 70 Hunter SD, Laosiripisan J, Elmenshawy A. et al. Effects of yoga interventions practised in heated and thermoneutral conditions on endothelium-dependent vasodilatation: The Bikram yoga heart study. Exp Physiol 2018; 103: 391-396
• 71 Pedersen MT, Vorup J, Nistrup A. et al. Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults. Scand J Med Sci Sports 2017; 27: 852-864
• 72 Schmidt JF, Andersen TR, Andersen LJ. et al. Cardiovascular function is better in veteran football players than age-matched untrained elderly healthy men. Scand J Med Sci Sports 2015; 25: 61-69
• 73 Schmidt JF, Hansen PR, Andersen TR. et al. Cardiovascular adaptations to 4 and 12 months of football or strength training in 65- to 75-year-old untrained men. Scand J Med Sci Sports 2014; 24: 86-97
• 74 Krustrup P, Randers MB, Andersen LJ. et al. Soccer improves fitness and attenuates cardiovascular risk factors in hypertensive men. Med Sci Sports Exerc 2013; 45: 553-560
• 75 Kim JH, Sher S, Wang F. et al. Impact of American-style football participation on vascular function. Am J Cardiol 2015; 115: 262-267
• 76 Kim JH, Hollowed C, Liu C. et al. Weight gain, hypertension, and the emergence of a maladaptive cardiovascular phenotype among US football players. JAMA Cardiol 2019; 4: 1221-1229
• 77 Miyachi M, Donato AJ, Yamamoto K. et al. Greater age-related reductions in central arterial compliance in resistance-trained men. Hypertension 2003; 41: 130-135
• 78 Miyachi M, Kawano H, Sugawara J. et al. Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study. Circulation 2004; 110: 2858-2863
• 79 Cortez-Cooper MY, DeVan AE, Anton MM. et al. Effects of high intensity resistance training on arterial stiffness and wave reflection in women. Am J Hypertens 2005; 18: 930-934
• 80 Kawano H, Tanaka H, Miyachi M. Resistance training and arterial compliance: keeping the benefits while minimizing the stiffening. J Hypertens 2006; 24: 1753-1759
• 81 Maeda S, Otsuki T, Iemitsu M. et al. Effects of leg resistance training on arterial function in older men. Br J Sports Med 2006; 40: 867-869
• 82 Green DJ, Fowler DT, O'Driscoll JG. et al. Endothelium-derived nitric oxide activity in forearm vessels of tennis players. J Appl Physiol (1985) 1996; 81: 943-948
• 83 Kagaya A, Ohmori F, Okuyama S. et al. Blood flow and arterial vessel diameter change during graded handgrip exercise in dominant and non-dominant forearms of tennis players. Adv Exp Med Biol 2010; 662: 365-370
• 84 Sinoway LI, Musch TI, Minotti JR. et al. Enhanced maximal metabolic vasodilatation in the dominant forearms of tennis players. J Appl Physiol (1985) 1986; 61: 673-678
• 85 Dela F, Niederseer D, Patsch W. et al. Glucose homeostasis and cardiovascular disease biomarkers in older alpine skiers. Scand J Med Sci Sports 2011; 21: 56-61
• 86 Niederseer D, Steidle-Kloc E, Mayr M. et al. Effects of a 12-week alpine skiing intervention on endothelial progenitor cells, peripheral arterial tone and endothelial biomarkers in the elderly. Int J Cardiol 2016; 214: 343-347
• 87 Tanaka H. Effects of cross-training. Transfer of training effects on VO2max between cycling, running and swimming. Sports Med 1994; 18: 330-339
• 88 Harriss DJ, Macsween A, Atkinson G. Standards for ethics in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817