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Int J Sports Med 2016; 37(11): 855-862
DOI: 10.1055/s-0042-104197
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Acute Hypotensive Response to Continuous and Accumulated Isocaloric Aerobic Bouts

F. Cunha
1   Laboratory of Physical Activity and Health Promotion, Rio de Janeiro State University, Rio de Janeiro, Brazil
,
A. W. Midgley
2   Sport and Physical Activity, Ormskirk, Edgehill University, United Kingdom of Great Britain and Northern Ireland
,
L. Pescatello
3   School of Allied Health, University of Connecticut, Storrs, United States
,
P. P. Soares
4   Department of Physiology and Pharmacology, Fluminense Federal University, Rio de Janeiro, Brazil
,
P. Farinatti
5   School of Physical Education, Rio de Janeiro State University, Rio de Janeiro, Brazil
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accepted after revision 23. Februar 2016

Publikationsdatum:
23. August 2016 (online)

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Abstract

Evidence indicates that chronic reductions in blood pressure (BP) due to aerobic exercise depend on the ability to induce post-exercise hypotension (PEH) after each training bout. The purpose of this study was to investigate PEH after isocaloric bouts of continuous and accumulated running. 10 healthy pre-hypertensive men (aged 27.6±3.5 years) performed the following bouts of exercise: a) A continuous bout (CONT) expending a total of 400 kcal; and b) An accumulated bout split into 2×200 kcal (INTER1 and INTER2) to total 400 kcal at 75% of oxygen uptake reserve. BP, mean arterial pressure (MAP) and heart rate variability were monitored 10 min before and 60 min after control and all exercise conditions. The decrease in MAP over time after continuous (400 kcal) and accumulated (2×200 kcal) bouts of exercise was more pronounced than during control (mean diff between 1.6 and 5.4 mmHg, P≤0.01), although the magnitude of change was similar between continuous and accumulated bouts (mean diff=0.1 mmHg, P=0.79). Concomitant to the PEH, sympathovagal balance was inversely related to changes in MAP after isocaloric bouts performed continuously and cumulatively (r=− 0.72 and−0.85, P=0.019 and 0.002, respectively). In conclusion, BP decreased to similar levels after continuous and accumulated acute aerobic exercise matched for total energy expenditure. Our findings also indicate that the recovery pattern of cardiac autonomic activity may have an important role in eliciting PEH.

Key words

aerobic training - blood pressure - energy expenditure - heart rate variability - parasympathetic modulation - sympathetic modulation
 

  • References

  • 1 ACSM. ACSM’s guidelines for exercise testing and prescription. 9th ed Baltimore: Lippincott Williams & Wilkins; 2011
    Google Scholar
  • 2 Angadi SS, Weltman A, Watson-Winfield D, Weltman J, Frick K, Patrie J, Gaesser GA. Effect of fractionized vs continuous, single-session exercise on blood pressure in adults. J Hum Hypertens 2010; 24: 300-302
    CrossrefPubMedGoogle Scholar
  • 3 Bhammar DM, Angadi SS, Gaesser GA. Effects of fractionized and continuous exercise on 24-h ambulatory blood pressure. Med Sci Sports Exerc 2012; 44: 2270-2276
    CrossrefPubMedGoogle Scholar
  • 4 Chandler MP, Rodenbaugh DW, DiCarlo SE. Arterial baroreflex resetting mediates postexercise reductions in arterial pressure and heart rate. Am J Physiol 1998; 275: H1627-1634
    PubMedGoogle Scholar
  • 5 Chen CY, Bonham AC. Postexercise hypotension: central mechanisms. Exerc Sport Sci Rev 2010; 38: 122-127
    CrossrefPubMedGoogle Scholar
  • 6 Compher C, Frankenfield D, Keim N, Roth-Yousey L. Best practice methods to apply to measurement of resting metabolic rate in adults: a systematic review. J Am Diet Assoc 2006; 106: 881-903
    CrossrefPubMedGoogle Scholar
  • 7 Cooley RL, Montano N, Cogliati C. van de Borne P, Richenbacher W, Oren R, Somers VK. Evidence for a central origin of the low-frequency oscillation in RR-interval variability. Circulation 1998; 98: 556-561
    CrossrefPubMedGoogle Scholar
  • 8 Coquart JB, Lemaire C, Dubart AE, Luttembacher DP, Douillard C, Garcin M. Intermittent versus continuous exercise: effects of perceptually lower exercise in obese women. Med Sci Sports Exerc 2008; 40: 1546-1553
    CrossrefPubMedGoogle Scholar
  • 9 Cunha FA, Catalao RP, Midgley AW, Gurgel J, Porto F, Farinatti PT. Do the speeds defined by the American College of Sports Medicine metabolic equation for running produce target energy expenditures during isocaloric exercise bouts?. Eur J Appl Physiol 2012; 112: 3019-3026
    CrossrefPubMedGoogle Scholar
  • 10 Cunha FA, Midgley AW, Monteiro W, Freire R, Lima T, Farinatti PT. How long does it take to achieve steady state for an accurate assessment of resting VO2 in healthy men?. Eur J Appl Physiol 2013; 113: 1441-1447
    CrossrefPubMedGoogle Scholar
  • 11 Cunha FA, Midgley AW, Monteiro WD, Farinatti PT. Influence of cardiopulmonary exercise testing protocol and resting VO(2) assessment on%HR(max),%HRR,%VO(2max) and%VO(2)R relationships. Int J Sports Med 2010; 31: 319-326
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 12 Cunha FA, Midgley AW, Soares PP, Farinatti PT. Postexercise hypotension after maximal short-term incremental exercise depends on exercise modality. Appl Physiol Nutr Metab 2015; 40: 605-614
    CrossrefPubMedGoogle Scholar
  • 13 Dewland T, Androne A, Lee F, Lampert R, Katz S. Effect of acetylcholinesterase inhibition with pyridostigmine on cardiac parasympathetic function in sedentary adults and trained athletes. Am J Physiol Heart Circ Physiol 2007; 293: H86-H92
    CrossrefPubMedGoogle Scholar
  • 14 Task Force. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation 1996; 93: 1043-1065
    CrossrefPubMedGoogle Scholar
  • 15 Guidry MA, Blanchard BE, Thompson PD, Maresh CM, Seip RL, Taylor AL, Pescatello LS. The influence of short and long duration on the blood pressure response to an acute bout of dynamic exercise. Am Heart J 2006; 151 (1322) e1325-1312
    CrossrefPubMedGoogle Scholar
  • 16 Halliwill JR, Buck TM, Lacewell AN, Romero SA. Postexercise hypotension and sustained postexercise vasodilatation: what happens after we exercise?. Exp Physiol 2013; 98: 7-18
    CrossrefPubMedGoogle Scholar
  • 17 Halliwill JR, Taylor JA, Eckberg DL. Impaired sympathetic vascular regulation in humans after acute dynamic exercise. J Physiol 1996; 495 Pt 1 279-288
    CrossrefPubMedGoogle Scholar
  • 18 Harriss DJ, Atkinson G. Ethical Standards in Sport and Exercise Science Research: 2016 Update. Int J Sports Med 2015; 36: 1121-1124
    Google Scholar
  • 19 Howley ET, Bassett Jr DR, Welch HG. Criteria for maximal oxygen uptake: review and commentary. Med Sci Sports Exerc 1995; 27: 1292-1301
    PubMedGoogle Scholar
  • 20 Jones AM, Doust JH. A 1% treadmill grade most accurately reflects the energetic cost of outdoor running. J Sports Sci 1996; 14: 321-327
    CrossrefPubMedGoogle Scholar
  • 21 Jones H, Taylor CE, Lewis NC, George K, Atkinson G. Post-exercise blood pressure reduction is greater following intermittent than continuous exercise and is influenced less by diurnal variation. Chronobiol Int 2009; 26: 293-306
    CrossrefPubMedGoogle Scholar
  • 22 Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG. Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sports Exerc 2011; 44: 1644-1652
    PubMedGoogle Scholar
  • 23 MacDonald JR, MacDougall JD, Hogben CD. The effects of exercise duration on post-exercise hypotension. J Hum Hypertens 2000; 14: 125-129
    CrossrefPubMedGoogle Scholar
  • 24 Mach C, Foster C, Brice G, Mikat RP, Porcari JP. Effect of exercise duration on postexercise hypotension. J Cardiopulm Rehabil 2005; 25: 366-369
    CrossrefPubMedGoogle Scholar
  • 25 Matthews CE, Heil DP, Freedson PS, Pastides H. Classification of cardiorespiratory fitness without exercise testing. Med Sci Sports Exerc 1999; 31: 486-493
    CrossrefPubMedGoogle Scholar
  • 26 Miki K, Yoshimoto M, Tanimizu M. Acute shifts of baroreflex control of renal sympathetic nerve activity induced by treadmill exercise in rats. J Physiol 2003; 548: 313-322
    CrossrefPubMedGoogle Scholar
  • 27 Miyashita M, Burns SF, Stensel DJ. Accumulating short bouts of brisk walking reduces postprandial plasma triacylglycerol concentrations and resting blood pressure in healthy young men. Am J Clin Nutr 2008; 88: 1225-1231
    PubMedGoogle Scholar
  • 28 O’Brien E, Coats A, Owens P, Petrie J, Padfield PL, Littler WA, de Swiet M, Mee F. Use and interpretation of ambulatory blood pressure monitoring: recommendations of the British hypertension society. BMJ 2000; 320: 1128-1134
    CrossrefPubMedGoogle Scholar
  • 29 Park S, Rink LD, Wallace JP. Accumulation of physical activity leads to a greater blood pressure reduction than a single continuous session, in prehypertension. J Hypertens 2006; 24: 1761-1770
    CrossrefPubMedGoogle Scholar
  • 30 Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993; 88: 2460-2470
    CrossrefPubMedGoogle Scholar
  • 31 Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. American College of Sports M. American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc 2004; 36: 533-553
    CrossrefPubMedGoogle Scholar
  • 32 Pescatello LS, Guidry MA, Blanchard BE, Kerr A, Taylor AL, Johnson AN, Maresh CM, Rodriguez N, Thompson PD. Exercise intensity alters postexercise hypotension. J Hypertens 2004; 22: 1881-1888
    CrossrefPubMedGoogle Scholar
  • 33 Pescatello LS, Kulikowich JM. The aftereffects of dynamic exercise on ambulatory blood pressure. Med Sci Sports Exerc 2001; 33: 1855-1861
    CrossrefPubMedGoogle Scholar
  • 34 Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation 2005; 111: 697-716
    CrossrefPubMedGoogle Scholar
  • 35 Piepoli M, Coats AJ, Adamopoulos S, Bernardi L, Feng YH, Conway J, Sleight P. Persistent peripheral vasodilation and sympathetic activity in hypotension after maximal exercise. J Appl Physiol 1993; 75: 1807-1814
    PubMedGoogle Scholar
  • 36 Teixeira L, Ritti-Dias RM, Tinucci T, Mion Junior D, Forjaz CL. Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur J Appl Physiol 2011; 111: 2069-2078
    CrossrefPubMedGoogle Scholar