Given that few studies have examined the interaction between endocrine-inflammatory mediators and aerobic exercise training in hypertensive postmenopausal women, the aim of this study was to investigate whether aerobic exercise training (AET) for twenty-four sessions would alter cortisol, leptin and interleukin-1β (IL-1β) levels. To further analyze endothelium function in response to AET, we also examined redox state as well as NO/cGMP pathway in this population. Eighteen hypertensive postmenopausal women finished this study. AET program consisted of 24 sessions in treadmill, 3 times per week, duration of 30 up to 40 min for each session, for 8 weeks at intensity of 100% of the MLSS according to previous incremental test. Heart rate was monitored in all studied time (resting and during exercise sessions). After 48 h of the last exercise session, blood samples were collected for biochemical analyses (levels of cortisol, leptin, IL-1β, nitrite/nitrate (NOx−), cGMP, malondialdehyde (MDA) and asymmetric dimethylarginine (ADMA); superoxide and catalase activity). We also measured systolic and diastolic blood pressure. A significant reduction in body mass was observed. As expected, systolic and diastolic blood pressure values were significantly reduced after AET in hypertensive women. We also found a marked increase in NOx− levels as well as cGMP concentration in trained women, approximately 37.7 and 30.8%, respectively. No changes in cortisol, leptin, ADMA and IL-1β levels were observed after AET. Similarly, MDA levels and catalase activity were not affected by AET. In contrast, a marked increase in SOD activity was found (86.6%). In conclusion, our findings show that aerobic exercise training for twenty-four sessions promoted a significant reduction in blood pressure by activating NO/cGMP pathway as well as by promoting an up-regulation of SOD activity without changing in cortisol/leptin levels in postmenopausal hypertensive women.
The number of studies that have evaluated exercise training (ET) and nitric oxide synthase (NOS)3 gene polymorphisms is scarce. The present study was designed to evaluate the relationship between exercise training and NOS3 polymorphisms at -786T>C, 894G>T, and intron 4b/a on blood pressure (BP) using 24-h ambulatory BP monitoring (ABPM), nitrate/nitrite levels (NOx), and redox state. Eighty-six volunteers (51 ± 0.6 yr old) were genotyped into nonpolymorphic and polymorphic groups for each of the three positions of NOS3 polymorphisms. Auscultatory BP, ABPM, SOD activity, catalase activity, NOx levels, and malondialdehyde levels were measured. DNA was extracted from leukocytes, and PCR followed by sequencing was applied for genotype analysis. Aerobic ET consisted of 24 sessions for 3 days/wk for 40 min at moderate intensity. This study was performed in a double-blind and crossover format. ET was effective in lowering office BP (systolic BP: 3.2% and diastolic BP: 3%) as well as ABPM (systolic BP: 2% and diastolic BP: 1.3%). Increased SOD and catalase activity (42.6% and 15.1%, respectively) were also observed. The NOS3 polymorphism for intron 4 mitigated the beneficial effect of ET for systolic BP (nonpolymorphic group: -3.0% and polymorphic group: -0.6%) and diastolic BP (nonpolymorphic group: -3.2% and polymorphic group: -0.5%), but it was not associated with NOx level and redox state. Paradoxical responses were found for positions T786-C and G894T for the NOS3 gene. Consistently, the presence of the polymorphism for intron 4 blunted the beneficial effects of ET in middle-aged adults. Possibly, this effect might be as consequence of intron 4 acting as a short intronic repeat RNA controlling endothelial NOS activity epigenetically.
-The second messenger cGMP has been largely studied as a therapeutic target in a variety of disorders such as erectile dysfunction, arterial hypertension and heart failure. Evidence has shown that cGMP activators are less efficient in estrogen-deficiency animals, but no studies exist involving non-pharmacological approaches on NO/ cGMP signaling pathway in hypertensive postmenopausal women. The aim of this study is to examine NO/cGMP pathway, redox state and blood pressure in trained treated hypertensive (HT) postmenopausal women comparing with normotensive (NT) group. The rationale for that is most of HT patients is encouraged by physician to perform exercise associated with pharmacological treatments. Aerobic exercise training (AET) consisted of 24 sessions, 3 times/week. Parameters were evaluated at baseline and after AET for both groups (HT=28; NT=33).In treated HT group, AET was significantly effective in increasing cGMP concentrations (28%) accompanied by an up-regulation of SOD (97%) and catalase activity (37%). In NT group, we found an increase in SOD activity (58%). Treated HT postmenopausal women were still responsive to AET increasing cGMP levels and up-regulating antioxidant system. It should also be emphasized that these findings provide information on the circulating biomarkers that might delay the developing of cardiovascular events in this particular population.
Abstract--The endothelium is now recognized as an endocrine organ that acts to maintain vascular homeostasis regulating the vascular tone and structure. The endothelial cells synthetize a variety of mediators among them, the main agent is the nitric oxide (NO), a potent vasodilator. NO exerts its protective role preventing leukocyte adhesion and migration, expression of adhesion molecules, platelet aggregation, cell proliferation, and promoting the relaxation of smooth muscle cells. On the other hand, endothelial dysfunction present in many chronic diseases such as atherosclerosis, coronary artery disease, peripheral artery disease, hypertension and diabetes mellitus, is characterized by reduced NO bioavailability. Thus, a few decades ago, measurement of endothelial function has emerged as valuable tool that provides insights in the pathophysiological mechanisms, opportunity to identify early disease and cardiovascular risk, preventing future events or avoiding the progression of the disease. Diabetic patients, particularly, have been a target to apply this technique, mainly because this condition has been related with an impairment of endothelium-dependent dilation and it is believed that the endothelium dysfunction is the basis of diabetes complications such as coronary artery disease and accelerated atherosclerosis. In addition, cardiovascular complications represent the leading cause of morbidity and death in diabetes mellitus. Besides pharmacological therapy, lifestyle modifications have been recommended by specific organizations as a strategy to improve the endothelial function or even prevent the development of diabetes. The aim of this mini eview is to give an update about the importance of endothelium, most common non-invasive technique to evaluate its function, and to summarize some mechanisms involved in endothelial dysfunction and the beneficial effects of exercise in diabetes mellitus.
The aim of this study was to investigate the lactate response in physically inactive hypertensive women submitted to the treadmill maximal lactate steady state (MLSS) protocol. Methods: Twenty-two hypertensive women (40-64 years) performed a familiarization period of walking on the treadmill following by one incremental test for estimating the initial workload for exercise testing. MLSS protocol was composed by walking in a treadmill during thirty minutes with fixed velocity in 5.5 km/h. Incline was used for determination of the intensity of each volunteer. Blood samples were collected from the ear lobe in the rest period, minute 10 th and at the end of the test (minute 30 th or at exhaustion time point) for lactate analysis. Results: Hypertensive women showed a lower lactate concentration at MLSS (3.25 ± 0.81 mmol/L) as compared with data obtained in the literature (4 mmol/L), approximately 18.8%. Neither inclines nor age affected MLSS parameters in the population. A positive and strong correlation was found between incline and MLSS, as well as incline and lactate level at minute 30 th , even when adjusted by age factor. Conclusion: Physically inactive hypertensive women show a lower MLSS than the average established in the literature but within the range of variations previously reported. Furthermore, a higher MLSS incline correlates positive and directly with higher lactate concentrations for the same aerobic capacity regardless of age.
-The mistaken use of biostatistics in scientific research involves methodological errors both in the research itself as in its analyses. Among these, the lack of sample size calculation, considered essential for validation and credibility of results, is often found. The aim of the study was to determine how often sample size calculation is used in articles published in Physical Education national journals. The study included only national scientific journals ranked as A1 and B2 by the Coordination of Improvement of Higher Education Personnel (CAPES), which analyzed only articles available in full and published in the period from 2010 to 2012. Review articles, letter to the editor, points of view and original articles that did not perform any statistical analysis were excluded. Approximately 15 % of articles analyzed performed sample size calculation and no difference between these proportions over the years were identified. Differences between Physical Education subareas (education, health and sport) were observed, being lower in sport (p = 0.001) compared to other subareas. Journals classified as B2 showed higher use of sample size calculation in relation to those classified as B1 (p = 0.013) and A2 (p = 0.007). The use of sample size calculation in scientific research published in Physical Education national journals in the period from 2010 to 2012 was not satisfactory, especially in sport subarea. Moreover, no evolution on the use of sample size calculation over the years analyzed was observed. Key words: Physical education; Sample size; Statistics. Resumo -O emprego equivocado da bioestatística nas pesquisas científicas implica em erros metodológicos tanto na condução quanto nas análises das mesmas. Dentre estes, a ausência do cálculo amostral, considerado primordial para validação e credibilidade dos resultados, é frequentemente encontrado. O objetivo do estudo foi verificar com que frequência o cálculo amostral é empregado nos artigos publicados em periódicos nacionais de Educação
Effect of swimming training on stress-related metabolic parameters of diabetic and non-diabetic rats Efeito do treinamento de natação sobre estresse metabólico de ratos diabéticos e não diabéticos
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