Comparison of the sit-up test and head-up tilt test for assessing blood pressure and hemodynamic responses in healthy young individuals

Oyake, Kazuaki; Murayama, Jun; Tateishi, Takaki; Mochida, Ayumi; Matsumoto, Mao; Tsujikawa, Masahiro; Kondo, Kunitsugu; Otaka, Yohei; Momose, Kimito

doi:10.1097/mbp.0000000000000570

Cited by 6 publications

(6 citation statements)

References 40 publications

(85 reference statements)

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“…Orthostatic changes in these parameters (i.e., a decrease in CO and an increase in TPR) were only significant in the European group ( pI-II < 0.001) and there were only slight changes in these parameters in the African group ( pI-II = 0.96 and pI-II = 0.21, respectively). During the HUTT, the orthostatic changes in the hemodynamic parameters were identical to those presented in the literature [ 43 , 44 , 45 ]. A graded increase or decrease in tilt angle was accompanied by a proportional change in hemodynamic indices (except SBP) and the autonomic nervous system [ 46 ].…”

Section: Discussionsupporting

confidence: 61%

Detection of Preclinical Orthostatic Disorders in Young African and European Adults Using the Head-Up Tilt Test with a Standardized Hydrostatic Column Height: A Pilot Study

et al. 2022

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Arterial hypertension (AH) remains the most common disease. One possible way to improve the effectiveness of the primary prevention of AH is to identify and control the preclinical orthostatic disturbances that precede the development of AH. The aim of the study was to determine the feasibility of a new protocol for the head-up tilt test (HUTT) with a standardized hydrostatic column height for the detection of asymptomatic orthostatic circulatory disorders and their racial differences in young African and European adults. Methods. In total, 80 young healthy adults (40 African and 40 European) aged 20–23 years performed the HUTT with a standardized hydrostatic column height of 133 cm. The hemodynamic parameters were recorded using a Task Force Monitor (3040i). The cardio-ankle vascular index (CAVI) was measured using a VaSera VS-2000 volumetric sphygmograph. Results. The baseline and orthostatic hemodynamic changes in both racial groups were within normal limits. Orthostatic circulatory disturbances were not detected in 70% of the European participants and 65% of the African participants; however, preclinical orthostatic hypertension, which precedes AH, was detected using the new HUTT protocol in 32.5% of the African participants and 20% of the European participants. The baseline CAVI was higher in the European group compared to the African group. Conclusion. The results of this study showed the feasibility of the detection of preclinical orthostatic disturbances in young adults and the detection of their racial differences using the HUTT protocol, providing the use of a standard gravity load. Further study on the evolution of preclinical orthostatic disturbances and their relation to increased vascular stiffness is necessary among large samples.

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Section: Discussionsupporting

confidence: 61%

Detection of Preclinical Orthostatic Disorders in Young African and European Adults Using the Head-Up Tilt Test with a Standardized Hydrostatic Column Height: A Pilot Study

et al. 2022

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“…The decrease in blood pressure after transferring from the supine to the upright position is associated with a reduction in venous return and stroke volume [ 33 ]. We also previously reported that the decrease in stroke volume during the sit-up test was smaller than that during the head-up tilt test in healthy young individuals [ 20 ]. Compared with the sitting position, more blood is pooled in the lower extremities due to gravitational forces in the standing position, which results in a smaller venous return and stroke volume in the standing position than in the sitting position [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Changes in blood pressure during the test have demonstrated substantial day-to-day reliability [17]. Although the same cut-points for orthostatic hypotension applied to conventional orthostatic tests have been applied to the sit-up test [16][17][18], the orthostatic decreases in blood pressure that are elicited during the sit-up test may be smaller than those elicited during the head-up tilt test due to the reduced acute change in gravitational stress [19,20]. Therefore, we hypothesized that the optimal cutpoints for orthostatic hypotension using the sit-up test are smaller than the conventional cut-points using the head-up tilt test.…”

mentioning

confidence: 99%

Blood pressure reduction cut-points for orthostatic hypotension in stroke survivors using a sit-up test: a multicentre cross-sectional study

Oyake

Tateishi

Murayama

et al. 2022

Journal of Hypertension

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Objective:The sit-up test is used to assess orthostatic hypotension in stroke survivors who cannot stand independently without using a tilt table. However, no study has identified the optimal cut-points for orthostatic hypotension using the test. Therefore, this study aimed to examine the decrease in SBP and DBP during the sit-up test to detect orthostatic hypotension in individuals with stroke.Methods:Thirty-eight individuals with stroke, recruited from three convalescent rehabilitation hospitals, underwent the sit-up and head-up tilt tests. Systolic and diastolic orthostatic hypotension was defined as a decrease of at least 20 and 10 mmHg in the SBP and DBP, respectively, during the head-up tilt test. The receiver operator characteristic curve with the Youden Index was used to identify the optimal cut-points.Results:Eight and three participants showed systolic and diastolic orthostatic hypotension, respectively. The optimal cut-points for orthostatic hypotension using the sit-up test were a decrease of 10 mmHg in SBP [sensitivity = 87.5% (95% confidence interval: 47.4–99.7), specificity = 96.7% (82.8–99.9)] and 5 mmHg in DBP [sensitivity = 100.0% (29.2–100.0), specificity = 88.6% (73.3–96.8)].Conclusion:Compared with the conventional cut-points, smaller cut-points of a decrease in SBP and DBP may be better to identify orthostatic hypotension in individuals with stroke using the sit-up test. The findings of this study may provide valuable information for the clinical application of the sit-up test.

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“…However, even when its impact is known, other benefits are still unknown when other variables are present, like anthropometry, body composition, quality of life, and physical performance. Another potential of exercise is to reduce the risk of sarcopenia or muscular problems, but the evidence is still limited, especially in the early stages of the treatment [16].…”

Section: Introductionmentioning

confidence: 99%

Cross-Training and Resistance Training in Adults with Type B Acute Lymphoblastic Leukemia during the Induction Phase: A Randomized Blind Pilot Study

Gallardo-Rodríguez,

Fuchs-Tarlovsky,

Ocharán-Hernández

et al. 2023

JCM

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Patients with acute lymphoblastic leukemia (ALL) undergoing induction decrease their physical capacity, lose muscle mass, and decrease their quality of life (QOL). The safety, feasibility, and benefits of exercise during chemotherapy have been proven, but the effects of cross-training activities have yet to be analyzed. To measure the effects of cross-training on body composition, physical performance, and QOL, a blind randomized clinical trial was carried out. A total of 33 patients were included and randomized into a cross-training exercise group (CEG), a resistance exercise group (REG), and a control group (CG). During induction, patients received an exercise routine three to five days a week for 30 to 50 min each. Body composition, QOL, and physical performance were measured at baseline, up to discharge, and at a follow-up of two months. Body composition improved in the REG and CEG. In the CG, muscle mass decreased and fat mass increased (p = 0.020 and 0.020, respectively). The REG and CEG had significant positive improvements in physical performance compared to the CG. QOL showed no differences in any group (p = 0.340). Cross-training and resistance exercise are essential to improve body composition and physical performance during induction. Considering the prognostic value of physical performance, we propose integrated training exercises as adjuvant therapy in adult patients with ALL.

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Comparison of the sit-up test and head-up tilt test for assessing blood pressure and hemodynamic responses in healthy young individuals

Abstract: Supplemental Digital Content is available in the text.

Cited by 6 publications

References 40 publications

Detection of Preclinical Orthostatic Disorders in Young African and European Adults Using the Head-Up Tilt Test with a Standardized Hydrostatic Column Height: A Pilot Study

Detection of Preclinical Orthostatic Disorders in Young African and European Adults Using the Head-Up Tilt Test with a Standardized Hydrostatic Column Height: A Pilot Study

Blood pressure reduction cut-points for orthostatic hypotension in stroke survivors using a sit-up test: a multicentre cross-sectional study

Cross-Training and Resistance Training in Adults with Type B Acute Lymphoblastic Leukemia during the Induction Phase: A Randomized Blind Pilot Study

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