Exercise training improves ambulatory blood pressure but not arterial stiffness in heart transplant recipients

Pascoalino, Lucas Nóbilo; Ciolac, Emmanuel Gomes; Tavares, Aline; Castro, Rafael Ertner; Ayub‐Ferreira, Silvia Moreira; Bacal, Fernando; Issa, Victor Sarli; Bocchi, Edimar Alcides; Guimarães, Guilherme Veiga

doi:10.1016/j.healun.2014.11.013

Cited by 39 publications

(63 citation statements)

References 36 publications

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“…Similar to which occurred with resting BP, HIIE HR and MICE did not shown a hypotensive effect on ABP. Few studies assessed the acute hypotensive effect of HIIE versus MICE on 24-h ABP in middle-aged (Ciolac et al 209) and older (Carvalho et al 2015) hypertensive individuals, which showed that both interventions promote systolic and diastolic ABP reduction when compared with CON, but with similar hypotensive effect between interventions (Ciolac et al 2015), or a superior hypotensive effect of HIIE (Carvalho et al 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Arterial stiffness was assessed by carotid-femoral PWV measurements, with a noninvasive, and previously validated (Hickson et al 2009), automatic device (Vicorder, SMT Medical GmbH & Co., Wuerzburg, Germany), with participants quietly in supine position, and D r a f t after measurement of BP and HR. The measurements were performed at pre (after a 10-min seated rest), post and recovery phase of each intervention, by an experienced observer blinded to the intervention assignment, as previously described (Pascoalino et al 2015). Briefly, common carotid artery and femoral artery pressure waveforms were estimated noninvasively using a pressure-sensitive cuff.…”

Section: Arterial Stiffnessmentioning

confidence: 99%

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Prescribing high-intensity interval exercise by RPE in individuals with type 2 diabetes: metabolic and hemodynamic responses

Viana

Fernandes

Álvarez

et al. 2019

Appl. Physiol. Nutr. Metab.

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We tested the hypothesis that rating of perceived exertion (RPE) is a tool as efficient as heart rate (HR) response to cardiopulmonary exercise test (CPX) for prescribing and self-regulating high-intensity interval exercise (HIIE), and that metabolic and hemodynamic response to HIIE is superior than to continuous moderate-intensity exercise (MICE) in individuals with type 2 diabetes mellitus (T2DM). Eleven participants (age=52.3±3yr) underwent HIIE prescribed and self-regulated by RPE (HIIERPE; 25 min), HIIE prescribed and regulated by individuals' HR response to CPX (HIIEHR; 25 min), MICE prescribed and self-regulated by RPE (30 min) and control (CON; 30 min of seated resting) intervention in random order. HR, blood pressure (BP), capillary glucose, endothelial reactivity and carotid-femoral pulse wave velocity (PWV) were assessed before, immediately after and 45 min after each intervention. Exercise HR, speed and distance were measured during exercise sessions. 24-h ambulatory BP was measured after each intervention. Exercise HR, speed and distance were similar between HIIERPE and HIIEHR. BP response was not different among HIIERPE, HIIEHR, and MICE. Capillary glycaemia reduction was greater (P < 0.05) after HIIERPE (48.6±9.6 mg/dL) and HIIEHR (47.2±9.5 mg/dL) than MICE (29.5±11.5 mg/dL). Reduction (P < 0.05) in 24-h (6.7±2.2 mmHg) and tendency toward reduction (P = 0.06) in daytime systolic (7.0±2.5 mmHg) ambulatory BP were found only after HIIERPE. These results suggest that HIIE is superior to MICE for reducing glycaemia and ambulatory BP, and that the 6 to 20 RPE scale is an useful tool for prescribing and self-regulating HIIE in individuals with T2DM.

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Section: Discussionmentioning

confidence: 99%

Section: Arterial Stiffnessmentioning

confidence: 99%

Prescribing high-intensity interval exercise by RPE in individuals with type 2 diabetes: metabolic and hemodynamic responses

Viana

Fernandes

Álvarez

et al. 2019

Appl. Physiol. Nutr. Metab.

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“…The ability of moderate intensity continuous training (MICT) (e. g. at 60-70 % peak VO 2 ) to improve exercise capacity in HTX patients has been confirmed by meta-analyses and systematic reviews including a few smaller studies [35][36][37]. Other documented positive effects of MICT are increase in peak HR, improvement in the oxidative capacity of skeletal muscle [38], improvement in blood pressure [39], improvement in endothelial function [40][41][42], and improvement in quality of life [43][44][45][46].…”

Section: Efficacy and Benefits Of Exercise-based Interventionsmentioning

confidence: 96%

Exercise after Heart Transplantation: Typical Alterations, Diagnostics and Interventions

et al. 2020

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For the treatment of terminal heart failure, heart transplantation is considered to be the gold standard, leading to significantly improved quality of life and long-time survival. For heart transplant recipients, the development and maintenance of good functional performance and adequate exercise capacity is crucial for renewed participation and integration in self-determined live. In this respect, typical transplant-related alterations must be noted that play a significant role, leading to restrictions both centrally and peripherally. Before patients begin intensive and structured exercise training, a comprehensive diagnosis of their exercise capacity should take place in order to stratify the risks involved and to plan the training units accordingly. Particularly endurance sports and resistance exercises are recommended to counter the effects of the underlying disease and the immunosuppressive medication. The performance level achieved can vary considerably depending on their individual condition, from gentle activity through a non-competitive-level to intensive competitive sports. This paper includes an overview of the current literature on heart transplant recipients, their specific characteristics, as well as typical cardiovascular and musculoskeletal alterations. It also discusses suitable tools for measuring exercise capacity, recommendations for exercise training, required precautions and the performance level usually achieved.

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“…Arterial stiffness was assessed by carotid-femoral PWV measurements, with a noninvasive and previously validated [25] automatic device (Vicorder™, SMT Medical GmbH & Co., Wuerzburg, Germany), with participants quietly in supine position, and after measurement of BP and HR. The measurements were performed at pre (after a 10-min seated rest), post and recovery phase of each intervention, by an experienced observer blinded to the intervention assignment, as previously described [32]. Briefly, common carotid artery and femoral artery pressure waveforms were estimated noninvasively using a pressure-sensitive cuff.…”

Section: Arterial Stiffnessmentioning

confidence: 99%

Hypotensive Effect of Heated Water-based Exercise in Older Individuals with Hypertension

et al. 2019

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Blood pressure (BP) and hemodynamic response to heated water-based (HEx) vs. land-based exercise (LEx) were assessed in 15 (6 men) older hypertensives (age 66.4±4.9 yr) under pharmacological treatment. Participants were randomly assigned to perform 30 min of moderate-intensity HEx (walking inside the pool), LEx (walking on a treadmill) and non-exercise control (CON) intervention. Resting BP, arterial stiffness, endothelial reactivity and heart rate variability (HRV) were measured before, immediately after, and 45 min after interventions. 24-h ambulatory BP monitoring was performed after interventions. Resting systolic (but not diastolic) BP reduced 9.9±3.1 mmHg (P<0.01) 45 min after HEx only. 24-h systolic and diastolic, daytime diastolic and nightime systolic BP were lower (P<0.05) after HEx than both LEx and CON. Daytime systolic BP was also lower (P<0.05) after HEx than CON. Nighttime diastolic was not different between interventions. HEx-induced ambulatory BP reduction ranged 4.5±1.3 mmHg (24-h diastolic BP) to 9.5±3.0 mmHg (nighttime systolic BP), and persisted for 18/11 h in systolic/diastolic BP, when compared with CON. No significant changes in arterial stiffness, endothelial reactivity and HRV were found during any intervention. These results suggest that HEx may have important implications for managing BP in older hypertensive under pharmacological treatment.

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Exercise training improves ambulatory blood pressure but not arterial stiffness in heart transplant recipients

Cited by 39 publications

References 36 publications

Prescribing high-intensity interval exercise by RPE in individuals with type 2 diabetes: metabolic and hemodynamic responses

Prescribing high-intensity interval exercise by RPE in individuals with type 2 diabetes: metabolic and hemodynamic responses

Exercise after Heart Transplantation: Typical Alterations, Diagnostics and Interventions

Hypotensive Effect of Heated Water-based Exercise in Older Individuals with Hypertension

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