One arm exercise induces significant interarm diastolic blood pressure difference

Ding, Hong; Wang, Jiwei; Su, Hai; Xu, Jianpeng; Liu, Yanna; Peng, Qiang; Wang, Lijuan

doi:10.1097/mbp.0b013e328346a81e

Cited by 8 publications

(5 citation statements)

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“…Arm cranking presents some problems when measuring BP as it is clearly not possible to measure from the arms or fingers during the exercise. Diastolic BP, measured with an arm cuff decreased after arm cranking, as reported by Hong et al (), presumably as a result of local vasodilation. It is likely, therefore, that sBP would also be underestimated (Hollingsworth, Bendick, Franklin, Gordon, & Timmis, ).…”

Section: Discussionsupporting

confidence: 77%

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Ubolsakka-Jones

Tongdee

Jones

2019

Physiotherapy Res Intl

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Objectives Slow loaded breathing training has been shown to reduce resting blood pressure (BP) in isolated systolic hypertension (ISH), but it is not known whether this also reduces their exaggerated BP responses to exercise. Methods The study was a randomized controlled trial with block allocation stratified by sex. Twenty ISH patients (68 ± 5 yrs, 11 males) were randomized with one group undertaking 8‐weeks training with slow loaded breathing (SLB: 25% maximum inspiratory pressure, 6 breaths per minute, 60 breaths every day) or deep breathing control (CON), with 8 weeks follow‐up. Outcome measures were home BP and heart rate (HR) with laboratory measures of BP and HR responses to static handgrip and dynamic arm cranking exercise. Data were compared with a two‐week run‐in baseline. Results Home systolic BP fell by 22 mmHg (20–23; mean, 95% CI), diastolic BP by 9 mmHg (7–11), and HR by 12 bpm (9–15; all p < .001) as a result of SLB training. Systolic BP at the end of 2‐min isometric handgrip was 189 ± 10 mmHg (mean, SD) before training and 157 ± 6 mmHg following SLB training. After 4‐min arm exercise, systolic BP, measured at the ankle, was reduced from 243 ± 8 mmHg during the run‐in period to 170 ± 15 mmHg after SLB training with no change for CON. The reduction in exercise BP, in both types of exercise, was partly due to a reduction in resting BP and to a smaller increase above resting. Systolic and pulse pressures remained below run‐in values 8 weeks after the end of SLB training, and BP response to handgrip exercise remained below run‐in values at 4 weeks after SLB training. Conclusions SLB not only reduces resting BP in ISH but also the responses to both static and dynamic exercise, potentially reducing the negative aspect of exercise for cardiovascular health.

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Section: Discussionsupporting

confidence: 77%

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Ubolsakka-Jones

Tongdee

Jones

2019

Physiotherapy Res Intl

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“…We found no difference in changes across limbs, thus the cardiovascular response to unilateral blood flow restriction exercise in the upper body does not seem to be limb specific. Compared to previous observations of the inter-arm differences in the blood pressure response to unilateral models of exercise [10] and ischemia [11], our results seem to coincide with the responses of systolic blood pressure, which were similar between arms, rather than diastolic blood pressure which was different. Further, when considering that arterial occlusion pressure is determined to be the lowest cuff inflation pressure at which blood flow distal to the cuff is ceased, we believe the change in arterial occlusion pressure likely reflects systolic pressure changes.…”

Section: Discussionsupporting

confidence: 69%

“…Thus, to investigate the cardiovascular response one must again, either remove the restriction cuff to apply a different cuff capable of the measurement (i.e., arterial occlusion or blood pressure) s in the exercised limb(s) or quantify the response in the opposite limb if using a unilateral exercise model. Systolic blood pressure changes following unilateral exercise [10] and unilateral ischemia [11] have been similar between arms, while changes in diastolic blood pressure differ. Although the changes in arterial occlusion pressure likely track with systolic blood pressure, its use as a separate assessment tool to quantify and compare cardiovascular responses to exercise may still be valuable during unique study designs, potentially increasing the capability of a researcher to provide future recommendations regarding safe application of blood flow restriction.…”

Section: Introductionmentioning

confidence: 85%

Arterial occlusion pressure as a method to quantify cardiovascular responses to exercise

Jessee

Buckner

Dankel

et al. 2018

Biomed. Phys. Eng. Express

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The purpose was to compare unilateral exercise-induced changes in arterial occlusion pressure between the exercising and non-exercising arm. Participants had arterial occlusion pressure measured before and after exercise in: both arms simultaneously (Double AOP), the exercise limb only (Exercise AOP), and the non-exercise limb only (Non-exercise AOP). The blood flow restriction exercise protocol included four sets of biceps curls to failure in the dominant arm using 30% of one-repetition maximum and applying 40% of pre-exercise arterial occlusion pressure using a 5 cm nylon cuff. The change in arterial occlusion pressure from pre to post-exercise did not differ between the exercise limb [mean change (95%CI)=27 (20, 33) mmHg] and non-exercise limb [mean change (95%CI)=24 (18, 31) mmHg] during Double AOP (p=.325). When comparing the changes observed for each arm during Double AOP to their respective control conditions, there were no differences for the exercising arm [p=.554, mean change (95%CI) of Exercise AOP=28 (20, 33) mmHg] or the non-exercise arm [p=.147, mean change (95%CI) of Non-exercise AOP=18 (13, 23) mmHg]. The cardiovascular response to blood flow restriction, as measured by arterial occlusion pressure changes does not seem to be limb specific during unilateral exercise.

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“…A Chinese study program found that subjects with the high dIAD (≥4 mm Hg) showed significantly higher risk of intracranial arterial stenosis and the participants with the high sIAD (≥6 mm Hg) showed significantly higher risk of extracranial arterial stenosis in the categorical study diversely . Dezhi Hong and colleagues suggest that one‐arm exercise can lead to a significant dIAD.…”

Section: Discussionmentioning

confidence: 99%

Association of interarm blood pressure difference with cardio‐cerebral vascular disease: A community‐based, cross‐sectional study

Siyu

Zhou

et al. 2019

J of Clinical Hypertension

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Interarm blood pressure difference (IAD) is a risk factor for peripheral artery disease and cardio‐cerebral vascular disease (CCVD). The current study examines the association of IAD with stroke and coronary heart disease in a Chinese community. A cross‐sectional study was conducted in Pudong New Area in Shanghai, China. A total of 10 657 residents aged 15 years and older were randomly selected through three‐stage sampling. Volunteers had systolic and diastolic blood pressure (BP) measured in both arms at recruitment, and IAD was defined in both arms as the absolute difference in BP. Medical records of study participants were reviewed by investigators to confirm measurements. Logistic regression models were used to assess the association between systolic interarm blood pressure difference (sIAD) and diastolic interarm blood pressure difference (dIAD) with stroke and coronary heart disease. Compared with dIAD <5 mm Hg, the multivariate adjusted odds ratio (OR) of stroke prevalence was 1.357 (95% CI 0.725‐2.542, P = 0.034) for dIAD ≥20 mm Hg and 1.702 (95% CI1.025‐2.828, P = 0.040) for dIAD between 15 and 19 mm Hg, and the multivariate adjusted OR of coronary heart disease prevalence was 1.726 (95% CI 1.093‐2.726, P = 0.019) for dIAD ≥20 mm Hg and 1.498 (95% CI 0.993‐2.261, P = 0.044) for dIAD between 15 and 19 mm Hg. The relationship between cardio‐cerebral vascular disease and dIAD was significant in a Chinese community population. Further cohort studies are needed to investigate the association of different levels of IAD with the incidence of cardiovascular and cerebrovascular diseases and subsequent mortality.

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One arm exercise induces significant interarm diastolic blood pressure difference

Abstract: One arm exercise can lead to a significant IAD in DBP. Any arm exercise should be avoided before BP measurement.

Cited by 8 publications

References 0 publications

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Arterial occlusion pressure as a method to quantify cardiovascular responses to exercise

Association of interarm blood pressure difference with cardio‐cerebral vascular disease: A community‐based, cross‐sectional study

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