Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension

Due to differences in study populations and protocols, the hemodynamic determinants of post-aerobic exercise hypotension (PAEH) are controversial. This review analyzed the factors that might influence PAEH hemodynamic determinants, through a search on PubMed using the following key words: “postexercise” or “post-exercise” combined with “hypotension”, “blood pressure”, “cardiac output”, and “peripheral vascular resistance”, and “aerobic exercise” combined only with “blood pressure”. Forty-seven studies were selected, and the following characteristics were analyzed: age, gender, training status, body mass index status, blood pressure status, exercise intensity, duration and mode (continuous or interval), time of day, and recovery position. Data analysis showed that 1) most postexercise hypotension cases are due to a reduction in systemic vascular resistance; 2) age, body mass index, and blood pressure status influence postexercise hemodynamics, favoring cardiac output decrease in elderly, overweight, and hypertensive subjects; 3) gender and training status do not have an isolated influence; 4) exercise duration, intensity, and mode also do not affect postexercise hemodynamics; 5) time of day might have an influence, but more data are needed; and 6) recovery in the supine position facilitates systemic vascular resistance decrease. In conclusion, many factors may influence postexercise hypotension hemodynamics, and future studies should directly address these specific influences because different combinations may explain the observed variability in postexercise hemodynamic studies.

Genetic and environmental influences on blood pressure and physical activity: a study of nuclear families from Muzambinho, Brazil

Blood pressure (BP) and physical activity (PA) levels are inversely associated. Since genetic factors account for the observed variation in each of these traits, it is possible that part of their association may be related to common genetic and/or environmental influences. Thus, this study was designed to estimate the genetic and environmental correlations of BP and PA phenotypes in nuclear families from Muzambinho, Brazil. Families including 236 offspring (6 to 24 years) and their 82 fathers and 122 mothers (24 to 65 years) were evaluated. BP was measured, and total PA (TPA) was assessed by an interview (commuting, occupational, leisure time, and school time PA). Quantitative genetic modeling was used to estimate maximal heritability (h²), and genetic and environmental correlations. Heritability was significant for all phenotypes (systolic BP: h² = 0.37 ± 0.10, P < 0.05; diastolic BP: h² = 0.39 ± 0.09, P < 0.05; TPA: h² = 0.24 ± 0.09, P < 0.05). Significant genetic (r g) and environmental (r e) correlations were detected between systolic and diastolic BP (r g = 0.67 ± 0.12 and r e = 0.48 ± 0.08, P < 0.05). Genetic correlations between BP and TPA were not significant, while a tendency to an environmental cross-trait correlation was found between diastolic BP and TPA (r e = -0.18 ± 0.09, P = 0.057). In conclusion, BP and PA are under genetic influences. Systolic and diastolic BP share common genes and environmental influences. Diastolic BP and TPA are probably under similar environmental influences.

Strength and power training did not modify cardiovascular responses to aerobic exercise in elderly subjects

Resistance training increases muscle strength in older adults, decreasing the effort necessary for executing physical tasks, and reducing cardiovascular load during exercise. This hypothesis has been confirmed during strength-based activities, but not during aerobic-based activities. This study determined whether different resistance training regimens, strength training (ST, constant movement velocity) or power training (PT, concentric phase performed as fast as possible) can blunt the increase in cardiovascular load during an aerobic stimulus. Older adults (63.9 ± 0.7 years) were randomly allocated to: control (N = 11), ST (N = 13, twice a week, 70-90 percent 1-RM) and PT (N = 15, twice a week, 30-50 percent 1-RM) groups. Before and after 16 weeks, oxygen uptake (VO2), systolic blood pressure (SBP), heart rate (HR), and rate pressure product (RPP) were measured during a maximal treadmill test. Resting SBP and RPP were similarly reduced in all groups (combined data = -5.7 ± 1.2 and -5.0 ± 1.7 percent, respectively, P < 0.05). Maximal SBP, HR and RPP did not change. The increase in measured VO2, HR and RPP for the increment in estimated VO2 (absolute load) decreased similarly in all groups (combined data = -9.1 ± 2.6, -14.1 ± 3.9, -14.2 ± 3.0 percent, respectively, P < 0.05), while the increments in the cardiovascular variables for the increase in measured VO2 did not change. In elderly subjects, ST and PT did not blunt submaximal or maximal HR, SBP and RPP increases during the maximal exercise test, showing that they did not reduce cardiovascular stress during aerobic tasks.

Muscle sympathetic nerve activity and hemodynamic alterations in middle-aged obese women

To study the relationship between the sympathetic nerve activity and hemodynamic alterations in obesity, we simultaneously measured muscle sympathetic nerve activity (MSNA), blood pressure, and forearm blood flow (FBF) in obese and lean individuals. Fifteen normotensive obese women (BMI = 32.5 + or - 0.5 kg/m²) and 11 age-matched normotensive lean women (BMI = 22.7 + or - 1.0 kg/m²) were studied. MSNA was evaluated directly from the peroneal nerve by microneurography, FBF was measured by venous occlusion plethysmography, and blood pressure was measured noninvasively by an autonomic blood pressure cuff. MSNA was significantly increased in obese women when compared with lean control women. Forearm vascular resistance and blood pressure were significantly higher in obese women than in lean women. FBF was significantly lower in obese women. BMI was directly and significantly correlated with MSNA, blood pressure, and forearm vascular resistance levels, but inversely and significantly correlated with FBF levels. Obesity increases sympathetic nerve activity and muscle vascular resistance, and reduces muscle blood flow. These alterations, taken together, may explain the higher blood pressure levels in obese women when compared with lean age-matched women

Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans

To evaluate the effect of exercise intensity on post-exercise cardiovascular responses, 12 young normotensive subjects performed in a randomized order three cycle ergometer exercise bouts of 45 min at 30, 50 and 80 per cent of VO2peak, and 12 subjects rested for 45 min in a non-exercise control trial. Blood pressure (BP) and heart rate (HR) were measured for 20 min prior to exercise (baseline) and at intervals of 5 to 30 (R5-30), 35 to 60 (R35-60) and 65 to 90 (R65-90) min after exercise. Systolic, mean, and diastolic BP after exercise were significantly lower than baseline, and there was no difference between the three exercise intensities. After exercise at 30 per cent of VO2peak, HR was significantly decreased at R35-60 and R65-90. In contrast, after exercise at 50 and 80 per cent of VO2peak, HR was significantly increased at R5-30 and R35-60, respectively. Exercise at 30 per cent of VO2peak significantly decreased rate pressure (RP) product (RP = HR x systolic BP) during the entire recovery period (baseline = 7930 ñ 314 vs R5-30 = 7150 ñ 326, R35-60 = 6794 ñ 349, and R65-90 = 6628 ñ 311, P<0.05), while exercise at 50 per cent of VO2peak caused no change, and exercise at 80 per cent of VO2peak produced a significant increase at R5-30 (7468 ñ 267 vs 9818 ñ 366, P<0.05) and no change at R35-60 or R65-90. Cardiovascular responses were not altered during the control trial. In conclusion, varying exercise intensity from 30 to 80 per cent of VO2peak in young normotensive humans did not influence the magnitude of post-exercise hypotension. However, in contrast to exercise at 50 and 80 per cent of VO2peak, exercise at 30 per cent of VO2peak decreased post-exercise HR and RP.

Comparaçäo entre a prescriçäo de intensidade de treinamento físico baseada na avaliaçäo ergométrica convencional e na ergoespirométrica / Comparison between exercises intensity prescription based on a standard exercise test and cardiopulmonary exercise test

OBJETIVO - Comparar os limites inferiores (L.inf.) e superior (L.sup.) da pescriçäo de treinamento físico aeróbico determinada pelo teste ergométrico convencional (60-70 por cento do VO2máx estimulado ou 70-85 por cento da FCmáx atingida), com a prescriçäo obtida pelo teste ergoespirométrico [limiar anaeróbico (LA) e ponto de compensaçäo respiratória (PCR)]. MÉTODOS - Realizaram teste ergoespirométrico progressivo até a exaustäo 47 homens (30ñ5 anos), divididos em subgrupos, de acordo com a velocidade da esteira durante o teste (4 ou 5mph) e a capacidade física medida [baixa (BCF) e moderada (MCF)]. RESULTADOS - Os L.inf. de prescriçäo indireta apresentaram valores de VO2 e FC significantemente maiores que os valores de Vo2 e FC no LA...Os L.sup. de prescriçäo indireta no grupo de 4mph e BCF apresentaram valores de VO2 significantemente maiores que os valores medidos no PCR ..., e valores de FC semelhantes aos medidos no PCR. CONCLUSÄO - Os L.inf. da prescriçäo indireta de treinamento físico superestimam o LA, enquanto os L.sup. parecem adequados somente para indivíduos ativos com MCF

A duraçäo do exercício determina a magnitude e a duraçäo da hipotensäo pós-exercício / Exercise duration determines the magnitude and duration of post-exercises hypotension

OBJETIVO - Considerando-se que a duraçÝo do exercício físico possa influenciar a hipotensäo pós-exercício, testamos a hipótese de que o exercício submáximo mais prolongado provoca queda pressória de maior magnitude e duraçäo que o exercício mais curto. MÉTODOS - Protocolo experimental - 10 indivíduos realizaram duas sessöes de exercícios (25 e 45 min) no cicloergômetro em 50 'por cento' VO2 pico. Protocolo controle - 12 indivíduos permaneceram em repouso por 45 min. A pressäo arterial (PA) foi aferida antes (20 min) e após (90 min) o exercício ou o repouso. RESULTADOS - Protocolo experimental - a PA sistólica diminuiu significantemente pós-exercício e essa queda foi maior e mais prolongada após 45 min de exercício. A PA média e a diastólica diminuíram significantemente pós-exercício e foram significantemente menores na sessäo de 45 min. Protocolo controle - a PA näo se alterou durante a sessäo controle. CONCLUSÄO - O exercício físico de maior duraçäo provoca hipotensäo pós-exercício maior e mais prolongada.