التفاصيل البيبلوغرافية
العنوان: |
Impact of ischemic preconditioning combined with aerobic exercise on 24-h ambulatory blood pressure in men with prehypertension and stage 1 hypertension |
المؤلفون: |
Min-Hyeok Jang, Dae-Hwan Kim, Jean-Hee Han, Seok-Ho Kim, Jung-Hyun Kim |
المصدر: |
Frontiers in Physiology, Vol 15 (2024) |
بيانات النشر: |
Frontiers Media S.A., 2024. |
سنة النشر: |
2024 |
المجموعة: |
LCC:Physiology |
مصطلحات موضوعية: |
ischemic preconditioning, hypertension, post-exercise hypotension, ambulatory blood pressure, aerobic exercise, Physiology, QP1-981 |
الوصف: |
IntroductionA single bout of aerobic exercise is known to induce a temporary reduction in post-exercise blood pressure termed post-exercise hypotension (PEH). Meanwhile, an ischemic preconditioning (IPC), a series of short ischemia-reperfusion intervention, has also shown antihypertensive effects showing a potential nonpharmacologic intervention for hypertension. While the acute BP reduction effects of aerobic exercise and IPC are individually well-investigated, it remains unclear if combining both interventions has an additive effect on PEH.MethodsA total of twelve pre- or hypertensive men (six prehypertension, six stage 1 hypertension) underwent either 30 min of aerobic exercise at 50% VO2peak (CON) or IPC before exercise, in a counterbalanced order. IPC involved inflating cuffs on both thighs to 200 mmHg for 5 min, alternating between right and left thighs for three cycles, totaling 30 min. Brachial BP was measured during exercise and 1-h post-exercise recovery whereas muscle oxygen saturation (SmO2) from the rectus femoris was monitored using NIRs during exercise and recovery. Heart rate variability (HRV) and baroreflex sensitivity (BRS) together with a head-up tilt test (at 0 and 50°) were measured at the pre-test, post-test, and 24-h post-test. After the completion of each experiment, 24-h ambulatory blood pressure (ABP) was monitored to assess post-exercise hypotension within a 24-h window.ResultsBP and heart rate responses during exercise and 1-h recovery did not differ between conditions while SmO2 was significantly elevated during exercise in IPC (p = 0.004). There was no difference in HRV and supine BRS. However, significantly reduced titled BRS after exercise was found in CON while IPC preserved BRS similar to pre-exercise value, extending to 24-h post period (p = 0.047). ABP monitoring revealed a significant reduction in systolic BP during sleep in IPC compared to CON (p = 0.046).ConclusionThe present findings suggest that IPC with a single session of aerobic exercise results in a notable decrease in systolic ABP, particularly during sleep, compared to aerobic exercise alone. This supplementary antihypertensive effect was associated with a sustained BRS, persisting up to 24 h in contrast to the significant decrease observed in CON. Future studies are warranted to investigate long-term adaptations to IPC. |
نوع الوثيقة: |
article |
وصف الملف: |
electronic resource |
اللغة: |
English |
تدمد: |
1664-042X |
Relation: |
https://www.frontiersin.org/articles/10.3389/fphys.2024.1495648/full; https://doaj.org/toc/1664-042X |
DOI: |
10.3389/fphys.2024.1495648 |
URL الوصول: |
https://doaj.org/article/32162f46210d4dd68f7be2059e341a62 |
رقم الانضمام: |
edsdoj.32162f46210d4dd68f7be2059e341a62 |
قاعدة البيانات: |
Directory of Open Access Journals |