scholarly journals Effect of normobaric hypoxic exercise on blood pressure in old individuals

2020 ◽  
Author(s):  
Markus Hein ◽  
Kristine Chobanyan-Jürgens ◽  
Uwe Tegtbur ◽  
Stefan Engeli ◽  
Jens Jordan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Endurance Training ◽  
Perceived Exertion ◽  
Work Rate ◽  
Incremental Exercise ◽  
Exercise Tests ◽  
Exercise Blood Pressure ◽  
Constant Work Rate ◽  
Registration Number ◽  
Rate Test

Abstract Purpose To test the hypothesis that the combination of endurance training and hypoxia leads to greater improvements in resting and exercise blood pressure in old sedentary individuals compared to endurance training only. Methods We randomly assigned 29 old overweight participants (age: 62 ± 6 years, body mass index (BMI): 28.5 ± 0.5 kg/m2, 52% men) to single blind 8-week bicycle exercise in hypoxia (fraction of inspired oxygen (FIO2) = 0.15) or normoxia (FIO2 = 0.21). Brachial blood pressure was measured at rest, during maximal incremental exercise testing, and during a 30 min constant work rate test, at baseline and after the training period. Results Work rate, heart rate and perceived exertion during training were similar in both groups, with lower oxygen saturation for participants exercising under hypoxia (88.7 ± 1.5 vs. 96.2 ± 1.2%, t(27) = − 13.04, p < 0.001, |g|= 4.85). Office blood pressure and blood pressure during incremental exercise tests did not change significantly in either group after the training program. Systolic blood pressure during the constant work rate test was reduced after training in hypoxia (160 ± 18 vs. 151 ± 14 mmHg, t(13) = 2.44 p < 0.05, |d|= 0.55) but not normoxia (154 ± 22 vs. 150 ± 16 mmHg, t(14) = 0.75, p = 0.46, |d|= 0.18) with no difference between groups over time (F = 0.08, p = 0.77, η2 = 0.01). Conclusion In old individuals hypoxia in addition to exercise does not have superior effects on office or exercise blood pressure compared to training in normoxia. Trial registration number ClinicalTrials.gov No. NCT02196623 (registered 22 July 2014).

scholarly journals AGT M235T and ACE ID polymorphisms and exercise blood pressure in the HERITAGE Family Study

2000 ◽  
Vol 279 (1) ◽  
pp. H368-H374 ◽  
Author(s):  
Tuomo Rankinen ◽  
Jacques Gagnon ◽  
Louis Pérusse ◽  
Yvon C. Chagnon ◽  
Treva Rice ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Endurance Training ◽  
Gene Polymorphisms ◽  
Maximal Exercise ◽  
Family Study ◽  
Submaximal Exercise ◽  
Exercise Tests ◽  
Exercise Blood Pressure ◽  
Before And After ◽  
The Difference

We investigated the association between angiotensinogen (AGT) and angiotensin-converting enzyme (ACE) gene polymorphisms and exercise training responses of resting and exercise blood pressure (BP). BP at rest and during submaximal (50 watts) and maximal exercise tests was measured before and after 20 wk of endurance training in 476 sedentary normotensive Caucasian subjects from 99 families. AGT M235T and ACE insertion/deletion polymorphisms were typed with PCR-based methods. Men carrying the AGT MM and MT genotypes showed 3.7 ± 0.6 and 3.2 ± 0.5 (SE) mmHg reductions, respectively, in diastolic BP at 50 watts (DBP50), whereas, in the TT homozygotes, the decrease was 0.4 ± 1.0 mmHg ( P = 0.016 for trend, adjusted for age, body mass index, and baseline DBP50). Men with the ACE DD genotype showed a slightly greater decrease in DBP50 (4.4 ± 0.6 mmHg) than the II and ID genotypes (2.8 ± 0.7 and 2.4 ± 0.5 mmHg, respectively, P = 0.050). Furthermore, a significant ( P = 0.022) interaction effect between the AGT and ACE genes was noted for DBP50; the AGT TT homozygotes carrying the ACE D allele showed no response to training. Men with the AGT TT genotype had greater ( P = 0.007) diastolic BP (DBP) response to acute maximal exercise at baseline. However, the difference disappeared after the training period. No associations were found in women. These data suggest that, in men, the genetic variation in the AGT locus modifies the responsiveness of submaximal exercise DBP to endurance training, and interactions between the AGT and ACE loci can alter this response.

scholarly journals Establishing the V̇o2 versus constant-work-rate relationship from ramp-incremental exercise: simple strategies for an unsolved problem

2019 ◽  
Vol 127 (6) ◽  
pp. 1519-1527 ◽  
Author(s):  
Danilo Iannetta ◽  
Rafael de Almeida Azevedo ◽  
Daniel A. Keir ◽  
Juan M. Murias
Keyword(s):  
Lactate Threshold ◽  
Unsolved Problem ◽  
Critical Power ◽  
Work Rate ◽  
Incremental Exercise ◽  
Mean Response Time ◽  
Constant Work Rate ◽  
Ramp Exercise ◽  
The Mean ◽  
Highly Correlated

The dissociation between constant work rate of O2 uptake (V̇o2) and ramp V̇o2 at a given work rate might be mitigated during slowly increasing ramp protocols. This study characterized the V̇o2 dynamics in response to five different ramp protocols and constant-work-rate trials at the maximal metabolic steady state (MMSS) to characterize 1) the V̇o2 gain (G) in the moderate, heavy, and severe domains, 2) the mean response time of V̇o2 (MRT), and 3) the work rates at lactate threshold (LT) and respiratory compensation point (RCP). Eleven young individuals performed five ramp tests (5, 10, 15, 25, and 30 W/min), four to five time-to-exhaustions for critical power estimation, and two to three constant-work-rate trials for confirmation of the work rate at MMSS. G was greatest during the slowest ramp and progressively decreased with increasing ramp slopes (from ~12 to ~8 ml·min−1·W−1, P < 0.05). The MRT was smallest during the slowest ramp slopes and progressively increased with faster ramp slopes (1 ± 1, 2 ± 1, 5 ± 3, and 10 ± 4, 15 ± 6 W, P < 0.05). After “left shifting” the ramp V̇o2 by the MRT, the work rate at LT was constant regardless of the ramp slope (~150 W, P > 0.05). The work rate at MMSS was 215 ± 55 W and was similar and highly correlated with the work rate at RCP during the 5 W/min ramp ( P > 0.05, r = 0.99; Lin’s concordance coefficient = 0.99; bias = −3 W; root mean square error = 6 W). Findings showed that the dynamics of V̇o2 (i.e., G) during ramp exercise explain the apparent dichotomy existing with constant-work-rate exercise. When these dynamics are appropriately “resolved”, LT is constant regardless of the ramp slope of choice, and RCP and MMSS display minimal variations between each other. NEW & NOTEWORTHY This study demonstrates that the dynamics of V̇o2 during ramp-incremental exercise are dependent on the characteristics of the increments in work rate, such that during slow-incrementing ramp protocols the magnitude of the dissociation between ramp V̇o2 and constant V̇o2 at a given work rate is reduced. Accurately accounting for these dynamics ensures correct characterizations of the V̇o2 kinetics at ramp onset and allows appropriate comparisons between ramp and constant-work-rate exercise-derived indexes of exercise intensity.

Lactic acidosis as a facilitator of oxyhemoglobin dissociation during exercise

1994 ◽  
Vol 76 (4) ◽  
pp. 1462-1467 ◽  
Author(s):  
W. Stringer ◽  
K. Wasserman ◽  
R. Casaburi ◽  
J. Porszasz ◽  
K. Maehara ◽  
...  
Keyword(s):  
Lactic Acidosis ◽  
Femoral Vein ◽  
Lactate Concentration ◽  
Cycle Ergometer ◽  
Work Rate ◽  
Exercise Tests ◽  
Ergometer Exercise ◽  
Constant Work Rate ◽  
Slow Rise ◽  
Lactic Acidosis Threshold

The slow rise in O2 uptake (VO2), which has been shown to be linearly correlated with the increase in lactate concentration during heavy constant work rate exercise, led us to investigate the role of H+ from lactic acid in facilitating oxyhemoglobin (O2Hb) dissociation. We measured femoral venous PO2, O2Hb saturation, pH, PCO2, lactate, and standard HCO3- during increasing work rate and two constant work rate cycle ergometer exercise tests [below and above the lactic acidosis threshold (LAT)] in two groups of five healthy subjects. Mean end-exercise femoral vein blood and VO2 values for the below- and above-LAT square waves and the increasing work rate protocol were, respectively, PO2 of 19.8 +/- 2.1 (SD), 18.8 +/- 4.7, and 19.8 +/- 3.3 Torr; O2 saturation of 22.5 +/- 4.1, 13.8 +/- 4.2, and 18.5 +/- 6.3%; pH of 7.26 +/- 0.01, 7.02 +/- 0.11, and 7.09 +/- 0.07; lactate of 1.9 +/- 0.9, 11.0 +/- 3.8, and 8.3 +/- 2.9 mmol/l; and VO2 of 1.77 +/- 0.24, 3.36 +/- 0.4, and 3.91 +/- 0.68 l/min. End-exercise femoral vein PO2 did not differ statistically for the three protocols, whereas O2Hb saturation continued to decrease for work rates above LAT. We conclude that decreasing capillary PO2 accounted for most of the O2Hb dissociation during below-LAT exercise and that acidification of muscle capillary blood due to lactic acidosis accounted for virtually all of the O2Hb dissociation above LAT.

scholarly journals 583 USE Of POST EXERCISE BLOOD PRESSURE IN EVALUATING EQUIVOCAL EXERCISE TESTS

1990 ◽  
Vol 22 (2) ◽  
pp. S98
Author(s):  
M. A. Green ◽  
C. Foster ◽  
S. J. Nerad ◽  
F. A. Reed ◽  
S. C. Port ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Exercise Tests ◽  
Post Exercise ◽  
Exercise Blood Pressure

scholarly journals Responsiveness of Various Exercise-Testing Protocols to Therapeutic Interventions in COPD

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Benoit Borel ◽  
Steeve Provencher ◽  
Didier Saey ◽  
François Maltais
Keyword(s):  
Exercise Testing ◽  
Exercise Tolerance ◽  
Work Rate ◽  
Therapeutic Interventions ◽  
Exercise Intolerance ◽  
Chronic Obstructive ◽  
Exercise Tests ◽  
Obstructive Pulmonary Disease ◽  
Constant Work Rate ◽  
Testing Protocols

Exercise intolerance is a key element in the pathophysiology and course of Chronic Obstructive Pulmonary Disease (COPD). As such, evaluating exercise tolerance has become an important part of the management of COPD. A wide variety of exercise-testing protocols is currently available, each protocol having its own strengths and weaknesses relative to their discriminative, methodological, and evaluative characteristics. This paper aims to review the responsiveness of several exercise-testing protocols used to evaluate the efficacy of pharmacological and nonpharmacological interventions to improve exercise tolerance in COPD. This will be done taking into account the minimally important difference, an important concept in the interpretation of the findings about responsiveness of exercise testing protocols. Among the currently available exercise-testing protocols (incremental, constant work rate, or self-paced), constant work rate exercise tests (cycle endurance test and endurance shuttle walking test) emerge as the most responsive ones for detecting and quantifying changes in exercise capacity after an intervention in COPD.

Differential ventilatory control during constant work rate and incremental exercise

1994 ◽  
Vol 97 (2) ◽  
pp. 175-187 ◽  
Author(s):  
N.C. Syabbalo ◽  
B. Krishnan ◽  
T. Zintel ◽  
C.G. Gallagher
Keyword(s):  
Work Rate ◽  
Incremental Exercise ◽  
Ventilatory Control ◽  
Constant Work Rate
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