scholarly journals Cardiac remodeling after six weeks of high-intensity interval training to exhaustion in endurance-trained men

2019 ◽  
Vol 317 (4) ◽  
pp. H685-H694 ◽  
Author(s):  
Haïfa Mahjoub ◽  
Olivier Le Blanc ◽  
Myriam Paquette ◽  
Sarah Imhoff ◽  
Lawrence Labrecque ◽  
...  

High-intensity interval training (HIIT) improves physical performance of endurance athletes, although studies examining its cardiovascular effects are sparse. We evaluated the impact of HIIT on blood pressure, heart rate, and cardiac cavities’ size and function in endurance-trained adults. Seventeen endurance-trained men underwent 24-h ambulatory blood pressure monitoring and Doppler echocardiography at baseline and after 6 wk of HIIT. Participants were divided into 2 groups [85% maximal aerobic power (HIIT85), n = 8 and 115% maximal aerobic power (HIIT115), n = 9] to compare the impact of different HIIT intensities. Ambulatory blood pressure monitoring and cardiac chambers’ size and function were similar between groups at baseline. HIIT reduced heart rate (55 ± 8 vs. 51 ± 7 beats/min; P = 0.003), systolic blood pressure (121 ± 11 vs. 118 ± 9 mmHg; P = 0.01), mean arterial pressure (90 ± 8 vs. 89 ± 6 mmHg; P = 0.03), and pulse pressure (52 ± 6 vs. 49 ± 5 mmHg; P = 0.01) irrespective of training intensity. Left atrium volumes increased after HIIT (maximal: 50 ± 14 vs. 54 ± 14 mL; P = 0.02; minimal: 15 ± 5 vs. 20 ± 8 mL; P = 0.01) in both groups. Right ventricle global longitudinal strain lowered after training in the HIIT85 group only (20 ± 4 vs. 17 ± 3%, P = 0.04). In endurance-trained men, 6 wk of HIIT reduced systolic blood pressure and mean arterial pressure and increased left atrium volumes irrespective of training intensity, whereas submaximal HIIT deteriorated right ventricle systolic function. NEW & NOTEWORTHY The novel findings of this study are that 6 wk of high-intensity interval training increases left atrial volumes irrespective of training intensity (85 or 115% maximal aerobic power), whereas the submaximal training decreases right ventricular systolic function in endurance-trained men. These results may help identify the exercise threshold for potential toxicity of intense exercise training for at-risk individuals and ideal exercise training regimens conferring optimal cardiovascular protection and adapted endurance training for athletes.

2019 ◽  
Author(s):  
Haïfa Mahjoub ◽  
Olivier Le Blanc ◽  
Myriam Paquette ◽  
Sarah Imhoff ◽  
Lawrence Labrecque ◽  
...  

ABSTRACTHigh-intensity interval training (HIIT) improves physical performance of endurance athletes, although studies examining its cardiovascular effects are sparse. We evaluated the impact of HIIT on blood pressure, heart rate and cardiac cavities size and function in endurance-trained adults. Seventeen endurance-trained males underwent 24-hour ambulatory blood pressure monitoring (ABPM) and Doppler echocardiography at baseline and after 6 weeks of HIIT. Participants were divided in 2 groups (85% maximal aerobic power (MP); HIIT85, n=8 and 115% MP; HIIT115, n = 9) in order to compare the impact of different HIIT intensities. ABPM and cardiac chambers size and function were similar between groups at baseline. HIIT reduced heart rate (55 ± 8 vs. 51 ± 7 bpm; p= 0.003), systolic blood pressure (SBP; 121 ± 11 vs 118 ± 9 mmHg; p = 0.01), mean arterial pressure (MAP; 90 ± 8 vs 89 ± 6 mmHg; p = 0.03) and pulse pressure (52 ± 6 vs 49 ± 5 mmHg; p = 0.01), irrespective of training intensity. Left atrium (LA) volumes increased after HIIT (maximal: 50 ± 14 vs 54 ±14 ml; p= 0.02; minimal: 15 ± 5 vs 20 ± 8 ml; p = 0.01) in both groups. Right ventricle (RV) global longitudinal strain lowered after training in the HIIT85 group only (20 ± 4 vs. 17 ± 3%, p = 0.04). In endurance-trained males, six weeks of HIIT reduce SBP and MAP and increase LA volumes irrespective of training intensity, whereas submaximal HIIT deteriorates RV systolic function.Key pointsHigh-intensity interval training improves physical performance of endurance athletes, although studies examining its cardiovascular effects are sparse.We evaluated the impact of submaximal (85% maximal aerobic power) and supramaximal (115% maximal aerobic power) high-intensity interval training on ambulatory blood pressure, heart rate and cardiac cavities size and function in endurance-trained adults.Irrespective of training intensity, six weeks of high-intensity interval training increase left atrial volumes in endurance-trained adults, whereas the submaximal training decreases right ventricular systolic function.These results may help identify the exercise threshold for potential toxicity of intense exercise training for at-risk individuals and ideal exercise training regimens conferring optimal cardiovascular protection and adapted endurance training for athletes.


2019 ◽  
Author(s):  
Audrey Drapeau ◽  
Lawrence Labrecque ◽  
Sarah Imhoff ◽  
Myriam Paquette ◽  
Olivier Le Blanc ◽  
...  

ABSTRACTElevated cardiorespiratory fitness (CRF) is associated with reduced dynamic cerebral autoregulation (dCA), but the impact of exercise trainingper seon dCA remains equivocal. In addition, resting cerebral blood flow (CBF) and dCA after high-intensity interval training (HIIT) in individuals with already high CRF is unknown. We examined to what extent 6 weeks of HIIT affect resting CBF and dCA in cardiorespiratory fit men and explored if potential changes are intensity-dependent. Endurance-trained men were assigned to group HIIT85(85% of maximal aerobic power, 1 to 7 min effort bouts, n = 8) and HIIT115(115% of maximal aerobic power, 30 s to 1 min effort bouts, n = 9). Training sessions were completed until exhaustion 3 times/week over 6 weeks. Mean arterial pressure (MAP) and middle cerebral artery mean blood velocity (MCAvmean) were measured continuously at rest and during repeated squat-stands (0.05 and 0.10 Hz). Transfer function analysis (TFA) was used to characterize dCA on driven blood pressure oscillations during repeated squat-stands. Neither training nor intensity had an effect on resting MAP and MCAvmean(bothP> 0.05). TFA phase during 0.10 Hz squat-stands decreased after HIIT irrespective of intensity (HIIT85: 0.77 ± 0.22 vs. 0.67 ± 0.18 radians; HIIT115: pre: 0.62 ± 0.19 vs. post: 0.59 ± 0.13 radians, time effectP= 0.048). These results suggest that HIIT over 6 weeks have no apparent benefits on resting CBF, but a subtle attenuation in dCA is seen posttraining irrespective of intensity training in endurance-trained men.NEW & NOTEWORTHYThe novel findings of this study are that 6 weeks of submaximal and supramaximal high-intensity interval exercise to exhaustion reduce dynamic cerebral autoregulation irrespective of training intensity in endurance-trained men. However, these HIIT protocols do not influence resting cerebral blood flow in these individuals. The results indicate the cerebrovasculature of endurance-trained men has an attenuated ability to react to large and rapid changes in blood pressure following HIIT.


2021 ◽  
Vol 1 (4) ◽  
pp. 50-56
Author(s):  
Ana Luísa Freitas Siqueira ◽  
Gabriela Souza Faria ◽  
Pedro De Oliveira Neto ◽  
Maria Paula Fabrício de Andrade ◽  
Bruna Pereira Molina Cruz ◽  
...  

Physical training is used in the control of arterial hypertension (AH), especially in patients with higher levels of blood pressure (BP). However, there are still few studies on the effects of physical training on AH in less advanced stages of the disease. The aim of the present study was to assess the immediate and late acute effects of continuous moderate physical training (CMT) and high intensity interval training (HIIT) in patients with mild AH, and to assess which training method induces a greater hypotensive effect. A female patient, 43 years old, sedentary, diagnosed with mild AH (stage 1), taking Losartana 50 mg twice a day was studied. She underwent one CMT and one HIIT session, one week apart. BP measurements were taken before and after each session, as well as 24 hours before and after the sessions. After the physical training sessions, we observed a drop in the patient's BP that lasted up to 60 minutes, and a reduction in blood pressure levels on the day after the training. We conclude that both training modalities were efficient in reducing the BP of the patient with mild acute immediate and delayed hypertension.


2020 ◽  
Vol 17 (8) ◽  
pp. 835-839
Author(s):  
Carley O’Neill ◽  
Shilpa Dogra

Background: Low- and moderate-intensity exercise training has been shown to be effective for reducing general anxiety and anxiety sensitivity among adults with asthma. Exercise frequency and intensity have been shown to play an integral role in reducing anxiety sensitivity; however, less is known about the impact of high-intensity interval training (HIIT) on anxiety in adults with asthma. Methods: A 6-week HIIT intervention was conducted with adults with asthma. Participants completed HIIT (10% peak power output for 1 min, 90% peak power output for 1 min, repeated 10 times) 3 times per week on a cycle ergometer. Preintervention and postintervention assessments included the Anxiety Sensitivity Index-3 and the Body Sensations Questionnaire. Results: Total Anxiety Sensitivity Index-3 (PRE: 17.9 [11.8]; POST 12.4 [13], P = .002, Cohen d = 0.4, n = 20) and Body Sensations Questionnaire (PRE: 2.4 [1.0]; POST: 2.0 [0.8], P = .007, Cohen d = 0.3) improved from preintervention to postintervention. Conclusion: A 6-week HIIT intervention leads to improved anxiety among adults with asthma. Future research should determine the impact of HIIT among adults with asthma with clinical anxiety.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jamie J. Edwards ◽  
Katrina A. Taylor ◽  
Christian Cottam ◽  
Navazh Jalaludeen ◽  
Damian A. Coleman ◽  
...  

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