Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease
We tested the hypothesis that acute post-exercise change in blood pressure (BP) may predict exercise training responses in BP in patients with coronary artery disease (CAD). Patients with CAD (n=116, age 62±5 years, 85 men) underwent BP assessments at rest and during 10-min recovery following a symp...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2015-01-01
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| Series: | Frontiers in Physiology |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00526/full |
| _version_ | 1818503888133685248 |
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| author | Antti M Kiviniemi Antti M Kiviniemi Arto J Hautala Jaana eKarjalainen Olli-Pekka ePiira Samuli eLepojärvi Olavi eUkkola Heikki Veli Huikuri Mikko Paavo Tulppo Mikko Paavo Tulppo |
| author_facet | Antti M Kiviniemi Antti M Kiviniemi Arto J Hautala Jaana eKarjalainen Olli-Pekka ePiira Samuli eLepojärvi Olavi eUkkola Heikki Veli Huikuri Mikko Paavo Tulppo Mikko Paavo Tulppo |
| author_sort | Antti M Kiviniemi |
| collection | DOAJ |
| description | We tested the hypothesis that acute post-exercise change in blood pressure (BP) may predict exercise training responses in BP in patients with coronary artery disease (CAD). Patients with CAD (n=116, age 62±5 years, 85 men) underwent BP assessments at rest and during 10-min recovery following a symptom-limited exercise test before and after the 6-month training intervention (one strength and 3-4 aerobic moderate-intensity exercises weekly). Post-exercise change in systolic BP (SBP) was calculated by subtracting resting SBP from lowest post-exercise SBP. The training-induced change in resting SBP was -2±13 mmHg (p=0.064), ranging from -42 to 35 mmHg. Larger post-exercise decrease in SBP and baseline resting SBP predicted a larger training-induced decrement in SBP (β=0.46 and β=-0.44, respectively, p<0.001 for both). Acute post-exercise decrease in SBP provided additive value to baseline resting SBP in the prediction of training-induced change in resting SBP (R squared from 0.20 to 0.26, p=0.002). After further adjustments for other potential confounders (sex, age, baseline body mass index, realized training load), post-exercise decrease in SBP still predicted the training response in resting SBP (β=0.26, p=0.015). Acute post-exercise change in SBP was associated with training-induced change in resting SBP in patients with CAD, providing significant predictive information beyond baseline resting SBP. |
| first_indexed | 2024-12-10T21:29:51Z |
| format | Article |
| id | doaj.art-01e62e7e67ab44bbb9ca6b91ff9e19da |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-12-10T21:29:51Z |
| publishDate | 2015-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-01e62e7e67ab44bbb9ca6b91ff9e19da2022-12-22T01:32:50ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2015-01-01510.3389/fphys.2014.00526127276Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery diseaseAntti M Kiviniemi0Antti M Kiviniemi1Arto J Hautala2Jaana eKarjalainen3Olli-Pekka ePiira4Samuli eLepojärvi5Olavi eUkkola6Heikki Veli Huikuri7Mikko Paavo Tulppo8Mikko Paavo Tulppo9VerveUniversity of Oulu and Oulu University HospitalVerveUniversity of Oulu and Oulu University HospitalUniversity of Oulu and Oulu University HospitalUniversity of Oulu and Oulu University HospitalUniversity of Oulu and Oulu University HospitalUniversity of Oulu and Oulu University HospitalVerveLondon South Bank UniversityWe tested the hypothesis that acute post-exercise change in blood pressure (BP) may predict exercise training responses in BP in patients with coronary artery disease (CAD). Patients with CAD (n=116, age 62±5 years, 85 men) underwent BP assessments at rest and during 10-min recovery following a symptom-limited exercise test before and after the 6-month training intervention (one strength and 3-4 aerobic moderate-intensity exercises weekly). Post-exercise change in systolic BP (SBP) was calculated by subtracting resting SBP from lowest post-exercise SBP. The training-induced change in resting SBP was -2±13 mmHg (p=0.064), ranging from -42 to 35 mmHg. Larger post-exercise decrease in SBP and baseline resting SBP predicted a larger training-induced decrement in SBP (β=0.46 and β=-0.44, respectively, p<0.001 for both). Acute post-exercise decrease in SBP provided additive value to baseline resting SBP in the prediction of training-induced change in resting SBP (R squared from 0.20 to 0.26, p=0.002). After further adjustments for other potential confounders (sex, age, baseline body mass index, realized training load), post-exercise decrease in SBP still predicted the training response in resting SBP (β=0.26, p=0.015). Acute post-exercise change in SBP was associated with training-induced change in resting SBP in patients with CAD, providing significant predictive information beyond baseline resting SBP.http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00526/fullHypertensionAcute ExerciseAutonomic FunctionIschemic Heart Diseasearterial pressureexercise testing |
| spellingShingle | Antti M Kiviniemi Antti M Kiviniemi Arto J Hautala Jaana eKarjalainen Olli-Pekka ePiira Samuli eLepojärvi Olavi eUkkola Heikki Veli Huikuri Mikko Paavo Tulppo Mikko Paavo Tulppo Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease Frontiers in Physiology Hypertension Acute Exercise Autonomic Function Ischemic Heart Disease arterial pressure exercise testing |
| title | Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| title_full | Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| title_fullStr | Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| title_full_unstemmed | Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| title_short | Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| title_sort | acute post exercise change in blood pressure and exercise training response in patients with coronary artery disease |
| topic | Hypertension Acute Exercise Autonomic Function Ischemic Heart Disease arterial pressure exercise testing |
| url | http://journal.frontiersin.org/Journal/10.3389/fphys.2014.00526/full |
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