Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study

Abstract Isometric exercise training (IET) is increasingly cited for its role in reducing resting blood pressure (BP). Despite this, few studies have investigated a potential sham effect attributing to the success of IET, thus dictating the aim of the present study. Thirty physically inactive males...

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Main Authors: Anthony Decaux, Jamie J. Edwards, Harry T. Swift, Philip Hurst, Jordan Hopkins, Jonathan D. Wiles, Jamie M. O’Driscoll
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15112
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author Anthony Decaux
Jamie J. Edwards
Harry T. Swift
Philip Hurst
Jordan Hopkins
Jonathan D. Wiles
Jamie M. O’Driscoll
author_facet Anthony Decaux
Jamie J. Edwards
Harry T. Swift
Philip Hurst
Jordan Hopkins
Jonathan D. Wiles
Jamie M. O’Driscoll
author_sort Anthony Decaux
collection DOAJ
description Abstract Isometric exercise training (IET) is increasingly cited for its role in reducing resting blood pressure (BP). Despite this, few studies have investigated a potential sham effect attributing to the success of IET, thus dictating the aim of the present study. Thirty physically inactive males (n = 15) and females (n = 15) were randomly assigned into three groups. The IET group completed a wall squat intervention at 95% peak heart rate (HR) using a prescribed knee joint angle. The sham group performed a parallel intervention, but at an intensity (<75% peak HR) previously identified to be inefficacious over a 4‐week training period. No‐intervention controls maintained their normal daily activities. Pre‐ and post‐measures were taken for resting and continuous blood pressure and cardiac autonomic modulation. Resting clinic and continuous beat‐to‐beat systolic (−15.2 ± 9.2 and −7.3 ± 5.6 mmHg), diastolic (−4.6 ± 5 and −4.5 ± 5.1), and mean (−7 ± 4.2 and −7.5 ± 5.3) BP, respectively, all significantly decreased in the IET group compared to sham and no‐intervention control. The IET group observed a significant decrease in low‐frequency normalized units of heart rate variability concurrent with a significant increase in high‐frequency normalized units of heart rate variability compared to both the sham and no‐intervention control groups. The findings of the present study reject a nonspecific effect and further support the role of IET as an effective antihypertensive intervention. Clinical Trials ID: NCT05025202.
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spelling doaj.art-253850aace624a2a8a773efa2c50a3442022-12-21T23:42:58ZengWileyPhysiological Reports2051-817X2022-01-01102n/an/a10.14814/phy2.15112Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled studyAnthony Decaux0Jamie J. Edwards1Harry T. Swift2Philip Hurst3Jordan Hopkins4Jonathan D. Wiles5Jamie M. O’Driscoll6School of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKSchool of Psychology and Life Sciences Canterbury Christ Church University Kent UKAbstract Isometric exercise training (IET) is increasingly cited for its role in reducing resting blood pressure (BP). Despite this, few studies have investigated a potential sham effect attributing to the success of IET, thus dictating the aim of the present study. Thirty physically inactive males (n = 15) and females (n = 15) were randomly assigned into three groups. The IET group completed a wall squat intervention at 95% peak heart rate (HR) using a prescribed knee joint angle. The sham group performed a parallel intervention, but at an intensity (<75% peak HR) previously identified to be inefficacious over a 4‐week training period. No‐intervention controls maintained their normal daily activities. Pre‐ and post‐measures were taken for resting and continuous blood pressure and cardiac autonomic modulation. Resting clinic and continuous beat‐to‐beat systolic (−15.2 ± 9.2 and −7.3 ± 5.6 mmHg), diastolic (−4.6 ± 5 and −4.5 ± 5.1), and mean (−7 ± 4.2 and −7.5 ± 5.3) BP, respectively, all significantly decreased in the IET group compared to sham and no‐intervention control. The IET group observed a significant decrease in low‐frequency normalized units of heart rate variability concurrent with a significant increase in high‐frequency normalized units of heart rate variability compared to both the sham and no‐intervention control groups. The findings of the present study reject a nonspecific effect and further support the role of IET as an effective antihypertensive intervention. Clinical Trials ID: NCT05025202.https://doi.org/10.14814/phy2.15112blood pressureisometric exercise
spellingShingle Anthony Decaux
Jamie J. Edwards
Harry T. Swift
Philip Hurst
Jordan Hopkins
Jonathan D. Wiles
Jamie M. O’Driscoll
Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
Physiological Reports
blood pressure
isometric exercise
title Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
title_full Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
title_fullStr Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
title_full_unstemmed Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
title_short Blood pressure and cardiac autonomic adaptations to isometric exercise training: A randomized sham‐controlled study
title_sort blood pressure and cardiac autonomic adaptations to isometric exercise training a randomized sham controlled study
topic blood pressure
isometric exercise
url https://doi.org/10.14814/phy2.15112
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