Characterizing the interindividual postexercise hypotension response for two order groups of concurrent training in patients with morbid obesity

Primer Autor
Delgado-Floody, Pedro
Co-autores
Alvarez, Cristian
Guede-Rojas, Francisco
Ramirez-Campillo, Rodrigo
Andrade, David C.
Vasquez-Gomez, Jaime
Rodriguez-Rodriguez, Fernando
Ciolac, Emmanuel Gomes
Caamano-Navarrete, Felipe
Título
Characterizing the interindividual postexercise hypotension response for two order groups of concurrent training in patients with morbid obesity
Editorial
FRONTIERS MEDIA SA
Revista
FRONTIERS IN PHYSIOLOGY
Lenguaje
en
Resumen
"Background: Postexercise hypotension (PEH) is a common physiological phenomenon occurring immediately after endurance training (ET), resistance training (RT), and ET plus RT, also termed concurrent training (CT), however, there is little knowledge about the interindividual and magnitude response of PEH in morbidly obese patients. Aim: The aims of this study were (1) to investigate the effect of CT order (ET + RT vs. RT + ET) on the blood pressure responses, 2) characterize these responses in responders and nonresponders, and 3) identify potential baseline outcomes for predicting blood pressure decreases as responders. Methods: A quasi-experimental study developed in sedentary morbidly obese men and women (age 43.6 +/- 11.3 years, body mass index [BMI] >= 40 kg/m(2)) was assigned to a CT group of ET plus RT (ET + RT, n = 19, BMI 47.8 +/- 16.7) or RT plus ET order group (RT + ET, n = 17, BMI 43.0 +/- 8.0). Subjects of both groups received eight exercise sessions over four weeks. Primary outcomes include systolic (SBP), diastolic (DBP), mean arterial pressure [MAP], heart rate at rest [HR], and pulse pressure [PP] measurements before and after 10 min post-exercise. Secondary outcomes were other anthropometric, body composition, metabolic, and physical fitness parameters. Using the delta Delta SBP reduction, quartile categorization (Q) in ""high"" (Rs: quartile 4), ""moderate"" (MRs: quartile 3), ""low"" (LRs: quartile 2), and ""nonresponders"" (NRs: quartile 1) was reported. Results: Significant pre-post changes were observed in ET + RT in session 2 for SBP (131.6 vs. 123.4 mmHg, p = 0.050) and session 4 (131.1 vs. 125.2 mmHg, p = 0.0002), while the RT + ET group showed significant reductions in session 4 (134.2 vs. 125.3 mmHg, p < 0.001). No significant differences were detected in the sum of the eight sessions for SBP (Sigma Delta SBP) between ET + RT vs. RT + ET (-5.7 vs. -4.3 mmHg, p = 0.552). Interindividual analyses revealed significant differences among frequencies comparing Q1 ""NRs"" (n = 8, 22.2%), Q2 ""LRs"" (n = 8, 22.2%), Q3 ""MRs"" (n = 9, 25.0%), and Q4 ""HRs"" (n = 11, 30.5%), p < 0.0001. Quartile comparisons showed significant differences in SBP changes (p = 0.035). Linear regression analyses revealed significant association between Sigma Delta SBP with body fat % (beta -3.826, R-2 0.211 [21.1%], p = 0.031), skeletal muscle mass [beta -2.150, R-2 0.125 (12.5%), p = 0.023], fasting glucose [beta 1.273, R2 0.078 (7.8%), p = 0.003], triglycerides [beta 0.210, R-2 0.014 (1.4%), p = 0.008], and the 6-min walking test [beta 0.183, R-2 0.038 (3.8%), p = 0.044]. Conclusion: The CT order of ET + RT and RT + ET promote a similar 'magnitude' in the postexercise hypotensive effects during the eight sessions of both CT orders in 4 weeks of training duration, revealing ""nonresponders"" and 'high' responders that can be predicted from body composition, metabolic, and physical fitness outcomes."
Tipo de Recurso
artículo original
doi
10.3389/fphys.2022.913645
Formato Recurso
PDF
Palabras Claves
exercise
concurrent training
endurance training
obesity
morbid obesity
nonresponders
blood pressure
metabolic syndrome
AMBULATORY BLOOD-PRESSURE
HIGH-INTENSITY INTERVAL
AEROBIC EXERCISE
CARDIOVASCULAR RISK
ARTERIAL STIFFNESS
METABOLIC SYNDROME
RESISTANCE
MECHANISMS
SESSION
WOMEN
Ubicación del archivo
Categoría OCDE
Fisiología
Materias
ejercicio
entrenamiento concurrente
entrenamiento de resistencia
obesidad
obesidad mórbida
no respondedores
presión arterial
síndrome metabólico
PRESIÓN ARTERIAL AMBULATORIA
INTERVALO DE ALTA INTENSIDAD
EJERCICIO AERÓBICO
RIESGO CARDIOVASCULAR
RIGIDEZ ARTERIAL
SÍNDROME METABÓLICO
RESISTENCIA
MECANISMOS
SESIÓN
MUJERES
Título de la cita (Recomendado-único)
Characterizing the interindividual postexercise hypotension response for two order groups of concurrent training in patients with morbid obesity
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
version publicada
License
CC BY 4.0
Condición de la licencia (Recomendado-repetible)
CC BY 4.0
Derechos de acceso
acceso abierto
Access Rights
acceso abierto
Id de Web of Science
WOS:000876199500001
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