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Int J Sports Med 2013; 34(05): 391-397
DOI: 10.1055/s-0032-1323779
Physiology & Biochemistry
© Georg Thieme Verlag KG Stuttgart · New York

Cardiac Work Remains High after Strength Exercise in Elderly

A.C. C. Queiroz
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
H. Kanegusuku
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
M. R. Chehuen
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
L.A. R. Costa
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
L. F. Wallerstein
2   Neuromuscular Adaptation Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
V. J. Dias da Silva
3   Physiology Division, Biological Science Department, Federal University of Triângulo Mineiro, Minas Gerais, Brazil
,
M. T. Mello
4   Centre for Psychobiology and Exercise Studies, Federal University of São Paulo, São Paulo, Brazil
,
C. Ugrinowitsch
2   Neuromuscular Adaptation Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
C.L. M. Forjaz
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
› Author Affiliations
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Publication History



accepted after revision 03 August 2012

Publication Date:
22 November 2012 (online)

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Cardiac Work Remains High after Strength Exercise in ElderlyInt J Sports Med 2013; 34(05): e2-e2
DOI: 10.1055/s-0032-1331707

Abstract

Moderate- to high-intensity strength training is recommended for healthy adults. In young subjects, a single session of strength training decreases blood pressure, while heart rate and cardiac work remain elevated afterwards. However, these effects have not been clearly demonstrated in elderly subjects. To investigate this issue, 16 elderly subjects each underwent a Control and an Exercise (3 sets, 8 RM, 9 exercises) session conducted in random order. Haemodynamic variables and heart rate variability were measured before and after the interventions. Systolic blood pressure did not change after the exercise session but did increase after the control session (+8.1±1.6 mm Hg, P≤0.05). Diastolic blood pressure, as well as systemic vascular resistance increased similarly after both sessions. Cardiac output and stroke volume decreased, while heart rate, rate-pressure product and the low- to high-frequency ratio of heart rate variability increased only after the exercise session ( − 0.5±0.1 L/min, − 9.3±2.0 ml,+3.8±1.6 bpm, +579.3±164.1 mmHg.bpm and +0.71±0.34, P≤0.05). Ambulatory blood pressure was similar after both sessions, while heart rate and rate pressure product remained higher after the exercise session for up to 4.5 h. After a single session of strength training, cardiac sympathetic modulation and heart rate remain elevated in elderly subjects, keeping cardiac work elevated for a long period of time.

Key words

aging - resistance training - cardiovascular load - haemodynamics - ambulatory blood pressure - autonomic modulation
 

  • References

  • 1 Aires MM. Physiology. Rio de Janeiro: Guanabara Koogan; 2008
    Google Scholar
  • 2 American College Sports Medicine . ACSM’s position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc 2009; 41: 687-708
    CrossrefPubMedGoogle Scholar
  • 3 American College Sports Medicine . ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2006
    Google Scholar
  • 4 Campbell NR, Chockalingam A, Fodor JG, McKay DW. Accurate, reproducible measurement of blood pressure. CMAJ 1990; 143: 19-24
    PubMedGoogle Scholar
  • 5 Chin APMJ, van Poppel MN, van Mechelen W. Effects of resistance and functional-skills training on habitual activity and constipation among older adults living in long-term care facilities: a randomized controlled trial. BMC Geriatr 2006; 6: 9
    CrossrefPubMedGoogle Scholar
  • 6 Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, Jones DW, Materson BJ, Oparil S, Wright Jr JT, Roccella EJ. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 2003; 289: 2560-2572
    CrossrefPubMedGoogle Scholar
  • 7 Collins MA, Cureton KJ, Hill DW, Ray CA. Relation of plasma volume change to intensity of weight lifting. Med Sci Sports Exerc 1989; 21: 178-185
    PubMedGoogle Scholar
  • 8 Costa JBY, Gerage AM, Gonçalves CGS, Pina FLC, Polito MD. Influence of the training status on the blood pressure behavior after a resistance training session in hypertensive older females. Rev Bras Med Esporte 2010; 16: 103-106
    PubMedGoogle Scholar
  • 9 Desai MM, Zhang P, Hennessy CH. Surveillance for morbidity and mortality among older adults – United States, 1995-1996. MMWR CDC Surveill Summ 1999; 48: 7-25
    PubMedGoogle Scholar
  • 10 Doherty TJ. Invited review: Aging and sarcopenia. J Appl Physiol 2003; 95: 1717-1727
    CrossrefPubMedGoogle Scholar
  • 11 Forjaz CL, Cardoso J CG, Rezk CC, Santaella DF, Tinucci T. Postexercise hypotension and hemodynamics: the role of exercise intensity. J Sports Med Phys Fitness 2004; 44: 54-62
    PubMedGoogle Scholar
  • 12 Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359
    CrossrefPubMedGoogle Scholar
  • 13 Gotshall RW, Aten LA, Yumikura S. Difference in the cardiovascular response to prolonged sitting in men and women. Can J Appl Physiol 1994; 19: 215-225
    CrossrefPubMedGoogle Scholar
  • 14 Groppelli A, Omboni S, Parati G, Mancia G. Evaluation of noninvasive blood pressure monitoring devices Spacelabs 90 202 and 90 207 versus resting and ambulatory 24-h intra-arterial blood pressure. Hypertension 1992; 20: 227-232
    CrossrefPubMedGoogle Scholar
  • 15 Harriss DJ, Atkinson G. Update – ethical standards in sport and exercise science research. Int J Sports Med 2011; 32: 819-821
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Jannig PR, Cardoso AC, Fleischmann E, Coelho CW, de Carvalho T. Influence of resistance exercises order performance on post-exercise hypotension in hypertensive elderly. Rev Bras Med Esporte 2009; 15: 338-341
    CrossrefPubMedGoogle Scholar
  • 17 Jones NL, Campbell EJ, McHardy GJ, Higgs BE, Clode M. The estimation of carbon dioxide pressure of mixed venous blood during exercise. Clin Sci 1967; 32: 311-327
    PubMedGoogle Scholar
  • 18 Kraemer WJ, Fry AC. Strength testing: development and evaluation of methodology. In: Maud PJ, Forter C. (eds.). Physiological Assessment of Human Fitness. Champaign: Human Kinetics; 1995: 115-138
    Google Scholar
  • 19 Krinski K, Elsangedy HM, Soares IA, Buzzachera CF, de Campos W, da Silva SG. Efeitos cardiovasculares agudos do exercício resistido em idosas hipertensas. Acta Sci Health Sci 2008; 30: 107-112
    PubMedGoogle Scholar
  • 20 Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: Part II: the aging heart in health: links to heart disease. Circulation 2003; 107: 346-354
    CrossrefPubMedGoogle Scholar
  • 21 Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991; 84: 482-492
    CrossrefPubMedGoogle Scholar
  • 22 Mark AL, Mancia G. Cardiopulmonary baroreflex in humans. In: Rowell LB, Shepherd JT. (eds.). Handbook of Physiology. New York: Oxford; 1996: 795-813
    Google Scholar
  • 23 Mediano M, Paravidino V, Simao R, Pontes F, Polito M. Subacute behavior of the blood pressure after power training in controlled hypertensive individuals. Rev Bras Med Esporte 2005; 11: 337-340
    PubMedGoogle Scholar
  • 24 Melo CM, Alencar Filho AC, Tinucci T, Mion Jr D, Forjaz CL. Postexercise hypotension induced by low-intensity resistance exercise in hypertensive women receiving captopril. Blood Press Monit 2006; 11: 183-189
    CrossrefPubMedGoogle Scholar
  • 25 Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart rate recovery and treadmill exercise score as predictors of mortality in patients referred for exercise ECG. JAMA 2000; 284: 1392-1398
    CrossrefPubMedGoogle Scholar
  • 26 O’Brien E, Asmar R, Beilin L, Imai Y, Mancia G, Mengden T, Myers M, Padfield P, Palatini P, Parati G, Pickering T, Redon J, Staessen J, Stergiou G, Verdecchia P. Practice guidelines of the European Society of Hypertension for clinic, ambulatory and self blood pressure measurement. J Hypertens 2005; 23: 697-701
    CrossrefPubMedGoogle Scholar
  • 27 O’Rourke MF, Hashimoto J. Mechanical factors in arterial aging: a clinical perspective. J Am Coll Cardiol 2007; 50: 1-13
    CrossrefPubMedGoogle Scholar
  • 28 Parati G, Di Rienzo M, Bertinieri G, Pomidossi G, Casadei R, Groppelli A, Pedotti A, Zanchetti A, Mancia G. Evaluation of the baroreceptor-heart rate reflex by 24-hour intra-arterial blood pressure monitoring in humans. Hypertension 1988; 12: 214-222
    CrossrefPubMedGoogle Scholar
  • 29 Peterson MD, Rhea MR, Sen A, Gordon PM. Resistance exercise for muscular strength in older adults: a meta-analysis. Ageing Res Rev 2010; 9: 226-237
    CrossrefPubMedGoogle Scholar
  • 30 Queiroz AC, Gagliardi JF, Forjaz CL, Rezk CC. Clinic and ambulatory blood pressure responses after resistance exercise. J Strength Cond Res 2009; 23: 571-578
    CrossrefPubMedGoogle Scholar
  • 31 Rezk CC, Marrache RC, Tinucci T, Mion Jr. D, Forjaz CL. Post-resistance exercise hypotension, hemodynamics, and heart rate variability: influence of exercise intensity. Eur J Appl Physiol 2006; 98: 105-112
    CrossrefPubMedGoogle Scholar
  • 32 Scher LML, Ferriolli E, Moriguti JC, Lima NKC. Blood pressure assessed through oscillometric and auscultatory method before and after exercise in the elderly. Arq Bras Cardiol 2010; 94: 656-662
    CrossrefPubMedGoogle Scholar
  • 33 Singh D, Vinod K, Saxena SC, Deepak KK. Spectral evaluation of aging effects on blood pressure and heart rate variations in healthy subjects. J Med Eng Technol 2006; 30: 145-150
    CrossrefPubMedGoogle Scholar
  • 34 Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology . Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 1996; 93: 1043-1065
    CrossrefPubMedGoogle Scholar
  • 35 Teixeira L, Ritti-Dias RM, Tinucci T, Mion Junior D, Forjaz CL. Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur J Appl Physiol 2011; 111: 2069-2078
    CrossrefPubMedGoogle Scholar
  • 36 Tokmakidis SP, Kalapotharakos VI, Smilios I, Parlavantzas A. Effects of detraining on muscle strength and mass after high or moderate intensity of resistance training in older adults. Clin Physiol Funct Imaging 2009; 29: 316-319
    CrossrefPubMedGoogle Scholar