Abstract
Purpose
Our previous study demonstrated that a single bout of stretching exercises acutely reduced arterial stiffness. We hypothesized that this acute vascular response is due to regional mechanical stimulation of the peripheral arteries. To test this hypothesis, we examined the effect of a single bout of passive one leg stretching on arterial stiffness, comparing the stretched and the non-stretched leg in the same subject.
Methods
Twenty-five healthy young men (20.9 ± 0.3 years, 172.5 ± 1.4 cm, 64.1 ± 1.2 kg) volunteered for the study. Subjects underwent a passive calf stretching on one leg (six repetitions of 30-s static stretch with a 10-s recovery). Pulse wave velocity (PWV, an index of arterial stiffness), blood pressure (BP), and heart rate (HR) were measured before and immediately, 15, and 30 min after the stretching.
Results
Femoral–ankle PWV (faPWV) in the stretched leg was significantly decreased from baseline (835.0 ± 15.9 cm/s) to immediately (802.9 ± 16.8 cm/s, P < 0.01) and 15 min (810.5 ± 16.0 cm/s, P < 0.01) after the stretching, despite no changes in systolic and diastolic BP, or HR. However, faPWV in the non-stretched leg was not significantly altered at any time. Brachial–ankle PWV (baPWV) also showed similar responses with faPWV, but this response was not significant. Additionally, the passive stretching did not alter carotid–femoral PWV (cfPWV).
Conclusions
These results suggest that mechanical stimulation to peripheral arteries as induced by static passive stretch may modulate arterial wall properties directly, rather than resulting in a systemic effect.
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Abbreviations
- ANOVA:
-
Analysis of variance
- baPWV:
-
Brachial–ankle pulse wave velocity
- BMI:
-
Body mass index
- CAVI:
-
Cardio-ankle vascular index
- cfPWV:
-
Carotid–femoral pulse wave velocity
- DBP:
-
Diastolic blood pressure
- faPWV:
-
Femoral–ankle pulse wave velocity
- HR:
-
Heart rate
- NIRS:
-
Near-infrared spectroscopy
- PWV:
-
Pulse wave velocity
- SBP:
-
Systolic blood pressure
References
Ashor AW, Lara J, Siervo M, Celis-Morales C, Mathers JC (2014) Effects of exercise modalities on arterial stiffness and wave reflection: a systematic review and meta-analysis of randomized controlled trials. PLoS One 9:e110034. doi:10.1371/journal.pone.0110034
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Cortez-Cooper MY, Anton MM, DeVan AE, Neidre DB, Cook JN, Tanaka H (2008) The effects of strength training on central arterial compliance in middle-aged and older adults. Eur J Cardiovasc Prev Rehabil 15:149–155. doi:10.1097/HJR.0b013e3282f02fe2
Duren CM, Cress ME, McCully KK (2008) The influence of physical activity and yoga on central arterial stiffness. Dyn Med 7:2. doi:10.1186/1476-5918-7-2
Fujie S, Hasegawa N, Sato K, Fujita S, Sanada K, Hamaoka T, Iemitsu M (2015) Aerobic exercise training-induced changes in serum adropin level are associated with reduced arterial stiffness in middle-aged and older adults. Am J Physiol Heart Circ Physiol 309:H1642–H1647. doi:10.1152/ajpheart.00338.2015
Heffernan KS, Rossow L, Jae SY, Shokunbi HG, Gibson EM, Fernhall B (2006) Effect of single-leg resistance exercise on regional arterial stiffness. Eur J Appl Physiol 98:185–190
Heffernan KS, Edwards DG, Rossow L, Jae SY, Fernhall B (2007) External mechanical compression reduces regional arterial stiffness. Eur J Appl Physiol 101:735–741
Hotta K, Kamiya K, Shimizu R, Yokoyama M, Nakamura-Ogura M, Tabata M, Kamekawa D, Akiyama A, Kato M, Noda C, Matsunaga A, Masuda T (2013) Stretching exercises enhance vascular endothelial function and improve peripheral circulation in patients with acute myocardial infarction. Int Heart J 54:59–63
Hu Z, Xiong Y, Han X, Geng C, Jiang B, Huo Y, Luo J (2013) Acute mechanical stretch promotes eNOS activation in venous endothelial cells mainly via PKA and Akt pathway. PLoS One 8:e71359. doi:10.1371/journal.pone.0071359
Iemitsu M, Maeda S, Otsuki T, Sugawara J, Tanabe T, Jesmin S, Kuno S, Ajisaka R, Miyauchi T, Matsuda M (2006) Polymorphism in endothelin-related genes limits exercise-induced decreases in arterial stiffness in older subjects. Hypertension 47:928–936
Kakiyama T, Sugawara J, Murakami H, Maeda S, Kuno S, Matsuda M (2005) Effects of short-term endurance training on aortic distensibility in young males. Med Sci Sports Exerc 37:267–271
Kingwell BA, Berry KL, Cameron JD, Jennings GL, Dart AM (1997) Arterial compliance increases after moderate-intensity cycling. Am J Physiol 273:H2186–H2191
Kruse NT, Silette CR, Scheuermann BW (2016) Influence of passive stretch on muscle blood flow, oxygenation and central cardiovascular responses in healthy young males. Am J Physiol Heart Circ Physiol 310:H1210–H1221. doi:10.1152/ajpheart.00732.2015
Lim J, Pearman ME, Park W, Alkaran M, Machin DR, Tanaka H (2015) Impact of blood pressure perturbations on arterial stiffness. Am J Physiol Regul Integr Comp Physiol 309:R1540–R1545. doi:10.1152/ajpregu.00368.2015
McDaniel J, Fjedstad AS, Ives S, Hayman M, Kithas P, Richardson RS (2010) Central and peripheral contributors to skeletal muscle hyperemia: response to passive limb movement. J Appl Physiol 108:76–84. doi:10.1152/japplphysiol.00895.2009
Meyer ML, Tanaka H, Palta P, Cheng S, GouskovaN Aguilar D, Heiss G (2016) Correlates of segmental pulse wave velocity in older adults: the atherosclerosis risk in communities (ARIC) study. Am J Hypertens 29:114–122. doi:10.1093/ajh/hpv079
Nishiwaki M, Yonemura H, Kurobe K, Matsumoto N (2015) Four weeks of regular static stretching reduces arterial stiffness in middle-aged men. Springerplus 4:555. doi:10.1186/s40064-015-1337-4
Patil SG, Aithala MR, Das KK (2015) Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: a randomized controlled study. Complement Ther Med 23:562–569. doi:10.1016/j.ctim.2015.06.002
Saeed NP, Reneman RS, Hoeks AP (2009) Contribution of vascular and neural segments to baroreflex sensitivity in response to postural stress. J Vasc Res 46:469–477. doi:10.1159/000200962
Sarafian D, Miles-Chan JL (2017) The influence of gender and anthropometry on haemodynamic status at rest and in response to graded incremental head-up tilt in young, healthy adults. Front Physiol 7:656. doi:10.3389/fphys.2016.00656
Sugawara J, Otsuki T, Tanabe T, Maeda S, Kuno S, Ajisaka R, Matsuda M (2003) The effects of low-intensity single-leg exercise on regional arterial stiffness. Jpn J Physiol 53:239–241
Tanaka H, Dinenno FA, Monahan KD, Clevenger CM, DeSouza CA, Seals DR (2000) Aging, habitual exercise, and dynamic arterial compliance. Circulation 102:1270–1275
Tomiyama H, Yamashina A, Arai T, Hirose K, Koji Y, Chikamori T, Hori S, Yamamoto Y, Doba N, Hinohara S (2003) Influences of age and gender on results of noninvasive brachial–ankle pulse wave velocity measurement—a survey of 12517 subjects. Atherosclerosis 166:303–309
Wong A, Figueroa A (2014) Eight weeks of stretching training reduces aortic wave reflection magnitude and blood pressure in obese postmenopausal women. J Hum Hypertens 28:246–250. doi:10.1038/jhh.2013.98
Yamamoto K, Kawano H, Gando Y, Iemitsu M, Murakami H, Sanada K, Tanimoto M, Ohmori Y, Higuchi M, Tabata I, Miyachi M (2009) Poor trunk flexibility is associated with arterial stiffening. Am J Physiol Heart Circ Physiol 297:H1314–H1318. doi:10.1152/ajpheart.00061.2009
Yamato Y, Hasegawa N, Sato K, Hamaoka T, Ogoh S, Iemitsu M (2016) Acute effect of static stretching exercise on arterial stiffness in healthy young adults. Am J Phys Med Rehabil 95:764–770. doi:10.1097/PHM.0000000000000498
Acknowledgements
This work was supported by Grants-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology of Japan (KAKENHI: #26282199 for M. Iemitsu and 16K01746 for Y. Yamato).
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Communicated by Toshio Moritani.
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Yamato, Y., Hasegawa, N., Fujie, S. et al. Acute effect of stretching one leg on regional arterial stiffness in young men. Eur J Appl Physiol 117, 1227–1232 (2017). https://doi.org/10.1007/s00421-017-3609-x
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DOI: https://doi.org/10.1007/s00421-017-3609-x