Skip to main content
Log in

Immediate post-isometric exercise cardiovascular responses are associated with training-induced resting systolic blood pressure reductions

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was twofold: (1) to investigate the effect of 4 weeks of bilateral-leg isometric exercise training on the immediate isometric post-exercise cardiovascular responses, and (2) to ascertain whether any changes in immediate post-exercise cardiovascular responses may be associated with training-induced adaptations in resting blood pressure.

Methods

Thirteen normotensive males completed both isometric exercise training (IET) and control conditions, which were separated by 6 weeks. Participants performed a total of twelve training sessions; 4 × 2-min bilateral-leg isometric exercise bouts separated by 3-min rest periods, 3 days week−1.

Results

Four weeks of bilateral-leg IET resulted in a reduction in resting SBP (120 ± 12–115 ± 12 mmHg, p = 0.01). The intercept of the 5-min post-exercise systolic blood pressure slope was lower (p = 0.015) following the 4-week training intervention. Individual changes in immediate post-exercise response SBP were also significantly correlated with reductions in resting SBP following 4 weeks of training. There were significant differences in the slopes of the first vs. final post-exercise BRS response (p = 0.009), and the intercepts of the HRR slopes (p = 0.04) recorded during the 5-min post-exercise periods.

Conclusions

Four weeks of IET altered immediate cardiovascular responses to an individual IET session. Altered immediate responses were also associated with training-induced reductions in resting SBP. To our knowledge, this is the first evidence suggesting that very short-term (immediate) cardiovascular responses may be important in defining chronic reductions in resting blood pressure following a period of IET.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Abbreviations

BP:

Blood pressure

BRS:

Baroreflex sensitivity

EMG:

Electromyography

HR:

Heart rate

HRR:

Heart rate recovery

IET:

Isometric exercise training

MVC:

Maximal voluntary contraction

SBP:

Systolic blood pressure

References

  • Alkner B, Tesch PA, Berg HE (2000) Quadriceps EMG/force relationship in knee extension and leg press. Med Sci Sport Exerc 32:459–463

    Article  CAS  Google Scholar 

  • Arai Y, Saul JP, Albrecht P, Hartley LH, Lilly LS, Cohen RJ, Colucci WS (1989) Modulation of cardiac autonomic activity during and immediately after exercise. Am J Physiol 256:H132–H141

    CAS  PubMed  Google Scholar 

  • Blumenthal JA, Sherwood A, Gullette EC, Babyak M, Waugh R, Georgiades A, Hinderliter A (2000) Exercise and weight loss reduce blood pressure in men and women with mild hypertension: effects on cardiovascular, metabolic, and hemodynamic functioning. Arch Intern Med 160(13):1947–1958

    Article  CAS  PubMed  Google Scholar 

  • Carter JB, Banister EW, Blaber AP (2003) Effect of endurance exercise on autonomic control of heart rate. Sports Med 33(1):33–46

    Article  PubMed  Google Scholar 

  • Cléroux J, N’G KouamS, Nadeau A, Coulombe D, Lacourciere Y (1992) Aftereffects of exercise on regional and systemic hemodynamics in hypertension. Hypertension 19:183–191

    Article  PubMed  Google Scholar 

  • Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS (1999) Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 341:1351–1357

    Article  CAS  PubMed  Google Scholar 

  • Costes F, Roche F, Pichot V, Vergnon JM, Garet M, Barthelemy JC (2004) Influence of exercise training on cardiac baroreflex sensitivity in patients with COPD. Eur Respir J 23(3):396–401

    Article  CAS  PubMed  Google Scholar 

  • Devereux GR, Wiles JD, Swaine IL (2010) Reductions in resting blood pressure after 4 weeks of isometric exercise training. Eur J Appl Physiol 109:601–606

    Article  PubMed  Google Scholar 

  • Fisher MM (2001) The effect of resistance exercise on recovery blood pressure in normotensive and borderline hypertensive women. J Strength Cond Res 15(2):210–216

    CAS  PubMed  Google Scholar 

  • Gizdulich P, Imholz BP, van den Meiracker AH, Parati G, Wesseling KH (1996) Finapres tracking of systolic blood pressure and baroreflex sensitivity improved by waveform filtering. J Hypertens 14:243–250

    Article  CAS  PubMed  Google Scholar 

  • Guelen I, Westerhof BE, van der Sar GL, van Montfrans GA, Kiemeneij F, Wesseling KH, Bos WJW (2008) Validation of brachial artery pressure reconstruction from finger arterial pressure. J Hypertens 26(7):1321–1327

    Article  CAS  PubMed  Google Scholar 

  • Hagberg JM, Montain SJ, Martin WH (1987) Blood pressure and hemodynamic responses after exercise in older hypertensives. J Appl Physiol 63:270–276

    CAS  PubMed  Google Scholar 

  • Hoffmann P, Thorén P (1988) Electric muscle stimulation in the hind leg of the spontaneously hypertensive rat induces a long-lasting fall in blood pressure. Ada Physiol Scand 133:211–219

    Article  CAS  Google Scholar 

  • Howden R, Lightfoot T, Brown S, Swaine IL (2002) Orthostatic tolerance and blood pressure after isometric training in humans. Exp Physiol 87:507–515

    Article  PubMed  Google Scholar 

  • Iellamo F, Legramante JM, Massaro M, Raimondi G, Galante A (2000) Effects of a residential exercise training on baroreflex sensitivity and heart rate variability in patients with coronary artery disease a randomized, controlled study. Circulation 102(21):2588–2592

    Article  CAS  PubMed  Google Scholar 

  • Imai K, Sato H, Hori M et al (1994) Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 24:1529–1535

    Article  CAS  PubMed  Google Scholar 

  • Kluess HA, Wood RH, Welsch MA (2000) Vagal modulations of the heart and central hemodynamics during handgrip exercise. Am J Physiol 279:H1648–H1652

    Google Scholar 

  • Lakin R, Notarius C, Thomas S, Goodman J (2013) Effects of moderate-intensity aerobic cycling and swim exercise on post-exertional blood pressure in healthy young untrained and triathlon-trained men and women. Clin Sci 125:543–553

    Article  PubMed  Google Scholar 

  • Laterza MC, de Matos LD, Trombetta IC, Braga AM, Roveda F, Alves MJ, Rondon MU (2007) Exercise training restores baroreflex sensitivity in never-treated hypertensive patients. Hypertension 49(6):1298–1306

    Article  CAS  PubMed  Google Scholar 

  • Legramante JM, Galante A, Massaro M, Attanasio A, Raimondi G, Pigozzi F, Iellamo F (2002) Hemodynamic and autonomic correlates of postexercise hypotension in patients with mild hypertension. Am J Physiol Reg I 282(4):R1037–R1043

    CAS  Google Scholar 

  • Levy WC, Cerqueira MD, Harp GD, Johannessen KA, Abrass IB, Schwartz RS, Stratton JR (1998) Effect of endurance exercise training on heart rate variability at rest in healthy young and older men. Am J Cardiol 82(10):1236–1241

    Article  CAS  PubMed  Google Scholar 

  • Lewington PSCS, Clarke R, Qizilbash N, Peto R, Collins R (2002) Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 360:1903–1913

    Article  PubMed  Google Scholar 

  • Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG (2012) Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sports Exerc 44:1644–1652

    Article  PubMed  Google Scholar 

  • MacDonald JR (2002) Potential causes, mechanisms and implications of post exercise hypotension. J Hum Hypertens 16:225–236

    Article  CAS  PubMed  Google Scholar 

  • MacDonald JR, MacDougall JD, Hogben CD (1999) The effects of exercise intensity on post exercise hypotension. J Hum Hypertens 13(8):527–531

    Article  CAS  PubMed  Google Scholar 

  • MacDonald JR, MacDougall JD, Hogben CD (2000) The effects of exercise duration on post-exercise hypotension. J Hum Hypertens 14(2):125–129

    Article  CAS  PubMed  Google Scholar 

  • McGowan CL, Visocchi A, Faulkner M, Rakobowchuk M, McCartney N, MacDonald MJ (2004) Isometric handgrip training improves blood pressure and endothelial function in persons medicated for hypertension (Abstract). Physiologist 47:285

    Google Scholar 

  • McGowan CL, Visocchi A, Faulkner M, Verduyn R, Rakobowchuk M, Levy AS, MacDonald MJ (2007) Isometric handgrip training improves local flow-mediated dilation in medicated hypertensives. Eur J Appl Physiol 99(3):227–234

    Article  PubMed  Google Scholar 

  • McHam SA, Marwick TH, Pashkow FJ, Lauer MS (1999) Delayed systolic blood pressure recovery after graded exercise an independent correlate of angiographic coronary disease. J Am Coll Cardiol 34(3):754–759

    Article  CAS  PubMed  Google Scholar 

  • Millar PJ, Bray SR, McGowan CL, MacDonald MJ, McCartney N (2007) Effects of isometric handgrip training among people medicated for hypertension: a multilevel analysis. Blood Press Mon 12:307–314

    Article  Google Scholar 

  • O’Sullivan SE, Bell C (2000) The effects of exercise and training on human cardiovascular reflex control. J Auton Nerv Syst 81(1):16–24

    Article  PubMed  Google Scholar 

  • Pescatello LS, Fargo AE, Leach CN, Scherzer HH (1991) Short-term effect of dynamic exercise on arterial blood pressure. Circulation 83:1557–1561

    Article  CAS  PubMed  Google Scholar 

  • Peters PG, Alessio HM, Hagerman AE, Ashton T, Nazy S, Wiley RL (2006) Short-term isometric exercise reduces systolic blood pressure in hypertensive adults: possible role of reactive oxygen species. Int J Cardiol 110(2):199–205

    Article  PubMed  Google Scholar 

  • Piepoli M, Coats AJ, Adamopoulos S, Bernardi L, Feng YH, Conway J, Sleight P (1993) Persistent peripheral vasodilation and sympathetic activity in hypotension after maximal exercise. J Appl Physiol 75:1807–1814

    CAS  PubMed  Google Scholar 

  • Raven PB, Potts JT, Shi X (1997) Baroreflex regulation of blood pressure during dynamic exercise. Exerc Sport Sci Rev 25:365–389

    CAS  PubMed  Google Scholar 

  • Ray CA, Carrasco DI (2000) Isometric handgrip training reduces arterial pressure at rest without changes in sympathetic nerve activity. Am J Physiol Heart Circ Physiol 279:H245–H249

    CAS  PubMed  Google Scholar 

  • Rowell LB (1993) Human Cardiovascular Control. Oxford University Press, New York, pp 28–33

    Google Scholar 

  • Rowell LB, O’Leary DS (1990) Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes. J Appl Physiol 69:407–418

    CAS  PubMed  Google Scholar 

  • Smith ML, Hudson DL, Graitzer HM, Raven PB (1989) Exercise training bradycardia: the role of autonomic balance. Med Sci Sports Exerc 21(1):40

    Article  CAS  PubMed  Google Scholar 

  • Sprangers RL, Wesseling KH, Imholz AL, Imholz BP, Wieling W (1991) Initial blood pressure fall on stand up and exercise explained by changes in total peripheral resistance. J Appl Physiol 70(2):523–530

    CAS  PubMed  Google Scholar 

  • Studinger P, Lénárd Z, Kováts Z, Kocsis L, Kollai M (2003) Static and dynamic changes in carotid artery diameter in humans during and after strenuous exercise. J Physiol 550(2):575–583

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Taylor AC, McCartney N, Kamath MV, Wiley RL (2003) Isometric training lowers resting blood pressure and modulates autonomic control. Med Sci Sport Exerc 35:251–256

    Article  Google Scholar 

  • Whelton PK, He J, Appel LJ et al (2002) Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. JAMA 288(15):1882–1888

    Article  PubMed  Google Scholar 

  • Wiles JD, Coleman DA, Swaine IL (2010) The effects of performing isometric training at two intensities in healthy young males. Eur J Appl Physiol 108(3):419–428

    Article  PubMed  Google Scholar 

  • Wiley RL, Dunn CL, Cox RH, Hueppchen NA, Scott MS (1992) Isometric exercise training lowers resting blood pressure. Med Sci Sport Exerc 24(7):749–754

    Article  CAS  Google Scholar 

  • Zar J (2010) Biostatistical analysis, 5th edn. Pearson Prentice-Hall, NJ

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gavin R. Devereux.

Additional information

Communicated by Massimo Pagani.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Devereux, G.R., Wiles, J.D. & Howden, R. Immediate post-isometric exercise cardiovascular responses are associated with training-induced resting systolic blood pressure reductions. Eur J Appl Physiol 115, 327–333 (2015). https://doi.org/10.1007/s00421-014-3021-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-014-3021-8

Keywords

Navigation