Abstract
Purpose
The effectiveness of exercise to lower blood pressure may depend on the type and intensity of exercise. We study the short-term (i.e., 14-h) effects of a bout of high-intensity aerobic interval training (HIIT) on blood pressure in metabolic syndrome (MetS) patients.
Methods
Nineteen MetS patients (55.2 ± 7.3 years, 6 women) entered the study. Eight of them were normotensive and eleven hypertensive according to MetS threshold (≥130 mmHg for SBP and/or ≥85 mmHg for DBP). In the morning of 3 separated days, they underwent a cycling exercise bout of HIIT (>90% of maximal heart rate, ~85% VO2max), or a bout of isocaloric moderate-intensity continuous training (MICT; ~70% of maximal heart rate, ~60% VO2max), or a control no-exercise trial (REST). After exercise, ambulatory blood pressure (ABP; 14 h) was monitored, while subjects continued their habitual daily activities wearing a wrist-band activity monitor.
Results
No ABP differences were found for normotensive subjects. In hypertensive subjects, systolic ABP was reduced by 6.1 ± 2.2 mmHg after HIIT compared to MICT and REST (130.8 ± 3.9 vs. 137.4 ± 5.1 and 136.4 ± 3.8 mmHg, respectively; p < 0.05). However, diastolic ABP was similar in all three trials (77.2 ± 2.6 vs. 78.0 ± 2.6 and 78.9 ± 2.8 mmHg, respectively). Motion analysis revealed no differences among trials during the 14-h.
Conclusion
This study suggests that the blood pressure reducing effect of a bout of exercise is influence by the intensity of exercise. A HIIT exercise bout is superior to an equivalent bout of continuous exercise when used as a non-pharmacological aid in the treatment of hypertension in MetS.
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Abbreviations
- ABP:
-
Ambulatory blood pressure (systolic and diastolic)
- BMI:
-
Body mass index
- DBP:
-
Diastolic blood pressure
- GXT:
-
Graded exercise testing
- HIIT:
-
High-intensity interval training
- HSD:
-
Honest significant difference
- MICT:
-
Moderate-intensity continuous training
- MetS:
-
Metabolic syndrome
- PEH:
-
Post-exercise hypotension
- SBP:
-
Systolic blood pressure
- VO2max :
-
Maximal oxygen consumption
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Acknowledgements
This work was partially funded by a Grant from the Spanish Ministry of Economy and Competivity (DEP-2014-52930-R).
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Communicated by Carsten Lundby.
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Ramirez-Jimenez, M., Morales-Palomo, F., Pallares, J.G. et al. Ambulatory blood pressure response to a bout of HIIT in metabolic syndrome patients. Eur J Appl Physiol 117, 1403–1411 (2017). https://doi.org/10.1007/s00421-017-3631-z
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DOI: https://doi.org/10.1007/s00421-017-3631-z