Cardiovascular, perceived exertion and affective responses during aerobic exercise performed with imposed and a self-selected intensity in patients with Parkinson’s disease

2021 ◽  
pp. 1-6
Author(s):  
Hélcio Kanegusuku ◽  
Marilia de Almeida Correia ◽  
Paulo Longano ◽  
Erika Okamoto ◽  
Maria Elisa Pimentel Piemonte ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Aerobic Exercise ◽  
Perceived Exertion ◽  
Exercise Adherence ◽  
Random Order ◽  
Cycle Ergometer ◽  
Affective Responses ◽  
Rating Of Perceived Exertion

BACKGROUND: Exercise with self-selected intensity (SSI) has emerged as a new strategy for exercise prescription aiming to increase exercise adherence in Parkinson’s disease (PD). OBJECTIVE: We compared the cardiovascular, perceived exertion and affective responses during traditional aerobic exercise and with SSI in PD. METHODS: Twenty patients with PD performed two aerobic exercise sessions in random order with an interval of at least 72 h between them: Traditional session (cycle ergometer, 25 min, 50 rpm) with imposed intensity (II) (60–80% maximum heart rate [HR]) and SSI: (cycle ergometer, 25 min, 50 rpm) with SSI. The HR (Polar V800 monitor), systolic blood pressure (auscultatory method), rating of perceived exertion (Borg scale 6–20) and affective responses (feeling scale) were assessed during the exercise at 8th and 18th minute. The Generalized Estimating Equation Model was used for comparison between both sessions (P <  0.05). RESULTS: The exercise intensity was not significantly different between both exercise sessions (8th minute: II –76.3±1.0 vs. SSI –76.5±1.3 % of maximal HR; 18th minute: II –78.9±0.9 vs. SSI –79.1±1.3 % of maximal HR, p = 0.93). Blood pressure, perceived exertion and affective responses were also not significantly different between both sessions (P >  0.05). CONCLUSIONS: Cardiovascular and psychophysiological responses were not different during aerobic exercise performed with II and with SSI in patients with PD.

Acute Cardiometabolic Responses to Three Modes of Treadmill Exercise in Older Adults With Parkinson’s Disease

2018 ◽  
Vol 35 (4) ◽  
pp. 424-436
Author(s):  
Brandon R. Rigby ◽  
Ronald W. Davis ◽  
Marco A. Avalos ◽  
Nicholas A. Levine ◽  
Kevin A. Becker ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Heart Rate ◽  
Parkinson's Disease ◽  
Perceived Exertion ◽  
Treadmill Exercise ◽  
Rating Of Perceived Exertion ◽  
Elderly Adults ◽  
All Speeds ◽  
Physiologic Responses

The purpose of this study was to compare acute cardiometabolic responses to 3 modes of treadmill exercise in adults diagnosed with Parkinson’s disease (PD). Eight elderly adults with PD (67.9 ± 3.0 yr) completed 1 session each on a land, aquatic, and antigravity treadmill at 50% body weight. Participants walked from 1 to 3 mph in 0.5-mph increments at 0% grade for 5 min at each speed. Heart rate, energy expenditure, blood pressure, and rating of perceived exertion were measured at rest and during exercise. All variables except diastolic blood pressure increased with speed on all treadmills (p < .001). At all speeds except 1.5 mph, heart rate was higher on the land treadmill than the antigravity treadmill (p < .05). Exercising on an aquatic or antigravity treadmill elicits similar submaximal physiologic responses to exercise on a land treadmill in adults with PD.

Acute Cardiovascular Responses to Self-selected Intensity Exercise in Parkinson's Disease

2021 ◽  
Author(s):  
Hélcio Kanegusuku ◽  
Gabriel Grizzo Cucato ◽  
Paulo Longano ◽  
Erika Okamoto ◽  
Maria Elisa Pimentel Piemonte ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Heart Rate ◽  
Parkinson's Disease ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Cardiovascular Responses ◽  
Cycle Ergometer ◽  
Control Session ◽  
Wave Analysis

AbstractParkinson’s disease patients frequently present cardiovascular dysfunction. Exercise with a self-selected intensity has emerged as a new strategy for exercise prescription aiming to increase exercise adherence. Thus, the current study evaluated the acute cardiovascular responses after a session of aerobic exercise at a traditional intensity and at a self-selected intensity in Parkinson’s disease patients. Twenty patients (≥ 50 years old, Hoehn & Yahr 1–3 stages) performed 3 experimental sessions in random order: Traditional session (cycle ergometer, 25 min, 50 rpm, 60–80% maximum heart rate); Self-selected intensity: (cycle ergometer, 25 min, 50 rpm with self-selected intensity); and Control session (resting for 25 min). Before and after 30 min of intervention, brachial and central blood pressure (auscultatory method and pulse wave analysis, respectively), cardiac autonomic modulation (heart rate variability), and arterial stiffness (pulse wave analysis) were evaluated. Brachial and central systolic and diastolic blood pressure, heart rate, and the augmentation index increased after the control session, whereas no changes were observed after the exercise sessions (P<0.01). Pulse wave velocity and cardiac autonomic modulation parameters did not change after the three interventions. In conclusion, a single session of traditional intensity or self-selected intensity exercises similarly blunted the increase in brachial and central blood pressure and the augmentation index compared to a non-exercise control session in Parkinson’s disease patients.

Aerobic Exercise Increases Vascular Diameter of Arteriovenous Fistula in Hemodialysis Patients

2021 ◽  
pp. 1-7
Author(s):  
Francini Porcher Andrade ◽  
Talmir Nolasco ◽  
Marli Maria Knorst ◽  
Paula Maria Eidt Rovedder
Keyword(s):  
Blood Pressure ◽  
Aerobic Exercise ◽  
Crossover Study ◽  
Arteriovenous Fistula ◽  
Random Order ◽  
Vessel Diameter ◽  
Hemodialysis Patients ◽  
Cycle Ergometer ◽  
Acute Effects ◽  
Randomized Crossover Study

<b><i>Introduction:</i></b> A healthy arteriovenous fistula (AVF) depends on adequate vessel diameter which can be maintained through aerobic exercises. A randomized crossover study was conducted to evaluate the acute effects of aerobic exercise on a cycle ergometer on AVF vascular diameter, through ultrasound, and on blood pressure (BP). <b><i>Methods:</i></b> Eight hemodialysis (HD) patients completed 2 different occasions in random order with a 7-day washout: (a) exercising moment, in which 30-min aerobic exercise was performed on a cycle ergometer; and (b) resting moment, which was performed 30-min with the patient sitting in a chair. Both occasions were evaluated 1-h before the second weekly HD day. <b><i>Results:</i></b> A significant increase in AVF vascular diameter induced by 30-min aerobic exercise was found (1.15 ± 0.56 to 1.47 ± 0.66 cm; <i>p</i> = 0.042), whereas systolic (<i>p</i> = 0.105) and diastolic BP (<i>p</i> = 0.366) did not change. <b><i>Conclusions:</i></b> We can conclude that acute aerobic exercise was shown to be effective in improving the AVF vascular diameter in HD patients. The aerobic exercise benefits in endothelium-dependent vasodilation which may be an effective, practical, and economic strategy to maintain AVF patency.

scholarly journals Shorter sprints elicit greater cardiorespiratory and mechanical responses with less fatigue during time-matched sprint interval training (SIT) sessions

Kinesiology ◽  
2018 ◽  
Vol 50 (2) ◽  
pp. 137-148 ◽  
Author(s):  
Stefano Benítez-Flores ◽  
Arilson F.M. de Sousa ◽  
Erick Carlos da Cunha Totó ◽  
Thiago Santos Rosa ◽  
Sebastián Del Rosso ◽  
...  
Keyword(s):  
Perceived Exertion ◽  
Interval Training ◽  
Random Order ◽  
Cycle Ergometer ◽  
Rating Of Perceived Exertion ◽  
Sprint Interval Training ◽  
Physically Active ◽  
Aerobic Activity ◽  
Mechanical Responses ◽  
Before And After

The aim of this study was to compare the physiological, mechanical and perceptual responses to two sprint interval training (SIT) sessions with very short vs. long sprints, and to verify if those differences could be reflected in measures of acute fatigue. Eleven physically active men performed, after the maximum oxygen consumption (VO2max) determination, SIT5s (16×5s with 24s of recovery) and SIT20s (4×20s with 120s of recovery) in random order on a cycle ergometer. Physiological, mechanical, and perceptual responses were evaluated during and after the sessions. The countermovement jump (CMJ) height and autonomic control of heart rate (HR) were evaluated before and after the sessions. Diet was also controlled through recall questionnaires. During the training, SIT5s exhibited greater HR, VO2, power output, and total work (TW) (p&lt;.05). In contrast, respiratory exchange ratio (RER), rate of fatigue (RF), and blood lactate (BLa) % accumulation were greater in SIT20s (p&lt;.05). The OMNI-cycle Scale Rating of Perceived Exertion (OMNIcycle scale) and Feeling Scale (FS) scores were similar during both protocols (p&gt;.05). A faster HR recovery (HRR) and a higher CMJ height were observed after the SIT5s (p&lt;.05). However, HR variability (HRV) was similarly depressed after both protocols (p&gt;.05). Some correlations between the mechanical and physiological responses were revealed only in the SIT5s. SIT5s was demonstrated to be more efficient as exhibited by greater mechanical responses associated with a higher aerobic activity, when compared to the volume-matched SIT protocol of longer sprints. Simple monitoring tools such as HRR and CMJ could help practitioners to detect differences in acute fatigue after different SIT sessions.

scholarly journals Blood Pressure Patterns in Patients with Parkinson’s Disease: A Systematic Review

2021 ◽  
Vol 11 (2) ◽  
pp. 129
Author(s):  
Delia Tulbă ◽  
Liviu Cozma ◽  
Paul Bălănescu ◽  
Adrian Buzea ◽  
Cristian Băicuș ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Pressure Profiles ◽  
Pubmed Database ◽  
Blood Pressure Patterns

(1) Background: Cardiovascular autonomic dysfunction is a non-motor feature in Parkinson’s disease with negative impact on functionality and life expectancy, prompting early detection and proper management. We aimed to describe the blood pressure patterns reported in patients with Parkinson’s disease, as measured by 24-h ambulatory blood pressure monitoring. (2) Methods: We conducted a systematic search on the PubMed database. Studies enrolling patients with Parkinson’s disease undergoing 24-h ambulatory blood pressure monitoring were included. Data regarding study population, Parkinson’s disease course, vasoactive drugs, blood pressure profiles, and measurements were recorded. (3) Results: The search identified 172 studies. Forty studies eventually fulfilled the inclusion criteria, with 3090 patients enrolled. Abnormal blood pressure profiles were commonly encountered: high blood pressure in 38.13% of patients (938/2460), orthostatic hypotension in 38.68% (941/2433), supine hypertension in 27.76% (445/1603) and nocturnal hypertension in 38.91% (737/1894). Dipping status was also altered often, 40.46% of patients (477/1179) being reverse dippers and 35.67% (310/869) reduced dippers. All these patterns were correlated with negative clinical and imaging outcomes. (4) Conclusion: Patients with Parkinson’s disease have significantly altered blood pressure patterns that carry a negative prognosis. Ambulatory blood pressure monitoring should be validated as a biomarker of PD-associated cardiovascular dysautonomia and a tool for assisting therapeutic interventions.

Association of depressive symptoms with circadian blood pressure alterations in Parkinson's disease

2016 ◽  
Vol 22 ◽  
pp. e57
Author(s):  
Maria Stella Pisciotta ◽  
Davide Liborio Vetrano ◽  
Vincenzo Brandi ◽  
Maria Rita Lo Monaco ◽  
Alice Laudisio ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Depressive Symptoms ◽  
Circadian Blood Pressure

scholarly journals Dissociation between urate and blood pressure in mice and in people with early Parkinson's disease

EBioMedicine ◽  
2018 ◽  
Vol 37 ◽  
pp. 259-268 ◽  
Author(s):  
Xiqun Chen ◽  
Chizoba C. Umeh ◽  
Robert E. Tainsh ◽  
Danielle D. Feng ◽  
Michael Maguire ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Early Parkinson’S Disease

scholarly journals Myocardial123I-MIBG Uptake and Cardiovascular Autonomic Function in Parkinson’s Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Akira Katagiri ◽  
Masato Asahina ◽  
Nobuyuki Araki ◽  
Anupama Poudel ◽  
Yoshikatsu Fujinuma ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Autonomic Function ◽  
Low Frequency ◽  
Washout Rate ◽  
Tilt Test ◽  
Mibg Uptake ◽  
Cardiovascular Autonomic Function ◽  
Frequency Power

Introduction. Patients with Parkinson’s disease (PD) showed reduced myocardial123I-MIBG uptake, which may affect autonomic regulation. We investigated correlation between MIBC accumulation and cardiovascular autonomic function in PD.Methods. We performed myocardial MIBG scintigraphy, heart rate variability (HRV) analysis, and the head-up tilt test (HUT) in 50 PD patients (66.4±7.8years; duration5.5±5.9years). Autonomic function tests were also performed in 50 healthy controls (66.5±8.9years). As HRV parameters, a high-frequency power (HF, 0.15–0.4 Hz), a low-frequency power (LF, 0.04–0.15 Hz), and LF/HF ratio were used.Results. Our PD patients had a significant reduction in LF and HF compared with the controls (P=0.005andP=0.01). In HUT, systolic and diastolic blood pressure falls in the PD group were significantly greater than those in the controls (P=0.02andP=0.02). The washout rate of MIBG was negatively correlated with blood pressure changes during HUT.Conclusion. Our PD patients showed reduced HRV, blood pressure dysregulation, and reduced MIBG accumulation, which was correlated with blood pressure dysregulation. Orthostatic hypotension in PD may be mainly caused by sympathetic postganglionic degeneration.

scholarly journals Development of reference equations for the six-minute walk distance of school-aged Nigerian children

2021 ◽  
Author(s):  
Peter Odion Ubuane ◽  
Olufunke Adewumi Ajiboye ◽  
Motunrayo Oluwabukola Adekunle ◽  
Ayodeji Olushola Akinola ◽  
Gbenga Akinyosoye ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Perceived Exertion ◽  
Rating Of Perceived Exertion ◽  
Physiological Data ◽  
Functional Evaluation ◽  
Walk Distance ◽  
Nigerian Children ◽  
Reference Equations ◽  
Minute Walk Distance ◽  
Minute Walk

BACKGROUND: The six-minute walk test (6MWT), a simple, reliable and valid test that uses the distance walked in six minutes (six-minute walk distance, 6MWD) to quantify functional exercise capacity, is widely used in chronic cardiopulmonary and non-cardiopulmonary disorders. However, th absence of reference standards for Nigerian school-aged children limits its utility in this age group OBJECTIVES: To develop normative values and equations for the 6MWT of school-aged Nigerian children METHODS: In a cross-sectional study, healthy Nigerian children aged 6-11 years in Lagos completed 6MWT on 20-meter straight outdoor courses in their schools following standardized guidelines. Potential predictors: demographic (age, sex), anthropometric (height, weight, chest circumference, leg length) and physiological data [pre-walk, immediate post-walk and 5th-minute post-walk heart rate (HR), oxygen saturation (SpO2), systolic blood pressure (SBP), diastolic blood pressure (DBP) and rating of perceived exertion (RPE)] and the difference between pre-walk and post-walk HR (HR change), SpO2 (SpO2 change), SBP (SBP change), DBP (DBP change) and RPE (RPE change). Primary outcomes:six-minute walk distance (6MWD) in meters. RESULTS: Overall, 627 pupils (52.1% girls) walked 504.6 (66.6) m (95% CI: 499.4, 509.8), ranging from 326.6 to 673.0 m; boys walking 16 m longer (p=0.002). Stepwise linear regression yielded 6MWD=347.9+14(Age in years)+1.6(HR change)+17.6(sex; male=1, female=0)+1.2(SBP change);R square=0.25.Previously published reference equations mostly over-estimated Nigerian children's 6MWD. CONCLUSION: The reference values and equations, after validation in other Nigerian geographic populations, may be useful for the functional evaluation of Nigerian children aged 6-11 years with chronic childhood disorders.

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