Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial
Objective In this randomised two-period crossover trial, the objective was to compare acute changes in arterial distensibility between high-intensity interval physical exercise (HIIPE) and moderate-intensity continuous physical exercise (MICPE) sessions in subjects with elevated blood pressure (BP)....
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BMJ Publishing Group
2025-04-01
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| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/12/1/e003121.full |
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| author | Sara Rodrigues Renata Gomes Sanches Verardino Valéria Costa - Hong Camila Paixao Jordao Marcel Jose Andrade da Costa Luiz Bortolotto |
| author_facet | Sara Rodrigues Renata Gomes Sanches Verardino Valéria Costa - Hong Camila Paixao Jordao Marcel Jose Andrade da Costa Luiz Bortolotto |
| author_sort | Sara Rodrigues |
| collection | DOAJ |
| description | Objective In this randomised two-period crossover trial, the objective was to compare acute changes in arterial distensibility between high-intensity interval physical exercise (HIIPE) and moderate-intensity continuous physical exercise (MICPE) sessions in subjects with elevated blood pressure (BP).Methods and analysis Participants underwent either MICPE-HIIPE or HIIPE-MICPE sequences with intensity based on cardiopulmonary exercise testing. The main outcome measures included arterial stiffness (by pulse wave velocity (PWV)) at baseline, until 30 min and 24 hours after each physical exercise session. Other measures include office BP, 24-hour ambulatory blood pressure monitoring (ABPM) and applanation tonometry.Results The study involved 29 subjects with elevated BP (76% female, 48±7 years, body mass index=28.3±4.3 kg/m², systolic BP=126±9 mm Hg and diastolic BP=84±4 mm Hg). They presented lower PWV 24 hours after MICPE compared with baseline and to 24-hour HIIPE ((−0.83 (−1.29;−0.37) p=0.001) and (−0.98 (−1.84;−0.12), p=0.021), respectively). Despite no differences in office BP, aortic systolic BP was lower after HIIPE compared with baseline and to 24-hour MICPE (113±19; 118±10 and 117±10 mm Hg; p=0.013).Conclusion In subjects with elevated BP, arterial distensibility is greater 24 hours after MICPE, while aortic systolic BP is lower after HIIPE. The particularities of each method and each exercise intensity can provide specific mechanisms of vascular response to exercise and detect vascular damage early in these subjects.Trial registration number NCT04200716. |
| format | Article |
| id | doaj-art-96e42eab0b594ba28693c5caef142732 |
| institution | DOAJ |
| issn | 2053-3624 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Open Heart |
| spelling | doaj-art-96e42eab0b594ba28693c5caef1427322025-08-20T03:06:42ZengBMJ Publishing GroupOpen Heart2053-36242025-04-0112110.1136/openhrt-2024-003121Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trialSara Rodrigues0Renata Gomes Sanches Verardino1Valéria Costa - Hong2Camila Paixao Jordao3Marcel Jose Andrade da Costa4Luiz Bortolotto5Unidade de Hipertensão, Instituto do Coração (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, BrazilUnidade de Hipertensão, Instituto do Coração (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, BrazilUnidade de Hipertensão, Instituto do Coração (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, BrazilUniversidade de São Paulo Instituto do Coração, Sao Paulo, BrazilUnidade de Exercício Físico e Reabilitação, Instituto do Coração (InCor), Hospital das Clinicas, HCFMUSP, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, BrazilUnidade de Hipertensão, Instituto do Coração (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, BrazilObjective In this randomised two-period crossover trial, the objective was to compare acute changes in arterial distensibility between high-intensity interval physical exercise (HIIPE) and moderate-intensity continuous physical exercise (MICPE) sessions in subjects with elevated blood pressure (BP).Methods and analysis Participants underwent either MICPE-HIIPE or HIIPE-MICPE sequences with intensity based on cardiopulmonary exercise testing. The main outcome measures included arterial stiffness (by pulse wave velocity (PWV)) at baseline, until 30 min and 24 hours after each physical exercise session. Other measures include office BP, 24-hour ambulatory blood pressure monitoring (ABPM) and applanation tonometry.Results The study involved 29 subjects with elevated BP (76% female, 48±7 years, body mass index=28.3±4.3 kg/m², systolic BP=126±9 mm Hg and diastolic BP=84±4 mm Hg). They presented lower PWV 24 hours after MICPE compared with baseline and to 24-hour HIIPE ((−0.83 (−1.29;−0.37) p=0.001) and (−0.98 (−1.84;−0.12), p=0.021), respectively). Despite no differences in office BP, aortic systolic BP was lower after HIIPE compared with baseline and to 24-hour MICPE (113±19; 118±10 and 117±10 mm Hg; p=0.013).Conclusion In subjects with elevated BP, arterial distensibility is greater 24 hours after MICPE, while aortic systolic BP is lower after HIIPE. The particularities of each method and each exercise intensity can provide specific mechanisms of vascular response to exercise and detect vascular damage early in these subjects.Trial registration number NCT04200716.https://openheart.bmj.com/content/12/1/e003121.full |
| spellingShingle | Sara Rodrigues Renata Gomes Sanches Verardino Valéria Costa - Hong Camila Paixao Jordao Marcel Jose Andrade da Costa Luiz Bortolotto Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial Open Heart |
| title | Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial |
| title_full | Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial |
| title_fullStr | Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial |
| title_full_unstemmed | Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial |
| title_short | Evaluation of vascular responses to moderate-intensity continuous and high-intensity interval physical exercise in subjects with elevated blood pressure: a randomised, cross-over clinical trial |
| title_sort | evaluation of vascular responses to moderate intensity continuous and high intensity interval physical exercise in subjects with elevated blood pressure a randomised cross over clinical trial |
| url | https://openheart.bmj.com/content/12/1/e003121.full |
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