Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease

Aim of the paper. Microvascular functional impairment in the skin is considered an early predictor of developing cardiovascular diseases and a recognised risk factor of IHD. This is why the aim of the study is investigating if 8-week aerobic training will improve reactivity of skin microcirculation...

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Main Authors: Renata Szyguła, Monika Wierzbicka, Grażyna Sondel
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2020/4602067
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author Renata Szyguła
Monika Wierzbicka
Grażyna Sondel
author_facet Renata Szyguła
Monika Wierzbicka
Grażyna Sondel
author_sort Renata Szyguła
collection DOAJ
description Aim of the paper. Microvascular functional impairment in the skin is considered an early predictor of developing cardiovascular diseases and a recognised risk factor of IHD. This is why the aim of the study is investigating if 8-week aerobic training will improve reactivity of skin microcirculation and the function of endothelium in patients with IHD and if the potential improvement will last with lack of physical activity. Materials and Methods. In the study, 48 men took part with a stabilized and pharmacologically controlled ischaemic disease. The participants were randomly divided into two groups with 24 people in each of them. The research group participated in an aerobic march training. The march was taking place 3 times a week for 30–40 minutes over a period of 8 weeks. In the time of training, the subjects did not practise any other physical activity for 8 weeks. The measurement of skin microcirculation was done by using the laser Doppler flowmeter estimating the values of regular flow and the reactions provoked in response to occlusion and temperature. Signal frequency was also analysed which was received by means of laser Doppler flowmetry in the range from 0.01 to 2 Hz during the regular flow. Results. During the first measurement in relation to the initial values, a decrease in body mass was noted by 2.21 kg on average as well as reduction of systolic and diastolic pressure by 10.4 mmHg and 3.68 mmHg, respectively. The regular flow (RF) increased after the training by 2.21%. The provoked reactions were as follows: hyperemic (PRHmax): an increase occurred by 8.76% and hyperthermic (THmax): an increase occurred by 5.38%. The time needed to achieve PRHmax was reduced by 42% and to achieve THmax, by 22%. The heart rhythm and the signal strength of neurogenic rhythm decreased by approximately 8% and 24%, respectively. The signal strength of endothelial rhythm increased by 19%. In the second measurement, a recourse was noted in the values of indicators under investigation, which were assuming values close to the initial ones. In the control group, the measurement values did not change significantly. Conclusions. 8 weeks of systematic aerobic training provides a significant improvement of endothelium functioning, expressed by reactivity improvement in skin microcirculation in patients suffering from ischaemic heart disease. It points to aerobic training as a nonpharmacological effective cardioprotective factor. The improvement effects of skin vascular bed functioning in the group of patients with IHD are impermanent, and they disappear after the period in which patients did not exercise physical activity.
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spelling doaj-art-ed7b813b947b4e2f80bdba5b9d74e4112025-08-20T02:22:09ZengWileyJournal of Aging Research2090-22042090-22122020-01-01202010.1155/2020/46020674602067Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart DiseaseRenata Szyguła0Monika Wierzbicka1Grażyna Sondel2The Witelon State University of Applied Sciences in Legnica, Faculty of Health Science and Physical Education, Legnica, PolandThe Witelon State University of Applied Sciences in Legnica, Faculty of Health Science and Physical Education, Legnica, PolandThe Witelon State University of Applied Sciences in Legnica, Faculty of Health Science and Physical Education, Legnica, PolandAim of the paper. Microvascular functional impairment in the skin is considered an early predictor of developing cardiovascular diseases and a recognised risk factor of IHD. This is why the aim of the study is investigating if 8-week aerobic training will improve reactivity of skin microcirculation and the function of endothelium in patients with IHD and if the potential improvement will last with lack of physical activity. Materials and Methods. In the study, 48 men took part with a stabilized and pharmacologically controlled ischaemic disease. The participants were randomly divided into two groups with 24 people in each of them. The research group participated in an aerobic march training. The march was taking place 3 times a week for 30–40 minutes over a period of 8 weeks. In the time of training, the subjects did not practise any other physical activity for 8 weeks. The measurement of skin microcirculation was done by using the laser Doppler flowmeter estimating the values of regular flow and the reactions provoked in response to occlusion and temperature. Signal frequency was also analysed which was received by means of laser Doppler flowmetry in the range from 0.01 to 2 Hz during the regular flow. Results. During the first measurement in relation to the initial values, a decrease in body mass was noted by 2.21 kg on average as well as reduction of systolic and diastolic pressure by 10.4 mmHg and 3.68 mmHg, respectively. The regular flow (RF) increased after the training by 2.21%. The provoked reactions were as follows: hyperemic (PRHmax): an increase occurred by 8.76% and hyperthermic (THmax): an increase occurred by 5.38%. The time needed to achieve PRHmax was reduced by 42% and to achieve THmax, by 22%. The heart rhythm and the signal strength of neurogenic rhythm decreased by approximately 8% and 24%, respectively. The signal strength of endothelial rhythm increased by 19%. In the second measurement, a recourse was noted in the values of indicators under investigation, which were assuming values close to the initial ones. In the control group, the measurement values did not change significantly. Conclusions. 8 weeks of systematic aerobic training provides a significant improvement of endothelium functioning, expressed by reactivity improvement in skin microcirculation in patients suffering from ischaemic heart disease. It points to aerobic training as a nonpharmacological effective cardioprotective factor. The improvement effects of skin vascular bed functioning in the group of patients with IHD are impermanent, and they disappear after the period in which patients did not exercise physical activity.http://dx.doi.org/10.1155/2020/4602067
spellingShingle Renata Szyguła
Monika Wierzbicka
Grażyna Sondel
Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
Journal of Aging Research
title Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
title_full Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
title_fullStr Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
title_full_unstemmed Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
title_short Influence of 8-Week Aerobic Training on the Skin Microcirculation in Patients with Ischaemic Heart Disease
title_sort influence of 8 week aerobic training on the skin microcirculation in patients with ischaemic heart disease
url http://dx.doi.org/10.1155/2020/4602067
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