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Cardiac Output II: Effect of Stroke Volume on Cardiac Output01:22

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Impact of High-intensity Interval Exercise and Moderate-Intensity Continuous Exercise on the Cardiac Troponin T Level at an Early Stage of Training
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Post Exercise Hypotension Following Concurrent Exercise: Does Order of Exercise Modality Matter?

Whitley J Stone1, Mark A Schafer1, Scott W Arnett1

  • 1Kinesiology, Recreation, and Sport, Western Kentucky University, Bowling Green, KY, USA.

International Journal of Exercise Science
|March 10, 2020
PubMed
Summary

Concurrent exercise, combining cardiovascular and resistance training, effectively lowers blood pressure (BP) post-exercise. This post-exercise hypotension (PEH) response is sustained even during daily activities, helping to mitigate BP elevations.

Keywords:
Exercise prescriptionaccelerometrycardiovascular healthphysical activityresistance training

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Area of Science:

  • Exercise Physiology
  • Cardiovascular Health
  • Aging and Disease Management

Background:

  • Cardiovascular (CV) and resistance training (RT) mitigate negative effects of aging, disease, and inactivity.
  • Post-exercise hypotension (PEH) is a non-pharmacological method for blood pressure (BP) control.
  • Limited research exists on PEH following combined CV and RT, including order effects and during activities of daily living (ADLs).

Purpose of the Study:

  • To evaluate the post-exercise hypotension (PEH) response following concurrent cardiovascular and resistance training (CVRT).
  • To determine if the order of CV and RT components influences the PEH response.
  • To assess if PEH persists during activities of daily living (ADLs) after concurrent exercise.

Main Methods:

  • Ten participants completed a non-exercise control, a graded exercise test (GXT), and two concurrent exercise sessions (CVRT and RTCV).
  • PEH was assessed for 60 minutes in a laboratory setting and for 3 hours during ADLs post-exercise.
  • Statistical analysis involved two-way and Welch-one-way repeated measures ANOVAs to compare PEH across conditions.

Main Results:

  • A significant interaction between BP and condition was observed for both laboratory (p = .030) and ADLs (p = .008) assessments.
  • PEH occurred following both RTCV and CVRT sessions, with specific timings and significance noted.
  • Blood pressure was elevated during ADLs following the control session compared to exercise conditions.

Conclusions:

  • Concurrent exercise, irrespective of the order of CV and RT, effectively potentiates post-exercise hypotension (PEH).
  • Performing concurrent exercise can mitigate the elevation in blood pressure typically associated with activities of daily living (ADLs).
  • This study highlights the sustained BP-lowering effects of combined exercise modalities beyond a controlled laboratory setting.