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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
Orthostatic tolerance and training methodology in physically active men and women
Hayden W Hess1, Courtney E Wheelock1,2, David Hostler1,3
1Center for Research and Education in Special Environments (CRESE), Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, United States of America.
Training methodology does not alter orthostatic tolerance in recreationally active adults. Fat-free mass is linked to better orthostatic tolerance, emphasizing the importance of lean mass for physically active individuals.
Area of Science:
- Exercise Physiology
- Cardiovascular Health
- Sports Science
Background:
- Previous research indicates training methodology impacts orthostatic tolerance in elite athletes.
- Limited data exists on how training affects orthostatic tolerance in the general physically active population.
Purpose of the Study:
- To investigate if hybrid training (resistance and endurance) improves orthostatic tolerance compared to endurance-only or recreational activity.
- To test the hypothesis that hybrid training enhances orthostatic tolerance in physically active adults.
Main Methods:
- Twenty-nine participants were divided into Recreationally Active, Hybrid Training, or Endurance Training groups.
- Orthostatic tolerance was assessed using a progressive lower-body negative pressure (LBNP) test, quantified by cumulative stress index (CSI).
- Body composition was measured using air displacement plethysmography.
Main Results:
- No significant difference in CSI was found between the training groups.
- Fat-free mass (FFM) was positively correlated with CSI (R² = 0.4092).
- FFM varied significantly between groups, but CSI normalized to FFM did not differ.
Conclusions:
- Training methodology does not appear to influence orthostatic tolerance in recreationally active adults.
- Body composition, particularly fat-free mass, is a key factor related to orthostatic tolerance.
- Maintaining lean mass is important for orthostatic tolerance, irrespective of specific training regimens.
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