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Acute changes in arterial stiffness following exercise in healthy Caucasians and South Asians

Abstract

Background

Arterial stiffness and exercise capacity are independent predictors of cardiovascular diseases. This study aims to establish the acute changes in arterial stiffness using applanation tonometry following sub-maximal exercise in Caucasians and South Asians. This study also aims to establish the relationship between exercise capacity and arterial stiffness. Methods: In total, 69 participants including 37 Caucasians and 32 South Asians were assessed for arterial stiffness non-invasively using SpygmoCor (SCOR-PVx, Version 8.0, AtCor Medical Inc North America, USA) before and after an exercise test using the Bruce protocol on a treadmill and by measuring aerobic capacity using a metabolic analyser (Medical Graphics, Cardio Control, Minnesota, USA).

Results

Significant increases in arterial stiffness variables were observed including augmentation pressure, subendocardial viability ratio, ejection duration, pulse pressure, augmentation index and mean arterial pressure following exercise in both ethnic groups (P < 0.05). There were no significant differences in these increases between the ethnic groups (p > 0.05). There was no change in pulse wave velocity (p > 0.05). Exercise capacity was inversely related to arterial stiffness (P < 0.05).

Conclusion

There are no differences in arterial stiffness at the baseline and following acute exercise between Caucasians and South Asians. There was significant increase in arterial stiffness following exercise in both groups. Exercise capacity is inversely related to arterial stiffness. The results suggest that non invasive arterial stiffness could be used as a tool to measure acute changes following exercise.

References

  1. Boutouyrie P, Tropeano AI, Asmar R, Gautier I, Benetos A, Lacolley P, et al. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: a longitudinal study. Hypertension 2002;39(1):10–5.

    Google Scholar 

  2. Cruickshank K, Riste L, Anderson SG, Wright JS, Dunn G, Gosling RG. Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function? Circulation 2002;106(16):2085–90.

    Google Scholar 

  3. Smulyan H, Siddiqui DS, Carlson RJ, London GM, Safar ME. Clinical utility of aortic pulses and pressures calculated from applanated radial-artery pulses. Hypertension 2003;42(2): 150–5.

    Google Scholar 

  4. Millasseau SC, Stewart AD, Patel SJ, Redwood SR, Chowienczyk PJ. Evaluation of carotid-femoral pulse wave velocity: influence of timing algorithm and heart rate. Hypertension 2005;45(2):222–6.

    Google Scholar 

  5. Benetos A, Safar M, Rudnichi A, Smulyan H, Richard JL, Ducimetieere P, et al. Pulse pressure: a predictor of long-term cardiovascular mortality in a French male population. Hypertension 1997;30(6):1410–5.

    Google Scholar 

  6. Willum-Hansen T, Staessen JA, Torp-Pedersen C, Rasmussen S, Thijs L, Ibsen H, et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation 2006;113(5):664–70.

    Google Scholar 

  7. Yasmin, Brown MJ. Similarities and differences between augmentation index and pulse wave velocity in the assessment of arterial stiffness. QJM 1999;92(10):595–600.

    Google Scholar 

  8. Hlaing WM, Koutoubi S, Huffman FG. Differences in arterial stiffness and its correlates in tri-ethnic young men and women. Ethn Dis 2006;16(4):837–43.

    Google Scholar 

  9. Heffernan KS, Jae SY, Wilund KR, Woods JA, Fernhall B. Racial differences in central blood pressure and vascular function in young men. Am J Physiol Heart Circ Physiol 2008;295(6): H2380–7.

    Google Scholar 

  10. Vaitkevicius PV, leg JL, Engel JH, O’Connor FC, Wright JG, Lakatta LE, et al. Effects of age and aerobic capacity on arterial stiffness in healthy adults. Circulation 1993;88(4 Pt 1): 1456–62.

    Google Scholar 

  11. Kingwell BA. Large artery stiffness: implications for exercise capacity and cardiovascular risk. Clin Exp Pharmacol Physiol 2002;29(3):214–7.

    Google Scholar 

  12. Enko K, Sakuragi S, Kakishita M, Ohkawa K, Nagase S, Nakamura K, et al. Arterial stiffening is associated with exercise intolerance and hyperventilatory response in patients with coronary artery disease. Clin Med Insights Cardiol 2008. 2008 (CMC-2-Sakuragi-et-al).

  13. Wyndham CH, Strydom NB, Morrison JF, Peter J, Williams CG, Bredell GAG, et al. Differences between ethnic groups in physical working capacity. J Appl Physiol 1963;18(2):361–6.

    Google Scholar 

  14. O’Brien E, Asmar R, Beilin L, Imai Y, Mallion JM, Mancia G, et al. European society of hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens 2003;21(5):821–48.

    Google Scholar 

  15. Rietzschel ER, Boeykens E, De Buyzere ML, Duprez DA, Clement DL. A comparison between systolic and diastolic pulse contour analysis in the evaluation of arterial stiffness. Hypertension 2001;37(6):E15–22.

    Google Scholar 

  16. Van Bortel LM, Duprez D, Starmans-Kool MJ, Safar ME, Giannattasio C, Cockcroft J, et al. Clinical applications of arterial stiffness, task force III: recommendations for user procedures. Am J Hypertens 2002;15(5):445–52.

    Google Scholar 

  17. Oliver JJ, Webb DJ. Noninvasive assessment of arterial stiffness and risk of atherosclerotic events. Arterioscler Thromb Vasc Biol 2003;23(4):554–66.

    Google Scholar 

  18. Bruce RA, Kusumi F, Hosmer D. Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J 1973;85(4):546–62.

    Google Scholar 

  19. ACSM. ACSM’s guide for exercsie testing and prescription. American College of Sports Medicine. Philadelphia: Lippincott Williams and Wilkins; 2000.

  20. Borg G. Borg’s perceived exertion and pain scales. Champaign, IL: Human Kinetics; 1998.

    Google Scholar 

  21. Munir S, Jiang B, Guilcher A, Brett S, Redwood S, Marber M, et al. Exercise reduces arterial pressure augmentation through vasodilation of muscular arteries in humans. Am J Physiol Heart Circ Physiol 2008;294(4):H1645–50.

    Google Scholar 

  22. Naka KK, Tweddel AC, Parthimos D, Henderson A, Goodfellow J, Frenneaux MP. Arterial distensibility: acute changes following dynamic exercise in normal subjects. Am J Physiol Heart Circ Physiol 2003;284(3):H970–8.

    Google Scholar 

  23. Dawson EA, Black MA, Pybis J, Cable NT, Green DJ. The impact of exercise on derived measures of central pressure and augmentation index obtained from the SphygmoCor device. J Appl Physiol 2009;106(6):1896–901.

    Google Scholar 

  24. Campbell R, Fisher JP, Sharman JE, McDonnell BJ, Frenneaux MP. Contribution of nitric oxide to the blood pressure and arterial responses to exercise in humans. J Hum Hypertens 2011;25(4):262–70.

    Google Scholar 

  25. Sharman JE, Lim R, Qasem AM, Coombes JS, Burgess MI, Franco J, et al. Validation of a generalized transfer function to noninvasively derive central blood pressure during exercise. Hypertension 2006;47(6):1203–8.

    Google Scholar 

  26. Hickson SS, Butlin M, Mir FA, Graggaber J, Cheriyan J, Khan F, et al. The accuracy of central SBP determined from the second systolic peak of the peripheral pressure waveform. J Hypertens 2009;27(9):1784–8.

    Google Scholar 

  27. Zuo JL, Li Y, Yan ZJ, Zhang RY, Shen WF, Zhu DL, et al. Validation of the central blood pressure estimation by the SphygmoCor system in Chinese. Blood Press Monit 2010;15(5): 268–74.

    Google Scholar 

  28. Dulai R, Ahmed M, Morrissey D, Twycross-Lewis R, Greenwald S. Arterial stiffness before and after moderate intensity exercise in athletes and controls: a cross-sectional observational study. Br J Sports Med 2011;45(2):e1.

    Google Scholar 

  29. Gonzales JU, Thompson BC, Thistlethwaite JR, Scheuermann BW. Association between exercise hemodynamics and changes in local vascular function following acute exercise 2011;36:137–44.

    Google Scholar 

  30. Harris RA, Padilla J, Hanlon KP, Rink LD, Wallace JP. The flow-mediated dilation response to acute exercise in overweight active and inactive men. Obesity 2008;16(3):578–84.

    Google Scholar 

  31. Murphy C, Kanaganayagam GS, Jiang B, Chowienczyk PJ, Zbinden R, Saha M, et al. Vascular dysfunction and reduced circulating endothelial progenitor cells in young healthy UK South Asian men. Arterioscler Thromb Vasc Biol 2007;27(4): 936–42.

    Google Scholar 

  32. Swaminathan S, Vijayan VK, Venkatesan P, Kuppurao KV. Aerobic capacity and cardiopulmonary response to exercise in healthy south Indian children. Indian Pediatr 1997;34(2): 112–8.

    Google Scholar 

  33. Skinner JS, Gaskill SE, Rankinen T, Leon AS, Rao DC, Wilmore JH, et al. Heart rate versus %VO2max: age, sex, race, initial fitness, and training response–HERITAGE. Med Sci Sports Exerc 2003;35(11):1908–13.

    Google Scholar 

  34. Fischbacher CM, Hunt S, Alexander L. How physically active are South Asians in the United Kingdom? a literature review. J Public Health 2004;26(3):250–8.

    Google Scholar 

  35. Binder J, Bailey KR, Seward JB, Squires RW, Kunihiro T, Hensrud DD, et al. Aortic augmentation index is inversely associated with cardiorespiratory fitness in men without known coronary heart disease. Am J Hypertens 2006;19(10):1019–24.

    Google Scholar 

  36. Sugawara J, Otsuki T, Tanabe T, Maeda S, Kuno S, Ajisaka R, et al. The effects of low-intensity single-leg exercise on regional arterial stiffness. Jpn J Physiol 2003;53(3):239–41.

    Google Scholar 

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Correspondence to Jeyasundar Radhakrishnan.

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Radhakrishnan, J., Matthew, D., Henderson, K. et al. Acute changes in arterial stiffness following exercise in healthy Caucasians and South Asians. Artery Res 13, 6–16 (2016). https://doi.org/10.1016/j.artres.2015.11.002

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