Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.5935/abc.20170096 http://repositorio.unifesp.br/handle/11600/51416 |
Resumo: | Background: A family history of hypertension is associated with vascular and autonomic abnormalities, as well as an impaired neurohemodynamic response to exercise. Objective: To test the hypothesis that normotensive individuals with a family history of hypertension present an impaired peripheral vascular resistance response to exercise. Methods: The study included 37 normotensive volunteers of both sexes who were sedentary, eutrophic, and nonsmokers, comprising 23 with (FH+ |
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Repositório Institucional da UNIFESP |
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Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive ParentsPrejuízo da Resistência Vascular Periférica durante o Exercício Físico Isométrico em Indivíduos Normotensos Filhos de HipertensosVascular ResistanceExercisePatient SelectionHypertensionHeredityResistência VascularExercícioSeleção de PacientesHipertensãoHereditariedadeBackground: A family history of hypertension is associated with vascular and autonomic abnormalities, as well as an impaired neurohemodynamic response to exercise. Objective: To test the hypothesis that normotensive individuals with a family history of hypertension present an impaired peripheral vascular resistance response to exercise. Methods: The study included 37 normotensive volunteers of both sexes who were sedentary, eutrophic, and nonsmokers, comprising 23 with (FH+24 +/- 3 years) and 14 without (FH-27 +/- 5 years) a family history of hypertension. Blood pressure, heart rate (DIXTAL (R)), forearm blood flow (Hokanson (R)), and peripheral vascular resistance were simultaneously measured for 3 minutes during rest and, subsequently, for 3 minutes during an isometric exercise at 30% of maximal voluntary contraction (Jamar (R)). Results: At rest, the FH+ and FH-groups present similar mean blood pressure (83 +/- 7 versus 83 +/- 5 mmHg, p = 0.96), heart rate (69 +/- 8 bpm versus 66 +/- 7 bpm, p = 0.18), forearm blood flow (3 +/- 1 mL/min/100 mL versus 2.7 +/- 1 mL/min/100 mL, p = 0.16), and peripheral vascular resistance (30 +/- 9 units versus 34 +/- 9 units, p = 0.21), respectively. Both groups showed a significant and similar increase in mean blood pressure (Delta = 15 +/- 7 mmHg versus 14 +/- 7 mmHg, p = 0.86), heart rate (Delta = 12 +/- 8 bpm versus 13 +/- 7 bpm, p = 0.86), and forearm blood flow (Delta = 0.8 +/- 1.2 mL/ min/100mL versus 1.4 +/- 1.1 mL/min/100 mL, p = 0.25), respectively, during exercise. However, individuals in the FH+ group showed no reduction in peripheral vascular resistance during exercise, which was observed in the FH-group (Delta = -0.4 +/- 8.6 units versus -7.2 +/- 6.3 units, p = 0.03). Conclusion: Normotensive individuals with a family history of hypertension present an impaired peripheral vascular resistance response to exercise.Fundamento: O histórico familiar para hipertensão arterial está relacionado a anormalidades vasculares e autonômicas, bem como disfunções no comportamento neuro-hemodinâmico durante o exercício físico. Objetivo: Testar a hipótese de que indivíduos normotensos com histórico familiar de hipertensão arterial apresentam resposta prejudicada da resistência vascular periférica durante o exercício físico. Métodos: Foram avaliados 37 normotensos de ambos os sexos, sedentários, eutróficos e não tabagistas, sendo 23 com histórico familiar positivo (HF+, 24 ± 3 anos) e 14 com histórico familiar negativo (HF-, 27 ± 5 anos) para hipertensão arterial. Foram identificados pressão arterial, frequência cardíaca (DIXTAL®), fluxo sanguíneo muscular do antebraço e resistência vascular periférica local (Hokanson®) por 3 minutos durante o repouso e, em seguida, 3 minutos durante exercício isométrico de preensão palmar a 30% da contração voluntária máxima (Jamar®). Resultados: Em repouso, os grupos HF+ e HF- apresentaram valores semelhantes de pressão arterial média (83 ± 7 mmHg versus 83 ± 5 mmHg, p = 0,96), frequência cardíaca (69 ± 8 bpm versus 66 ± 7 bpm, p = 0,18), fluxo sanguíneo muscular (3 ± 1 mL/min/199 mL versus 2,7 ± 1 mL/min/100 mL, p = 0,16) e resistência vascular periférica (30 ± 9 unidades versus 34 ± 9 unidades, p = 0,21), respectivamente. Durante o exercício, HF+ e HF- mostraram aumento significativo e semelhante da pressão arterial média (∆ = 15 ± 7 mmHg versus 14 ± 7 mmHg, p = 0,86), frequência cardíaca (∆ = 12 ± 8 bpm versus 13 ± 7 bpm, p = 0,86) e fluxo sanguíneo muscular (∆ = 0,8 ± 1,2 mL/min/100 mL versus 1,4 ± 1,1 mL/min/100 mL, p = 0,25), respectivamente. Entretanto, no grupo HF+ não houve redução significativa da resistência vascular periférica durante o exercício, fato que ocorreu no grupo HF- (∆ = -0,4 ± 8,6 unidades versus -7,2 ± 6,3 unidades, p = 0,03). Conclusão: Indivíduos normotensos com histórico familiar de hipertensão arterial apresentam resposta prejudicada da resistência vascular periférica durante o exercício físico.Univ Fed Juiz de Fora, Unidade Invest Cardiovasc & Fisiol Exercicio, Fac Educ Fis & Desportos, Juiz De Fora, MG, BrazilUniv Fed São Paulo, Fac Med, Disciplina Nefrol, São Paulo, SP, BrazilUniv Fed São Paulo, Fac Med, Disciplina Nefrol, São Paulo, SP, BrazilWeb of ScienceArquivos Brasileiros Cardiologia2019-08-19T11:49:50Z2019-08-19T11:49:50Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion110-116application/pdfapplication/pdfhttp://dx.doi.org/10.5935/abc.20170096Arquivos Brasileiros De Cardiologia. Rio De Janeiro, v. 109, n. 2, p. 110-116, 2017.10.5935/abc.20170096WOS000410775300004-en.pdfWOS000410775300004-pt.pdf0066-782XS0066-782X2017000800110http://repositorio.unifesp.br/handle/11600/51416WOS:000410775300004enginfo:eu-repo/semantics/openAccessPortela, NataliaAmaral, Josaria Ferrazde Carvalho Mira, Pedro Augustode Souza, Livia Victorino [UNIFESP]Martinez, Daniel GodoyLaterza, Mateus Camarotireponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-10T23:37:45Zoai:repositorio.unifesp.br/:11600/51416Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-10T23:37:45Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents Prejuízo da Resistência Vascular Periférica durante o Exercício Físico Isométrico em Indivíduos Normotensos Filhos de Hipertensos |
title |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
spellingShingle |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents Portela, Natalia Vascular Resistance Exercise Patient Selection Hypertension Heredity Resistência Vascular Exercício Seleção de Pacientes Hipertensão Hereditariedade |
title_short |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
title_full |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
title_fullStr |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
title_full_unstemmed |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
title_sort |
Peripheral Vascular Resistance Impairment during Isometric Physical Exercise in Normotensive Offspring of Hypertensive Parents |
author |
Portela, Natalia |
author_facet |
Portela, Natalia Amaral, Josaria Ferraz de Carvalho Mira, Pedro Augusto de Souza, Livia Victorino [UNIFESP] Martinez, Daniel Godoy Laterza, Mateus Camaroti |
author_role |
author |
author2 |
Amaral, Josaria Ferraz de Carvalho Mira, Pedro Augusto de Souza, Livia Victorino [UNIFESP] Martinez, Daniel Godoy Laterza, Mateus Camaroti |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Portela, Natalia Amaral, Josaria Ferraz de Carvalho Mira, Pedro Augusto de Souza, Livia Victorino [UNIFESP] Martinez, Daniel Godoy Laterza, Mateus Camaroti |
dc.subject.por.fl_str_mv |
Vascular Resistance Exercise Patient Selection Hypertension Heredity Resistência Vascular Exercício Seleção de Pacientes Hipertensão Hereditariedade |
topic |
Vascular Resistance Exercise Patient Selection Hypertension Heredity Resistência Vascular Exercício Seleção de Pacientes Hipertensão Hereditariedade |
description |
Background: A family history of hypertension is associated with vascular and autonomic abnormalities, as well as an impaired neurohemodynamic response to exercise. Objective: To test the hypothesis that normotensive individuals with a family history of hypertension present an impaired peripheral vascular resistance response to exercise. Methods: The study included 37 normotensive volunteers of both sexes who were sedentary, eutrophic, and nonsmokers, comprising 23 with (FH+ |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2019-08-19T11:49:50Z 2019-08-19T11:49:50Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.5935/abc.20170096 Arquivos Brasileiros De Cardiologia. Rio De Janeiro, v. 109, n. 2, p. 110-116, 2017. 10.5935/abc.20170096 WOS000410775300004-en.pdf WOS000410775300004-pt.pdf 0066-782X S0066-782X2017000800110 http://repositorio.unifesp.br/handle/11600/51416 WOS:000410775300004 |
url |
http://dx.doi.org/10.5935/abc.20170096 http://repositorio.unifesp.br/handle/11600/51416 |
identifier_str_mv |
Arquivos Brasileiros De Cardiologia. Rio De Janeiro, v. 109, n. 2, p. 110-116, 2017. 10.5935/abc.20170096 WOS000410775300004-en.pdf WOS000410775300004-pt.pdf 0066-782X S0066-782X2017000800110 WOS:000410775300004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
110-116 application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Arquivos Brasileiros Cardiologia |
publisher.none.fl_str_mv |
Arquivos Brasileiros Cardiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268423328235520 |