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https://www.readbyqxmd.com/read/28424510/the-effect-of-slow-loaded-breathing-training-on-the-blood-pressure-response-to-handgrip-exercise-in-patients-with-isolated-systolic-hypertension
#1
Chulee Ubolsakka-Jones, Benjarat Sangthong, Wilaiwan Khrisanapant, David A Jones
Isolated systolic hypertension (ISH) is the most common form of hypertension in older people. It is characterized by increased resting systolic blood pressure (sBP) and increased sBP in response to exercise. It has previously been shown that slow breathing training reduces resting sBP, and the objective of the present study was to determine whether it also reduced the blood pressure response to static handgrip exercise. ISH patients aged between 60 and 74 years were randomly divided into a control group (10 subjects, 4 of which were male) that breathed normally and a trained group (10 subjects, 4 of which were male) that trained daily for 8 weeks by slow breathing against an inspiratory resistance of 18 cmH2O...
April 20, 2017: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/28381456/muscle-mechanoreflex-activation-via-passive-calf-stretch-causes-renal-vasoconstriction-in-healthy-humans
#2
Rachel C Drew, Cheryl A Blaha, Michael D Herr, Ruda Cui, Lawrence I Sinoway
Reflex renal vasoconstriction occurs during exercise, and renal vasoconstriction in response to upper-limb muscle mechanoreflex activation has been documented. However, the renal vasoconstrictor response to muscle mechanoreflex activation originating from lower limbs, with and without local metabolite accumulation, has not been assessed. Eleven healthy young subjects (26 ± 1y; 5 men) underwent two trials involving 3-min passive calf muscle stretch (mechanoreflex) during 7.5-min lower-limb circulatory occlusion (CO)...
April 5, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28381455/2015-ludwig-lecture-abnormal-cardiovascular-responses-to-exercise-in-hypertension-contribution-of-neural-factors
#3
Jere Holloway Mitchell
During both dynamic (e.g. endurance) and static (e.g. strength) exercise there are exaggerated cardiovascular responses in hypertension. This includes greater increases in blood pressure, heart rate, and efferent sympathetic nerve activity than in normals. Two of the known neural factors which contribute to this abnormal cardiovascular response are the exercise pressor reflex (EPR) and functional sympatholysis. The EPR originates in contracting skeletal muscle and reflexly increases sympathetic efferent nerve activity to the heart and blood vessels as well as decreases parasympathetic efferent nerve activity to the heart...
April 5, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/28324618/thermogelling-chitosan-lactate-hydrogel-improves-functional-recovery-after-a-c2-spinal-cord-hemisection-in-rat
#4
Katarzyna Nawrotek, Tanguy Marqueste, Zofia Modrzejewska, Roman Zarzycki, Agnieszka Rusak, Patrick Decherchi
The present study was designed to provide an appropriate micro-environment for regenerating axotomized neurons and proliferating/migrating cells. Because of its intrinsic permissive properties, biocompatibility and biodegradability, we chose to evaluate the therapeutic effectiveness of a chitosan-based biopolymer. The biomaterial toxicity was measured through in vitro test based on fibroblast cell survival on thermogelling chitosan lactate hydrogel substrate and then polymer was implanted into a C2 hemisection of the rat spinal cord...
March 21, 2017: Journal of Biomedical Materials Research. Part A
https://www.readbyqxmd.com/read/28235792/cardiovascular-consequences-of-the-inspiratory-muscle-metaboreflex-effects-of-age-and-sex
#5
Joshua R Smith, Andrew M Alexander, Shane M Hammer, Kaylin D Didier, Stephanie P Kurti, Ryan M Broxterman, Thomas J Barstow, Craig A Harms
We hypothesized that, compared to their younger counterparts, older men and women would exhibit greater 1) increases in mean arterial pressure (MAP) and limb vascular resistance (LVR) and 2) decreases in limb blood flow (Q̇L), but 3) no sex differences would be present in older adults. Sixteen young (8 men (YM), 8 women (YW); 18-24 yrs) and older (8 men (OM), 8 women (OW); 60-73 yrs) adults performed inspiratory resistive breathing tasks (IRBTs) at 2% and 65% of their maximal inspiratory pressure. During the IRBTs, breathing frequency was 20 breaths min-1 with a 50% duty cycle...
February 24, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/28230704/muscle-metaboreflex-control-of-sympathetic-activity-in-obstructive-sleep-apnea
#6
Linda M Ueno-Pardi, Renan S Guerra, Thiago T Goya, Rosyvaldo F Silva, Elisangela M Gara, Marta F Lima, Thais S Nobre, Maria J N N Alves, Ivani C Trombetta, Geraldo Lorenzi-Filho
PURPOSE: Previous studies report abnormal muscle metaboreflex control of muscle sympathetic nerve activity (MSNA) in obesity, hypertension, and heart failure. We hypothesized that obstructive sleep apnea (OSA) is associated with augmented metaboreflex control of MSNA. METHODS: Thirty-one sedentary individuals with no comorbidities (age = 52±1 y, body mass index = 28±1 kg/m) without (control, n = 14) and with OSA (n = 17) defined by polysomnography, underwent echocardiography...
February 22, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28183862/the-mechanisms-underlying-the-muscle-metaboreflex-modulation-of-sweating-and-cutaneous-blood-flow-in-passively-heated-humans
#7
Baies Haqani, Naoto Fujii, Narihiko Kondo, Glen P Kenny
Metaboreceptors can modulate cutaneous blood flow and sweating during heat stress but the mechanisms remain unknown. Fourteen participants (31 ± 13 years) performed 1-min bout of isometric handgrip (IHG) exercise at 60% of their maximal voluntary contraction followed by a 3-min occlusion (OCC), each separated by 10 min, initially under low (LHS, to activate sweating without changes in core temperature) and high (HHS, whole-body heating to a core temperature increase of 1.0°C) heat stress conditions. Cutaneous vascular conductance (CVC) and sweat rate were measured continuously at four forearm skin sites perfused with 1) lactated Ringer's solution (Control), 2) 10 mmol L-NAME [inhibits nitric oxide synthase (NOS)], 3) 10 mmol Ketorolac [inhibits cyclooxygenase (COX)], or 4) 4 mmol theophylline (THEO; inhibits adenosine receptors)...
February 2017: Physiological Reports
https://www.readbyqxmd.com/read/27979984/haemodynamic-response-to-muscle-reflex-is-abnormal-in-patients-with-heart-failure-with-preserved-ejection-fraction
#8
Silvana Roberto, Gabriele Mulliri, Raffaele Milia, Roberto Solinas, Virginia Pinna, Gianmarco Sainas, Massimo F Piepoli, Antonio Crisafulli
The aim of the present investigation was to assess the role of cardiac diastole on the hemodynamic response to metaboreflex activation. We wanted to determine whether patients with diastolic function impairment showed a different hemodynamic response as compared to normal subjects during this reflex. Hemodynamics during the metaboreflex activation obtained by post-exercise muscle ischemia (PEMI) was assessed in 10 patients with diagnosed heart failure with preserved ejection fraction (HFpEF) and in 12 age-matched healthy controls (CTL)...
December 15, 2016: Journal of Applied Physiology
https://www.readbyqxmd.com/read/27976405/abnormal-muscle-metaboreflex-control-of-ventilation-in-patients-with-chronic-obstructive-pulmonary-disease-what-mechanisms-should-be-blamed
#9
Liliane Cunha Aranda, Jeann L C Sabino-Carvalho, Talita Miranda-Silva, Marcelle Paula-Ribeiro
No abstract text is available yet for this article.
December 15, 2016: Journal of Physiology
https://www.readbyqxmd.com/read/27927625/sympathetic-responsiveness-is-not-increased-in-women-with-a-history-of-hypertensive-pregnancy
#10
Sushant M Ranadive, Ronee E Harvey, Brian D Lahr, Virginia M Miller, Michael J Joyner, Jill N Barnes
Hypertensive pregnancy (HTNP) is a risk factor for future cardiovascular disease. Exaggerated cardiovascular responses to physical stress are also considered an independent marker of cardiovascular disease risk. However, there are limited data regarding the blood pressure (BP) responses to acute stress in women, who have a history of HTNP. Hence, the aim of the study is to compare BP responses to a physical stress in postmenopausal women with a history of HTNP to age- and parity-matched women with a history of normotensive pregnancy (NP)...
January 1, 2017: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/27895592/effects-of-six-months-training-on-physical-capacity-and-metaboreflex-activity-in-patients-with-multiple-sclerosis
#11
Sara Magnani, Sergio Olla, Massimiliano Pau, Girolamo Palazzolo, Filippo Tocco, Azzurra Doneddu, Maura Marcelli, Andrea Loi, Federica Corona, Francesco Corona, Giancarlo Coghe, Maria G Marrosu, Alberto Concu, Eleonora Cocco, Elisabetta Marongiu, Antonio Crisafulli
Patients with multiple sclerosis (MS) have an increased systemic vascular resistance (SVR) response during the metaboreflex. It has been hypothesized that this is the consequence of a sedentary lifestyle secondary to MS. The purpose of this study was to discover whether a 6-month training program could reverse this hemodynamic dysregulation. Patients were randomly assigned to one of the following two groups: the intervention group (MSIT, n = 11), who followed an adapted training program; and the control group (MSCTL, n = 10), who continued with their sedentary lifestyle...
2016: Frontiers in Physiology
https://www.readbyqxmd.com/read/27859912/sweating-responses-to-isometric-hand-grip-exercise-and-forearm-muscle-metaboreflex-in-prepubertal-children-and-elderly
#12
Tatsuro Amano, Seiko Kai, Michi Nakajima, Tomoko Ichinose-Kuwahara, Nicola Gerrett, Narihiko Kondo, Yoshimitsu Inoue
What is the central question of this study? Non-thermal factors (e.g. muscle metaboreflex) contribute to the sweating response during exercise. Although it is well recognized that the sweating responses caused by core temperature elevation in prepubertal children and the elderly are attenuated compared with young adults, it is unknown whether non-thermal sweating is also attenuated in these populations. What is the main finding and its importance? The non-thermal sweating response during isometric hand-grip exercise and isolated muscle metaboreflex were attenuated in prepubertal children compared with young adults in a non-uniform manner over the body, but only during the muscle metaboreflex in the elderly...
February 1, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/27784689/central-vs-peripheral-determinants-of-sympathetic-neural-recruitment-insights-from-static-handgrip-exercise-and-postexercise-circulatory-occlusion
#13
Mark B Badrov, T Dylan Olver, J Kevin Shoemaker
Sympathetic outflow is modified during acute homeostatic stress through increased firing of low-threshold axons, recruitment of latent axons, and synaptic delay modifications. However, the role of central mechanisms versus peripheral reflex control over sympathetic recruitment remains unknown. Here, we examined sympathetic discharge patterns during fatiguing static handgrip (SHG) exercise and postexercise circulatory occlusion (PECO) to study the central vs. peripheral reflex elements of sympathetic neural coding...
December 1, 2016: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/27769997/exaggerated-coronary-vasoconstriction-limits-muscle-metaboreflex-induced-increases-in-ventricular-performance-in-hypertension
#14
Marty D Spranger, Jasdeep Kaur, Javier A Sala-Mercado, Abhinav C Krishnan, Rania Abu-Hamdah, Alberto Alvarez, Tiago M Machado, Robert A Augustyniak, Donal S O'Leary
Increases in myocardial oxygen consumption during exercise mainly occur via increases in coronary blood flow (CBF) as cardiac oxygen extraction is high even at rest. However, sympathetic coronary constrictor tone can limit increases in CBF. Increased sympathetic nerve activity (SNA) during exercise likely occurs via the action of and interaction among activation of skeletal muscle afferents, central command, and resetting of the arterial baroreflex. As SNA is heightened even at rest in subjects with hypertension (HTN), we tested whether HTN causes exaggerated coronary vasoconstriction in canines during mild treadmill exercise with muscle metaboreflex activation (MMA; elicited by reducing hindlimb blood flow by ~60%) thereby limiting increases in CBF and ventricular performance...
January 1, 2017: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/27614226/interaction-between-the-muscle-metaboreflex-and-the-arterial-baroreflex-in-control-of-arterial-pressure-and-skeletal-muscle-blood-flow
#15
Jasdeep Kaur, Alberto Alvarez, Hanna W Hanna, Abhinav C Krishnan, Danielle Senador, Tiago M Machado, Yasir H Altamimi, Abe T Lovelace, Maryetta D Dombrowski, Marty D Spranger, Donal S O'Leary
The muscle metaboreflex and arterial baroreflex regulate arterial pressure through distinct mechanisms. During submaximal exercise muscle metaboreflex activation (MMA) elicits a pressor response virtually solely by increasing cardiac output (CO) while baroreceptor unloading increases mean arterial pressure (MAP) primarily through peripheral vasoconstriction. The interaction between the two reflexes when activated simultaneously has not been well established. We activated the muscle metaboreflex in chronically instrumented canines during dynamic exercise (via graded reductions in hindlimb blood flow; HLBF) followed by simultaneous baroreceptor unloading (via bilateral carotid occlusion; BCO)...
November 1, 2016: American Journal of Physiology. Heart and Circulatory Physiology
https://www.readbyqxmd.com/read/27558210/influence-of-low-and-normal-appendicular-lean-mass-on-central-blood-pressure-and-wave-reflection-responses-to-muscle-metaboreflex-activation-in-postmenopausal-women
#16
LETTER
Arturo Figueroa, Stacey Alvarez-Alvarado, Salvador J Jaime, Sarah A Johnson, Jeremiah C Campbell, Rafaela G Feresin, Marcus L Elam, Negin Navaei, Shirin Pourafshar, Bahram H Arjmandi
Sarcopenia, defined by reduced appendicular skeletal muscle mass (ASM)/height(2) (ASMI), is associated with increased arterial stiffness (brachial-ankle pulse wave velocity, baPWV) and wave reflection (augmentation index, AIx). Blood pressure (BP) responses to metaboreflex activation (post-exercise muscle ischemia, PEMI) are exaggerated in older prehypertensives and hypertensives. We examined peripheral and aortic haemodynamics at rest and during PEMI in postmenopausal women with low-ASMI and normal-ASMI. Resting radial AIx and baPWV as well as brachial and aortic systolic BP, pulse pressure, systolic time index, and subendocardial viability ratio (SEVR) responses to PEMI were greater in women with low-ASMI than normal-ASMI...
December 2016: Clinical and Experimental Pharmacology & Physiology
https://www.readbyqxmd.com/read/27488888/sex-differences-in-the-cardiovascular-consequences-of-the-inspiratory-muscle-metaboreflex
#17
Joshua R Smith, Ryan M Broxterman, Shane M Hammer, Andrew M Alexander, Kaylin D Didier, Stephanie P Kurti, Thomas J Barstow, Craig A Harms
It is currently unknown whether sex differences exist in the cardiovascular consequences of the inspiratory muscle metaboreflex. We hypothesized that the activation of the inspiratory muscle metaboreflex will lead to less of an increase in mean arterial pressure (MAP) and limb vascular resistance (LVR) and less of a decrease in limb blood flow (Q̇L) in women compared with men. Twenty healthy men (n = 10, 23 ± 2 yr) and women (n = 10, 22 ± 3 yr) were recruited for this study. Subjects performed inspiratory resistive breathing tasks (IRBTs) at 2% or 65% of their maximal inspiratory mouth pressure (PIMAX)...
September 1, 2016: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/27484507/effect-of-inspiratory-muscle-training-with-load-compared-with-sham-training-on-blood-pressure-in-individuals-with-hypertension-study-protocol-of-a-double-blind-randomized-clinical-trial
#18
Simone Regina Posser, Carine Cristina Callegaro, Marina Beltrami-Moreira, Leila Beltrami Moreira
BACKGROUND: Hypertension is a complex chronic condition characterized by elevated arterial blood pressure. Management of hypertension includes non-pharmacologic strategies, which may include techniques that effectively reduce autonomic sympathetic activity. Respiratory exercises improve autonomic control over cardiovascular system and attenuate muscle metaboreflex. Because of these effects, respiratory exercises may be useful to lower blood pressure in subjects with hypertension. METHODS/DESIGN: This randomized, double-blind clinical trial will test the efficacy of inspiratory muscle training in reducing blood pressure in adults with essential hypertension...
August 2, 2016: Trials
https://www.readbyqxmd.com/read/27463252/relationship-between-aortic-augmentation-index-and-blood-pressure-during-metaboreflex-activation-in-healthy-young-men
#19
Eliza Prodel, James P Fisher, Thales C Barbosa, Igor A Fernandes, Antonio C Nobrega, Lauro C Vianna
BACKGROUND: Heightened aortic augmentation index (AIx; surrogate of arterial stiffness) is associated with an elevated risk of cardiovascular events; however, it is currently unclear whether peripheral blood pressure (BP) modulates AIx. AIM: Given this, we studied the relationship between AIx and BP under resting conditions as well as during skeletal muscle metaboreflex activation, which is a maneuver that generates steady elevations in BP. METHODS: In nine healthy male participants (23±2 years), the graded activation of the muscle metaboreflex was achieved by postexercise ischemia (PEI) following moderate and high-intensity static handgrip performed at 30 and 40% maximum voluntary contraction...
October 2016: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/27435799/metaboreflex-activation-delays-heart-rate-recovery-after-aerobic-exercise-in-never-treated-hypertensive-men
#20
Tiago Peçanha, Leandro Campos de Brito, Rafael Yokoyama Fecchio, Patricia Nascimento de Sousa, Natan Daniel da Silva Junior, Andrea Pio de Abreu, Giovanio Vieira da Silva, Décio Mion-Junior, Cláudia Lúcia de Moraes Forjaz
KEY POINTS: Recent evidence indicates that metaboreflex regulates heart rate recovery after exercise (HRR). An increased metaboreflex activity during the post-exercise period might help to explain the reduced HRR observed in hypertensive subjects. Using lower limb circulatory occlusion, the present study showed that metaboreflex activation during the post-exercise period delayed HRR in never-treated hypertensive men compared to normotensives. These findings may be relevant for understanding the physiological mechanisms associated with autonomic dysfunction in hypertensive men...
November 1, 2016: Journal of Physiology
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