Author | Barros, Juliana Pereira | |
Author | Paula, Tainah de | |
Author | Mediano, Mauro Felippe Felix | |
Author | Rangel, Marcus Vinicius dos Santos | |
Author | Monteiro, Walace | |
Author | Cunha, Felipe Amorim da | |
Author | Farinatti, Paulo | |
Author | Borges, Juliana Pereira | |
Access date | 2021-09-16T12:49:15Z | |
Available date | 2021-09-16T12:49:15Z | |
Document date | 2021 | |
Citation | BARROS, Juliana Pereira et al. The Effects of Acute Aerobic Exercise on Blood Pressure, Arterial Function, and Heart Rate Variability in Men Living With HIV. Frontiers in physiology, v. 12, p. 1-14, 2021. | pt_BR |
ISSN | 1664-042X | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/49087 | |
Language | eng | pt_BR |
Publisher | Frontiers Media | pt_BR |
Rights | open access | pt_BR |
Title | The Effects of Acute Aerobic Exercise on Blood Pressure, Arterial Function, and Heart Rate Variability in Men Living With HIV | pt_BR |
Type | Article | pt_BR |
DOI | 10.3389/fphys.2021.685306 | |
Abstract | Purpose: This study aims to investigate the effects of acute cycling on blood pressure (BP), arterial function, and heart rate variability (HRV) in men living with HIV (MLHIV) using combined antiretroviral therapy (cART).
Methods: Twelve MLHIV (48.7 ± 9.2 years; 25.2 ± 2.8 kg m-2) and 13 healthy controls (41.2 ± 9.9 years; 26.3 ± 2.9 kg m-2) performed a cycling bout (ES) (intensity: 50% oxygen uptake reserve; duration: time to achieve 150 kcal-MLHIV: 24.1 ± 5.5 vs. controls: 23.1 ± 3.0 min; p = 0.45), and a 20-min non-exercise session (NES).
Results: At rest (p < 0.05), MLHIV presented higher brachial systolic/diastolic BP (SBP/DBP: 123.2 ± 14.2/76.8 ± 6.3 vs. 114.3 ± 5.1/71.6 ± 2.6 mmHg) and central BP (cSBP/cDBP: 108.3 ± 9.3/76.5 ± 6.5 vs. 101.6 ± 4.9/71.3 ± 4.4 mmHg) vs. controls but lower absolute maximal oxygen uptake (2.1 ± 0.5 vs. 2.5 ± 0.3 L min-1) and HRV indices reflecting overall/vagal modulation (SDNN: 24.8 ± 7.1 vs. 42.9 ± 21.3 ms; rMSSD: 20.5 ± 8.5 vs. 38.1 ± 22.8 ms; pNN50: 3.6 ± 4.2 vs. 13.6 ± 11.3%). DBP postexercise lowered in controls vs. MLHIV (∼4 mmHg, p < 0.001; ES: 0.6). Moreover, controls vs. MLHIV had greater reductions (p < 0.05) in augmentation index (-13.6 ± 13.7 vs. -3.1 ± 7.2% min-1; ES: 2.4), and HRV indices up to 5 min (rMSSD: -111.8 ± 32.1 vs. -75.9 ± 22.2 ms min-1; ES: 3.8; pNN50: -76.3 ± 28.3 vs. -19.0 ± 13.7% min-1; ES: 4.4). Within-group (ES vs. NES; p < 0.05) reductions occurred in controls for SBP (∼10 mmHg, 2 h), DBP (∼6 mmHg, 20, 30, and 70 min), cSBP (∼9 mmHg, 30 min), cDBP (∼7 mmHg, 30 and 70 min), augmentation index (∼10%, 30 min), and pNN50 (∼20%; up to 2 h), while in MLHIV only cSBP (∼6 mmHg, 70 min) and cDBP (∼4 mmHg, 30 min) decreased. Similar increases (up to 5 min) in heart rate (∼22 bpm) and decreases in SDNN (∼18 ms) and rMSSD (∼20 ms) occurred in both groups.
Conclusion: MLHIV under cART exhibited attenuated postexercise hypotension vs. healthy controls, which seemed to relate with impairments in vascular function. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Department of Clinical Medicine. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Ministry of Health. National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil / Salgado de Oliveira University. Graduate Program in Physical Activity Sciences. Niteroi, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil / Salgado de Oliveira University. Graduate Program in Physical Activity Sciences. Niteroi, RJ, Brazil. | pt_BR |
Affilliation | Rio de Janeiro State University. Graduate Program in Exercise and Sports Sciences. Rio de Janeiro, RJ, Brazil. | pt_BR |
Subject | Acquired immunodeficiency syndrome (AIDS) | pt_BR |
Subject | Ambulatory blood pressure monitoring (ABPM) | pt_BR |
Subject | Autonomic nervous system (ANS) | pt_BR |
Subject | Health | pt_BR |
Subject | Heart rate variability (HRV) | pt_BR |
Subject | Post-exercise hypotension | pt_BR |