A Single Bout of Arm-crank Exercise Promotes Positive Emotions and Post-Exercise Hypotension in Patients with Symptomatic Peripheral Artery Disease

B R Cavalcante; R M Ritti-Dias; A H G Soares; A H Lima; M A Correia; L D De Matos; F Gobbi; A S Leicht; N Wolosker; G G Cucato

doi:10.1016/j.ejvs.2016.11.021

A Single Bout of Arm-crank Exercise Promotes Positive Emotions and Post-Exercise Hypotension in Patients with Symptomatic Peripheral Artery Disease

Eur J Vasc Endovasc Surg. 2017 Feb;53(2):223-228. doi: 10.1016/j.ejvs.2016.11.021. Epub 2016 Dec 21.

Authors

B R Cavalcante¹, R M Ritti-Dias², A H G Soares¹, A H Lima³, M A Correia¹, L D De Matos², F Gobbi², A S Leicht⁴, N Wolosker⁵, G G Cucato⁶

Affiliations

¹ Associated Graduate Program in Physical Education UPE/UFPB, University of Pernambuco, Pernambuco, Brazil.
² Israel Institute of Education and Research Albert Einstein, Albert Einstein Hospital, São Paulo, Brazil.
³ School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.
⁴ Sport and Exercise Science, James Cook University, Townsville, Australia.
⁵ Israel Institute of Education and Research Albert Einstein, Albert Einstein Hospital, São Paulo, Brazil; Hospital das Clínicas, Faculty of Medicine, University of Sao Paulo, São Paulo, Brazil.
⁶ Israel Institute of Education and Research Albert Einstein, Albert Einstein Hospital, São Paulo, Brazil. Electronic address: [email protected].

PMID: 28012910
DOI: 10.1016/j.ejvs.2016.11.021

Abstract

Objective/background: The objective was to analyze the acute effects of a single bout of arm cranking exercise on affective and cardiovascular parameters in patients with symptomatic peripheral artery disease (PAD).

Methods: This was a prospective, controlled, crossover study. Eleven men with symptomatic PAD underwent two experimental sessions in a random order: control or arm crank exercise (15 × 2 minutes bouts of arm crank exercise interrupted by 2 minutes rest intervals). During exercise, ratings of perceived exertion (Borg scale) and affective responses (pleasure/displeasure) were obtained at the first, fifth, tenth, and fifteenth bouts. Before and after the experimental sessions, cardiovascular parameters (blood pressure and heart rate) were obtained. Data were analysed by a two-way repeated measure analysis of variance with significance achieved at p < .05.

Results: During the arm crank exercise, patients reported positive feelings of pleasure. During exercise, heart rate (HR) remained within 80-90% of peak HR. Additionally, patients performed arm crank exercise with moderate levels of perceived exertion (Borg rating of 11-13) and with pleasant affective scores (Feeling Scale of +1 to +5). Blood pressure (systolic, diastolic, and mean) increase was lower after arm crank exercise than for control (greatest net effect: -15 ± 11 mmHg [p < .001]; -9 ± 5 mmHg [p < .001]; -9 ± 6 mmHg [p < .001], respectively), while HR increased (greatest net effect: +9 ± 6 beats per minute; p < .001).

Conclusion: A single bout of arm crank exercise promotes pleasurable feelings while reducing blood pressure in patients with symptomatic PAD.

Keywords: Blood pressure; Exercise; Peripheral arterial disease; Pleasure.

Publication types

Randomized Controlled Trial

MeSH terms

Aged
Aged, 80 and over
Blood Pressure*
Brazil
Cross-Over Studies
Exercise Therapy / methods*
Heart Rate
Humans
Hypotension / diagnosis
Hypotension / etiology*
Hypotension / physiopathology
Male
Middle Aged
Muscle Contraction*
Muscle, Skeletal / physiopathology*
Peripheral Arterial Disease / diagnosis
Peripheral Arterial Disease / physiopathology
Peripheral Arterial Disease / psychology
Peripheral Arterial Disease / therapy*
Pleasure*
Prospective Studies
Time Factors
Treatment Outcome
Upper Extremity