Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT

There is limited information regarding heart rate (HR) response from predictive formulae and actual exercise tests between arterial hypertension (HTN) and normotensive adults, as well as about vascular similarities or differences between samples of different blood pressure control. This study aimed...

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Autores: Alvarez, Cristian, Campos-Jara, Christian, Ciolac, Emmanuel Gomes [UNESP], Guimaraes, Guilherme Vega, Andrade-Mayorga, Omar, Cano-Montoya, Johnattan, Andrade, David C., Delgado-Floody, Pedro, Alonso-Martínez, Alicia, Izquierdo, Mikel, Cigarroa, Igor
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/305327
Acceso en línea:http://dx.doi.org/10.47197/retos.v50.99716
https://hdl.handle.net/11449/305327
Access Level:acceso abierto
Palabra clave:Arterial hypertension
Endothelial dysfunction
Obesity
Overweight
Vasculature
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spelling Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECTPacientes hipertensos muestran una mayor respuesta de la frecuencia cardíaca durante el ejercicio progresivo en relación con pares adultos normotensos: PROYECTO VASCU-HEALTHArterial hypertensionEndothelial dysfunctionObesityOverweightVasculatureThere is limited information regarding heart rate (HR) response from predictive formulae and actual exercise tests between arterial hypertension (HTN) and normotensive adults, as well as about vascular similarities or differences between samples of different blood pressure control. This study aimed 1) to describe and compare the HR during exercise between HTN and normotensive adults and 2) to describe the endothelial function and related vascular parameters in both groups. A descriptive clinical study was conducted with 64 adults (men and women) who were divided into three groups: arterial hypertension (HTN n=26), elevated blood pressure (Ele n=16), or normotensive control (CG n=22). The participants underwent an incremental cycling exercise test of 5 stages, where HR (primary outcome) was measured, and secondary vascular outcomes (percentile classification of the pulse wave velocity (%ILEPWVba), maximum carotid intima-media thickness (cIMTmax), and arterial age among others were measured. In stage 2 of the test (50-100 watts), the HTN group showed significantly higher HR vs. CG (+14 beats/min; p<0.05) and vs. Ele group (+15 beats/min; p<0.05), and in stage 5 (125-250 watts), HTN group showed higher HR vs. CG (+22 beats/min; p<0.05). HTN group showed a higher arterial stiffness by %ILEPWVba classification and arterial age estimation than the CG group. In conclusion, HTN patients reported a higher HR response only in two out of five (monitored) stages of the Astrand cycling exercise test than normotensive peers. Moreover, all groups showed a higher HRpredicted than real HRpeak obtained from the exercise test. These results are displayed with more altered vascular parameters in the HTN group.Universidad Andres BelloSão Paulo State UniversityUniversity of São PauloUniversidad de La FronteraUniversidad San SebastiánUniversidad de AntofagastaUniversidad Pública de NavarraUniversidad Santo TomasSão Paulo State UniversityUniversidad Andres BelloUniversidade Estadual Paulista (UNESP)Universidade de São Paulo (USP)Universidad de La FronteraUniversidad San SebastiánUniversidad de AntofagastaUniversidad Pública de NavarraUniversidad Santo Tomas2025-04-29T20:02:51Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article25-32http://dx.doi.org/10.47197/retos.v50.99716Retos, v. 50, p. 25-32.1988-20411579-1726https://hdl.handle.net/11449/30532710.47197/retos.v50.997162-s2.0-85167978273Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRetosinfo:eu-repo/semantics/openAccessAlvarez, CristianCampos-Jara, ChristianCiolac, Emmanuel Gomes [UNESP]Guimaraes, Guilherme VegaAndrade-Mayorga, OmarCano-Montoya, JohnattanAndrade, David C.Delgado-Floody, PedroAlonso-Martínez, AliciaIzquierdo, MikelCigarroa, Igor2025-04-30T14:32:43Zoai:repositorio.unesp.br:11449/305327Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462025-04-30T14:32:43Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
Pacientes hipertensos muestran una mayor respuesta de la frecuencia cardíaca durante el ejercicio progresivo en relación con pares adultos normotensos: PROYECTO VASCU-HEALTH
title Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
spellingShingle Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
Alvarez, Cristian
Arterial hypertension
Endothelial dysfunction
Obesity
Overweight
Vasculature
title_short Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
title_full Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
title_fullStr Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
title_full_unstemmed Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
title_sort Hypertensive patients show higher heart rate response during incremental exercise and elevated arterial age estimation than normotensive adult peers: VASCU-HEALTH PROJECT
dc.creator.none.fl_str_mv Alvarez, Cristian
Campos-Jara, Christian
Ciolac, Emmanuel Gomes [UNESP]
Guimaraes, Guilherme Vega
Andrade-Mayorga, Omar
Cano-Montoya, Johnattan
Andrade, David C.
Delgado-Floody, Pedro
Alonso-Martínez, Alicia
Izquierdo, Mikel
Cigarroa, Igor
author Alvarez, Cristian
author_facet Alvarez, Cristian
Campos-Jara, Christian
Ciolac, Emmanuel Gomes [UNESP]
Guimaraes, Guilherme Vega
Andrade-Mayorga, Omar
Cano-Montoya, Johnattan
Andrade, David C.
Delgado-Floody, Pedro
Alonso-Martínez, Alicia
Izquierdo, Mikel
Cigarroa, Igor
author_role author
author2 Campos-Jara, Christian
Ciolac, Emmanuel Gomes [UNESP]
Guimaraes, Guilherme Vega
Andrade-Mayorga, Omar
Cano-Montoya, Johnattan
Andrade, David C.
Delgado-Floody, Pedro
Alonso-Martínez, Alicia
Izquierdo, Mikel
Cigarroa, Igor
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Andres Bello
Universidade Estadual Paulista (UNESP)
Universidade de São Paulo (USP)
Universidad de La Frontera
Universidad San Sebastián
Universidad de Antofagasta
Universidad Pública de Navarra
Universidad Santo Tomas
dc.subject.por.fl_str_mv Arterial hypertension
Endothelial dysfunction
Obesity
Overweight
Vasculature
topic Arterial hypertension
Endothelial dysfunction
Obesity
Overweight
Vasculature
description There is limited information regarding heart rate (HR) response from predictive formulae and actual exercise tests between arterial hypertension (HTN) and normotensive adults, as well as about vascular similarities or differences between samples of different blood pressure control. This study aimed 1) to describe and compare the HR during exercise between HTN and normotensive adults and 2) to describe the endothelial function and related vascular parameters in both groups. A descriptive clinical study was conducted with 64 adults (men and women) who were divided into three groups: arterial hypertension (HTN n=26), elevated blood pressure (Ele n=16), or normotensive control (CG n=22). The participants underwent an incremental cycling exercise test of 5 stages, where HR (primary outcome) was measured, and secondary vascular outcomes (percentile classification of the pulse wave velocity (%ILEPWVba), maximum carotid intima-media thickness (cIMTmax), and arterial age among others were measured. In stage 2 of the test (50-100 watts), the HTN group showed significantly higher HR vs. CG (+14 beats/min; p<0.05) and vs. Ele group (+15 beats/min; p<0.05), and in stage 5 (125-250 watts), HTN group showed higher HR vs. CG (+22 beats/min; p<0.05). HTN group showed a higher arterial stiffness by %ILEPWVba classification and arterial age estimation than the CG group. In conclusion, HTN patients reported a higher HR response only in two out of five (monitored) stages of the Astrand cycling exercise test than normotensive peers. Moreover, all groups showed a higher HRpredicted than real HRpeak obtained from the exercise test. These results are displayed with more altered vascular parameters in the HTN group.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-01
2025-04-29T20:02:51Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.47197/retos.v50.99716
Retos, v. 50, p. 25-32.
1988-2041
1579-1726
https://hdl.handle.net/11449/305327
10.47197/retos.v50.99716
2-s2.0-85167978273
url http://dx.doi.org/10.47197/retos.v50.99716
https://hdl.handle.net/11449/305327
identifier_str_mv Retos, v. 50, p. 25-32.
1988-2041
1579-1726
10.47197/retos.v50.99716
2-s2.0-85167978273
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Retos
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 25-32
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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