Key result
Isometric handgrip exercise elicited greater diastolic blood pressure reactivity in normotensive black males compared to white males (p<0.05), with 25% lower post-exercise norepinephrine (p<0.01).
Why the study?
Do cardiovascular and plasma catecholamine responses to static exercise differ between normotensive black and white males?
Observational (n=15)
Do cardiovascular and plasma catecholamine responses to static exercise differ between normotensive black and white males?
Normotensive black males exhibit greater diastolic blood pressure reactivity to static exercise and enhanced vascular sensitivity to alpha-adrenergic stimulation compared to white males.
Answers are grounded in this paper and cite their sources.
Ethnic differences in BP reactivity to static exercise may inform future risk models; hypothesis-generating and requires prospective validation before clinical use.
OBJECTIVES: The objectives of the present study were (1) to evaluate the pressor response to an isometric handgrip exercise in normotensive black and white males; (2) to measure plasma catecholamine levels pre- and post-exercise, as an index of sympathetic nervous system activity; and (3) to quantify the pressor response to bolus intravenous injections of phenylephrine (an alpha-specific agonist). METHODS: Cardiovascular and catecholamine responses to an isometric handgrip exercise (3 minutes at 30% MVC) were measured in 15 normotensive blacks and whites. In another phase of the study, pressor responses to bolus injections of phenylephrine were assessed to evaluate alpha-adrenergic sensitivity. RESULTS: The blood pressure in the blacks increased from 119/69 to 160/120 mm HG during isometric exercise, while in the whites it increased from 118/67 to 153/110 mm HG. The blacks exhibited a greater diastolic blood pressure reactivity, as evidenced by a significant race x time interaction (p < 0.05). The heart rate responses were not significantly different between the two groups. The plasma levels of norepinephrine were similar at rest, but were 25% lower in the blacks than in the whites following isometric exercise (p < 0.01). Black subjects also demonstrated an increased pressor response to intravenous injections of phenylephrine at rest (p < 0.05). CONCLUSIONS: The enhanced vascular sensitivity to norepinephrine may have contributed to the greater exercise pressor response in the blacks.
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DUEY et al. (1997) conducted an observational in Normotension (n=15). Isometric handgrip exercise vs. White males was evaluated on Diastolic blood pressure reactivity (p=<0.05). Isometric handgrip exercise elicited greater diastolic blood pressure reactivity in normotensive black males compared to white males (p<0.05), with 25% lower post-exercise norepinephrine (p<0.01).
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