Key result
Repeated handgrip exercise improves BRS estimation via ~132% greater coherence vs rest, leaving BRS unchanged.
Why the study?
While sit-stand maneuvers assess baroreflex sensitivity, they may be impractical for physically immobile individuals, motivating evaluation of repeated handgrip exercise as an alternative.
Does repeated handgrip exercise provide a reliable estimation of cardiac baroreflex sensitivity compared to sit-stand maneuvers and spontaneous rest?
RCT (n=20)
Random order
Does repeated handgrip exercise provide a reliable estimation of cardiac baroreflex sensitivity compared to sit-stand maneuvers and spontaneous rest?
Repeated handgrip exercise improves cardiac baroreflex sensitivity estimation via increased coherence without causing baroreflex resetting, offering a practical alternative to sit-stand maneuvers for immobile individuals.
The cardiac baroreflex regulates arterial pressure via autonomic heart rate control. While sit‐stand maneuvers (SSM) have been used to assess baroreflex sensitivity (BRS), they may be impractical for physically immobile individuals. This study examined cardiac BRS during repeated handgrip exercise (RHE) compared to SSM and spontaneous rest. Twenty participants (10 females) performed 5‐min RHE and SSM at 0.10 and 0.05 Hz in random order after spontaneous rest. Cardiac BRS was calculated using transfer function analysis (BRS TFA ) and the sequence method (BRS SM ) in low (LF: 0.05–0.15 Hz) and very low (VLF: 0.02–0.07 Hz) frequencies. Power spectral density (PSD) quantified systolic blood pressure (SBP) and R‐R interval (RRI) oscillations. Compared to rest, 0.10 and 0.05 Hz RHE significantly increased SBP and RRI PSDs, with the highest values observed during SSM in both frequencies. RHE significantly increased LF and VLF BRS TFA coherence by 132% and 142%, while SSM increased them by 144% and 209%. Regardless of analytical methods, BRS remained unchanged during RHE compared to rest, but it significantly decreased during 0.10 Hz SSM, which correlated with increased heart rate. These findings suggest that RHE improves BRS TFA estimation via increased coherence, whereas reduced BRS during SSM suggests baroreflex resetting.
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Qin et al. (2025) reported an RCT. Repeated handgrip exercise (RHE) vs. Sit-stand maneuvers (SSM) and spontaneous rest was evaluated on Cardiac baroreflex sensitivity (BRS) and coherence. Repeated handgrip exercise improved cardiac baroreflex sensitivity estimation via increased coherence (by 132% and 142% in LF and VLF) compared to rest, while BRS remained unchanged.
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