Key result
Dynamic resistance exercise produces a profoundly different haemodynamic and cerebral blood flow response compared to aerobic exercise, which is further complicated by the Valsalva manoeuvre.
Why the study?
Compared with aerobic exercise, resistance exercise is relatively understudied regarding acute cardiorespiratory and cerebrovascular responses, particularly high-intensity dynamic resistance exercise with a concurrent Valsalva manoeuvre.
Resistance exercise, particularly when combined with the Valsalva manoeuvre, induces extreme acute fluctuations in blood pressure and challenges cerebral blood flow regulation, highlighting the need for specific exercise descriptions in physiological studies.
Warrants caution for blood pressure spikes during resistance exercise with Valsalva; leaves open need for precise protocol descriptions in future studies.
Resistance exercise (RE) is a popular modality for the general population and athletes alike, due to the numerous benefits of regular participation. The acute response to dynamic RE is characterised by temporary and bidirectional physiological extremes, not typically seen in continuous aerobic exercise (e.g. cycling) and headlined by phasic perturbations in blood pressure that challenge cerebral blood flow (CBF) regulation. Cerebral autoregulation has been heavily scrutinised over the last decade with new data challenging the effectiveness of this intrinsic flow regulating mechanism, particularly to abrupt changes in blood pressure over the course of seconds (i.e. dynamic cerebral autoregulation), like those observed during RE. Acutely, RE can challenge CBF regulation, resulting in adverse responses (e.g. syncope). Compared with aerobic exercise, RE is relatively understudied, particularly high-intensity dynamic RE with a concurrent Valsalva manoeuvre (VM). However, the VM alone challenges CBF regulation and generates additional complexity when trying to dissociate the mechanisms underpinning the circulatory response to RE. Given the disparate circulatory response between aerobic and RE, primarily the blood pressure profiles, regulation of CBF is ostensibly different. In this review, we summarise current literature and highlight the acute physiological responses to RE, with a focus on the cerebral circulation.
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Perry et al. (2021) conducted a review in Healthy individuals. Resistance exercise vs. Aerobic exercise was evaluated. Dynamic resistance exercise produces a profoundly different haemodynamic and cerebral blood flow response compared to aerobic exercise, which is further complicated by the Valsalva manoeuvre.
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