Key result
Older age significantly enhanced the diastolic blood pressure response to ischemic rhythmic handgrip exercise compared to young and middle-aged adults (Δ13 vs Δ5 and Δ6 mmHg; p<0.01).
Why the study?
The effects of aging on the blood pressure response to ischemic exercise remain unclear.
Does aging enhance the blood pressure response to rhythmic handgrip exercise during postexercise muscle ischemia in normotensive adults?
Cross-Sectional (n=72)
Does aging enhance the blood pressure response to rhythmic handgrip exercise during postexercise muscle ischemia in normotensive adults?
Absolute Event Rate: 13% vs 5%
p-value: p=<0.01
Aging independently exaggerates the pressor response to ischemic rhythmic exercise in healthy normotensive individuals.
May reflect heightened exercise pressor reflex with aging; hypothesis-generating for cardiovascular risk implications.
Ischemic skeletal muscle conditions are known to augment exercise-induced increases in blood pressure (BP). Aging is also a factor that enhances the pressor response to exercise. However, the effects of aging on the BP response to ischemic exercise remain unclear. We, therefore, tested the hypothesis that aging enhances the BP response to rhythmic handgrip (RHG) exercise during postexercise muscle ischemia (PEMI). We divided the normotensive participants without cardiovascular diseases into three age groups: young (n = 26; age, 18-28 years), middle-aged (n = 23; age, 35-59 years), and older adults (n = 23; age, 60-80 years). The participants performed RHG exercise with minimal effort for 1 min after rest with and without PEMI, which was induced by inflating a cuff on the upper arm just before the isometric handgrip exercise ended; the intensity was 30% of maximal voluntary contraction force. Under PEMI, the increase in diastolic BP (DBP) from rest to RHG exercise in the older adult group (Δ13 ± 2 mmHg) was significantly higher than that in the young (Δ5 ± 2 mmHg) and middle-aged groups (Δ6 ± 1 mmHg), despite there being no significant difference between the groups in the DBP response from rest to RHG exercise without PEMI. Importantly, based on multiple regression analysis, age remained a significant independent determinant of both the SBP and DBP responses to RHG exercise during PEMI (p < 0.01). These findings indicate that aging enhances the pressor response to ischemic rhythmic exercise.
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Hasegawa et al. (2021) conducted a cross-sectional in Normotensive without cardiovascular diseases (n=72). Older age vs. Young and middle-aged adults was evaluated on Increase in diastolic blood pressure (DBP) from rest to rhythmic handgrip exercise under postexercise muscle ischemia (p=<0.01). Older age significantly enhanced the diastolic blood pressure response to ischemic rhythmic handgrip exercise compared to young and middle-aged adults (Δ13 vs Δ5 and Δ6 mmHg; p<0.01).
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