Why the study?
To investigate the effects of an oral glucose tolerance test on baroreflex sensitivity in healthy adolescents, and how acute exercise bouts of different intensities alter these effects.
Does acute exercise of different intensities alter the effects of an oral glucose tolerance test on baroreflex sensitivity in healthy adolescents?
Does acute exercise of different intensities alter the effects of an oral glucose tolerance test on baroreflex sensitivity in healthy adolescents?
An oral glucose tolerance test moderately but non-significantly decreases baroreflex sensitivity in healthy adolescents, with no apparent modifying effect of prior acute exercise.
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OGTT effects on BRS appear minimal and exercise-independent in healthy adolescents; leaves open relevance for at-risk youth.
To investigate the effects of an oral glucose tolerance test (OGTT) on baroreflex sensitivity (BRS) in a sample of healthy adolescents, and how acute exercise bouts of different intensities alter the effects of the OGTT on BRS. Thirteen male adolescents (14.0 ± 0.5 years) completed three conditions on separate days in a counterbalanced order: (1) high-intensity interval exercise (HIIE); (2) moderate-intensity interval exercise (MIIE); and (3) resting control (CON). At ~ 90 min following the conditions, participants performed an OGTT. Supine heart rate and blood pressure were monitored continuously at baseline, 60 min following the conditions, and 60 min following the OGTT. A cross-spectral method (LFgain) was used to determine BRS gain. Arterial compliance (AC) was assessed as the BRS vascular component. LFgain divided by AC (LFgain/AC) was used as the autonomic component. Although non-significant, LFgain moderately decreased post-OGTT when no exercise was performed (pre-OGTT = 24.4 ± 8.2 ms mmHg − 1 ; post-OGTT = 19.9 ± 5.6 ms mmHg − 1 ; ES = 0.64, P > 0.05). This was attributed to the decrease in LFgain/AC (pre-OGTT = 1.19 ± 0.5 ms µm − 1 ; post-OGTT = 0.92 ± 0.24 ms µm − 1 ; ES = 0.69, P > 0.05). Compared to CON (Δ = − 4.4 ± 8.7 ms mmHg − 1 ), there were no differences for the pre–post-OGTT delta changes in LF/gain for HIIE (Δ = − 3.5 ± 8.2 ms mmHg − 1 ) and MIIE (Δ = 1.3 ± 9.9 ms mmHg − 1 ) had no effects on BRS following the OGTT (all ES < 0.5). Similarly, compared to CON (Δ = − 0.23 ± 0.40 ms µm − 1 ) there were no differences for the pre–post-OGTT delta changes in LF/gain for HIIE (Δ = − 0.22 ± 0.49 ms µm − 1 ) and MIIE (Δ = 0.13 ± 0.36 ms µm − 1 ). A moderate non-significant decrease in BRS was observed in adolescents following a glucose challenge with no apparent effects of exercise.
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Oliveira et al. (2019) studied this question.
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