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March 1, 1994Hypertension189 citations

Physical training and baroreceptor control of sympathetic nerve activity in humans.

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GGG. GrassiGSGino SeravalleDCDavid A. Calhoun

Key Result

Endurance training for 10 weeks in sedentary subjects significantly reduced basal mean blood pressure (86.5 vs 97.5 mm Hg, P<.05) and muscle sympathetic nerve activity (14.0 vs 21.2 bursts/min, P<.02).

Key Points

  • This research aims to examine the effects of endurance training on baroreceptor control of sympathetic nerve activity and cardiovascular parameters.
  • Nine sedentary subjects underwent 10 weeks of endurance training (2 h/d, 5 d/wk).
  • Measurements of blood pressure, heart rate, and muscle sympathetic nerve activity were taken at rest and during drug infusions before and after training.
  • Comparison included a control group of four age-matched subjects who did not train.
  • Endurance training increased maximum oxygen consumption from 34.8 +/- 2.1 to 40.4 +/- 1.8 mL/kg per minute (P < .02).
  • Basal blood pressure decreased from 97.5 +/- 1.8 mm Hg to 86.5 +/- 2.6 mm Hg (P < .05).
  • Muscle sympathetic nerve activity dropped from 21.2 +/- 2.3 bursts per minute to 14.0 +/- 1.8 bursts per minute (P < .02).

Structured PICO

Does endurance training improve baroreceptor control of sympathetic nerve activity and lower blood pressure in sedentary subjects?

P
Population
13 sedentary subjects (mean age 16.5 years) evaluated before and after a 10-week endurance training program or observation period.
I
Intervention
10 weeks of endurance training (2 hours/day, 5 days/week)
C
Comparator
10-week observation period without endurance training
O
Outcome
Changes in blood pressure, heart rate, and postganglionic muscle sympathetic nerve activity at rest and during intravenous infusion of phenylephrine and nitroprussidesurrogate

Endurance training in sedentary subjects lowers basal blood pressure and sympathetic nerve activity while enhancing baroreflex sensitivity, highlighting the autonomic benefits of exercise.

Main Result

Absolute Event Rate: 86.5% vs 97.5%

p-value: p=<.05

Abstract

In nine sedentary subjects (16.5 +/- 0.4 years, mean +/- SEM) we measured blood pressure (Finapres device), heart rate (electrocardiogram), and postganglionic muscle sympathetic nerve activity (microneurography from the peroneal nerve) at rest and during intravenous infusion of phenylephrine and nitroprusside. These measurements were performed before and after 10 weeks of endurance training (2 h/d, 5 d/wk) that increased maximum oxygen consumption from 34.8 +/- 2.1 to 40.4 +/- 1.8 mL/kg per minute (P < .02). Basal mean blood pressure and muscle sympathetic nerve activity were lower after than before endurance training (86.5 +/- 2.6 versus 97.5 +/- 1.8 mm Hg, P < .05, and 14.0 +/- 1.8 versus 21.2 +/- 2.3 bursts per minute, P < .02), and the changes in these variables were closely related (r = .95, P < .01). Similar mean blood pressure increases induced by phenylephrine caused greater reductions in heart rate and muscle sympathetic nerve activity after than before endurance training (-8.6 +/- 0.8 versus -6.1 +/- 1.1 beats per minute, P = NS, and -78.0 +/- 4.6% versus -53.6 +/- 4.8%, P < .05). Likewise, similar mean blood pressure reductions induced by nitroprusside caused greater increases in heart rate and muscle sympathetic nerve activity after than before endurance training (18.6 +/- 3.0 versus 12.4 +/- 2.4 beats per minute, P < .05, and 128.1 +/- 26% versus 63.2 +/- 11%, P < .02). No alteration in hemodynamics, oxygen consumption, muscle sympathetic nerve activity, and baroreceptor reflex sensitivity occurred in four other age-matched sedentary subjects studied before and after a 10-week observation period without endurance training.(ABSTRACT TRUNCATED AT 250 WORDS)

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Cite This Study

Grassi et al. (1994) studied Sedentary (n=13). Endurance training vs. Baseline and observation without training was evaluated on Basal mean blood pressure (p=<.05). Endurance training for 10 weeks in sedentary subjects significantly reduced basal mean blood pressure (86.5 vs 97.5 mm Hg, P<.05) and muscle sympathetic nerve activity (14.0 vs 21.2 bursts/min, P<.02).

synapsesocial.com/papers/6a6c3966ec7caa0664b395a3https://doi.org/10.1161/01.hyp.23.3.294
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