A Single Bout of Arm-crank Exercise Promotes Positive Emotions and Post-Exercise Hypotension in Patients with Symptomatic Peripheral Artery Disease

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• 作者：B.R. Cavalcante^a ; R.M. Ritti-Dias^b ; A.H.G. Soares^a ; A.H. Lima^c ; M.A. Correia^a ; L.D. De Matos^b ; F. Gobbi^b ; A.S. Leicht^d ; N. Wolosker^b ; ^e ; G.G. Cucato^b ; ^{gacucato@gmail.com}
• 关键词：Exercise ; Blood pressure ; Peripheral arterial disease ; Pleasure
• 刊名：European Journal of Vascular and Endovascular Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：53
• 期：2
• 页码：223-228
• 全文大小：407 K
• 卷排序：53

文摘

The objective was to analyze the acute effects of a single bout of arm cranking exercise on affective and cardiovascular parameters in patients with symptomatic peripheral artery disease (PAD).MethodsThis was a prospective, controlled, crossover study. Eleven men with symptomatic PAD underwent two experimental sessions in a random order: control or arm crank exercise (15 × 2 minutes bouts of arm crank exercise interrupted by 2 minutes rest intervals). During exercise, ratings of perceived exertion (Borg scale) and affective responses (pleasure/displeasure) were obtained at the first, fifth, tenth, and fifteenth bouts. Before and after the experimental sessions, cardiovascular parameters (blood pressure and heart rate) were obtained. Data were analysed by a two-way repeated measure analysis of variance with significance achieved at p < .05.ResultsDuring the arm crank exercise, patients reported positive feelings of pleasure. During exercise, heart rate (HR) remained within 80–90% of peak HR. Additionally, patients performed arm crank exercise with moderate levels of perceived exertion (Borg rating of 11–13) and with pleasant affective scores (Feeling Scale of +1 to +5). Blood pressure (systolic, diastolic, and mean) increase was lower after arm crank exercise than for control (greatest net effect: −15 ± 11 mmHg [p < .001]; −9 ± 5 mmHg [p < .001]; −9 ± 6 mmHg [p < .001], respectively), while HR increased (greatest net effect: +9 ± 6 beats per minute; p < .001).ConclusionA single bout of arm crank exercise promotes pleasurable feelings while reducing blood pressure in patients with symptomatic PAD.