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Cardiovascular Responses During Resistance Exercise in Patients with Parkinson Disease

Miyasato, R, Silva-Batista, C, Pecanha, T, Low, DA, Mello, MT, Piemonte, ME, Ugrinowitsch, C, Forjaz, CL and Kanegusuku, H (2018) Cardiovascular Responses During Resistance Exercise in Patients with Parkinson Disease. PM&R, 10 (11). pp. 1145-1152. ISSN 1934-1482

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Abstract

Background: Patients with Parkinson disease (PD) present cardiovascular autonomic dysfunction which impairs blood pressure control. However, cardiovascular responses during resistance exercise are unknown in these patients.
Objective: Investigate the cardiovascular responses during resistance exercise performed with different muscle masses, in patients with PD.
Design: Two groups, repeated-measures design.
Setting: Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo.
Participants: Thirteen patients with PD (4 women, 62.7±1.3 years, stages 2-3 of modified Hoehn and Yahr scale; "on" state of medication) and thirteen paired controls without PD (7 women, 66.2±2.0years)
Interventions: Both groups performed, in a random order, bilateral and unilateral knee extension exercises (2 sets, 10–12 RM, 2 min of interval).
Main Outcome Measurements: Systolic blood pressure (SBP) and heart rate (HR) were assessed before (pre) and during the exercises.
Results: Independent of set and exercise type, SBP and HR increases were significantly lower in PD than the control group (combined values: +45±2 vs. +73±4 mmHg and +18±1 vs. +31±2 bpm, P =.003 and .007, respectively). Independently of group and set, the SBP increase was greater in the bilateral than the unilateral exercise (combined values: +63±4 vs +54±3 mmHg, P=.002), while the HR increase was similar. In addition, independently of group and exercise type, the SBP increase was higher in the 2nd than the 1st set (combined values: +56±4 vs +61±4 mmHg, P=.04), while the HR increases were similar.
Conclusions: Patients with PD present attenuated 25 increases in SBP and HR during resistance exercise in comparison with healthy subjects. These results support that resistance exercise is safe and well tolerated for patients with PD from a cardiovascular point of view supporting its recommendation for this population.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Miyasato, R. S., Silva‐Batista, C. , Peçanha, T. , Low, D. A., Mello, M. T., Piemonte, M. E., Ugrinowitsch, C. , Forjaz, C. L. and Kanegusuku, H. (2018), Cardiovascular Responses During Resistance Exercise in Patients With Parkinson Disease. PM&R, 10: 1145-1152, which has been published in final form at https://doi.org/10.1016/j.pmrj.2018.04.009. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: 1103 Clinical Sciences
Subjects: R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: Wiley
Date Deposited: 04 May 2018 11:15
Last Modified: 09 May 2019 08:00
URI: http://researchonline.ljmu.ac.uk/id/eprint/8622

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