Abstract
Concurrent training is recommended for health improvement, but its acute effects on cardiovascular function are not well established. This study analyzed hemodynamics and autonomic modulation after a single session of aerobic (A), resistance (R), and concurrent (A + R) exercises. Twenty healthy subjects randomly underwent four sessions: control (C:30 min of rest), aerobic (A:30 min, cycle ergometer, 75% of VO2 peak), resistance (R:6 exercises, 3 sets, 20 repetitions, 50% of 1 RM), and concurrent (AR: A + R). Before and after the interventions, blood pressure (BP), heart rate (HR), cardiac output (CO), and HR variability were measured. Systolic BP decreased after all the exercises, and the greatest decreases were observed after the A and AR sessions (−13 ± 1 and −11 ± 1 mmHg, respectively, P < 0.05). Diastolic BP decreased similarly after all the exercises, and this decrease lasted longer after the A session. CO also decreased similarly after the exercises, while systemic vascular resistance increased after the R and AR sessions in the recovery period (+4.0 ± 1.7 and +6.3 ± 1.9 U, respectively, P < 0.05). Stroke volume decreased, while HR increased after the exercises, and the greatest responses were observed after the AR session (SV, A = −14.6 ± 3.6, R = −22.4 ± 3.5 and AR = −23.4 ± 2.4 ml; HR, A =+13 ± 2, R =+15 ± 2 vs. AR =+20 ± 2 bpm, P < 0.05). Cardiac sympathovagal balance increased after the exercises, and the greatest increase was observed after the AR session (A = +0.7 ± 0.8, R = +1.0 ± 0.8 vs. AR = +1.2 ± 0.8, P < 0.05). In conclusion, the association of aerobic and resistance exercises in the same training session did not potentiate post-exercise hypotension, and increased cardiac sympathetic activation during the recovery period.
Similar content being viewed by others
References
American College of Sports Medicine (2006) ACSM’s Guidelines for Exercise Testing and Prescription. Lippincott Williams and Wilkins, Philadelphia
Bennett T, Wilcox RG, Macdonald IA (1984) Post-exercise reduction of blood pressure in hypertensive men is not due to acute impairment of baroreflex function. Clin Sci (Lond) 67:97–103
Bisquolo VA, Cardoso CG Jr, Ortega KC, Gusmao JL, Tinucci T, Negrao CE, Wajchenberg BL, Mion D Jr, Forjaz CL (2005) Previous exercise attenuates muscle sympathetic activity and increases blood flow during acute euglycemic hyperinsulinemia. J Appl Physiol 98:866–871
Brandao Rondon MU, Alves MJ, Braga AM, Teixeira OT, Barretto AC, Krieger EM, Negrao CE (2002) Postexercise blood pressure reduction in elderly hypertensive patients. J Am Coll Cardiol 39:676–682
Charkoudian N, Halliwill JR, Morgan BJ, Eisenach JH, Joyner MJ (2003) Influences of hydration on post-exercise cardiovascular control in humans. J Physiol 552:635–644
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ (2003) The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 289:2560–2572
Cole CR, Foody JM, Blackstone EH, Lauer MS (2000) Heart rate recovery after submaximal exercise testing as a predictor of mortality in a cardiovascularly healthy cohort. Ann Intern Med 132:552–555
Cornelissen VA, Fagard RH (2004) Exercise intensity and postexercise hypotension. J Hypertens 22:1859–1861
Dujic Z, Ivancev V, Valic Z, Bakovic D, Marinovic-Terzic I, Eterovic D, Wisloff U (2006) Postexercise hypotension in moderately trained athletes after maximal exercise. Med Sci Sports Exerc 38:318–322
Forjaz CL, Santaella DF, Rezende LO, Barretto AC, Negrao CE (1998) Effect of exercise duration on the magnitude and duration of post-exercise hypotension. Arq Bras Cardiol 70:99–104
Forjaz CL, Cardoso CG Jr, Rezk CC, Santaella DF, Tinucci T (2004) Postexercise hypotension and hemodynamics: the role of exercise intensity. J Sports Med Phys Fit 44:54–62
Furlan R, Jacob G, Palazzolo L, Rimoldi A, Diedrich A, Harris PA, Porta A, Malliani A, Mosqueda-Garcia R, Robertson D (2001) Sequential modulation of cardiac autonomic control induced by cardiopulmonary and arterial baroreflex mechanisms. Circulation 104:2932–2937
Gotshall RW, Aten LA, Yumikura S (1994) Difference in the cardiovascular response to prolonged sitting in men and women. Can J Appl Physiol 19:215–225
Halliwill JR, Taylor JA, Eckberg DL (1996) Impaired sympathetic vascular regulation in humans after acute dynamic exercise. J Physiol 495(Pt 1):279–288
Halliwill JR, Minson CT, Joyner MJ (2000) Effect of systemic nitric oxide synthase inhibition on postexercise hypotension in humans. J Appl Physiol 89:1830–1836
Hanel B, Teunissen I, Rabol A, Warberg J, Secher NH (1997) Restricted postexercise pulmonary diffusion capacity and central blood volume depletion. J Appl Physiol 83:11–17
Hayes PM, Lucas JC, Shi X (2000) Importance of post-exercise hypotension in plasma volume restoration. Acta Physiol Scand 169:115–124
Heffernan KS, Kelly EE, Collier SR, Fernhall B (2006) Cardiac autonomic modulation during recovery from acute endurance versus resistance exercise. Eur J Cardiovasc Prev Rehabil 13:80–86
Jones NL, Campbell EJ, McHardy GJ, Higgs BE, Clode M (1967) The estimation of carbon dioxide pressure of mixed venous blood during exercise. Clin Sci 32:311–327
Jones H, George K, Edwards B, Atkinson G (2007) Is the magnitude of acute post-exercise hypotension mediated by exercise intensity or total work done? Eur J Appl Physiol 102:33–40
Jungersten L, Ambring A, Wall B, Wennmalm A (1997) Both physical fitness and acute exercise regulate nitric oxide formation in healthy humans. J Appl Physiol 82:760–764
Kannankeril PJ, Le FK, Kadish AH, Goldberger JJ (2004) Parasympathetic effects on heart rate recovery after exercise. J Investig Med 52:394–401
Kenny GP, Periard J, Journeay WS, Sigal RJ, Reardon FD (2003) Effect of exercise intensity on the postexercise sweating threshold. J Appl Physiol 95:2355–2360
Kraemer WJ, Fry AC (1995) Strength testing: development and evaluation of methodology. In: Maud P, Foster C (eds) Physiological assessment of human fitness. Human Kinetics, Champaign, pp 115–138
MacDonald J, MacDougall J, Hogben C (1999) The effects of exercise intensity on post exercise hypotension. J Hum Hypertens 13:527–531
Mark AL, Mancia G (1996) Cardiopulmonary baroreflex in humans. In: Rowell LB, Shepherd JT (eds) Handbook of physiology: a critical comprehensive presentation of physiological knowledge and concepts. Oxford University Press, New York, pp 795–813
Mourot L, Bouhaddi M, Tordi N, Rouillon JD, Regnard J (2004) Short- and long-term effects of a single bout of exercise on heart rate variability: comparison between constant and interval training exercises. Eur J Appl Physiol 92:508–517
Niemela KO, Palatsi IJ, Ikaheimo MJ, Takkunen JT, Vuori JJ (1984) Evidence of impaired left ventricular performance after an uninterrupted competitive 24 hour run. Circulation 70:350–356
Parekh A, Lee CM (2005) Heart rate variability after isocaloric exercise bouts of different intensities. Med Sci Sports Exerc 37:599–605
Patil RD, DiCarlo SE, Collins HL (1993) Acute exercise enhances nitric oxide modulation of vascular response to phenylephrine. Am J Physiol 265:H1184–H1188
Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA (2004a) American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc 36:533–553
Pescatello LS, Guidry MA, Blanchard BE, Kerr A, Taylor AL, Johnson AN, Maresh CM, Rodriguez N, Thompson PD (2004b) Exercise intensity alters postexercise hypotension. J Hypertens 22:1881–1888
Piepoli M, Isea JE, Pannarale G, Adamopoulos S, Sleight P, Coats AJ (1994) Load dependence of changes in forearm and peripheral vascular resistance after acute leg exercise in man. J Physiol 478(Pt 2):357–362
Pricher MP, Holowatz LA, Williams JT, Lockwood JM, Halliwill JR (2004) Regional hemodynamics during postexercise hypotension. I. Splanchnic and renal circulations. J Appl Physiol 97:2065–2070
Queiroz AC, Gagliardi JF, Forjaz CL, Rezk CC (2009) Clinic and ambulatory blood pressure responses after resistance exercise. J Strength Cond Res 23:571–578
Quinn TJ (2000) Twenty-four hour, ambulatory blood pressure responses following acute exercise: impact of exercise intensity. J Hum Hypertens 14:547–553
Raine NM, Cable NT, George KP, Campbell IG (2001) The influence of recovery posture on post-exercise hypotension in normotensive men. Med Sci Sports Exerc 33:404–412
Rezk CC, Marrache RC, Tinucci T, Mion D Jr, Forjaz CL (2006) Post-resistance exercise hypotension, hemodynamics, and heart rate variability: influence of exercise intensity. Eur J Appl Physiol 98:105–112
Savin WM, Davidson DM, Haskell WL (1982) Autonomic contribution to heart rate recovery from exercise in humans. J Appl Physiol 53:1572–1575
Seiler S, Haugen O, Kuffel E (2007) Autonomic recovery after exercise in trained athletes: intensity and duration effects. Med Sci Sports Exerc 39:1366–1373
Senitko AN, Charkoudian N, Halliwill JR (2002) Influence of endurance exercise training status and gender on postexercise hypotension. J Appl Physiol 92:2368–2374
Takahashi T, Okada A, Saitoh T, Hayano J, Miyamoto Y (2000) Difference in human cardiovascular response between upright and supine recovery from upright cycle exercise. Eur J Appl Physiol 81:233–239
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93:1043–1065
Turner MJ, Tanaka H, Bassett DR Jr, Fitton TR (1996) The equilibrium CO2 rebreathing method does not affect resting or exercise blood pressure. Med Sci Sports Exerc 28:921–925
Acknowledgments
We gratefully acknowledge the volunteers involved in this study. We also thank Alberto Porta for providing the softwares for spectral analysis. This study was supported by CAPES (Demanda Social) and CNPq.
Conflict of interest
The authors declare no conflict of interest in this study.
Author information
Authors and Affiliations
Corresponding author
Additional information
Communicated by Niels H. Secher.
Rights and permissions
About this article
Cite this article
Teixeira, L., Ritti-Dias, R.M., Tinucci, T. et al. Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur J Appl Physiol 111, 2069–2078 (2011). https://doi.org/10.1007/s00421-010-1811-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-010-1811-1