Heart Rate from Progressive Volitional Cycling Test Is Associated with Endothelial Dysfunction Outcomes in Hypertensive Chilean Adults

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dc.contributor.authorAlvarez, Cristian
dc.contributor.authorTuesta, Marcelo
dc.contributor.authorReyes, Álvaro
dc.contributor.authorGuede-Rojas, Francisco
dc.contributor.authorPeñailillo, Luis
dc.contributor.authorCigarroa, Igor
dc.contributor.authorVásquez-Gómez, Jaime
dc.contributor.authorCano-Montoya, Johnattan
dc.contributor.authorDurán-Marín, Cristóbal
dc.contributor.authorRojas-Paz, Oscar
dc.contributor.authorMárquez, Héctor
dc.contributor.authorIzquierdo, Mikel
dc.contributor.authorDelgado-Floody, Pedro
dc.date.accessioned2023-03-24T18:18:40Z
dc.date.available2023-03-24T18:18:40Z
dc.date.issued2023-03
dc.descriptionINDEXACIÓN: SCOPUSes
dc.description.abstractBackground: A progressive volitional cycling test is useful in determining exercise prescription in populations with cardiovascular and metabolic diseases. However, little is known about the association between heart rate during this test and endothelial dysfunction (EDys) parameters in hypertensive (HTN) patients. Objective: To investigate the association between EDys markers (flow-mediated dilation [FMD], pulse wave velocity of the brachial artery [PWVba], and carotid-intima media thickness [cIMT]) and heart rate during a cycling test in HTN adults. A secondary aim was to characterize cardiovascular, anthropometric, and body composition outcomes in this population. Methods: This was a descriptive clinical study in which adults (men and women) were assigned to one of three groups: HTN, elevated blood pressure (Ele), or a normotensive control group (CG), and completed a progressive cycling test. The primary outcomes were FMD, PWVba, cIMT, and heart rate (HR) at 25–50 watts (HR25–50), 50–100 watts (HR50–100), and 75–150 watts (HR75–150) of the Astrand test. Secondary outcomes included body mass index (BMI), waist circumference, body fat percentage (BF%), skeletal muscle mass (SMM), resting metabolic rate (RMR), and estimated body age, as measured by a bio-impedance digital scale. Results: Analyses of the associations between FMD, PWV, and HR25–50, HR50–100, and HR75–150 watts revealed no significant association in the HTN, Ele, and CG groups. However, a significant association was found between cIMT and HR75–150 watts in the HTN group (R2 47.1, β −0.650, p = 0.038). There was also a significant trend (p = 0.047) towards increasing PWVba in the CG, Ele, and HTN groups. Conclusion: Heart rate during a progressive cycling test is associated with the EDys parameters cIMT in HTN patients, with particularly strong predictive capacity for vascular parameters in the second and third stages of the Astrand exercise test compared to normotensive control. © 2023 by the authors.es
dc.identifier.citationInternational Journal of Environmental Research and Public Healthes
dc.identifier.issn16617827
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/47854
dc.language.isoenes
dc.subjectarterial hypertension; carotid-intima media thickness; endothelial dysfunction; exercise test; flow-mediated dilation; pulse wave velocity; vasculaturees
dc.titleHeart Rate from Progressive Volitional Cycling Test Is Associated with Endothelial Dysfunction Outcomes in Hypertensive Chilean Adultses
dc.typeArtículoes
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