Post-exercise ankle blood pressure and ankle to brachial index after heavy load bicycle exercise

被引:4
|
作者
Godet, R. [1 ]
Bruneau, A. [1 ]
Vielle, B. [2 ]
Vincent, F. [3 ]
Le Tourneau, T. [4 ]
Carre, F. [5 ]
Hupin, D. [6 ]
Hamel, J. F. [2 ]
Abraham, P. [1 ,7 ]
Henni, S. [1 ,7 ]
机构
[1] Univ Hosp, Sports Med & Exercise Invest, Angers, France
[2] Univ Hosp, Maison Rech, Angers, France
[3] Univ Hosp, Limoges, France
[4] Univ Hosp, Inst Thorax, Inserm U1087, Nantes, France
[5] Univ Hosp, Rennes, France
[6] Univ Lyon, Univ Hosp St Etienne, EA SNA EPIS 4607, Dept Clin & Exercise Physiol, St Etienne, France
[7] Univ Angers, CNRS6015, INSERM1228, Angers, France
关键词
aging; arterial pressures; diagnosis; peripheral artery disease; Sphygmomanometry; vascular; PERIPHERAL ARTERIAL-DISEASE; RISK-FACTORS; PREVALENCE; AGE; ENDOFIBROSIS; CAPACITY; IMPACT;
D O I
10.1111/sms.13234
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
The American Heart Association (AHA) recommendations for diagnosing peripheral artery disease (PAD) after exercise are a decrease >20% of ankle brachial index (ABI) or >30 mm Hg of ankle systolic blood pressure (ASBP) from resting values. We evaluated ABI and ASBP values during incremental maximal exercise in physically active and asymptomatic patients. Patients (n=726) underwent incremental bicycle tests with pre- and post-exercise recording of all four limbs arterial pressures simultaneously. Univariate and multivariate analyses were performed to define the correlation between post-exercise ABI with various clinical factors, including age. Thereafter, the population was divided into groups of age: less than 40 (G<40), from 40 to 44 (G40/44) from 45 to 49 (G45/49), from 50 to 54 (G50/54), from 55 to 59 (G55/59), from 60 to 64 (G60/64), and 65 and above (G >= 65) years. Results are mean +/- SD. * is two-tailed P<.05 for ANOVA with Dunnett's post-hoc test from G40. Changes from rest in ASBP were -3 +/- 22 (G<40), -2 +/- 20 (G40/44), 4 +/- 22* (G45/49), 10 +/- 25* (G50/54), 18 +/- 21* (G55/59), 23 +/- 27* (G60/64), and 16 +/- 22* (G >= 65) mm Hg. Decreases from rest in ABI were 32 +/- 9 (G<40), 33 +/- 9 (G40/44), 29 +/- 8 (G45/49), 27 +/- 10* (G50/54), 24 +/- 7* (G55/59), 22 +/- 12* (G60/64), and 21 +/- 12* (G >= 65) % of resting ABI. Maximal incremental exercise results in ABI and ASBP changes are mostly dependent on age. The AHA limits for post-exercise ABI are inadequate following maximal incremental bicycle testing. Future studies detecting PAD in active patients should account for the effect of age.
引用
收藏
页码:2144 / 2152
页数:9
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