Impaired postexercise cardiovascular autonomic modulation in middle-aged women with type 2 diabetes

European Journal of Preventive Cardiology

Volumn 14, Issue 2, 2007, Pages 237-243

  Figueroa, Arturo ^a   Baynard, Tracy ^c   Fernhall, bo ^b   Carhart, Robert ^d   Kanaley, Jill A ^c  

^a FLORIDA STATE UNIVERSITY   (United States)

^b UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN   (United States)

^c SYRACUSE UNIVERSITY   (United States)

^d SUNY UPSTATE MEDICAL UNIVERSITY   (United States)

Author keywords

autonomic nervous system; baroreflex sensitivity; heart rate variability; obesity; postexercise recovery; type 2 diabetes

Indexed keywords

ADULT; ARTICLE; AUTONOMIC DYSFUNCTION; BLOOD PRESSURE MEASUREMENT; BLOOD PRESSURE REGULATION; BLOOD PRESSURE VARIABILITY; CARDIOVASCULAR RESPONSE; CLINICAL ARTICLE; CONTROLLED STUDY; CONVALESCENCE; EXERCISE; FEMALE; HEART RATE; HEMODYNAMICS; HUMAN; LEAN BODY WEIGHT; NON INSULIN DEPENDENT DIABETES MELLITUS; OBESITY; PRESSORECEPTOR REFLEX; PRIORITY JOURNAL; RR INTERVAL; SYSTOLIC BLOOD PRESSURE; VASCULAR RESISTANCE; WALKING;

ADULT; ANALYSIS OF VARIANCE; ANTHROPOMETRY; AUTONOMIC NERVOUS SYSTEM; BAROREFLEX; BIOLOGICAL MARKERS; BLOOD GLUCOSE; BLOOD PRESSURE; CARDIAC OUTPUT; CARDIOVASCULAR SYSTEM; CASE-CONTROL STUDIES; DIABETES MELLITUS, TYPE 2; EXERCISE; EXERCISE TOLERANCE; FEMALE; HEART RATE; HEMOGLOBIN A, GLYCOSYLATED; HUMANS; MIDDLE AGED; OBESITY; OXYGEN CONSUMPTION; VASCULAR RESISTANCE;

EID: 34247472734     PISSN: 20474873     EISSN: 20474881     Source Type: Journal    
DOI: 10.1097/HJR.0b013e32801da10d     Document Type: Article

References (38)

1. Beske SD, Alvarez GE, Ballard TP, Davy KP. Reduced cardiovagal baroreflex gain in visceral obesity: implications for the metabolic syndrome. Am J Physiol Heart Circ Physiol 2002; 282: H630–H635.
2. Piccirillo G, Vetta F, Viola E, Santagada E, Ronzoni S, Cacciafesta M, et al. Heart rate and blood pressure variability in obese normotensive subjects. Int J Obes Relat Metab Disord 1998; 22: 741–750.
3. Weston PJ, James MA, Panerai R, McNally PG, Potter JF, Thurston H, et al. Abnormal baroreceptor-cardiac reflex sensitivity is not detected by conventional tests of autonomic function in patients with insulin-dependent diabetes mellitus. Clin Sci (London) 1996; 91: 59–64.
4. Grassi G, Dell'Oro R, Facchini A, Quarti Trevano F, Bolla GB, Mancia G. Effect of central and peripheral body fat distribution on sympathetic and baroreflex function in obese normotensives. J Hypertens 2004; 22: 2363–2369.
5. Maser RE, Lenhard MJ. Obesity is not a confounding factor for performing autonomic function tests in individuals with diabetes mellitus. Diabetes Obes Metab 2002; 4: 113–117.
6. Tentolouris N, Grapsas E, Stambulis E, Papageorgiou K, Katsilambros N. Impact of body mass on autonomic function in persons with type 2 diabetes. Diabetes Res Clin Pract 1999; 46: 29–33.
7. Huggett RJ, Scott EM, Gilbey SG, Bannister J, Mackintosh AF, Mary DA. Disparity of autonomic control in type 2 diabetes mellitus. Diabetologia 2005; 48: 172–179.
8. Larsen JR, Sjoholm H, Berg TJ, Sandvik L, Brekke M, Hanssen KF, et al. Eighteen years of fair glycemic control preserves cardiac autonomic function in type 1 diabetes. Diabetes Care 2004; 27: 963–966.
9. Gerritsen J, Dekker JM, Ten Voorde BJ, Bertelsmann FW, Kostense PJ, Stehouwer CD, et al. Glucose tolerance and other determinants of cardiovascular autonomic function: the Hoorn study. Diabetologia 2000; 43: 561–570.
10. Valensi P, Huard JP, Giroux C, Attali JR. Factors involved in cardiac autonomic neuropathy in diabetic patients. J Diabetes Complications 1997; 11: 180–187.
11. Singh JP, Larson MG, O'Donnell CJ, Wilson PF, Tsuji H, Lloyd-Jones DM, et al. Association of hyperglycemia with reduced heart rate variability (The Framingham Heart Study). Am J Cardiol 2000; 86: 309–312.
12. Legramante JM, Galante A, Massaro M, Attanasio A, Raimondi G, Pigozzi F, et al. Hemodynamic and autonomic correlates of postexercise hypotension in patients with mild hypertension. Am J Physiol Regul Integr Comp Physiol 2002; 282: R1037–R1043.
13. Terziotti P, Schena F, Gulli G, Cevese A. Post-exercise recovery of autonomic cardiovascular control: a study by spectrum and cross-spectrum analysis in humans. Eur J Appl Physiol 2001; 84: 187–194.
14. Arai Y, Saul JP, Albrecht P, Hartley LH, Lilly LS, Cohen RJ, et al. Modulation of cardiac autonomic activity during and immediately after exercise. Am J Physiol 1989; 256: H132–H141.
15. Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, et al. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res 1986; 59: 178–193.
16. Yamamoto K, Miyachi M, Saitoh T, Yoshioka A, Onodera S. Effects of endurance training on resting and post-exercise cardiac autonomic control. Med Sci Sports Exerc 2001; 33: 1496–1502.
17. Takahashi T, Okada A, Saitoh T, Hayano J, Miyamoto Y. Difference in human cardiovascular response between upright and supine recovery from upright cycle exercise. Eur J Appl Physiol 2000; 81: 233–239.
18. Piepoli M, Coats AJ, Adamopoulos S, Bernardi L, Feng YH, Conway J, et al. Persistent peripheral vasodilation and sympathetic activity in hypotension after maximal exercise. J Appl Physiol 1993; 75: 1807–1814.
19. Hayashi N, Nakamura Y, Muraoka I. Cardiac autonomic regulation after moderate and exhaustive exercises. Ann Physiol Anthropol 1992; 11: 333–338.
20. Mourot L, Bouhaddi M, Tordi N, Rouillon JD, Regnard J. 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 2004; 92: 508–517.
21. Brandao Rondon MU, Alves MJ, Braga AM, Teixeira OT, Barretto AC, Krieger EM, et al. Postexercise blood pressure reduction in elderly hypertensive patients. J Am Coll Cardiol 2002; 39: 676–682.
22. Kulics JM, Collins HL, DiCarlo SE. Postexercise hypotension is mediated by reductions in sympathetic nerve activity. Am J Physiol 1999; 276: H27–H32.
23. Hara K, Floras JS. Influence of naloxone on muscle sympathetic nerve activity, systemic and calf haemodynamics and ambulatory blood pressure after exercise in mild essential hypertension. J Hypertens 1995; 13: 447–461.
24. Kanaley JA, Giannopoulou I, Tillapaugh-Fay G, Nappi JS, Ploutz-Snyder LL. Racial differences in subcutaneous and visceral fat distribution in postmenopausal black and white women. Metabolism 2003; 52: 186–191.
25. Wesseling KH, Jansen JR, Settels JJ, Schreuder JJ. Computation of aortic flow from pressure in humans using a nonlinear, three-element model. J Appl Physiol 1993; 74: 2566–2573.
26. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991; 84: 482–492.
27. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 1996; 93: 1043–1065.
28. Pagani M, Somers V, Furlan R, Dell'Orto S, Conway J, Baselli G, et al. Changes in autonomic regulation induced by physical training in mild hypertension. Hypertension 1988; 12: 600–610.
29. Gulli G, Fattor B, Marchesi M. Cross-spectral analysis of cardiovascular variables in supine diabetic patients. Clin Auton Res 2005; 15: 92–98.
30. Halliwill JR. Mechanisms and clinical implications of post-exercise hypotension in humans. Exerc Sport Sci Rev 2001; 29: 65–70.
31. Halliwill JR, Taylor JA, Eckberg DL. Impaired sympathetic vascular regulation in humans after acute dynamic exercise. J Physiol 1996; 495: 279–288.
32. Hagberg JM, Montain SJ, Martin WH 3rd. Blood pressure and hemodynamic responses after exercise in older hypertensives. J Appl Physiol 1987; 63: 270–276.
33. Rueckert PA, Slane PR, Lillis DL, Hanson P. Hemodynamic patterns and duration of post-dynamic exercise hypotension in hypertensive humans. Med Sci Sports Exerc 1996; 28: 24–32.
34. Floras JS, Sinkey CA, Aylward PE, Seals DR, Thoren PN, Mark AL. Postexercise hypotension and sympathoinhibition in borderline hypertensive men. Hypertension 1989; 14: 28–35.
35. Kannankeril PJ, Le FK, Kadish AH, Goldberger JJ. Parasympathetic effects on heart rate recovery after exercise. J Investig Med 2004; 52: 394–401.
36. Muscelli E, Emdin M, Natali A, Pratali L, Camastra S, Gastaldelli A, et al. Autonomic and hemodynamic responses to insulin in lean and obese humans. J Clin Endocrinol Metab 1998; 83: 2084–2090.
37. Freccero C, Svensson H, Bornmyr S, Wollmer P, Sundkvist G. Sympathetic and parasympathetic neuropathy are frequent in both type 1 and type 2 diabetic patients. Diabetes Care 2004; 27: 2936–2941.
38. Vinik AI, Maser RE, Mitchell BD, Freeman R. Diabetic autonomic neuropathy. Diabetes Care 2003; 26: 1553–1579