Acute and adaptive cardiovascular and metabolic effects of passive heat therapy or high‐intensity interval training in patients with severe lower‐limb osteoarthritis

Autor: Brendon H. Roxburgh, Holly A. Campbell, James D. Cotter, Ulla Reymann, Michael J. A. Williams, David Gwynne‐Jones, Kate N. Thomas
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Physiological Reports, Vol 11, Iss 11, Pp n/a-n/a (2023)
Druh dokumentu: article
ISSN: 2051-817X
DOI: 10.14814/phy2.15699
Popis: Abstract Exercise is painful and difficult to perform for patients with severe lower‐limb osteoarthritis; consequently, reduced physical activity contributes to increased cardiometabolic disease risk. The aim of this study was to characterize the acute and adaptive cardiovascular and metabolic effects of two low or no impact therapies in patients with severe lower‐limb osteoarthritis: passive heat therapy (Heat) and high‐intensity interval training (HIIT) utilizing primarily the unaffected limbs, compared to a control intervention of home‐based exercise (Home). Participants completed up to 12 weeks of either Heat (20–30 min immersed in 40°C water followed by ~15‐min light resistance exercise), HIIT (6–8 × 60‐s intervals on a cross‐trainer or arm ergometer at ~90–100% peak V̇O2) or Home (~15‐min light resistance exercise); all 3 sessions/week. Reductions in systolic (12 & 10 mm Hg), diastolic (7 & 4 mm Hg), and mean arterial (8 & 6 mm Hg) blood pressure (BP) were observed following one bout of Heat or HIIT exposure, lasting for the duration of the 20‐min monitoring period. Across the interventions (i.e., 12 weeks), resting systolic BP and diastolic BP decreased with Heat (−9 & ‐4 mm Hg; p
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