1471 Board #146 June 1 9:00 AM - 10:30 AM

Ambulatory Blood Pressure Responses To Home-based Isometric Exercise Training In Pre-hypertensive Males

Katrina A. Taylor1, Wiles D. Wiles1, Damian D. Coleman1, Rajan Sharma2, Jamie M. O’Driscoll1. 1Canterbury Christ Church University,
Canterbury, United Kingdom. 2St Georges Healthcare NHS Trust, London, United Kingdom.

Email: kt142@canterbury.ac.uk

(No relationships reported)

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PURPOSE: Arterial hypertension is associated with excess cardiovascular disease mortality and remains a significant global public health problem. Isometric exercise training
(IET) has been shown to reduce resting blood pressure (BP) in normotensive, pre-hypertensive and hypertensive populations; however the effects of IET on 24-hour
ambulatory blood pressure (ABP) are less clear. Therefore, the aim of this study was to measure clinic and ABP responses to a programme of IET.
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METHODS: In a randomised crossover controlled trial, 24 physically inactive pre-hypertensive males (aged 44.6±7.7 years) completed 4 weeks of home-based isometric wall
squat training (4 x 2 min contractions 3 times per week). Clinic and ABP were measured pre and post the control and IET period.
RESULTS: The isometric exercise training programme produced significant (mean and 95% confidence intervals [CI]) reductions in clinic systolic (12.35 mmHg; 95% CI
10.94-14.23), diastolic (6.24 mmHg; 95% CI 4.01-8.12) and mean (8.01 mmHg; 95% CI 6.04-9.64) BP (all p<0.001). In addition, IET produced significant (mean and 95% CI)
reductions in ambulatory systolic (11.83 mmHg; 95% CI 10.26 - 13.52), diastolic (5.57 mmHg; 95% CI 3.05 - 6.29) and mean (5.67 mmHg; 95% CI 4.13 - 7.82) BP (all
p<0.001). There were no significant changes during the control period.
CONCLUSION: A short-term programme of home-based IET was associated with clinically significant reductions in resting and ABP. The impact these responses have on
long-term cardiovascular events, end organ damage and mortality requires further research.

1472 Board #147 June 1 9:00 AM - 10:30 AM

Association of Six Minute Push Test Distance and Measures of Cardiorespiratory Fitness in Spinal Cord Injury

Baian A. Baattaiah1, Donal Murray1, Rachel E. Cowan2, Suzanne L. Groah3, Inger H. Liungberg3, Amanda K. Rounds3, Andrew A. Guccione1,
Randall E. Keyser, FACSM1. 1George Mason University, Fairfax, VA. 2University of Miami, Miami, FL. 3Medstar National Rehabilitation
Hospital, Washington, DC.

(No relationships reported)

INTRODUCTION: The 6-minute push test is often used to estimate cardiorespiratory fitness in people who have spinal cord injury (SCI).
PURPOSE: To characterize the relationship between 6-minute push distance (6MPD) and measures of cardiorespiratory function obtained during cardiopulmonary exercise
tests (CPET) in people with SCI.
METHODS: Subjects were 15 individuals with SCI who reported an inability to lift their legs against gravity (Age: 34.5 ± 10.5 years; BMI: 25.5 ± 3.6 kg/m2; paraplegic: N=12,
tetraplegia: N=3, incomplete injury: N=5, complete injury: N=10). Each subject performed a CPET to volitional exhaustion using a Monark arm ergometer during which
pulmonary gas exchange variables were measured. 6MPD was recorded as the total distance covered while propelling a wheelchair over a 30-meter loop in a corridor for 6-
minutes. Pearson product moment correlation coefficients were used to assess the relationship between all study variables.
RESULTS: 6MPD was 524.1 ± 122.1 m, VO2peak was 17.5 ± 6.3 ml/kg/min and RER was 1.15 ± 0.16. CPET duration averaged 450.6 ± 200.6 seconds and relative peak
workload reached at the end of exercise was 0.96 ± 0.48 Watts/kg. The 6MPD correlated significantly with VO 2peak (r=0.58; P=0.023), RER (r=0.70; P=0.003), peak exercise
time (r=0.70; P=0.004), peak workload (r=0.66; P=0.008).
CONCLUSION: CPET is currently accepted as the gold standard for measuring cardiorespiratory fitness. The strong correlation between cardiorespiratory fitness measured
by CPET and 6MPD suggested that 6MPD might be an adequate field test for measuring cardiorespiratory fitness in people who have SCI.
Funding: DoD Award #W81XWH-14-1-0613

1473 Board #148 June 1 9:00 AM - 10:30 AM

Physiological, Perceptual And Affective Responses During Community-Based Cardiac Rehabilitation

Nicola R. Hurley. Dublin City University, Dublin, Ireland.

(No relationships reported)

Physiological, perceptual, and affective responses during community-based cardiac rehabilitation

Nicola R. Hurley1 , Cliona Barrett1 , Piotr Pryzbylski1 , Hannah Smith2 , Kathleen Field3 , Bróna Furlong1 , Noel McCaffrey1 , Niall Moyna1
1
School of Health & Human, Dublin City University, Dublin 9, Ireland, 2Cornell University, Ithaca, USA, 3 The College at Brockport, State University of New York, USA

BACKGROUND: Cardiac rehabilitation (CR) is a multifaceted intervention that aims to optimise cardiovascular disease (CVD) risk reduction. International guidelines identify
exercise as an integral component of CR and recommend that CR participants exercise at an intensity corresponding to 50- 80% VO2max to achieve maximal health benefits.
PURPOSE: To characterize the physiological, perceptual, and affective responses during self-regulated exercise in a community-based CR (CBCR) program.
METHODS: Twenty-six men (mean ± SD; age 67.6 ± 6.2 years, BMI 28.8 ± 3.2 kg·m2; VO2peak 25.3 ± 5.8 ml·kg-1·min-1) with stable CVD, who were attending a community
based CR program for at least 6 months, were recruited. Participants performed a graded treadmill exercise test with a 12-lead ECG to measure VO2peak and heart rate
(HR)peak. Participants subsequently undertook two CR classes, separated by ≥ 7 days, during which expiratory gases and HR were continuously measured using a portable
open circuit spirometry and telemetry system, respectively. Rating of perceived exertion (RPE) was recorded during and affective state (AS) recorded after the 60min exercise
class. Classes involved a combination of aerobic exercises and resistance training. Exercise intensity was self-regulated during each CR class.
RESULTS: During the CR class participants exercised at an exercise intensity corresponding to 62.6 ± 8.4% VO2peak and 75.8 ± 10.5% HRpeak. The mean affect score was
+3 (good) and the mean RPE was 13 (somewhat hard).
CONCLUSION: When allowed to self-regulate their exercise intensity during CBCR, participants select an intensity that they perceive to be somewhat hard and that provides
a high level of positive affect. The self-regulated exercise intensity is within the physiological range considered safe and effective to optimise CVD risk reduction.
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