Cavalcante B R, Ritti-Dias R M, Soares A H G, Lima A H, Correia M A, De Matos L D, Gobbi F, Leicht A S, Wolosker N, Cucato G G
Associated Graduate Program in Physical Education UPE/UFPB, University of Pernambuco, Pernambuco, Brazil.
Israel Institute of Education and Research Albert Einstein, Albert Einstein Hospital, São Paulo, Brazil.
Eur J Vasc Endovasc Surg. 2017 Feb;53(2):223-228. doi: 10.1016/j.ejvs.2016.11.021. Epub 2016 Dec 21.
OBJECTIVE/BACKGROUND: The objective was to analyze the acute effects of a single bout of arm cranking exercise on affective and cardiovascular parameters in patients with symptomatic peripheral artery disease (PAD).
This was a prospective, controlled, crossover study. Eleven men with symptomatic PAD underwent two experimental sessions in a random order: control or arm crank exercise (15 × 2 minutes bouts of arm crank exercise interrupted by 2 minutes rest intervals). During exercise, ratings of perceived exertion (Borg scale) and affective responses (pleasure/displeasure) were obtained at the first, fifth, tenth, and fifteenth bouts. Before and after the experimental sessions, cardiovascular parameters (blood pressure and heart rate) were obtained. Data were analysed by a two-way repeated measure analysis of variance with significance achieved at p < .05.
During the arm crank exercise, patients reported positive feelings of pleasure. During exercise, heart rate (HR) remained within 80-90% of peak HR. Additionally, patients performed arm crank exercise with moderate levels of perceived exertion (Borg rating of 11-13) and with pleasant affective scores (Feeling Scale of +1 to +5). Blood pressure (systolic, diastolic, and mean) increase was lower after arm crank exercise than for control (greatest net effect: -15 ± 11 mmHg [p < .001]; -9 ± 5 mmHg [p < .001]; -9 ± 6 mmHg [p < .001], respectively), while HR increased (greatest net effect: +9 ± 6 beats per minute; p < .001).
A single bout of arm crank exercise promotes pleasurable feelings while reducing blood pressure in patients with symptomatic PAD.
目的/背景：本研究旨在分析单次手臂曲柄运动对有症状外周动脉疾病（PAD）患者情感和心血管参数的急性影响。
这是一项前瞻性、对照、交叉研究。11名有症状的PAD男性患者按随机顺序接受两次实验：对照组或手臂曲柄运动组（15组，每组2分钟的手臂曲柄运动，中间间隔2分钟休息）。运动期间，在第一、第五、第十和第十五组运动时获取自觉用力程度评分（Borg量表）和情感反应（愉悦/不愉悦）。在实验前后，获取心血管参数（血压和心率）。数据采用双向重复测量方差分析进行分析，p <.05时具有统计学意义。
在手臂曲柄运动期间，患者报告有愉悦的积极感受。运动期间，心率（HR）保持在峰值心率的80 - 90%以内。此外，患者进行手臂曲柄运动时自觉用力程度适中（Borg评分为11 - 13），情感得分愉悦（感觉量表评分为+1至+5）。手臂曲柄运动后血压（收缩压、舒张压和平均压）升高幅度低于对照组（最大净效应分别为：-15 ± 11 mmHg [p <.001]；-9 ± 5 mmHg [p <.001]；-9 ± 6 mmHg [p <.001]），而心率升高（最大净效应为：+9 ± 6次/分钟；p <.001）。
单次手臂曲柄运动可促进有症状PAD患者产生愉悦感，同时降低血压。
