Title Cardiac autonomic responses during upper versus lower limb resistance exercise in healthy elderly men.
Author Machado-Vidotti, Heloisa G; Mendes, Renata G; Simoes, Rodrigo P; Castello-Simoes, Viviane; Catai, Aparecida M; Borghi-Silva, Audrey
Journal Braz J Phys Ther Publication Year/Month 2014-Jan-Feb
PMID 24675908 PMCID PMC4183232
Affiliation + expend 1.Sao Carlos School of Engineering, Universidade de Sao Paulo, Sao Carlos, SP, Brazil.

OBJECTIVE: To investigate the cardiac autonomic responses during upper versus lower limb discontinuous resistance exercise (RE) at different loads in healthy older men. METHOD: Ten volunteers (65+/-1.2 years) underwent the one-repetition maximum (1RM) test to determine the maximum load for the bench press and the leg press. Discontinuous RE was initiated at a load of 10%1RM with subsequent increases of 10% until 30%1RM, followed by increases of 5%1RM until exhaustion. Heart rate (HR) and R-R interval were recorded at rest and for 4 minutes at each load applied. Heart rate variability (HRV) was analyzed in 5-min segments at rest and at each load in the most stable 2-min signal. RESULTS: Parasympathetic indices decreased significantly in both exercises from 30%1RM compared to rest (rMSSD: 20+/-2 to 11+/-3 and 29+/-5 to 12+/-2 ms; SD1: 15+/-2 to 8+/-1 and 23+/-4 to 7+/-1 ms, for upper and lower limb exercise respectively) and HR increased (69+/-4 to 90+/-4 bpm for upper and 66+/-2 to 89+/-1 bpm for lower). RMSM increased for upper limb exercise, but decreased for lower limb exercise (28+/-3 to 45+/-9 and 34+/-5 to 14+/-3 ms, respectively). In the frequency domain, the sympathetic (LF) and sympathovagal balance (LF/HF) indices were higher and the parasympathetic index (HF) was lower for upper limb exercise than for lower limb exercise from 35% of 1RM. CONCLUSIONS: Cardiac autonomic change occurred from 30% of 1RM regardless of RE limb. However, there was more pronounced sympathetic increase and vagal decrease for upper limb exercise than for lower limb exercise. These results provide a basis for more effective prescription of RE to promote health in this population.

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