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Int J Sports Med 2022; 43(02): 177-182
DOI: 10.1055/a-1529-6480
Training & Testing

Acute Cardiovascular Responses to Self-selected Intensity Exercise in Parkinson's Disease

Hélcio Kanegusuku 
1   Hospital Israelita Albert Einstein, São Paulo, Brazil
,
Gabriel Grizzo Cucato
1   Hospital Israelita Albert Einstein, São Paulo, Brazil
2   Northumbria University, Newcastle upon Tyne, United Kingdom of Great Britain and Northern Ireland
,
Paulo Longano
3   Universidade Nove de Julho – Campus Vergueiro, São Paulo, Brazil
,
Erika Okamoto
4   Brazil Parkinson Association, São Paolo, Brazil
,
Maria Elisa Pimentel Piemonte
5   University of São Paulo, São Paulo, Brazil
,
Marilia Almeida Correia
3   Universidade Nove de Julho – Campus Vergueiro, São Paulo, Brazil
,
Raphael Mendes Ritti-Dias
3   Universidade Nove de Julho – Campus Vergueiro, São Paulo, Brazil
› Author Affiliations Funding We gratefully acknowledge the volunteers and the Brazil Parkinson Association. RR receive a research productivity fellowship granted by Brazilian National Council for Scientific and Technological Development and HK received fellowship granted by Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP’ (2018/11564-6).
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Correction: Acute Cardiovascular Responses to Self-selected Intensity Exercise in Parkinson's DiseaseInt J Sports Med 2022; 43(02): e2-e2
DOI: 10.1055/a-1797-0697

Abstract

Parkinson’s disease patients frequently present cardiovascular dysfunction. Exercise with a self-selected intensity has emerged as a new strategy for exercise prescription aiming to increase exercise adherence. Thus, the current study evaluated the acute cardiovascular responses after a session of aerobic exercise at a traditional intensity and at a self-selected intensity in Parkinson’s disease patients. Twenty patients (≥ 50 years old, Hoehn & Yahr 1–3 stages) performed 3 experimental sessions in random order: Traditional session (cycle ergometer, 25 min, 50 rpm, 60–80% maximum heart rate); Self-selected intensity: (cycle ergometer, 25 min, 50 rpm with self-selected intensity); and Control session (resting for 25 min). Before and after 30 min of intervention, brachial and central blood pressure (auscultatory method and pulse wave analysis, respectively), cardiac autonomic modulation (heart rate variability), and arterial stiffness (pulse wave analysis) were evaluated. Brachial and central systolic and diastolic blood pressure, heart rate, and the augmentation index increased after the control session, whereas no changes were observed after the exercise sessions (P<0.01). Pulse wave velocity and cardiac autonomic modulation parameters did not change after the three interventions. In conclusion, a single session of traditional intensity or self-selected intensity exercises similarly blunted the increase in brachial and central blood pressure and the augmentation index compared to a non-exercise control session in Parkinson’s disease patients.

Key words

parkinsonism - cardiovascular system - heart rate variability - arterial stiffness - aerobic exercise.


Publication History

Received: 09 December 2020

Accepted: 04 June 2021

Article published online:
11 August 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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