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

Hélcio Kanegusuku, Gabriel Grizzo Cucato, Paulo Longano, Erika Okamoto, Maria Elisa Pimentel Piemonte, Marilia Almeida Correia, Raphael Mendes Ritti-Dias

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
JournalInternational Journal of Sports Medicine
Early online date11 Aug 2021
DOIs
Publication statusE-pub ahead of print - 11 Aug 2021

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