Effect of normobaric hypoxic exercise on blood pressure in old individuals

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Markus Hein
  • Kristine Chobanyan-Jürgens
  • Uwe Tegtbur
  • Stefan Engeli
  • Jens Jordan
  • Sven Haufe

External Research Organisations

  • Hannover Medical School (MHH)
  • Heidelberg University
  • University of Cologne
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Details

Original languageEnglish
Pages (from-to)817-825
Number of pages9
JournalEuropean Journal of Applied Physiology
Volume121
Issue number3
Early online date23 Dec 2020
Publication statusPublished - Mar 2021
Externally publishedYes

Abstract

Purpose: To test the hypothesis that the combination of endurance training and hypoxia leads to greater improvements in resting and exercise blood pressure in old sedentary individuals compared to endurance training only. Methods: We randomly assigned 29 old overweight participants (age: 62 ± 6 years, body mass index (BMI): 28.5 ± 0.5 kg/m2, 52% men) to single blind 8-week bicycle exercise in hypoxia (fraction of inspired oxygen (FIO2) = 0.15) or normoxia (FIO2 = 0.21). Brachial blood pressure was measured at rest, during maximal incremental exercise testing, and during a 30 min constant work rate test, at baseline and after the training period. Results: Work rate, heart rate and perceived exertion during training were similar in both groups, with lower oxygen saturation for participants exercising under hypoxia (88.7 ± 1.5 vs. 96.2 ± 1.2%, t(27) = − 13.04, p < 0.001, |g|= 4.85). Office blood pressure and blood pressure during incremental exercise tests did not change significantly in either group after the training program. Systolic blood pressure during the constant work rate test was reduced after training in hypoxia (160 ± 18 vs. 151 ± 14 mmHg, t(13) = 2.44 p < 0.05, |d|= 0.55) but not normoxia (154 ± 22 vs. 150 ± 16 mmHg, t(14) = 0.75, p = 0.46, |d|= 0.18) with no difference between groups over time (F = 0.08, p = 0.77, η2 = 0.01). Conclusion: In old individuals hypoxia in addition to exercise does not have superior effects on office or exercise blood pressure compared to training in normoxia. Trial registration number: ClinicalTrials.gov No. NCT02196623 (registered 22 July 2014).

Keywords

    Blood pressure, Elderly, Exercise, Hypoxia

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

Effect of normobaric hypoxic exercise on blood pressure in old individuals. / Hein, Markus; Chobanyan-Jürgens, Kristine; Tegtbur, Uwe et al.
In: European Journal of Applied Physiology, Vol. 121, No. 3, 03.2021, p. 817-825.

Research output: Contribution to journalArticleResearchpeer review

Hein, M, Chobanyan-Jürgens, K, Tegtbur, U, Engeli, S, Jordan, J & Haufe, S 2021, 'Effect of normobaric hypoxic exercise on blood pressure in old individuals', European Journal of Applied Physiology, vol. 121, no. 3, pp. 817-825. https://doi.org/10.1007/s00421-020-04572-6
Hein, M., Chobanyan-Jürgens, K., Tegtbur, U., Engeli, S., Jordan, J., & Haufe, S. (2021). Effect of normobaric hypoxic exercise on blood pressure in old individuals. European Journal of Applied Physiology, 121(3), 817-825. https://doi.org/10.1007/s00421-020-04572-6
Hein M, Chobanyan-Jürgens K, Tegtbur U, Engeli S, Jordan J, Haufe S. Effect of normobaric hypoxic exercise on blood pressure in old individuals. European Journal of Applied Physiology. 2021 Mar;121(3):817-825. Epub 2020 Dec 23. doi: 10.1007/s00421-020-04572-6
Hein, Markus ; Chobanyan-Jürgens, Kristine ; Tegtbur, Uwe et al. / Effect of normobaric hypoxic exercise on blood pressure in old individuals. In: European Journal of Applied Physiology. 2021 ; Vol. 121, No. 3. pp. 817-825.
Download
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abstract = "Purpose: To test the hypothesis that the combination of endurance training and hypoxia leads to greater improvements in resting and exercise blood pressure in old sedentary individuals compared to endurance training only. Methods: We randomly assigned 29 old overweight participants (age: 62 ± 6 years, body mass index (BMI): 28.5 ± 0.5 kg/m2, 52% men) to single blind 8-week bicycle exercise in hypoxia (fraction of inspired oxygen (FIO2) = 0.15) or normoxia (FIO2 = 0.21). Brachial blood pressure was measured at rest, during maximal incremental exercise testing, and during a 30 min constant work rate test, at baseline and after the training period. Results: Work rate, heart rate and perceived exertion during training were similar in both groups, with lower oxygen saturation for participants exercising under hypoxia (88.7 ± 1.5 vs. 96.2 ± 1.2%, t(27) = − 13.04, p < 0.001, |g|= 4.85). Office blood pressure and blood pressure during incremental exercise tests did not change significantly in either group after the training program. Systolic blood pressure during the constant work rate test was reduced after training in hypoxia (160 ± 18 vs. 151 ± 14 mmHg, t(13) = 2.44 p < 0.05, |d|= 0.55) but not normoxia (154 ± 22 vs. 150 ± 16 mmHg, t(14) = 0.75, p = 0.46, |d|= 0.18) with no difference between groups over time (F = 0.08, p = 0.77, η2 = 0.01). Conclusion: In old individuals hypoxia in addition to exercise does not have superior effects on office or exercise blood pressure compared to training in normoxia. Trial registration number: ClinicalTrials.gov No. NCT02196623 (registered 22 July 2014).",
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T1 - Effect of normobaric hypoxic exercise on blood pressure in old individuals

AU - Hein, Markus

AU - Chobanyan-Jürgens, Kristine

AU - Tegtbur, Uwe

AU - Engeli, Stefan

AU - Jordan, Jens

AU - Haufe, Sven

N1 - Funding Information: Open Access funding enabled and organized by Projekt DEAL. This work was supported by a Grant from the German Research Foundation (Reference No. HA 7037/ 2-1) to SH.

PY - 2021/3

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N2 - Purpose: To test the hypothesis that the combination of endurance training and hypoxia leads to greater improvements in resting and exercise blood pressure in old sedentary individuals compared to endurance training only. Methods: We randomly assigned 29 old overweight participants (age: 62 ± 6 years, body mass index (BMI): 28.5 ± 0.5 kg/m2, 52% men) to single blind 8-week bicycle exercise in hypoxia (fraction of inspired oxygen (FIO2) = 0.15) or normoxia (FIO2 = 0.21). Brachial blood pressure was measured at rest, during maximal incremental exercise testing, and during a 30 min constant work rate test, at baseline and after the training period. Results: Work rate, heart rate and perceived exertion during training were similar in both groups, with lower oxygen saturation for participants exercising under hypoxia (88.7 ± 1.5 vs. 96.2 ± 1.2%, t(27) = − 13.04, p < 0.001, |g|= 4.85). Office blood pressure and blood pressure during incremental exercise tests did not change significantly in either group after the training program. Systolic blood pressure during the constant work rate test was reduced after training in hypoxia (160 ± 18 vs. 151 ± 14 mmHg, t(13) = 2.44 p < 0.05, |d|= 0.55) but not normoxia (154 ± 22 vs. 150 ± 16 mmHg, t(14) = 0.75, p = 0.46, |d|= 0.18) with no difference between groups over time (F = 0.08, p = 0.77, η2 = 0.01). Conclusion: In old individuals hypoxia in addition to exercise does not have superior effects on office or exercise blood pressure compared to training in normoxia. Trial registration number: ClinicalTrials.gov No. NCT02196623 (registered 22 July 2014).

AB - Purpose: To test the hypothesis that the combination of endurance training and hypoxia leads to greater improvements in resting and exercise blood pressure in old sedentary individuals compared to endurance training only. Methods: We randomly assigned 29 old overweight participants (age: 62 ± 6 years, body mass index (BMI): 28.5 ± 0.5 kg/m2, 52% men) to single blind 8-week bicycle exercise in hypoxia (fraction of inspired oxygen (FIO2) = 0.15) or normoxia (FIO2 = 0.21). Brachial blood pressure was measured at rest, during maximal incremental exercise testing, and during a 30 min constant work rate test, at baseline and after the training period. Results: Work rate, heart rate and perceived exertion during training were similar in both groups, with lower oxygen saturation for participants exercising under hypoxia (88.7 ± 1.5 vs. 96.2 ± 1.2%, t(27) = − 13.04, p < 0.001, |g|= 4.85). Office blood pressure and blood pressure during incremental exercise tests did not change significantly in either group after the training program. Systolic blood pressure during the constant work rate test was reduced after training in hypoxia (160 ± 18 vs. 151 ± 14 mmHg, t(13) = 2.44 p < 0.05, |d|= 0.55) but not normoxia (154 ± 22 vs. 150 ± 16 mmHg, t(14) = 0.75, p = 0.46, |d|= 0.18) with no difference between groups over time (F = 0.08, p = 0.77, η2 = 0.01). Conclusion: In old individuals hypoxia in addition to exercise does not have superior effects on office or exercise blood pressure compared to training in normoxia. Trial registration number: ClinicalTrials.gov No. NCT02196623 (registered 22 July 2014).

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KW - Elderly

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