Cardiorespiratory Performance and Acute Effect of High-intensity Exercise on Lipid Profile in Hypertensive Sedentary Older Adults with and without Diabetes Mellitus

Etiene Oliveira da Silva Fittipaldi; Armele Dornelas de Andrade; Ana Célia Oliveira Santos; Shirley Lima Campos; Helga Cecília Muniz de Souza; Juliana Fernandes; Maria Teresa Jansem de Almeida Catanho

doi:10.1016/j.archger.2020.104061

Cardiorespiratory Performance and Acute Effect of High-intensity Exercise on Lipid Profile in Hypertensive Sedentary Older Adults with and without Diabetes Mellitus

Arch Gerontol Geriatr. 2020 Jul-Aug:89:104061. doi: 10.1016/j.archger.2020.104061. Epub 2020 Apr 13.

Authors

Etiene Oliveira da Silva Fittipaldi¹, Armele Dornelas de Andrade², Ana Célia Oliveira Santos³, Shirley Lima Campos², Helga Cecília Muniz de Souza⁴, Juliana Fernandes⁴, Maria Teresa Jansem de Almeida Catanho⁵

Affiliations

¹ Laboratory of Collective Health Physiotherapy, Department of Physiotherapy, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil. Electronic address: etienefittipaldi@yahoo.com.br.
² Postgraduate Program of Physiotherapy, Universidade Federal de Pernambuco, Recife, Pernambuco, Brazil.
³ Institute of Biological Sciences, Universidade de Pernambuco, Recife, Brazil.
⁴ Laboratory of Cardiopulmonary Physiotherapy, Department of Physiotherapy, Universidade Federal de Pernambuco, Recife, Brazil.
⁵ Postgraduate Program in Biochemistry and Physiology, Universidade Federal de Pernambuco, Recife, Brazil.

PMID: 32325307
DOI: 10.1016/j.archger.2020.104061

Abstract

Purpose: The aim of this study was to verify if the association of hypertension and diabetes mellitus could lead to the differences on cardiorespiratory fitness and lipid profile in older adults.

Methods: 40 older adults were divided into two groups: Hypertensive (HTN) and Hypertensive-diabetic (HTN + T2DM). Maximum exercise test on a treadmill was conducted. Lipid profiles assessment was conducted before and after exercise. The cardiorespiratory fitness (CRF) variables were peak oxygen consumption (VO_2peak), time to reach peak oxygen consumption (TVO_2peak), carbon dioxide ventilatory equivalent (VE/VCO₂) and carbon dioxide production (VCO₂). To test intergroup and intragroup analyses independent and paired t-tests were used before and after acute exercise. Multiple linear regression was performed to test the influence of coexistence of HTN and T2DM on CRF.

Results: CRF measures such as VO_2peak (β = -3.90), VCO₂ (β = -3.87) and TVO_2peak (β= -115.79) were significantly (p-value <0.01) lower in HTN + T2DM group. After acute exercise, there was an increase in the levels of lipid profile variables, however without differences between groups.

Conclusion: HTN + T2DM older adults had poorer CRF. Acute changes in lipemia were similar in both groups.

Keywords: Physical fitness; aerobic exercise; aged; high blood pressure; life style.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Cardiorespiratory Fitness*
Diabetes Complications*
Diabetes Mellitus*
Exercise Test
Exercise*
Humans
Hypertension* / complications
Lipids* / blood
Oxygen Consumption

Substances

Lipids