Abstract

Exercise is a critical factor that impacts arterial stiffness. In this narrative review, we noted multiple findings that could not be reconciled with one another. Some studies indicated that arterial stiffness increases after a regimen of resistance training. However, such studies were limited by a lack of specification of the resistance training protocols, as well as varying results reported from different areas of the body, undermining the internal validity of the studies. Another factor explored in this review was how the order of performing exercises can affect arterial stiffness. Low-intensity resistance training before high-intensity resistance training resulted in increased arterial stiffness, whereas vice versa showed no change in arterial stiffness. Other studies indicated that resistance exercise results in reduced arterial stiffness. Intensity is a variable in studies that produces inconsistent results of arterial stiffness, with some studies suggesting high-intensity resistance training increases arterial stiffness and low-intensity resistance training decreases arterial stiffness, while other studies pointing to a significant decrease in arterial stiffness, regardless of the intensity of resistance training. Demographic factors such as gender, age, and diet play an important role in explaining these differences. In terms of future implications, there is potential clinical significance as increased arterial stiffness serves as a prognostic marker in diagnosing coronary heart disease.

Highlights

  • BackgroundIt is widely known that cardiovascular diseases (CVDs) are the leading cause of mortality and morbidity in developing countries

  • One study tested the order of intensity of a resistance exercise and showed that low-intensity resistance training before high-intensity resistance training caused an increase in arterial stiffness, while high-intensity resistance training before lowintensity resistance training resulted in no change in arterial stiffness [20]

  • The conclusions drawn from this study challenge the current understanding of the effect of resistance training on arterial stiffness

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Summary

Introduction

It is widely known that cardiovascular diseases (CVDs) are the leading cause of mortality and morbidity in developing countries. One study tested the order of intensity of a resistance exercise and showed that low-intensity resistance training before high-intensity resistance training caused an increase in arterial stiffness, while high-intensity resistance training before lowintensity resistance training resulted in no change in arterial stiffness [20]. Another study reported an increase in central arterial stiffness of prehypertensive and hypertensive patients [16] This indicates that peripheral and central arterial stiffness are affected differently by resistance exercise, implying that there is even more nuance to the finding that arterial stiffness increases with resistance training. Another study showed that a high-fat diet with resistance training decreases peripheral arterial stiffness with no effect on central arterial stiffness [29].

Conclusions
Disclosures
Bonarjee VV
Findings
Avolio A
Full Text
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