Forearm Resistance Research Articles

Aerobic Fitness as a Predictor of Conduit, Resistance and, Microvascular Arterial Function

IntroductionVascular dysfunction increases cardiovascular disease (CVD) risk, whereas aerobic fitness (VO2peak) improves arterial function and decreases CVD risk. However, it is unclear if VO2peak has the same degree of importance across each segment of the arterial tree (e.g., conduit, resistance, and microvasculature). This is relevant given that research has not assessed these three segments in the same cohort.PurposeTo examine the relationship of VO2peak and conduit, resistance, and microvasculature arterial function.MethodsGraded exercise testing assessed VO2peak in 33 males (41±19 years, 25.6±2.6 kg/m‐2, 41.1±13.6 ml/kg‐1/min‐1) and 28 females (30±12 years, 23.3±4.3 kg/m‐2, 33.6±8.5 ml/kg‐1/min‐1). Concurrent brachial artery flow‐mediated dilation (FMD) and forearm near‐infrared spectroscopy (NIRS) examined conduit, resistance, and microvascular arterial function. FMD measured with ultrasonography to continuously record arterial diameters and Doppler velocities for 1 min baseline, 5 min forearm occlusion (250 mmHg), and 3 min recovery. The maximum percent change in diameter compared with baseline defined FMD (%) and was used to evaluate conduit arterial function. Reactive hyperemia (RH) of forearm resistance arteries was calculated as peak brachial blood flow following cuff release. Forearm tissue saturation index using NIRS during FMD was used to evaluate microvasculature function (reperfusion slope and reperfusion magnitude). Multivariate regression analysis was performed using VO2peak, age, sex, and BMI as independent variables.ResultsAge was the only predictor of FMD (β ‐0.48 [‐0.02, ‐0.01], p=0.001), sex was the only predictor of RH, females exhibited lower RH, (β ‐0.66 [‐0.30, ‐0.15], p<0.001), and VO2peak only predicted reperfusion slope (β 0.56 [1.46, 4.52], p< 0.001) and reperfusion magnitude (β 0.36 [3.15, 41.66], p=0.02).ConclusionIn our cohort, aerobic fitness was associated with microvascular function when age, BMI, and sex were included in the model. Only age was associated with conduit artery function, and only sex was associated with resistance arterial function. Each segment of the arterial tree was affected differently by VO2peak, age, and sex. These data show the importance of including several potentially important variables when investigating the association between VO2peak and arterial function.

Effects of enhanced versus reduced vasodilating treatment on brachial and central blood pressure in patients with chronic kidney disease: a randomized controlled trial.

Blood pressure (BP) control is important in chronic kidney disease (CKD), but a reduction in brachial BP may not mirror changes in central aortic BP (cBP) during antihypertensive medication. We hypothesize that a fall in cBP is better reflected during enhanced vasodilation treatment (EVT) compared with reduced vasodilation treatment (RVT) because of different hemodynamic actions of these interventions. Eighty-one hypertensive CKD stage 3-4 patients (mean measured glomerular filtration rate 36 ml/min per 1.73 m2) were randomized to either EVT based on renin--angiotensin blockade and/or amlodipine or RVT based on nonvasodilating β-blockade (metoprolol). Before randomization and following 18 months of treatment, we performed 24-h ambulatory BP measurements (ABPM) and radial artery pulse wave analysis for estimation of cBP and augmentation index (AIx). Forearm resistance (Rrest) was determined by venous occlusion plethysmography and arterial stiffness by carotid--femoral pulse wave velocity (PWV). Matched healthy controls were studied once for comparison. Compared with controls, CKD patients had elevated ABPM, cBP and PWV. Although ABPM remained unchanged from baseline to follow-up in both treatment groups, cBP decreased 4.7/2.9 mmHg (systolic/diastolic) during EVT and increased 5.1/1.5 mmHg during RVT (Δ=9.8/4.4 mmHg, P=0.02 for SBP, P = 0.05 for DBP). At follow-up, the difference between systolic cBP and 24-h ABPM (ΔBPsyst) was negatively associated with heart rate and positively associated with AIx and Rrest (all P < 0.01) but not PWV (P = 0.32). In CKD patients, EVT and RVT have opposite effects on cBP and the difference between cBP and ambulatory BP is larger for EVT than RVT.

Effects of forearm wearable resistance during accelerated sprints: From a standing start position

ABSTRACT Fusiform weighted garments enable specific loading strategies during sport-specific movements. Loading the arms over during accelerated sprinting from a 2-point start position is pertinent to a variety of sporting performances. Fourteen sprint-trained individuals (age = 20.61 ± 1.16 years; height = 1.73 m ± 3.85 cm; body mass 65.33 ± 4.86 kg; personal best 100-m race time 11.40 ± 0.39 s) performed unloaded/loaded wearable resistance (WR) sprints. Between-condition step kinematics and kinetics were compared over four acceleration phases: steps 1–4, 5–8, 9–12 and 13–16. Sprint performance did not differ between unloaded and loaded WR at 10-m (−1.41%; ES = −0.32), or 30-m (−0.76%; ES = −0.24). Sprinting with forearm WR significantly decreased step frequency during phase two (p < 0.05, −3.42%; ES = −0.81) and three (−3.60%; ES = −0.86) and step velocity during phase four of the 30 m sprinting task (p < 0.05, −3.61%; ES: 0.91) only. There were no significant differences (p ≤ 0.05) between step kinetics amongst the two conditions. Findings indicate that arm-loaded WR may provide specific sprinting overload for 2-point starting positions. This may be relevant to a wider sporting context such as field and team sport performances.

Patterns of responses and time-course of changes in muscle size and strength during low-load blood flow restriction resistance training in women.

The purpose of this investigation was to examine the individual and composite patterns of responses and time-course of changes in muscle size, strength, and edema throughout a 4 week low-load blood flow restriction (LLBFR) resistance training intervention. Twenty recreationally active women (mean ± SD; 23 ± 3 years) participated in this investigation and were randomly assigned to 4 weeks (3/week) of LLBFR (n = 10) or control (n = 10) group. Resistance training consisted of 75 reciprocal isokinetic forearm flexion-extension muscle actions performed at 30% of peak torque. Strength and ultrasound-based assessments were determined at each training session. There were quadratic increases for composite muscle thickness (R2 = 0.998), concentric peak torque (R2 = 0.962), and maximal voluntary isometric contraction (MVIC) torque (R2 = 0.980) data for the LLBFR group. For muscle thickness, seven of ten subjects exceeded the minimal difference (MD) of 0.16cm during the very early phase (laboratory visits 1-7) of the intervention compared to three of ten subjects that exceeded MD for either concentric peak torque (3.7Nm) or MVIC (2.2Nm) during this same time period. There was a linear increase for composite echo intensity (r2 = 0.563) as a result of LLBFR resistance training, but eight of ten subjects never exceeded the MD of 14.2Au. These findings suggested that the increases in muscle thickness for the LLBFR group were not associated with edema and changes in echo intensity should be examined on a subject-by-subject basis. Furthermore, LLBFR forearm flexion-extension resistance training elicited real increases in muscle size during the very early phase of training that occurred prior to real increases in muscle strength.

Ultrasound features of peripheral angiodistonic syndrome of the upper extremities in vibration disease

Introduction. Vibration disease (VD) is an example of the most common pathology due to the systematic exposure of the worker to intense vibration with sufficient work experience, the main manifestation of which is peripheral angiodystonic syndrome. The aim of study was to learn the features of peripheral blood flow in the arteries of the forearm in vibration disease using the ultrasound method. Materials and methods. The radial and ulnar arteries in patients with vibration disease were examined by ultrasound in B- and PW-mode. These materials present the results of an ultrasound assessment of the speed indicators of the main arteries of the forearm in vibration disease stages 1 and 2. The selection criteria for patients in the study ware the presence of pronounced clinical manifestations of angiodystonic syndrome in vibration disease, confirmed by instrumental research methods and data on the sanitary and hygienic characteristics of working conditions, the absence of cardiovascular chronic diseases (ischemic heart disease, heart defects, rhythm and conduction disturbances), rheumatic, oncological, infectious diseases, osteo-traumatic changes in the upper extremities. Results. The groups of patients with the established diagnosis of vibration disease of 1 and 2 degrees were studied. With vibration disease stage 1 a decrease in the pulse velocity of blood flow was observed in isolation on the ulnar artery and an increase in peripheral resistance (pulsation index and resistance index) in the radial and ulnar arteries symmetrically on both upper extremities. The second stage of vibration disease differed from the first by a more significant decrease in speed indicators both on the ulnar and radial arteries on both sides, symmetrically in combination with a more pronounced increase in peripheral resistance indicators on both main arteries of the forearm (pulsation index and resistance index). The revealed changes were determined with the same frequency in men and women. Conclusions. A significant decrease in speed indicators on the ulnar artery and an increase in peripheral resistance indicators are detected already at the initial stages of vibration disease. Thus, the method of ultrasound examination of the main arteries of the middle caliber of the upper extremities is currently the only available and objective method for examining the vascular system in vibration disease.

Effects of forearm wearable resistance on acceleration mechanics in collegiate track sprinters

Arm action is critical for optimising sprinting performance. This study aimed to examine overground sprinting performance and step characteristics during unloaded and 2% body mass (BM) forearm wearable resistance loaded sprinting. Fourteen collegiate male track sprinters performed unloaded and forearm loaded sprints over thirty metres of in-ground force plates. Step kinematics and relative kinetics were compared between the unloaded and forearm loaded conditions over four acceleration phases (i.e. steps 1–4, 5–8, 9–12 and 13–16). Affixing 2% BM loads to the forearms did not significantly alter 0–30-m sprint times (p > 0.05; −1.38 to −1.75%; ES = −0.38 to −0.54). Sprinting with forearm loads resulted in significant (p ≤ 0.05) increases in relative propulsive impulse (5.48%; ES = 1.09) and step length (4.01%; ES = 1.04) over the 1st acceleration phase. Relative vertical impulse was the only variable to change over the middle two acceleration phases (3.94–4.18%; ES = 0.77–1.00). Over the last acceleration phase stride frequency was lower (−4.86%, ES = −0.92), yet both flight time (7.70%; ES = 0.79) and vertical impulse (4.12%; ES = 0.89) increased. These findings provide interesting programming implications for coaches who wish to improve the determinants of sprinting via dedicated and specific arm loaded training. Sprinting with forearm loads may be used to develop longer stride lengths by generating greater horizontal propulsion during early acceleration and promote alterations to step frequency and flight time imposed through greater vertical loading demands over the later phases of accelerated sprinting.

A Multi-Cohort Metabolomics Analysis Discloses Sphingomyelin (32:1) Levels to be Inversely Related to Incident Ischemic Stroke

Background and PurposeTo search for novel pathophysiological pathways related to ischemic stroke using a metabolomics approach. MethodsWe identified 204 metabolites in plasma by liquid chromatography mass spectrometry in 3 independent population-based samples (TwinGene, Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) and Uppsala Longitudinal Study of Adult Men). TwinGene was used for discovery and the other 2 samples were meta-analyzed as replication. In PIVUS, traditional cardiovascular (CV) risk factors, multiple markers of subclinical CV disease, markers of coagulation/fibrinolysis were measured and analyzed in relation to top metabolites. ResultsIn TwinGene (177 incident cases, median follow-up 4.3 years), levels of 28 metabolites were associated with incident ischemic stroke at a false discover rate (FDR) of 5%. In the replication (together 194 incident cases, follow-up 10 and 12 years, respectively), only sphingomyelin (32:1) was significantly associated (HR .69 per SD change, 95% CI .57-0.83, P value = .00014; FDR <5%) when adjusted for systolic blood pressure, diabetes, smoking, low density lipoportein (LDL)- and high density lipoprotein (HDL), body mass index (BMI) and atrial fibrillation. In PIVUS, sphingomyelin (32:1) levels were significantly related to both LDL- and HDL-cholesterol in a positive fashion, and to serum triglycerides, BMI and diabetes in a negative fashion. Furthermore, sphingomyelin (32:1) levels were related to vasodilation in the forearm resistance vessels, and inversely to leukocyte count (P < .0069 and .0026, respectively). ConclusionsAn inverse relationship between sphingomyelin (32:1) and incident ischemic stroke was identified, replicated, and characterized. A possible protective role for sphingomyelins in stroke development has to be further investigated in additional experimental and clinical studies.

Force-velocity profile changes with forearm wearable resistance during standing start sprinting

Horizontal force-velocity (F-V) profiling is a strategy to assess athletes’ individual performance capabilities during sprinting. This study investigated the acute changes in F-V profiles during sprinting of fourteen collegiate male sprinters with a mean 100-m sprint time of 11.40 ± 0.39 s, from a split-stance starting position. The subjects sprinted 30-m with, and without, wearable resistance (WR) equivalent to 2% body mass, attached to their forearms. Sprinting time at 5, 10, 20, and 30-m was assessed using laser technology. External horizontal F-V relationships were calculated via velocity-time signals. Maximal theoretical velocity (V 0), theoretical relative and absolute horizontal force (F 0), and horizontal power (P max) were determined from the F-V relationship. Paired t-tests were used to determine statistical differences (p ≤ 0.05) in variables across conditions with Cohen’s d as effect sizes (ES) calculated to assess practical changes. Sprint times at 10-m and beyond were significantly increased (1.9–3.3%, p 0.01–0.03, ES 0.46–0.60) with WR compared to unloaded sprinting. The only significant change in F-V with the WR condition was found in relative P max system (−6.1%, p 0.01, ES 0.66). A small decrease was reported in V 0 (−1.0%, p 0.11, ES 0.27), with small to medium ES decreases reported in F 0 (−4.8% to −6.1%, p 0.07–0.21, ES 0.25-0.51) and P max (−4.3% to −4.6%, p 0.06–0.08, ES 0.32–0.45). The greater changes to F 0 and P max suggest that forearm WR may be a possible training tool for athletes who wish to focus on force and power adaptation during sprint acceleration from a standing start.

Eccentric and concentric blood flow restriction resistance training on indices of delayed onset muscle soreness in untrained women.

Unaccustomed exercise can result in delayed onset muscle soreness (DOMS), particularly as a result of the eccentric phase of the muscle contraction. Resistance training combined with venous blood flow restriction (vBFR) may attenuate DOMS, but the available information in this regard is conflicting. Therefore, the purpose of this study was to examine the effects of low-load eccentric vBFR (Ecc-vBFR) and concentric vBFR (Con-vBFR) resistance training on indices of DOMS. Twenty-five previously untrained women completed sevendays of either Ecc-vBFR (n = 12) or Con-vBFR (n = 13) forearm flexion resistance training at a velocity of 120°s-1 on an isokinetic dynamometer. The Ecc-vBFR group used a training load that corresponded to 30% of eccentric peak torque and the Con-vBFR group used a training load that corresponded to 30% of concentric peak torque. There were no differences between Ecc-vBFR and Con-vBFR at any of the seven training sessions on any of the indices of DOMS. There were no decreases in the maximal voluntary isometric contraction torque which increased at days 6 and 7. Similarly, there were no changes in perceived muscle soreness, pain pressure threshold, elbow joint angle, or edema (as assessed by echo intensity via ultrasound) across the seven training sessions. The Ecc-vBFR and Con-vBFR low-load training protocols were not associated with DOMS and there were no differences between protocols when performed using the same relative training intensity. These findings suggested that both unaccustomed eccentric and concentric low-load training did not result in DOMS when combined with vBFR.

Relationship between endothelium-dependent vasodilation and fat distribution using the new “imiomics” image analysis technique

Background and aimsWe investigated how vasoreactivity in the brachial artery and the forearm resistance vessels were related to fat distribution and tissue volume, using both traditional imaging analysis and a new technique, called “Imiomics”, whereby vasoreactivity was related to each of the >2M 3D image elements included in the whole-body magnetic resonance imaging (MRI). Methods and resultsIn 326 subjects in the Prospective investigation of Obesity, Energy and Metabolism (POEM) study (all aged 50 years), endothelium-dependent vasodilation was measured by acetylcholine infusion in the brachial artery (EDV) and flow-mediated vasodilation (FMD). Fat distribution was evaluated by dual-energy X-ray absorptiometry (DXA) and magnetic resonance imaging (MRI). EDV, but not FMD, was significantly related to total fat mass, liver fat, subcutaneous (SAT) and visceral (VAT) adipose tissue in a negative fashion in women, but not in men. Using Imiomics, an inverse relationship was seen between EDV and a local tissue volume of SAT in both the upper part of the body, as well as the gluteo-femoral part and the medial parts of the legs in women. Also the size of the liver, heart and VAT was inversely related to EDV. In men, less pronounced relationships were seen. FMD was also significantly related to local tissue volume of upper-body SAT and liver fat in women, but less so in men. ConclusionEDV, and to a lesser degree also FMD, were related to liver fat, SAT and VAT in women, but less so in men. Imiomics both confirmed findings from traditional methods and resulted in new, more detailed results.

The role of vascular endothelium in nitroglycerin-mediated vasodilation.

Nitroglycerin (or glyceryl trinitrate, GTN) has been long considered an endothelium-independent vasodilator because GTN vasodilation is intact in the absence of the endothelium and in the presence of endothelial dysfunction. However, in animal and in vitro models, GTN has been shown to stimulate the release of certain endothelium-derived vasodilators such as nitric oxide (NO) and prostacyclin (PGI2 ). In addition, chronic GTN therapy leads to endothelial dysfunction. In this series of experiments, we explored how GTN might interact with the vascular endothelium in normal humans, without cardiovascular disease or risk factors associated with abnormalities in vascular function. We examined the effect of inhibition of NO, PGI2 , and epoxyeicosatrienoic acids (EETs, a class of endothelium-derived hyperpolarizing factor) on GTN-mediated vasodilation. We measured arterial blood flow responses to brachial artery infusions of GTN in the absence and presence of L-NMMA (n=13), ketorolac (n=14) and fluconazole (n=16), which are inhibitors of endothelium-derived NO, PGI2 and EETs, respectively, in healthy volunteers. Our results demonstrate that inhibition of endothelium-dependent vasodilator mechanisms does not alter forearm resistance vessel responses to GTN. We conclude that GTN-mediated dilation of forearm resistance vessels is largely independent of vascular endothelium.

The acute effect of black tea consumption on resistance artery endothelial function in healthy subjects. A randomized controlled trial

Black tea is a main source of flavonoids in the Western diet and has been associated with reduced risk for cardiovascular disease, possibly through lowering blood pressure. These effects may be mediated through improving endothelial function of resistance arteries. The aim of this study was therefore to examine the acute impact of black tea on forearm resistance artery endothelial function in healthy, normotensive middle-aged subjects. Twenty middle-aged men and women (age-range 45-75 years) were recruited into a double-blind, randomized, placebo-controlled crossover intervention study. Forearm resistance artery blood flow (FBF, measured using venous occlusion plethysmography) in response to incremental doses of acetylcholine, sodium nitroprusside and L-NG-monomethyl arginine were determined 2h after consumption of either black tea containing ∼400mg flavonoids (equivalent to 2-3 cups of tea) or a taste- and color-matched placebo. The mean FBF-response to acetylcholine after tea consumption was 23% higher compared to the response after placebo (95% CI:-20%,+88%), but this difference did not reach statistical significance (P=0.32). No significant differences in the FBF-responses to sodium nitroprusside and L-NG-monomethyl arginine were found between the tea and placebo interventions (P=0.96 and 0.74, respectively). Correcting FBF for changes in blood pressure did not alter the outcomes. We found no evidence that acute intake of black tea significantly altered endothelium-dependent vasodilation of forearm resistance arteries in healthy middle-aged subjects. Interventions with a longer duration of tea ingestion are required to further explore the (long-term) impact of tea flavonoids on blood pressure regulatory mechanisms. This trial was registered at clinicaltrials.gov as NCT02328339.

The Role of Vascular Endothelium in Nitroglycerin-Mediated Vasodilation

Aims Nitroglycerin (or glyceryl trinitrate, GTN) has been long considered an endothelium-independent vasodilator because GTN vasodilation is intact in the absence of the endothelium and in the presence of endothelial dysfunction. However, in animal and in vitro models, GTN has been shown to stimulate the release of certain endothelium-derived vasodilators such as nitric oxide (NO) and prostacyclin (PGI2 ). In addition, chronic GTN therapy leads to endothelial dysfunction. In this series of experiments, we explored how GTN might interact with the vascular endothelium in normal humans, without cardiovascular disease or risk factors associated with abnormalities in vascular function. Methods We examined the effect of inhibition of NO, PGI2 , and epoxyeicosatrienoic acids (EETs, a class of endothelium-derived hyperpolarizing factor) on GTN-mediated vasodilation. We measured arterial blood flow responses to brachial artery infusions of GTN in the absence and presence of L-NMMA (n = 13), ketorolac (n = 14) and fluconazole (n = 16), which are inhibitors of endothelium-derived NO, PGI2 and EETs, respectively, in healthy volunteers. Results Our results demonstrate that inhibition of endothelium-dependent vasodilator mechanisms does not alter forearm resistance vessel responses to GTN. Conclusion We conclude that GTN-mediated dilation of forearm resistance vessels is largely independent of vascular endothelium.

Effects of blood flow restricted exercise training on muscular strength and blood flow in older adults

BackgroundIn young adults, blood flow restricted exercise (BFRE) at relatively low intensities can increase muscle strength as effectively as conventional high intensity training. Ischemic exercise can also increase collateral blood flow in skeletal muscle. However, the effects of chronic BFRE on muscle strength and blood flow in older adults remain unknown. The purpose of this study was to compare the effects of 4weeks of BFRE training on skeletal muscle strength and blood flow between young and older subjects and between older adults performing BFRE and conventional high intensity resistance exercise. MethodsMaximum voluntary contraction (MVC), forearm girth, peak forearm blood flow (FBF) and forearm vascular conductance (FVC) were assessed before and after 4weeks of forearm resistance training with BFRE in older adults (O-BFRE, 63±1 y, n=9) and younger adults (Y-BFRE, 22±1 y, n=8) and with high intensity training at 75% maximum voluntary contraction in older adults (O-HI, 63±1 y, n=10). ResultsMVC increased in all groups (O-BFRE, 33.4±4.7 to 36.3±4.7kg; Y-BFRE, 37.2±4.9 to 43.0±5.0kg; O-HI, 34.0±4.4 to 39.8±4.4kg; all p<0.05). Forearm girth increased in O-BFRE (26.3±1.1 to 26.7±1.1cm; p<0.05) and Y-BFRE (23.9±0.9 to 25.1±1.5cm; p<0.05) but not in O-HI (25.9±1.0 to 26.1±1.0cm; p=0.26). Peak forearm vascular conductance increased in Y-BFRE (0.190±0.016 to 0.311±0.031units; p=0.01) but not in O-BFRE (0.157±0.024 to 0.193±0.029units; p=0.48) and O-HI (0.188±0.035 to 0.227±0.035units; p=0.18). ConclusionThese data suggest that chronic BFRE training is effective in increasing muscular strength, muscle size and vascularity in young adults but, in older adults, increases only muscular strength and size. Longer training durations or higher volumes may be required to evoke similar vascular adaptations in older adults.

Impact of physical activity on cardiovascular status in obesity.

We have recently shown that being physically active (PA) counteracts, but not eliminates the increased risk of future cardiovascular disease in overweight and obese subjects. To investigate this further, we studied the impact of being normal weight, overweight and obese on multiple markers of subclinical cardiovascular disease in relation to physical activity. At age 70, 1016 subjects were investigated in the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study. Being PA was defined as performing regular heavy exercise (self-reported). According to body mass index (BMI)/PA groups, the participants were categorized as PA/normal weight (BMI<25kg/m2 , n=104), non-PA/normal weight (n=234), PA/overweight (BMI 25-29·9kg/m2 , n=133), non-PA/overweight (n=295), PA/obese (BMI≥30kg/m2 , n=54) and non-PA/obese (n=169). Several different measurements of endothelial reactivity and arterial compliance (plethysmography and ultrasound), cartotid artery atherosclerosis and echocardiography were performed, and seven markers of coagulation/fibrinolysis were measured. Physically active subjects with obesity showed impaired vasoreactivity in the forearm resistance vessels, increased left ventricular mass and impaired left ventricular systolic and diastolic functions, together with impaired coagulation/fibrinolysis when compared to PA/normal-weight subjects (P<0·05 to <0·001). The majority of these disturbances were seen also in PA/overweight subjects when compared to PA/normal-weight subjects (P<0·05 to <0·001). Our data provide additional support for the notion that an increased level of self-reported physical activity does not fully eliminate the deleterious cardiovascular consequences associated with overweight and obesity.

Effects of wine and grape polyphenols on blood pressure, endothelial function and sympathetic nervous system activity in treated hypertensive subjects

In a randomized double-blind crossover trial, the effect of 8 week supplementation with grape and wine polyphenols on functional and structural vascular parameters and autonomic activity was evaluated in 40 essential hypertensive patients treated with diuretic monotherapy. Ambulatory blood pressure, brachial artery flow mediated dilation (FMD) and pulse-wave velocity (PWV) were measured at baseline and after each 8-week intervention. Forearm resistance artery endothelial function and muscle sympathetic nerve activity (MSNA) response to mental stress and cold-pressor test were measured in two separate sub-groups. No statistically significant differences were found across time or between groups in either blood pressure, FMD, PWV, or resistance artery endothelial function. The MSNA response to the two stressors was non-significantly attenuated after grape-wine polyphenol supplementation. These results do not support the hypothesis that daily consumption of a high dose of grape and wine polyphenols lowers blood pressure or affects vascular function in patients already on antihypertensive medication.

Vascular Health in Patients in Remission of Cushing's Syndrome Is Comparable With That in BMI-Matched Controls.

In active Cushing's syndrome (CS), patients suffer from endothelial dysfunction and premature atherosclerosis. However, it is uncertain to what extent vascular health recovers after long-term remission. This is highly relevant because this topic relates to future development of cardiovascular disease. The objective of the study was to investigate whether micro- and macrovascular health is impaired after long-term remission of CS in patients with no or adequately treated comorbidities. This was a cross-sectional case-control study in two tertiary referral centers. Sixty-three patients (remission of CS for ≥ 4 y) and 63 healthy, well-matched controls were compared. In group A (58 patients and 58 controls), serum biomarkers associated with endothelial dysfunction, intima media thickness, pulse wave velocity, and pulse wave analysis were studied. In group B (14 patients and 14 controls), endothelium-dependent and -independent vasodilatation was studied in conduit arteries (flow mediated dilation of the brachial artery) and forearm skeletal muscle resistance arteries (vasodilator response to intraarterial acetylcholine, sodium-nitroprusside, and NG-monomethyl-L-arginine using venous occlusion plethysmography). There were no significant differences between the outcome measures of vascular health of patients and controls in groups A and B. The vascular health of patients in long-term remission of CS seems to be comparable with that of healthy gender-, age-, and body mass index-matched controls, provided that the patients have no, or adequately controlled, comorbidities. Therefore, the effects of hypercortisolism per se on the vasculature may be reversible. This accentuates the need for the stringent treatment of metabolic comorbidities in these patients.

Neuromuscular Adaptations After 2 and 4 Weeks of 80% Versus 30% 1 Repetition Maximum Resistance Training to Failure.

Jenkins, NDM, Housh, TJ, Buckner, SL, Bergstrom, HC, Cochrane, KC, Hill, EC, Smith, CM, Schmidt, RJ, Johnson, GO, and Cramer, JT. Neuromuscular adaptations after 2 and 4 weeks of 80% versus 30% 1 repetition maximum resistance training to failure. J Strength Cond Res 30(8): 2174-2185, 2016-The purpose of this study was to investigate the hypertrophic, strength, and neuromuscular adaptations to 2 and 4 weeks of resistance training at 80 vs. 30% 1 repetition maximum (1RM) in untrained men. Fifteen untrained men (mean ± SD; age = 21.7 ± 2.4 years; weight = 84.7 ± 23.5 kg) were randomly assigned to either a high-load (n = 7) or low-load (n = 8) resistance training group and completed forearm flexion resistance training to failure 3 times per week for 4 weeks. Forearm flexor muscle thickness (MT) and echo intensity, maximal voluntary isometric (MVIC) and 1RM strength, and the electromyographic, mechanomyographic (MMG), and percent voluntary activation (%VA) responses at 10-100% of MVIC were determined at baseline, 2, and 4 weeks of training. The MT increased from baseline (2.9 ± 0.1 cm) to week 2 (3.0 ± 0.1 cm) and to week 4 (3.1 ± 0.1 cm) for the 80 and 30% 1RM groups. MVIC increased from week 2 (121.5 ± 19.1 Nm) to week 4 (138.6 ± 22.1 Nm) and 1RM increased from baseline (16.7 ± 1.6 kg) to weeks 2 and 4 (19.2 ± 1.9 and 20.5 ± 1.8 kg) in the 80% 1RM group only. The MMG amplitude at 80 and 90% MVIC decreased from baseline to week 4, and %VA increased at 20 and 30% MVIC for both groups. Resistance training to failure at 80 vs. 30% 1RM elicited similar muscle hypertrophy, but only 80% 1RM increased muscle strength. However, these disparate strength adaptations were difficult to explain with neuromuscular adaptations because they were subtle and similar for the 80 and 30% 1RM groups.

Individual Responses for Muscle Activation, Repetitions, and Volume during Three Sets to Failure of High- (80% 1RM) versus Low-Load (30% 1RM) Forearm Flexion Resistance Exercise

This study compared electromyographic (EMG) amplitude, the number of repetitions completed, and exercise volume during three sets to failure of high- (80% 1RM) versus low-load (30% 1RM) forearm flexion resistance exercise on a subject-by-subject basis. Fifteen men were familiarized, completed forearm flexion 1RM testing. Forty-eight to 72 h later, the subjects completed three sets to failure of dumbbell forearm flexion resistance exercise with 80% (n = 8) or 30% (n = 7) 1RM. EMG amplitude was calculated for every repetition, and the number of repetitions performed and exercise volume were recorded. During sets 1, 2, and 3, one of eight subjects in the 80% 1RM group demonstrated a significant linear relationship for EMG amplitude versus repetition. For the 30% 1RM group, seven, five, and four of seven subjects demonstrated significant linear relationships during sets 1, 2, and 3, respectively. The mean EMG amplitude responses show that the fatigue-induced increases in EMG amplitude for the 30% 1RM group and no change in EMG amplitude for the 80% 1RM group resulted in similar levels of muscle activation in both groups. The numbers of repetitions completed were comparatively greater, while exercise volumes were similar in the 30% versus 80% 1RM group. Our results, in conjunction with those of previous studies in the leg extensors, suggest that there may be muscle specific differences in the responses to high- versus low-load exercise.

Forearm vasodilator reactivity in healthy male carriers of the 3q22.3 rs9818870 polymorphism

BackgroundA genome wide association study has identified a robust risk locus for cardiovascular disease on 3q22.3. However, the mechanisms by which the [C]/[T] polymorphism rs9818870 increases cardiovascular risk are unknown. This forearm blood flow (FBF) study addressed the question if the genetic association with cardiovascular disease in patients is preceded by incipient vasodilator impairment in young, healthy carriers of this new risk locus on chromosome 3. Materials and methodsAfter a pre-screening of 74 subjects 17 male healthy volunteers homozygous/heterozygous for a single nucleotide polymorphism (SNP) risk allele on 3q22.3 and a control group of 17 healthy volunteers not carrying the allele were included into this case–control study. ResultsForearm vascular endothelium-dependent and -independent vasodilator responses were in the normal range in both groups, although endothelium-dependent FBF reactivity to acetylcholine was significantly higher in SNP carriers of the risk allele. ConclusionThe augmented endothelium-dependent vasodilation of the forearm resistance vasculature does not support the presence of endothelial dysfunction in young SNP carriers and indicates that other mechanisms are responsible for the strong association between coronary artery diseases and the rs9818870 polymorphism, located on 3q22.3.