Comparison the acute effect of moderate-intensity treadmill exercise and arm crank exercise on autonomic cardiac functions in adult male

Alsayed Abdelhameed Shanb; Enas Fawzy Youssef; Mohammad Ahsan; Raafat Mohammed Ahmed; Mahmoud Alsayed Shanab; Mohamed Yahia Abdelkhalikk

doi:10.15561/26649837.2023.0402

Authors

Alsayed Abdelhameed Shanb Imam Abdulrahman Bin Faisal University https://orcid.org/0000-0002-4878-5025
Enas Fawzy Youssef Cairo University https://orcid.org/0000-0002-9787-5625
Mohammad Ahsan Imam Abdulrahman Bin Faisal University https://orcid.org/0000-0003-0232-3658
Raafat Mohammed Ahmed Imam Abdulrahman Bin Faisal University https://orcid.org/0000-0001-8243-6657
Mahmoud Alsayed Shanab Cairo University https://orcid.org/0000-0003-4535-1720
Mohamed Yahia Abdelkhalikk Menoufia University Egypt https://orcid.org/0000-0001-6259-0673

DOI:

https://doi.org/10.15561/26649837.2023.0402

Keywords:

arm crank, treadmill, leg exercise, acute exercise, moderate-intensity, physiological responses

Abstract

Background and Study Aim. Cardiovascular parameters testing can be used by various modalities ranging from ground running to sophisticated computerized treadmills. The purpose of this study was to compare the acute effect of treadmill moderate-intensity exercise with arm crank exercise on autonomic cardiac function among adult males. Material and Methods. One hundred-twenty male participants participated in this study. They were randomly allocated to a treadmill exercise group with sixty participants and the other sixty participants allocated into an arm crank exercise group. Both groups performed exercises for forty minutes. Autonomic cardiac functions (heart rate variability - HRV), heartbeats, and arterial blood pressure) were determined with the help of Phillips DigiTrak XT Holter heart rate monitor, Polar® Grit X watch, and automatic sphygmomanometer. An independent t-test was used to compare the anthropometric data between both groups. One-way analysis of variance was used to determine the differences between treadmill exercise and arm crank for autonomic cardiac functions among adult males. Results. The HRV decreased significantly during treadmill exercise than arm crank exercise. Mean values of heartbeats (HR), systolic blood pressure (SBP), and rate pressure product (RPP) increased significantly during both exercises. In comparison, mean values of HRV parameters were reduced more significantly during treadmill exercise than arm crank. Mean values of the HR, SBP, and RPP increased significantly during treadmill exercise than arm crank exercise. Conclusion. The study's findings suggest that treadmill exercises are responsible for a greater significant reduction in HRV. The HR, SBP, PP, and RPP significantly increased during treadmill exercises than arm crank. This study suggests that when recommending exercise to any individual, the intensity and mode of exercise are crucial.

Author Biographies

Alsayed Abdelhameed Shanb, Imam Abdulrahman Bin Faisal University

Associate Professor; aashanb@iau.edu.sa; Department of Physical Therapy, College of Applied Medical Sciences; Dammam, Saudi Arabia.

Enas Fawzy Youssef, Cairo University

Professor; enas.fawzy@pt.cu.edu.eg; Department of Physical Therapy for Orthopedic Diseases. Faculty of Physical Therapy; Egypt.

Mohammad Ahsan, Imam Abdulrahman Bin Faisal University

Assistant Professor; mahsan@iau.edu.sa; Department of Physical Therapy, College of Applied Medical Sciences; Dammam, Saudi Arabia.

Raafat Mohammed Ahmed, Imam Abdulrahman Bin Faisal University

Assistant Professor; rmahmed@iau.edu.sa; Department of Physical Therapy, College of Applied Medical Sciences; Dammam, Saudi Arabia.

Mahmoud Alsayed Shanab, Cairo University

Bachelor of Medicine; mooody.champion@gmail.com; Faculty of Medicine; Egypt.

Mohamed Yahia Abdelkhalikk, Menoufia University Egypt

Associate Professor; m_yahia2000@yahoo.com; Department of Cardiology, Faculty of Medicine; Egypt.

References

Leti T, Bricout V. Interest of analyses of heart rate variability in the prevention of fatigue states in senior runners. Autonomic Neuroscience: Basic & Clinical, 2013;173:14–21. https://doi.org/10.1016/j.autneu.2012.10.007

Trevisani GA, Benchimol-Barbosa PR, Nadal J. Effects of age and aerobic fitness on heart rate recovery in adult men. Arquivos Brasileiros de Cardiologia, 2012;99(3):802–10. https://doi.org/10.1590/S0066-782X2012005000069

Tonoli C, Heyman E, Berthoin S, Meeusen R. Effects of different types of acute and chronic (training) exercise on glycaemic control in type 1 diabetes mellitus: A meta-analysis. Sports Medicine, 2012;42(12):1059–80. https://doi.org/10.1007/BF03262312

Juopperi S, Sund R, Rikkonen T, Kröger H, Sirola J. Cardiovascular and musculoskeletal health disorders associate with greater decreases in physical capability in older women. BMC Musculoskeletal Disorders, 2021;22(1): 192. https://doi.org/10.1186/s12891-021-04056-4

Guimarães GV, Ciolac EG. Síndrome metabólica: Abordagem do educador físico [Metabolic syndrome: approach of the physical educator]. Rev Soc Cariol. 2004;14:4–11. (In Portuguese).

Khaira HS, Hanger R, Shearman CP. Quality of life in patients with intermittent claudication. European Journal of Vascular and Endovascular Surgery, 1996;11:65–9. https://doi.org/10.1016/S1078-5884(96)80136-5

Anand S, Devi SA, Ravikiran T. Brain Res Bull. 2014;104:88–91. https://doi.org/10.1016/j.brainresbull.2014.04.012

Shetler K, Marcus R, Froelicher VF, Vora S, Kalisetti D, Prakash M, Do D, Myers J. Heart rate recovery: validation and methodologic issues. Journals of the American College of Cardiology, 2001;38(7):1980–87. https://doi.org/10.1016/s0735-1097(01)01652-7

Messinger-Rapport B, Pothier Snader CE, Blackstone EH, Yu D, Lauer MS. Value of exercise capacity and heart rate recovery in older people. Journal of the American Geriatrics Society, 2003;51(1):63–8. https://doi.org/10.1034/j.1601-5215.2002.51011.x

Tiukinhoy S, Beohar N, Hsie M. Improvement in heart rate recovery after cardiac rehabilitation. The Journal of Cardiopulmonary Rehabilitation, 2003;23(2):84–7. https://doi.org/10.1097/00008483-200303000-00002

Smith PM, Doherty M, Price MJ. The effect of crank rate strategy on peak aerobic power and peak physiological responses during arm crank ergometry. Journal of Sports Science, 2007;25:711–18. https://doi.org/10.1080/02640410600831955

Thomas G. Allison. Arm ergometer provides alternative to conventional stress testing, Medical Professionals Cardiovascular Diseases. [Internet]; 2021 [cited 2021 Dec 25]. Available from: https://www.mayoclinic.org/medical-professionals/cardiovascular-diseases/news/arm-ergometer-provides-alternative-to-conventional-stress-testing/mac-20429419

Schrieks IC, Barnes MJ, Hodges LD. Comparison study of treadmill versus arm ergometry. Clinical Physiology and Functional Imaging, 2011;31(4):326–31. https://doi.org/10.1111/j.1475-097X.2011.01014.x

Dureja G, Bardhan S. Effect of treadmill training on blood pressure among young adult boys. Sports Medicine Journal / Medicina Sportivâ, 2014;10(3):2394–2400.

Ahmadian M, Roshan VD, Dabirian M. Effect of arm and leg exercise on heart autonomic function in children. International Journal of Sport Studies, 2014;4(7):799–805.

Iwasa Y, Kimiko N, Nomura M, Nakaya Y, Saito K, Ito S. The relationship between autonomic nervous activity and physical activity in children. Pediatrics International, 2005;46:361–71. https://doi.org/10.1111/j.1442-200x.2005.02082.x

Sandercock GR, Brodie DA. The use of heart rate variability measures to assess autonomic control during exercise. Scandinavian Journal of Medicine & Science in Sports, 2006;16:302–13. https://doi.org/10.1111/j.1600-0838.2006.00556.x

Leicht AS, Sinclair WH, Spinks WL. Effect of exercise mode on heart rate variability during steady state exercise. European Journal of Applied Physiology, 2008;102:195–204. https://doi.org/10.1007/s00421-007-0574-9.

Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Circulation. 1996;93(5),1043–65.

Weippert M, Behrens M, Rieger A. Behrens K. Sample entropy and traditional Measures of heart rate dynamics reveal different modes of cardiovascular control during low intensity exercise. Entropy, 2014;16:5698–711. https://doi.org/10.3390/e16115698

Coplan NL, Gleim GW, Scandura M, Nicholas JA. Comparison of Arm and Treadmill Exercise at 85% Predicted Maximum Heart Rate. Clinical Cardiology, 1987;10:655–57. https://doi.org/10.1002/clc.4960101111

Pollock ML, Gaesser GA, Butcher JD, Jean-Pierre FD, Rod KD, Barry AF, et al. ACSM position stand: The recommended quantity and quality of exercise for developing and maintaining Cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine & Science in Sports & Exercise, 1998;30(6):975–91. https://doi.org/10.1097/00005768-199806000-00032

Santosa M, Ilyas E, Antarianto RD. The effect of moderate-intensity acute aerobic exercise duration on the percentage of circulating CD31+ cells in lymphocyte population. Medical Journal of Indonesia, 2016;25:51–6. https://doi.org/10.13181/mji. v25i1.1277

Camarda SR, Tebexreni AS, Páfaro CN, Sasai Betimber VL, Juliano,Y. Comparison of maximal heart rate using the prediction equations proposed by karvonen and Tanaka. Arquivos Brasileiros de Cardiologia, 2008;91(5):285–88. https://doi.org/10.1590/S0066-782X2008001700005

Forjaz CL, Matsudaira Y, Rodrigues FB, Nunes N, Negrao CE. Post-exercise changes in blood pressure, heart rate and rate pressure product at different exercise intensities in normotensive humans. Brazilian Journal of Medical and Biological Research, 1998;31:1247–55. https://doi.org/10.1590/S0100-879X1998001000003

Segan R, Gupta V, Walia L, Mittal N. Rate pressure product predicts cardiovascular risk in Type-II diabetics with cardiac autonomic neuropathy. National Journal of Physiology, Pharmacy, and Pharmacology, 2013; 3(1): 43–47. https://doi.org/10.5455/njppp.2013;3:43– 7

Cottin F, Durbin F, Papelier Y. Heart rate variability during cyclo-ergometric exercise or judo wrestling eliciting the same heart rate level. European Journal of Applied Physiology, 2004;91: 177-84. https://doi.org/10.1007/s00421-003-0969-1

Princi T, Accardo A, Peterec D. Linear and non-linear parameters of heart rate variability during static and dynamic exercise in a high-performance dinghy sailor. Biomedical Sciences Instrumentation, 2004; 40:311–16.

Faria EW, Faria IE. Cardiorespiratory responses to exercises of equal relative intensity distributed between the upper and lower body. Journal of Sports Sciences, 1998;16(4):309–15. https://doi.org/10.1080/02640419808559359.

Myers JN. The physiology behind exercise testing. Primary Care: Clinics in Office Practice, 1994;28(1):5–28. https://doi.org/10.1016/S0095-4543(05)70005-1

Tulppo MP, Mäkikallio TH, Laukkanen RT, Huikuri HV. Differences in Autonomic Modulation of Heart Rate During Arm and Leg Exercise. Clinical Physiology, 1999;19(4):294–99. https://doi.org/10.1046/j.1365–2281.1999.00180.x

Michael S, Jay O, Halaki M, Graham K, Davis GM. Sub-maximal exercise intensity modulates acute post-exercise heart rate variability. European Journal of Applied Physiology, 2016; 116(4): 697–706. https://doi.org/10.1007/s00421-016-3327-9

Di Blasio A1, Sablone A, Civino P, D'Angelo E, Gallina S, Ripari P. Arm vs. combined leg and arm exercise: Blood pressure responses and ratings of perceived exertion at the same indirectly determined heart rate. Journal of Sports Science & Medicine, 2009; 1;8(3),401–9.

White DW, and Raven PB. Autonomic neural control of heart rate during dynamic exercise: revisited. Journal of Physiology, 2014;592:2491–2500. https://doi.org/10.1113/jphysiol.2014.271858

Cockcroft J, Wilkinson I, Evans M, Mcewan P, Peters J, Davies S, et al. Pulse Pressure Predicts Cardiovascular Risk in Patients With Type 2 Diabetes Mellitus. American Journal of Hypertension, 2005;18(11): 1463–1467. https://doi.org/10.1016/j.amjhyper.2005.05.009

Madanmohan, Prakash E. S., Bhavanani A. B. Correlation between Short -Term Heart Rate Variability Indices and heart Rate, Blood Pressure Indices, Pressor Reactivity to Isometeric Hand-grip in Healthy Young Male Subjects. Indian Journal of Physiology and Pharmacology, 2005; 49 (2): 132–8.

De Almeida WS, De Jesus Lima LC, Da Cunha RR, Simões HG, Nakamura FY, Campbell CSG. Post-exercise blood pressure responses to cycle and arm-cranking. Science & Sports, 2010;25(2): 74–80. https://doi.org/10.1016/j.scispo.2009.09.001

Robergs RA, Roberts SO. Fundamental principles of exercise physiology for fitness, performance, and health. New York: McGraw-Hill; 2000.

Ilias NA, Xian H, Inman C, Martin WH. Arm exercise testing predicts clinical outcome. American Heart Journal, 2009; 157(1):69–76. https://doi.org/10.1016/j.ahj.2008.09.007

Toner MM, Glickman EL, Mcardle WD. Cardiovascular adjustments to exercise distributed between the upper and lower body. Medicine & Science in Sports & Exercise, 1990;22(6):773. https://doi.org/10.1249/00005768-199012000-00007

Louhevaara V, Sovijarvi A, Ilmarinen J, Teraslinna P. Differences in cardiorespiratory responses during and after arm crank and cycle exercise. Acta Physiologica Scandinavica. 1990; 138(2):133–43. https://doi.org/10.1111/j.1748-1716. 1990.tb08825.x

Goodman JM, Freeman MR, Goodman LS. Left ventricular function during arm exercise: influence of leg cycling and lower body positive pressure. Journal of Applied Physiology, 2007; 102: 904–12.

De Almeida WS, De Jesus Lima LC, Da Cunha RR, Simoes HG, Nakamura FY, Campbell CS. Post-exercise blood pressure responses to cycle and arm-cranking. Science & Sports, 2010; 25(2):74–80. https://doi.org/10.1016/j.scispo.2009.09.001

Ng J, Sundaram S, Kadish AH, Goldberger JJ. Autonomic effects on the spectral analysis of heart rate variability after exercise. American Journal of Physiology-Heart and Circulatory Physiology, 2009;297(4):H1421–8. https://doi.org/10.1152/ajpheart.00217.2009