435 lab 1

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Apr 3, 2024

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Jake Akins Lab 1 - Blood Pressure 02/21/2024 Introduction The cardiovascular system’s response to different exercise modalities, like static and dynamic isokinetic exercises, is an intricate field of study that involves multiple mechanisms and responses. It is important to know how blood pressure will react to each style of exercise when it comes to optimizing cardiovascular health. Static exercise is to involve muscle contraction against resistance, while dynamic involves repetitive contractions that result in movement. While both provide a unique challenge for the cardiovascular system, static exercise will increase more during exercise ( Hietanen E, 1984). Different exercise styles bring out certain cardiac responses. During static exercise, an increase in venous return and cardiac output is expected, ultimately causing a greater skeletal pump than dynamic exercise. (Bezucha, 1982). Cardiac output is the volume of blood pumped by the heart per minute, while venous return is the blood returning to the body's tissue. The increase in the two of these is essential for the working muscles during both static and dynamic exercise. Static exercise can lead to an overall increase in the heart's contractility and stroke volume as well (Bezucha, 1982). Stroke volume is defined as the amount of blood that the heart sends out with each beat, and contractility is the forcefulness of heart muscle contraction. Together this can allow for greater blood flow during exercise. Static exercises provide a unique challenge to the cardiovascular system. The amount of time for ventricular filling will be reduced during static exercise due to diastolic pressure. Diastolic pressure is the filling phase of the cardiac cycle, so due to prolonged muscle contraction during static exercise it is likely to see an increased heart rate in order to keep the cardiac output steady (Seals, 1983). It is also expected that systolic blood pressure may increase since it is primarily determined by cardiac output and due to the large force of contractions during exercise. On the other hand, dynamic exercises are more revolving around
muscle contractions from movements. This leads to less of an increase in blood pressure throughout exercise sessions, remaining more constant (Camarena, 2000). There is an expected initial increase in blood pressure during dynamic exercise to meet the demands of the body, but it is also expected to stabilize over time (Bezucha, 1982). While both static and dynamic exercises are beneficial and essential to cardiovascular fitness, they both have distinct responses to blood pressure regulation. Both dynamic and static exercises will show changes in heart rate along with blood pressure, the difference will be in the magnitude and pattern of how they will change depending on the type of exercise. Dynamic exercises should result in a progressive increase and heart rate as intensity increases, due to the demand of oxygen required by working muscles. Conversely it is expected that dynamic exercises will also increase in both aspects at first, but stabilize thereafter due to maintaining static muscle contractions. The pattern of changes in heart rate and blood pressure are expected to vary due to different intensities and body demands during static and dynamic exercises.
Methods/Materials Materials used Cycle ergometer Treadmill Hand grip dynamometer Cycle ergometer Lab instructions Writing utensils Stethoscope Spogonometer Stop watch Through a varying 4 exercises, 2 static and 2 dynamic, heart rate and blood pressure were taken before all 4 for the control group for each exercise. Starting with dynamic exercises, the subject was to walk on a treadmill at 3 mph for 2 minutes at each intensity in 4 waves. Increasing from 0 incline to 3, 5, 7 and finally 10 blood pressure was taken every 2 minutes at each level before increasing. Next a cycle ergometer test was performed. The subject was to pedal to measure any resistance. Blood pressure and heart rate are taken again after 2 minutes at each intensity following the resistance of 0.5, 1.0, 1.5 and finally 2.0. The participant that was actually doing each exercise had the sphygmomanometer on at all times so that systolic and diastolic pressure could be taken at each two minute mark. A stethoscope was placed on the brachial artery to observe these pressures. As for heart rate one observer placed their index finger on the radial artery for 10 seconds and then multiplied that number by 6 to get their BPM for that given time. Each observer took turns either measuring blood pressure, heart rate or recording the data collected by the other two and recording it in the order it was tested. For static exercises five trials were done to show fatigue and cardiovascular response to this. The lower-leg dynamometer with a slight bend in the knees, shoulders over toes, arms locked out and feet flat. Each trial the subject would pull the chain constantly trying to straighten legs while keeping a hinge at the hips, resting heart rate, blood pressure and “weight score” were recorded each time it was performed. Similarly, the hand grip test involved the measurement of the same three things, heart rate, blood pressure and “weight score.” The subject would squeeze and hold
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for 15 seconds each trail. Again recording each attempt. Much like the dynamic exercises the participants rotated measuring either blood pressure or heart rate, while the third participant recorded the results in the lab paper. The same methods were used to record both blood pressure and heart rate after each trial. Results Treadmill Results Results from the treadmill exercise show an increase in heart rate starting at 77 and ending at 118. Systolic pressure had a higher increase as well from an initial 128 all the way up to 155. Mean arterial pressure slightly increased from 92 to 112. Lastly, diastolic pressure is expected to stay constant but fluctuate more than what is to be considered normal starting at 74 and jumping to 89 by minute 2 and then going back to 84 by the 4th minute.
Cycle Ergometry Results Much like the other dynamic exercise, an increase in heart rate was shown starting at 77 and ending at 129. The same goes for systolic and diastolic pressure. Systolic rose from 129 to 156, and diastolic rose from 78 to 88. It is important to note that a more normal increase in diastolic pressure was recorded, only slightly rising rather than fluctuating. Lastly mean arterial pressure rose from 92 to 122. Lower Leg Dynamometer Results Lower leg Dynamometer results starting with heart rate we saw it rise starting at 93 and going all the way to 112. The same can be said for systolic pressure, rising from an initial 125 going all the way to 156. Diastolic pressure, while expected to rise slightly during dynamic exercise, again fluctuated starting at 83 and ending at 94, but got to 101 for the 4th trial. Lastly mean arterial pressure rose as well starting at 97 and ended at 125. It is also important to note that there saw an overall increase in the score during the test starting at 108 and rising all the way to 120.
Handgrip Dynamometer results Lastly heart rate during the hand grip increased during the entire duration starting at 74 and ending at 102. For systolic pressure however, it began to increase and started to plateau but ended up lowering by the last trial. Going from 127 to 153, but ending at 151. Diastolic blood pressure started at 79 and got to 99 at the 4th and 5th trial. Mean arterial pressure started off at 95 and ended to 125. Something to note is that it got up to 126 by the 4th trial, but fell back down to 125 for the final trial.
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Discussion Based on the results displayed, the tests did not accurately show cardiovascular response to exercise. The diastolic pressure was expected to be constant, changing very slightly during dynamic exercises. Greatly fluctuating during the lower leg dynamometer test, and jumped slightly during the handgrip test. During the handgrip test, it was expected that systolic pressure would increase to a higher degree, however it only slightly increased. During Lower leg dynamometer systolic pressure did increase, rather than continuing to increase as expected it continued to fluctuate too much to be considered accurate. Something to note is the diastolic pressure did stay somewhat constant during the cycling test, but not enough to be considered reliable data. During the treadmill test, an increase occurred in diastolic pressure which again was not what normally happens during dynamic exercise. Using the equation DP + ⅓ (SP - DP) the mean arterial pressure can be found. During both dynamic and static exercise the mean arterial pressure is expected to rise due to the rising systolic pressure. The mean arterial pressure rose for all tests besides the handgrip dynamometer, where it rose and fell during the 5th trial. It is understood that the primary reason for unreliable data could be due to lack of experience in testers, for it was the first time for many to even test for these things. On top of this the testers were constantly switching roles rather than specializing in one area which could skew results further. Lastly, time restraints could have affected results due to not having multiple trials. In the future the experiment could be done on more elite level athletes in comparison to more stationary people, just to help show the difference in pressure between the two groups.
Citations Laughlin M. H. (1999). Cardiovascular response to exercise. The American journal of physiology , 277 (6 Pt 2), S244–S259. https://doi.org/10.1152/advances.1999.277.6.S244 Bezucha, G. R., Lenser, M. C., Hanson, P. G., & Nagle, F. J. (1982). Comparison of hemodynamic responses to static and dynamic exercise. Journal of applied physiology: respiratory, environmental and exercise physiology , 53 (6), 1589–1593. https://doi.org/10.1152/jappl.1982.53.6.1589 González-Camarena, R., Carrasco-Sosa, S., Román-Ramos, R., Gaitán-González, M. J., Medina-Bañuelos, V., & Azpiroz-Leehan, J. (2000). Effect of static and dynamic exercise on heart rate and blood pressure variabilities. Medicine and science in sports and exercise , 32 (10), 1719–1728. https://doi.org/10.1097/00005768-200010000-00010 Hietanen E. (1984). Cardiovascular responses to static exercise. Scandinavian journal of work, environment & health , 10 (6 Spec No), 397–402. https://doi.org/10.5271/sjweh.2304 Nissen, S. E., Wolski, K. E., Prcela, L., Wadden, T., Buse, J. B., Bakris, G., Perez, A., & Smith, S. R. (2016). Effect of Naltrexone-Bupropion on Major Adverse Cardiovascular Events in Overweight and Obese Patients With Cardiovascular Risk Factors: A Randomized Clinical Trial. JAMA , 315 (10), 990–1004. https://doi.org/10.1001/jama.2016.1558