The Acute Effects of Running on Blood Pressure Estimation Using Pulse Transit Time in Normotensive Subjects

Overview

Journal Eur J Appl Physiol

Specialty Physiology

Date 2009 Jun 23

PMID 19543907

Citations 9

Authors

Mico Yee-Man Wong

Emma Pickwell-MacPherson

Yuan-Ting Zhang

Affiliations

Soon will be listed here.

Abstract

Pulse transit time (PTT) is a potential parameter for cuffless blood pressure (BP) estimation. Since exercise induces changes in arterial properties that can influence the relationship between BP and PTT, we investigate whether PTT can be used to estimate BP after successive bouts of exercise. PTT-foot, PTT-peak (time intervals from the peak of electrocardiogram R-wave to the foot and peak of photoplethysmogram, respectively) and BP of 41 normotensive subjects (aged 25 +/- 4 years) were measured in the first test. A repeatability test was then conducted on 14 subjects after 6 months. Each test included two periods of running on the treadmill at 10 and 8 km/h (with a rest in between). In both tests, systolic BP (SBP) was closely correlated with PTT-foot and PTT-peak. For each subject, the best fit linear relationships between SBP and PTTs were determined over all phases of each test. The differences between the linear fits and measured data were greater after the second period of running for all subjects in both tests. This implied that the relationships started to change after the second period of running. When SBP in the repeatability test was predicted using the linear regression coefficients from the first test, the linear fit after the first period of exercise was still better than after the second. The repeated observations in both tests suggest that PTT is a potential parameter for cuffless BP estimation after one period of exercise, but would need re-calibration (relationship between BP and PTTs) for measurements after successive phases of exercise.

Citing Articles

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References

Naka K, Tweddel A, Parthimos D, Henderson A, Goodfellow J, Frenneaux M . Arterial distensibility: acute changes following dynamic exercise in normal subjects. Am J Physiol Heart Circ Physiol. 2002; 284(3):H970-8. DOI: 10.1152/ajpheart.00529.2002. View

Studinger P, Lenard Z, Kovats Z, Kocsis L, Kollai M . Static and dynamic changes in carotid artery diameter in humans during and after strenuous exercise. J Physiol. 2003; 550(Pt 2):575-83. PMC: 2343041. DOI: 10.1113/jphysiol.2003.040147. View

Allen R, Schneider J, Davidson D, Winchester M, Taylor C . The covariation of blood pressure and pulse transit time in hypertensive patients. Psychophysiology. 1981; 18(3):301-6. DOI: 10.1111/j.1469-8986.1981.tb03038.x. View

Sugawara J, Otsuki T, Tanabe T, Maeda S, Kuno S, Ajisaka R . The effects of low-intensity single-leg exercise on regional arterial stiffness. Jpn J Physiol. 2003; 53(3):239-41. DOI: 10.2170/jjphysiol.53.239. View

Foo J, Wilson S . A computational system to optimise noise rejection in photoplethysmography signals during motion or poor perfusion states. Med Biol Eng Comput. 2006; 44(1-2):140-5. DOI: 10.1007/s11517-005-0008-y. View

Marie G, Lo C, Van Jones J, Johnston D . The relationship between arterial blood pressure and pulse transit time during dynamic and static exercise. Psychophysiology. 1984; 21(5):521-7. DOI: 10.1111/j.1469-8986.1984.tb00235.x. View

Liang Y, Teede H, Shiel L, Thomas A, Craven R, Sachithanandan N . Effects of oestrogen and progesterone on age-related changes in arteries of postmenopausal women. Clin Exp Pharmacol Physiol. 1997; 24(6):457-9. DOI: 10.1111/j.1440-1681.1997.tb01225.x. View

Kingwell B, Berry K, Cameron J, Jennings G, Dart A . Arterial compliance increases after moderate-intensity cycling. Am J Physiol. 1997; 273(5):H2186-91. DOI: 10.1152/ajpheart.1997.273.5.H2186. View

El Assaad M, Topouchian J, Darne B, Asmar R . Validation of the Omron HEM-907 device for blood pressure measurement. Blood Press Monit. 2002; 7(4):237-41. DOI: 10.1097/00126097-200208000-00006. View

10.

Teng X, Zhang Y . The effect of applied sensor contact force on pulse transit time. Physiol Meas. 2006; 27(8):675-84. DOI: 10.1088/0967-3334/27/8/002. View

11.

Steptoe A, SMULYAN H, Gribbin B . Pulse wave velocity and blood pressure change: calibration and applications. Psychophysiology. 1976; 13(5):488-93. DOI: 10.1111/j.1469-8986.1976.tb00866.x. View

12.

Sugawara J, Maeda S, Otsuki T, Tanabe T, Ajisaka R, Matsuda M . Effects of nitric oxide synthase inhibitor on decrease in peripheral arterial stiffness with acute low-intensity aerobic exercise. Am J Physiol Heart Circ Physiol. 2004; 287(6):H2666-9. DOI: 10.1152/ajpheart.00077.2004. View

13.

Teng X, Poon C, Zhang Y . Recoverability trend of blood pressure and pulse transit time after treadmill exercise. Conf Proc IEEE Eng Med Biol Soc. 2007; 2005:3510-3. DOI: 10.1109/IEMBS.2005.1617236. View

14.

Rakobowchuk M, Stuckey M, Millar P, Gurr L, MacDonald M . Effect of acute sprint interval exercise on central and peripheral artery distensibility in young healthy males. Eur J Appl Physiol. 2009; 105(5):787-95. DOI: 10.1007/s00421-008-0964-7. View

15.

White W, Anwar Y . Evaluation of the overall efficacy of the Omron office digital blood pressure HEM-907 monitor in adults. Blood Press Monit. 2001; 6(2):107-10. DOI: 10.1097/00126097-200104000-00007. View

16.

Wong Y, Zhang Y . The Effects of Exercises on the Relationship between Pulse Transit Time and Arterial Blood Pressure. Conf Proc IEEE Eng Med Biol Soc. 2007; 2005:5576-8. DOI: 10.1109/IEMBS.2005.1615748. View

17.

Park J, Lim Y, Chee Y, Kim J, Kim K, Park K . Unconstrained pulse transit time measurement system for computer users. Conf Proc IEEE Eng Med Biol Soc. 2007; 2005:3580-2. DOI: 10.1109/IEMBS.2005.1617254. View

18.

Heffernan K, Jae S, Echols G, Lepine N, Fernhall B . Arterial stiffness and wave reflection following exercise in resistance-trained men. Med Sci Sports Exerc. 2007; 39(5):842-8. DOI: 10.1249/mss.0b013e318031b03c. View

19.

Lydakis C, Momen A, Blaha C, Gugoff S, Gray K, Herr M . Changes of central haemodynamic parameters during mental stress and acute bouts of static and dynamic exercise. J Hum Hypertens. 2008; 22(5):320-8. DOI: 10.1038/jhh.2008.4. View

20.

Pollak M, OBRIST P . Aortic-radial pulse transit time and ECG Q-wave to radial pulse wave interval as indices of beat-by-beat blood pressure change. Psychophysiology. 1983; 20(1):21-8. DOI: 10.1111/j.1469-8986.1983.tb00895.x. View