Skip to main content
Top
Published in: European Journal of Applied Physiology 8/2015

01-08-2015 | Original Article

Impact of handgrip exercise intensity on brachial artery flow-mediated dilation

Authors: Ceri L. Atkinson, Howard H. Carter, Ellen A. Dawson, Louise H. Naylor, Dick H. J. Thijssen, Daniel J. Green

Published in: European Journal of Applied Physiology | Issue 8/2015

Login to get access

Abstract

Purpose

Previous studies that have examined the impact of exercise intensity on conduit artery endothelial function have involved large muscle group exercise which induces local and systemic effects. The aim of this study was to examine flow-mediated dilation (FMD) before and after incremental intensities of handgrip exercise (HE), to assess the role of local factors such as blood flow and shear rate on post-exercise brachial artery function.

Methods

Eleven healthy men attended the laboratory on three occasions. Subjects undertook 30 min of handgrip exercise at three intensities (5, 10 or 15 % MVC). Brachial artery FMD, shear and blood flow patterns were examined before, immediately after and 60 min post exercise.

Results

Handgrip exercise increased mean and antegrade shear rate (SR) and blood flow (BF) and reduced retrograde SR and BF (all P < 0.01). Exercise intensity was associated with a dose-dependent increase in both mean and antegrade BF and SR (interaction, P < 0.01). Post-hoc tests revealed that, whilst handgrip exercise did not immediately induce post-exercise changes, FMD was significantly higher 60 min post-exercise following the highest exercise intensity (5.9 ± 2.8–10.4 ± 5.8 %, P = 0.01).

Conclusions

Handgrip exercise leads to intensity-and time-dependent changes in conduit artery function, possibly mediated by local increases in shear, with improvement in function evident at 1 h post-exercise when performed at a higher intensity.
Literature
go back to reference Atkinson G, Batterham AM, Thijssen DH, Green DJ (2013) A new approach to improve the specificity of flow-mediated dilation for indicating endothelial function in cardiovascular research. J Hypertens 31:287–291PubMedCrossRef Atkinson G, Batterham AM, Thijssen DH, Green DJ (2013) A new approach to improve the specificity of flow-mediated dilation for indicating endothelial function in cardiovascular research. J Hypertens 31:287–291PubMedCrossRef
go back to reference Birk GK, Dawson EA, Batterham AM, Atkinson G, Cable T, Thijssen DH, Green DJ (2013) Effects of exercise intensity on flow mediated dilation in healthy humans. Int J Sports Med 34:409–414PubMed Birk GK, Dawson EA, Batterham AM, Atkinson G, Cable T, Thijssen DH, Green DJ (2013) Effects of exercise intensity on flow mediated dilation in healthy humans. Int J Sports Med 34:409–414PubMed
go back to reference Chappell DC, Varner SE, Nerem RM, Medford RM, Alexander RW (1998) Oscillatory shear stress stimulates adhesion molecule expression in cultured human endothelium. Circ Res 82:532–539PubMedCrossRef Chappell DC, Varner SE, Nerem RM, Medford RM, Alexander RW (1998) Oscillatory shear stress stimulates adhesion molecule expression in cultured human endothelium. Circ Res 82:532–539PubMedCrossRef
go back to reference Corretti MC et al (2002) Guidelines for the ultrasound assessment of flow-mediated vasodilation of the brachial artery. J Am Coll Cardiol 39:257–265PubMedCrossRef Corretti MC et al (2002) Guidelines for the ultrasound assessment of flow-mediated vasodilation of the brachial artery. J Am Coll Cardiol 39:257–265PubMedCrossRef
go back to reference Dawson EA et al (2008) Changes in vascular and cardiac function after prolonged strenuous exercise in humans. J Appl Physiol 105:1562–1568PubMedCrossRef Dawson EA et al (2008) Changes in vascular and cardiac function after prolonged strenuous exercise in humans. J Appl Physiol 105:1562–1568PubMedCrossRef
go back to reference Dawson EA, Green DJ, Cable NT, Thijssen DH (2013) Effects of acute exercise on flow mediated dilatation (FMD) in healthy humans. J Appl Physiol 115:1589–1598PubMedCrossRef Dawson EA, Green DJ, Cable NT, Thijssen DH (2013) Effects of acute exercise on flow mediated dilatation (FMD) in healthy humans. J Appl Physiol 115:1589–1598PubMedCrossRef
go back to reference Gocke N, Keaney JF, Hunter LM, Watkins MT, Nedelijkovic ZS, Menzoian JO, Vita JA (2003) Predictive value of non-invasively determined endothelial dysfunction for long-term cardiovascular events in patients with peripheral vascular disease J. Am J Cardiol 41:1769–1775CrossRef Gocke N, Keaney JF, Hunter LM, Watkins MT, Nedelijkovic ZS, Menzoian JO, Vita JA (2003) Predictive value of non-invasively determined endothelial dysfunction for long-term cardiovascular events in patients with peripheral vascular disease J. Am J Cardiol 41:1769–1775CrossRef
go back to reference Goel R et al (2007) Exercise-induced hypertension, endothelial dysfunction, and coronary artery disease in a marathon runner. Am J Cardiol 99:743–744PubMedCrossRef Goel R et al (2007) Exercise-induced hypertension, endothelial dysfunction, and coronary artery disease in a marathon runner. Am J Cardiol 99:743–744PubMedCrossRef
go back to reference Gonzales JU, Thompson BC, Thistlethwaite JR, Scheuermann BW (2011) Association between exercise hemodynamics and changes in local vascular function following acute exercise. Appl Physiol Nutr Metabol Physiologie appliquee nutrition et metabolisme 36:137–144. doi:10.1139/H10-097 CrossRef Gonzales JU, Thompson BC, Thistlethwaite JR, Scheuermann BW (2011) Association between exercise hemodynamics and changes in local vascular function following acute exercise. Appl Physiol Nutr Metabol Physiologie appliquee nutrition et metabolisme 36:137–144. doi:10.​1139/​H10-097 CrossRef
go back to reference Goto C et al (2003) Effect of different intensities of exercise on endothelium-dependent vasodilation in humans. Role of endothelium-dependent nitric oxide and oxidative stress. Circulation 108:530–535PubMedCrossRef Goto C et al (2003) Effect of different intensities of exercise on endothelium-dependent vasodilation in humans. Role of endothelium-dependent nitric oxide and oxidative stress. Circulation 108:530–535PubMedCrossRef
go back to reference Green DJ (2009) Exercise training as vascular medicine: direct impacts on the vasculature in humans. Exerc Sport Sci Rev 37:196–202PubMed Green DJ (2009) Exercise training as vascular medicine: direct impacts on the vasculature in humans. Exerc Sport Sci Rev 37:196–202PubMed
go back to reference Green DJ, Cheetham C, Reed C, Dembo L, O’Driscoll G (2002) Assessment of brachial artery blood flow across the cardiac cycle: retrograde flows during lower limb exercise. J Appl Physiol 93:361–368PubMedCrossRef Green DJ, Cheetham C, Reed C, Dembo L, O’Driscoll G (2002) Assessment of brachial artery blood flow across the cardiac cycle: retrograde flows during lower limb exercise. J Appl Physiol 93:361–368PubMedCrossRef
go back to reference Green DJ, Bilsborough W, Naylor LH, Reed C, Wright J, O’Driscoll G, Walsh JH (2005) Comparison of forearm blood flow responses to incremental handgrip and cycle ergometer exercise: relative contribution of nitric oxide. J Physiol 562:617–628PubMedCentralPubMedCrossRef Green DJ, Bilsborough W, Naylor LH, Reed C, Wright J, O’Driscoll G, Walsh JH (2005) Comparison of forearm blood flow responses to incremental handgrip and cycle ergometer exercise: relative contribution of nitric oxide. J Physiol 562:617–628PubMedCentralPubMedCrossRef
go back to reference Green DJ, O’Driscoll G, Joyner MJ, Cable NT (2008) Exercise and cardiovascular risk reduction: time to update the rationale for exercise? J Appl Physiol 105:766–768PubMedCentralPubMedCrossRef Green DJ, O’Driscoll G, Joyner MJ, Cable NT (2008) Exercise and cardiovascular risk reduction: time to update the rationale for exercise? J Appl Physiol 105:766–768PubMedCentralPubMedCrossRef
go back to reference Green DJ, Dawson EA, Groenewoud HM, Jones H, Thijssen DH (2014) Is flow-mediated dilation nitric oxide mediated?: a meta-analysis. Hypertension 63:376–382PubMedCrossRef Green DJ, Dawson EA, Groenewoud HM, Jones H, Thijssen DH (2014) Is flow-mediated dilation nitric oxide mediated?: a meta-analysis. Hypertension 63:376–382PubMedCrossRef
go back to reference Hambrecht R et al (2003) Regular physical activity improves endothelial function in patients with coronary artery disease by increasing phosphorylation of endothelial nitric oxide synthase. Circulation 107:3152–3158PubMedCrossRef Hambrecht R et al (2003) Regular physical activity improves endothelial function in patients with coronary artery disease by increasing phosphorylation of endothelial nitric oxide synthase. Circulation 107:3152–3158PubMedCrossRef
go back to reference Harvey PJ, Picton PE, Su WS, Morris BL, Notarius CF, Floras JS (2005) Exercise as an alternative to oral estrogen for amelioration of endothelial dysfunction in postmenopausal women. Am Heart J 149:291–297PubMedCrossRef Harvey PJ, Picton PE, Su WS, Morris BL, Notarius CF, Floras JS (2005) Exercise as an alternative to oral estrogen for amelioration of endothelial dysfunction in postmenopausal women. Am Heart J 149:291–297PubMedCrossRef
go back to reference Himburg HA, Dowd SE, Friedman MH (2007) Frequency-dependent response of the vascular endothelium to pulsatile shear stress. Am J Physiol Heart Circ Physiol 293:645–653CrossRef Himburg HA, Dowd SE, Friedman MH (2007) Frequency-dependent response of the vascular endothelium to pulsatile shear stress. Am J Physiol Heart Circ Physiol 293:645–653CrossRef
go back to reference Hwang J et al (2003) Pulsatile versus oscillatory shear stress regulates NADPH oxidase subunit expression: implication for native LDL oxidation. Circ Res 93:1225–1232PubMedCentralPubMedCrossRef Hwang J et al (2003) Pulsatile versus oscillatory shear stress regulates NADPH oxidase subunit expression: implication for native LDL oxidation. Circ Res 93:1225–1232PubMedCentralPubMedCrossRef
go back to reference Johnson BD, Padilla J, Wallace JP (2012) The exercise dose affects oxidative stress and brachial artery flow-mediated dilation in trained men. Eur J Appl Physiol 112:33–42PubMedCrossRef Johnson BD, Padilla J, Wallace JP (2012) The exercise dose affects oxidative stress and brachial artery flow-mediated dilation in trained men. Eur J Appl Physiol 112:33–42PubMedCrossRef
go back to reference Jones H, Green DJ, George K, Atkinson G (2010) Intermittent exercise abolishes the diurnal variation in endothelial-dependent flow-mediated dilation in humans. Am J Physiol Regul Intergr Comp Physiol 298:427–432CrossRef Jones H, Green DJ, George K, Atkinson G (2010) Intermittent exercise abolishes the diurnal variation in endothelial-dependent flow-mediated dilation in humans. Am J Physiol Regul Intergr Comp Physiol 298:427–432CrossRef
go back to reference Laughlin MH, McAllister RM (1992) Exercise training-induced coronary vascular adaptation. J Appl Physiol 73:2209–2225PubMed Laughlin MH, McAllister RM (1992) Exercise training-induced coronary vascular adaptation. J Appl Physiol 73:2209–2225PubMed
go back to reference Laughlin MH, Newcomer SC, Bender SB (2008) Importance of hemodynamic forces as signals for exercise-induced changes in endothelial cell phenotype. J Appl Physiol 104:588–600PubMedCentralPubMedCrossRef Laughlin MH, Newcomer SC, Bender SB (2008) Importance of hemodynamic forces as signals for exercise-induced changes in endothelial cell phenotype. J Appl Physiol 104:588–600PubMedCentralPubMedCrossRef
go back to reference Llewellyn TL, Chaffin ME, Berg KE, Meendering JR (2012) The relationship between shear rate and flow-mediated dilation is altered by acute exercise. Acta Physiol 205:394–402CrossRef Llewellyn TL, Chaffin ME, Berg KE, Meendering JR (2012) The relationship between shear rate and flow-mediated dilation is altered by acute exercise. Acta Physiol 205:394–402CrossRef
go back to reference Padilla J, Harris R, Fly A, Rink L, Wallace J (2006) The effect of acute exercise on endothelial function following a high-fat meal. Eur J Appl Physiol 98:256–262PubMedCrossRef Padilla J, Harris R, Fly A, Rink L, Wallace J (2006) The effect of acute exercise on endothelial function following a high-fat meal. Eur J Appl Physiol 98:256–262PubMedCrossRef
go back to reference Padilla J, Harris RA, Wallace JP (2007) Can the measurement of brachial artery flow-mediated dilation be applied to the acute exercise model? Cardiovasc Ultrasound 5:45PubMedCentralPubMedCrossRef Padilla J, Harris RA, Wallace JP (2007) Can the measurement of brachial artery flow-mediated dilation be applied to the acute exercise model? Cardiovasc Ultrasound 5:45PubMedCentralPubMedCrossRef
go back to reference Padilla J, Simmons GH, Vianna LC, Davis MJ, Laughlin MH, Fadel PJ (2011) Brachial artery vasodilatation during prolonged lower limb exercise: role of shear rate. Exp Physiol 96:1019–1027PubMedCentralPubMedCrossRef Padilla J, Simmons GH, Vianna LC, Davis MJ, Laughlin MH, Fadel PJ (2011) Brachial artery vasodilatation during prolonged lower limb exercise: role of shear rate. Exp Physiol 96:1019–1027PubMedCentralPubMedCrossRef
go back to reference Rognmo O et al (2008) Endothelial function in highly endurance-trained men: effects of acute exercise. J Strength Cond Res 22:535–542PubMedCrossRef Rognmo O et al (2008) Endothelial function in highly endurance-trained men: effects of acute exercise. J Strength Cond Res 22:535–542PubMedCrossRef
go back to reference Schreuder TH, Green DJ, Hopman MT, Thijssen DH (2014) Acute impact of retrograde shear rate on brachial and superficial femoral artery flow-mediated dilation in humans. Physiol Rep 2:e00193PubMedCentralPubMedCrossRef Schreuder TH, Green DJ, Hopman MT, Thijssen DH (2014) Acute impact of retrograde shear rate on brachial and superficial femoral artery flow-mediated dilation in humans. Physiol Rep 2:e00193PubMedCentralPubMedCrossRef
go back to reference Takase B et al (1998) Endothelium-dependent flow-mediated vasodilation in coronary and brachial arteries in suspected coronary artery disease. Am J Cardiol 82:1535–1539PubMedCrossRef Takase B et al (1998) Endothelium-dependent flow-mediated vasodilation in coronary and brachial arteries in suspected coronary artery disease. Am J Cardiol 82:1535–1539PubMedCrossRef
go back to reference Thijssen DHJ et al (2008) The impact of baseline diameter on flow mediated dilation (FMD) differs in young and older humans. Am J Physiol Heart Circ Physiol 295:1594–1598CrossRef Thijssen DHJ et al (2008) The impact of baseline diameter on flow mediated dilation (FMD) differs in young and older humans. Am J Physiol Heart Circ Physiol 295:1594–1598CrossRef
go back to reference Thijssen DHJ et al (2009a) Does arterial shear explain the magnitude of flow-mediated dilation?: a comparison between young and older humans. Am J Physiol Heart Circ Physiol 296:57–64CrossRef Thijssen DHJ et al (2009a) Does arterial shear explain the magnitude of flow-mediated dilation?: a comparison between young and older humans. Am J Physiol Heart Circ Physiol 296:57–64CrossRef
go back to reference Thijssen DHJ, Dawson EA, Black MA, Hopman MTE, Cable NT, Green DJ (2009b) Brachial artery blood flow responses to different modalities of lower limb exercise. Med Sci Sports Exerc 41:1072–1079PubMedCrossRef Thijssen DHJ, Dawson EA, Black MA, Hopman MTE, Cable NT, Green DJ (2009b) Brachial artery blood flow responses to different modalities of lower limb exercise. Med Sci Sports Exerc 41:1072–1079PubMedCrossRef
go back to reference Thijssen DHJ, Dawson EA, Tinken TM, Cable NT, Green DJ (2009c) Retrograde flow and shear rate acutely impair endothelial function in humans. Hypertension 53:986–992PubMedCrossRef Thijssen DHJ, Dawson EA, Tinken TM, Cable NT, Green DJ (2009c) Retrograde flow and shear rate acutely impair endothelial function in humans. Hypertension 53:986–992PubMedCrossRef
go back to reference Thijssen DHJ et al (2011) Assessment of flow mediated dilation (FMD) in humans: a methodological and physiological guideline. Am J Physiol Heart Circ Physiol 300:2–12CrossRef Thijssen DHJ et al (2011) Assessment of flow mediated dilation (FMD) in humans: a methodological and physiological guideline. Am J Physiol Heart Circ Physiol 300:2–12CrossRef
go back to reference Tyldum GA, Schjerve IE, Tjonna AE, Kirkeby-Garstad I, Stolen TO, Richardson RS, Wisloff U (2009) Endothelial dysfunction induced by post-prandial lipemia: complete protection afforded by high-intensity aerobic interval exercise. J Am Coll Cardiol 53:200–206PubMedCentralPubMedCrossRef Tyldum GA, Schjerve IE, Tjonna AE, Kirkeby-Garstad I, Stolen TO, Richardson RS, Wisloff U (2009) Endothelial dysfunction induced by post-prandial lipemia: complete protection afforded by high-intensity aerobic interval exercise. J Am Coll Cardiol 53:200–206PubMedCentralPubMedCrossRef
go back to reference Williams MRI, Westerman RA, Kingwell BA, Paige J, Blombery PA, Sudhir K, Komesaroff PA (2001) Variations in endothelial function and arterial compliance during the menstrual cycle. J Clin Endocrinol Metab 86:5389–5395PubMedCrossRef Williams MRI, Westerman RA, Kingwell BA, Paige J, Blombery PA, Sudhir K, Komesaroff PA (2001) Variations in endothelial function and arterial compliance during the menstrual cycle. J Clin Endocrinol Metab 86:5389–5395PubMedCrossRef
go back to reference Woodman RJ et al (2001) Improved analysis of brachial artery ultrasound using a novel edge-detection software system. J Appl Physiol 91:929–937PubMed Woodman RJ et al (2001) Improved analysis of brachial artery ultrasound using a novel edge-detection software system. J Appl Physiol 91:929–937PubMed
go back to reference Zhu W, Zeng J, Yin J, Zhang F, Wu H, Yan S, Wang S (2010) Both flow-mediated vasodilation procedures and acute exercise improve endothelial function in obese young men. Eur J Appl Physiol 108:727–732PubMedCrossRef Zhu W, Zeng J, Yin J, Zhang F, Wu H, Yan S, Wang S (2010) Both flow-mediated vasodilation procedures and acute exercise improve endothelial function in obese young men. Eur J Appl Physiol 108:727–732PubMedCrossRef
Metadata
Title
Impact of handgrip exercise intensity on brachial artery flow-mediated dilation
Authors
Ceri L. Atkinson
Howard H. Carter
Ellen A. Dawson
Louise H. Naylor
Dick H. J. Thijssen
Daniel J. Green
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Applied Physiology / Issue 8/2015
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-015-3157-1

Other articles of this Issue 8/2015

European Journal of Applied Physiology 8/2015 Go to the issue