The elucidation of the hemodynamic characteristics in the patients following the treadmill exercises and a procedure in the oxygenhyperthermal heat chamber

Abstract

The present study was designed to compare, based on the results of evaluation using the SCORE scale, the influence of physical exercises (treadmill workouts) in the combination with a sauna bath therapeutic procedure in the multifunctional oxygen-hyperthermal heat chamber on the main hemodynamic parameters and energy generation in the patients at low risk of developing cardiovascular diseases . The study included 43 patients above 20 years of age (34 men and 9 women at the age from 24 to 63 years). They performed intense treadmill exercises followed by a sauna bath procedure in a thermal chamber (“Sybaritic, Inc.” Alfa Led Oxy Light Spa™). The patients’ performance on the treadmill was assessed based on the overall oxygen consumption or metabolic equivalent and the responsiveness to the sauna bath therapeutic procedure in the thermal chamber from the loss of calories. Initial systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and the heart rate (HR) measured prior to the treadmill exercises and the sauna bath procedure were not significantly different. The difference between maximum SAP, DAP, and HR values after treadmill exercises and those measured immediately after the sauna bath procedure acquired statistical significance (in all cases, p = 0.0001). The difference between the loss of calories during treadmill exercises and the sauna bath procedure was not significantly different (328 ± 84.5 and 296.3 ± 74.8 respectively, p < 0.19). It is concluded that, unlike the treadmill exercises, the thermal stress did not cause sharp changes of AP and HR comparable with those in response to the physical load. It means that the infrared thermal system can play as important role in the complex of health-promotion programs as physical exercises.

Keywords

treadmill exercises / sauna bath therapy / arterial pressure / the loss of calories

References

[1] Owen N., Sparling Ph.B., Healy G.N. et al. Sedentary behavior: Emerging evidence for a new health risk. J. Mayo Clin. Proc. 2010; 85 (12): 1138-41.

[2] Kesaniemi Y.A., Danforth E. Jr., Jensen M.D. et al. Dose-response issues concerning physical activity and health: an evidence-based symposium. Med. Sci. Sports Exercise. 2001; 33: 531-8.

[3] Gayda M., Paillard F., Juneau M. et al. Effects of sauna alone and postexercise sauna baths on blood pressure and hemodynamic variables in patients with untreated hypertension. J. Clin. Hypertens. 2012; 14: 553-60.

[4] Hannuksela M.L., Ellahham S. Benefits and risks of sauna bathing. Am. J. Med. 2001; 110: 118-26.

[5] Miyamoto H., Kai H., Nakaura H. et al. Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report. J. Card. Fail. 2005; 11: 432-6.

[6] ESC/EAS guidelines for the management of dyslipidaemias. Eur. Heart J. 2001; 32 (14): 1769-818.

[7] Кужель Д.А., Матюшин Г.В., Савченко Е.А., Шульман В.А. Нагрузочные пробы в кардиологии: обеспечение безопасности при проведении и интерпретация результатов: Учебное пособие для последипломного образования врачей. Красноярск: Типография КрасГМУ; 2009: 9-50.

[8] Kauppinen K. Sauna, shower, and ice water immersion. Physiological responses to brief exposures to heat, cool, and cold. Circulation. 1989; 48: 64-74.

[9] Северин Е.С., Алейникова Т.Л. и др. Биологическая химия: Учебник. М.: ООО "Медицинское информационное агентство"; 2008: 117-27.

[10] Haskell W.L., Lee I.M., Pate R.R. et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med. Sci. Sports Exercise. 2007; 39: 1423-34.

[11] Тавровская Т.В. Велоэргометрия: Практическое пособие для врачей. СПб.; 2007: 4-9.

[12] Braunwald`s Heart Disease: A Textbook of Cardiovascular Medicine/ Eds D.P. Zipes et al. 7-th ed. Philadelphia; 2005.

[13] Gibbons R.J. et al. ACC/AHA 2002 Guideline Update for Exercise Testing-Full Text. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Excercise Testing Guidelines). Circulation. 2002; 106: 1883-92.

[14] Fletcher G.F., Balady G., Froelicher V.F. et al. Exercise standards: a statement for healthcare professionals from the American Heart Association Writing Group. Special report. Circulation. 1995; 91: 580-615.

[15] Липовецкий Б.М. Толерантность к физической нагрузке как метод выявления ишемической болезни сердца. В кн.: Липовецкий Б.М., Шальнова С.А. Эпидемиология и факторы риска ишемической болезни сердца / Под ред. А.Н. Климова. Л.; 1989; гл. 7.

[16] Kukkonen-Harjula K., Kauppinen K. Health effects and risks of sauna bathing. Int. J. Circumpolar. Hlth. 2006; 65: 195-205.

[17] Giannetti N., Juneau M., Arsenault A. et al. Sauna-induced myocardial ischemia in patients with coronary artery disease. Am. J. Med. 1999; 107: 228-33.

[18] Kukkonen-Harjula K., Oja P., Laustiola K. et al. Haemodynamic and hormonal responses to heat exposure in a Finnish sauna bath. Eur. J. Appl. Physiol. 1989; 58: 543-50.

[19] Imamura M., Biro S., Kihara T. et al. Repeated thermal therapy improves impaired vascular endothelial function in patients with coronary risk factors. J. Am. Coll. Cardiol. 2001; 38: 1083-8.

[20] Kihara T., Biro S., Imamura M. et al. Repeated sauna treatment improves vascular endothelial and cardiac function in patients with chronic heart failure. J. Am. Coll. Cardiol. 2002; 39: 754-9.

[21] Гайтон А., Холл Дж. Медицинская физиология: Учебник. М.: Логосфера; 2008: 900-14.

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