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This experiment was performed to measure heart rate and blood pressure during different
conditions of rest and exercise. In a study by Mitchel et al. we see that exercise at 40% of
maximal voluntary contraction produces about a 40% increase in mean arterial pressure,
however these will be maximal static contractions for time so we can observe the relationship
between heart rate, blood pressure, and maximal static contractions (Mitchel et al.). In a study by
Singh et al. cardiovascular exercise was shown to increase heart rate, systolic blood pressure and
sometimes diastolic blood pressure during steady state treadmill tests, so we will investigate the
effects of cardiovascular exercise in the form of cycling on heart rate and blood pressure at
different intensity levels (Singh et al.).
These figures will be important for many reasons. One of the most important reasons
however is that based on these findings doctors would be able to recommend or advise against
certain protocols. For example if maximal timed static holds drastically increase systolic and
diastolic blood pressures, then a doctor can easily recommend those be avoided for those at risk
of stroke or heart attack. The same can be said for certain intensity levels of cardiovascular
exercise. Our hypothesis is that blood pressure and heart rate will decrease while laying down
and increase while standing. We also hypothesize that the static wall sit and isometric plank will
drastically increase heart rate and blood pressure to near maximal values and the dynamic
cycling will also increase these things, but not to the degree that the static holds did.
Methods
Before testing began, blood pressure measurements were practiced between two subjects.
Blood pressure was measured multiple times to ensure consistency and accuracy. After a period,
the results were then tested against an electronic blood pressure cuff to once again ensure
accuracy of the blood pressure readings. Blood pressure measurements and heart rate
measurements were then taken after the subject had been lying down for 3 minutes, sitting in a
chair after 30 seconds, and standing after 30 seconds. Another resting blood pressure and heart
rate was then taking sitting to establish a baseline. After the baseline measurement was taken, a
subject was placed into a wall sit isometric hold with a 90 degree bend in the knees, back flat
against the wall, with lower legs perpendicular to the floor. The subject held this position until
fatigue, at which point blood pressure and heart rate were measured. 45 seconds post exercise
blood pressure and heart rate were taken again. After this subjects were placed into an isometric
plank hold with heart rate and blood pressure measurements being taken at fatigue and 45
seconds post exercise.
After the plank measurements one subject was allowed to rest for 5 minutes at which
point new blood pressure and heart rate measurements were taken. A monarch cycle ergometer
was set to a workout of 50W and the subject pedaled at 65BPM. Heart rate and blood pressure
were taken during the last minute of a 3 minute stage. After 3 minutes, the workload was
increased to 100W and again the blood pressure and heart rate were measured during the last
minute of a 3 minute stage. The workload was increased to 150W and blood pressure and heart
rate were taken during the last minute of a 3 minute stage. After the 150W stage all resistance
was removed to allow the subject to cool down. Blood pressure and heart rate were measured
during the last 30 seconds of each minute for 3 minutes. After getting of the cycle the subject
rested an additional 4 minutes with heart rate and blood pressure being measured every 2
minutes.
The formulas used are listed below:
1. Pulse pressure (PP) (mmHg) = SBP (mmHg) - DBP (mmHg)
2. Mean arterial pressure (MAP) (mmHg) = DBP (mmHg) + (PP/3)
Ola
Matt
HR
SBP
DBP
PP
MAP
lying supine
72
142
76
66
98
sitting on a chair
80
146
80
66
102
standing
96
152
80
72
104
lying supine
80
138
98
40
111.3333
sitting on a chair
88
124
70
54
88
standing
88
122
78
44
92.66667
Ola
Matt
HR
SBP
DBP
PP
MAP
baseline
80
146
80
66
102
during exercise
128
196
100
96
132
116
176
80
96
112
baseline
88
124
70
54
88
during exercise
128
160
100
60
120
112
150
80
70
103.3333
HR
SBP
DBP
PP
MAP
80
146
80
66
102
98
Ola
baseline
Matt
during exercise
116
190
110
80
136.667
104
170
80
90
110
baseline
88
124
70
54
88
during exercise
120
160
90
70
113.333
112
158
78
80
104.667
HR (bpm)
SBP
DBP
PP
MAP
RPP
80
124
70
54
88
99.2
Stage 1
3 min
120
160
80
80
106.666667
192
Stage 2
3 min
140
164
80
84
108
229.6
Stage 3
3 min
173
190
90
100
123.333333
328.7
Cool Down
1 min
149
190
72
118
111.333333
283.1
1 min
134
160
70
90
100
214.4
1 min
127
150
70
80
96.6666667
190.5
2 min
107
140
74
66
96
149.8
4 min
107
128
78
50
94.6666667
136.96
Rest
Results
Although Matt had a higher HR (80bpm, 88bpm, 88 bpm) than Ola (72bpm, 80bpm,
96bpm) while lying supine and sitting on a chair his HR was higher while standing (Table 1 &
Figure1). Ola had a higher resting SBP in each condition (142mmHg, 146mmHg, 152 mmHg)
(Table 1). In each condition Ola had a greater PP than Matt (Table 1). Ola had a lesser MAP
(98mmHg compared to 111.33 mmHg) while lying supine than Matt but had a greater MAP
while sitting on a chair and standing (Table 1). During the static wall sits Ola and Matt reached
the same peak HR (128 bpm) during exercise but Matt heart showed better signs of recovery
(Table 2). Ola reached a maximum SBP during exercise of 196 mmHg while Matt reached a
maximum SBP of 160 mmHg. Although their baseline DBPs were different, their DBP during
exercise and 45 seconds after were identical (100 mmHg during exercise and 80 mmHg 45
seconds after). Olas PP was the same during exercise and 45 seconds after (96 mmHg).
During the isometric plank, Ola reached a maximum HR of 116 while Matt reached a
maximum HR of 120. Ola SBP dropped 20 points 45 seconds after exercise (190 mmHg to 170
mmHg) while Matt SBP dropped 2 points 45 seconds after exercise (160 mmHg to 158 mmHg).
Both Matt and Olas PP increased 10 points from exercise to 45 sec after exercise (Table 3). Ola
showcased a higher HR, SBP and DBP during the static wall sit compared to the isometric plank
(Table 2 & 3). Olas DBP and MAP were higher during the isometric plank. Matt reached the
same max SBP during the static wall sit and the isometric plank. Matts HR was higher during
the static wall sit. Both Matts DBP and MAP were higher during the static wall sit.
For both Ola and Matt they reached a higher HR during the static wall sit compared to the
isometric plank. We would expect to see a higher heart with an isometric exercise compared to a
dynamic, but that was not showcased with Matt (Table 2, 3 &4). Matt reached a max HR of 173
bpm during stage 3 of the dynamic exercise, which was 45 more points higher than his isometric
max HR (128 bpm). His SBP reached a peak of 190 mmHg and was able to get it very close to
his baseline SBP (124mmHg). His static wall sit produced a higher DBP (100) than his dynamic
exercise (90).
Figures:
Figure 1: Blood pressure over the duration of the dynamic exercise. Matts systolic blood
pressure (SBP) increases until the end of stage 3 and then decreases. His diastolic blood pressure
(DBP) increases until the end of stage 3 but increases from the cool down to rest. His mean
arterial pressure (MAP) follows the same trend as his SBP.
Figure #3 Heart Rate at rest while lying supine, sitting on a chair, and standing.
Matts Heart Rate increased from lying supine to sitting on a chair but stayed the same from
sitting on a chair to standing, while Olas Heart Rate continued to increase from lying supine to
standing.
Figure #4: Mean Arterial Pressure (MAP) at rest while lying supine, sitting on a chair, and
standing.
Matts MAP decreases from lying supine to sitting on a chair but increases from sitting on a chair
to standing. Olas MAP increases from lying supine to standing.
Figure 5a: The comparison of Olas rate pressure product (RPP) at different points of exercise.
Olas RPP is higher at the point of fatigue and 45 seconds after for the wall sit compared to the
isometric plank..
Figure 5b: The comparison of Matts rate pressure product (RPP) at different points of exercise.
Matts RPP during his wall sit is higher at the point of fatigue but is lower than the plank 45
seconds after exercise.
Figure 6: The comparison of cycling mean arterial pressure (MAP), cycling pulse pressure (PP),
wall sit MAP and wall sit PP during different points of exercise. Matts cycling MAP, cycling
PP, and wall sit MAP all increase during exercise and then decrease during recovery. His wall sit
PP increases from baseline to recovery.
Discussion
What we expected to see was a higher SBP, DBP, PP, MAP & RPP with the isometric
exercise. That was not what was shown with Matts results. He reached a max SBP of 190
mmHg during the dynamic exercise but only reached a max SBP of 160 mmHg during both the
static wall sit and the isometric plank. His MAP was only three points higher during his dynamic
exercise versus his static wall sit. His DBP showcased what we expect to see. His DBP reached a
max of 100 mmHg during the static wall sit which was higher than the 90 mmHg recorded
during the dynamic exercise (Table 2 & 4).
As in the experiment done by (Weippert), they researched 23 males that did voluntary
exercise in a supine position in order to eliminate the effect of gravity on cardiac response. They
kept the heart rate similar between static exercise and dynamic exercise to ensure the same work
was being produced by the heart, but what they saw was an increase in SBP, DBP, MAP and RPP
in the static exercise. This means that his arterial filling increased during the static exercise as
opposed to the dynamic, which due to the increased HR had less time for arterial filling. Lydakis
states that workload is significantly higher in static exercise than in dynamic exercise.
Some limitations me might have encountered was human error. Two different people
measured HR and BP for the two subjects. Due to multiple people taking measurements, this can
lead to error in the measurements. For instance, one subject had a 98 DBP while lying supine
but a 70 DBP sitting and a 78 DBP standing. One of the subjects also stated that he had worked
out earlier in the day and was feeling the effects of the previous workout. The subject might not
have been able to hold the wall sit and plank as long as could have if his muscles were not
hurting. This could be the cause of the static HR and SBP not being as high as the dynamic.
Also anticipating that measurements would need to be taken at the point of fatigue one might
stop the static exercise prior to actual fatigue in order for the measurements to be taken. Also
HR could be elevated more than usual due to the phenomenon known as anticipatory HR or
white coat syndrome.
In conclusion, although we did not receive the outcome we were expecting it is still
important to know that static HR is higher than dynamic HR. This is important for people with
hypertension, because if they havent worked out in a while and they start trying to do maximal
isometric exercise it puts them at risk of having a heart attack. Also another problem that is
common is when people are doing static exercise, some beginners (and even some experts) forget
to breathe. This does not only lead to respiratory problems but cardiac ones as well. With static
exercise you already have limited oxygen available and then when you hold your breath you are
almost completely exercising with no oxygen.
Questions
There was a very similar response between dynamic and static exercise in mean arterial
pressure, however the wall sit pulse pressure exhibits a rise from baseline to exercise to recovery
versus a rise from baseline to exercise then a decrease from exercise to recovery in the pulse
pressure of cycling. This could be due to a very large amount of exertion that took place during a
maximal contraction of very large muscles all over the body. Maximal exercise has different
effects on the body versus submaximal aerobic exercise.
The heart was also found to work harder in the wall sit hold versus the plank hold in both
subjects. This can be attributed to a larger amount of muscle being used in a wall sit where the
gluteals, hamstrings, and quadriceps are maximally challenged versus the abdominals and
shoulders in a plank.
References
Lydakis, C., Momen, A., Blaha, C., Gugoff, S., Gray, K., Herr, M., & ... Sinoway, L. I. (2008).
Changes of central haemodynamic parameters during mental stress and acute bouts of static and
dynamic exercise. Journal Of Human Hypertension, 22(5), 320-328. doi:10.1038/jhh.2008.4
Mitchell, J. H., et al. "Response of arterial blood pressure to static exercise in relation to muscle
mass, force development, and electromyographic activity."Circulation research 48.6 Pt 2 (1981):
I70-5.
Singh, Jagmeet P., et al. "Blood pressure response during treadmill testing as a risk factor for
new-onset hypertension the Framingham heart study." Circulation99.14 (1999): 1831-1836.
Weippert, M., Behrens, K., Rieger, A., Stoll, R., & Kreuzfeld, S. (2013). Heart Rate Variability
and Blood Pressure during Dynamic and Static Exercise at Similar Heart Rate Levels. Plos ONE,
8(12), 1.doi:10.1371/journal.pone.0083690