A single session of aerobic exercise reduces systolic blood pressure at rest and in response to stress in women with rheumatoid arthritis and hypertension

Rheumatoid arthritis (RA) is an autoimmune inflammatory disease characterized by increased risk of cardiovascular disease and hypertension (HT). A single session of aerobic exercise may reduce blood pressure (BP) in different clinical groups; however, little is known about the acute effects of exercise on BP in RA patients. This is a randomized controlled crossover study that assessed the effects of a single session of aerobic exercise on resting BP, on BP responses to stressful stimuli, and on 24-h BP in women with RA and HT. Twenty women with RA and HT (53 ± 10 years) undertook sessions of 30-min treadmill exercise (50% VO2max) or control (no exercise) in a crossover fashion. Before and after the sessions, BP was measured at rest, and in response to the Stroop-Color Word Test (SCWT), the Cold Pressor Test (CPT), and an isometric handgrip test. After the sessions, participants were also fitted with an ambulatory BP monitor for the assessment of 24-h BP. A single session of exercise reduced resting systolic BP (SBP) (-5 ± 9 mmHg; p < 0.05), and reduced SBP response to the SCWT (-7 ± 14 mmHg; p < 0.05), and to the CPT (-5 ± 11 mmHg; p < 0.05). Exercise did not reduce resting diastolic BP (DBP), BP responses to the isometric handgrip test or 24-h BP. In conclusion, a single session of aerobic exercise reduced SBP at rest and in response to stressful stimuli in hypertensive women with RA. These results support the use of exercise as a strategy for controlling HT and, hence, reducing cardiovascular risk in women with RA.Clinical Trial Registration: This study registered at the Brazilian Clinical Trials ( https://ensaiosclinicos.gov.br/rg/RBR-867k9g ) at 12/13/2019

Unsupervised walking prescription, cardiovascular risk and physical fitness

OBJETIVO: Avaliar, numa situação real de atuação prática, o efeito da prescrição individualizada de caminhada sem supervisão da prática sobre o risco cardiovascular e a aptidão física de usuários de um parque público. MÉTODOS: 186 sujeitos (62 ± 10 anos) foram orientados a caminhar pelo menos 3x/sem, por 30 min, com intensidade de 50 a 80% da frequência cardíaca de reserva e a fazer alongamentos antes e após a caminhada. A aptidão física e os fatores de risco cardiovascular foram avaliados pré e pós-intervenção. A análise dos dados foi dividida em duas fases: 1) análise na amostra total; 2) análise nos indivíduos com fatores de risco alterados. Os dados foram comparados pelo teste t pareado. RESULTADOS: Na amostra total, a aptidão física melhorou nos testes de marcha estacionária (+8,1 ± 14,5 passos, p < 0,05), impulsão vertical (+0,5 ± 2,7 cm, p < 0,05), flexibilidade lombar (+1,1 ± 4,7 cm, p < 0,05) e flexibilidade de ombro (+1,2 ± 2,1 cm, p < 0,05). Não ocorreram alterações nos fatores de risco cardiovascular, com exceção da redução da pressão arterial diastólica (-0,9 ± 6,0 mmHg, p < 0,05). Entretanto, nos subgrupos com fatores alterados, observou-se reduções significantes das pressões arteriais sistólica e diastólica (-13,3 ± 16,9 e -5,8 ± 8,3 mmHg, p < 0,05, respectivamente) nos hipertensos, da colesterolemia total (-19,5 ± 33,5 mg/dl, p < 0,05) nos hipercolesterolêmicos e da circunferência da cintura (-1,0 ± 4,7 cm, p < 0,05) e do índice cintura-quadril (-0,01 ± 0,04, p < 0,05) nos com obesidade central. CONCLUSÃO: Numa situação real de atuação, a prescrição de caminhada sem supervisão da prática foi efetiva em melhorar a aptidão física da amostra geral e em diminuir o risco cardiovascular específico dos indivíduos com fatores de risco.OBJECTIVE: To evaluate, at a real practical condition, the effects of individualized prescription of walking without supervision of practice on cardiovascular risk and fitness in users of a public park. METHODS: One hundred, eighty six subjects (62 ± 10 years) were instructed to walk at least 3 times/week, during 30min, at an intensity of 50-80% of heart rate reserve and encouraged to realize stretching exercises before and after walking. Physical fitness and cardiovascular risk factors were evaluated pre and post-intervention. Data analyze was divided in 2 phases: 1) role sample analysis; and 2) analysis on subjects with altered cardiovascular risk factors. Data were compared by paired t test. RESULTS: Considering the whole sample, physical fitness improved in the following tests: stationary gate (8.1 ± 14.5 paces, p < 0.05), vertical jump (0.5 ± 2.7 cm, p < 0.05), lumbar flexibility (1.1 ± 4.7 cm, p < 0.05) and shoulder flexibility (1.2 ± 2.1 cm, p < 0.05). No significant change was observed in cardiovascular risk factors, excepted by a reduction on diastolic blood pressure (-0.9 ± 6.0 mmHg, p < 0.05). On the other hand, considering the subjects with altered cardiovascular risk factors, a significant reduction was observed on systolic and diastolic blood pressures (-13.3 ± 16.9 and -5.8 ± 8.3 mmHg, p < 0.05, respectively) in hypertensive subjects, on total cholesterol (-19.5 ± 33.5 mg/dl, p < 0.05) in hypercholesterolemic subjects, and on waist circumference (-1.0 ± 4.7 cm, p < 0.05) and waist-hip index (0.01 ± 0.04, p < 0.05) in subjects with central obesity. CONCLUSION: Under real practical circumstances, the prescription of unsupervised walking was effective in improving physical fitness in general sample and in reducing the specific cardiovascular risk in subjects who have altered cardiovascular risk factors

Reproducibility of heart rate recovery in patients with intermittent claudication

BACKGROUND: Postexercise heart rate recovery (HRR) is a non-invasive tool for cardiac autonomic function assessment. Reproducibility of HRR has been established in healthy subjects; however, no study has evaluated this reproducibility in clinical populations who may present autonomic dysfunction. Patients with peripheral artery disease and intermittent claudication (IC) often present altered cardiac autonomic function and HRR could be an interesting tool for evaluating autonomic responses to interventions in this population. Therefore, the reproducibility of HRR should be determined in this specific population. OBJECTIVE: To determine the reproducibility of HRR indices in patients with IC. METHODS: Nineteen men with IC underwent two repeated maximal treadmill tests. Raw HR and relative HRR (difference to exercise peak) indices measured at 30, 60, 120, 180, 240 and 300s of recovery were evaluated. The presence of systematic bias was assessed by comparing test and retest mean values via paired t-test. Reliability was assessed by intraclass correlation coefficient (ICC), and agreement by typical error (TE), coefficient of variation (CV) and minimal detectable difference (MDD). RESULTS: There were no significant differences between the test and retest values of all raw HR and relative HRR indices (P ≥ 0·05), except for HR120s (P = 0·032). All indices exhibited excellent reliability (ICC ≥ 0·78). Raw HR and relative HRR indices showed TEs ≤ 6·4 bpm and MDDs ≤ 17·8 bpm. In addition, all indices showed CVs ≤ 13·2%, except HRR30s (CV = 45·6%). CONCLUSIONS: The current results demonstrated that most HRR indices were highly reproducible with no systematic error, excellent reliability and good agreement in patients with IC following maximal graded exercise

Prescrição de caminhada não supervisionada, risco cardiovascular e aptidão física

OBJETIVO: Avaliar, numa situação real de atuação prática, o efeito da prescrição individualizada de caminhada sem supervisão da prática sobre o risco cardiovascular e a aptidão física de usuários de um parque público. MÉTODOS: 186 sujeitos (62 ± 10 anos) foram orientados a caminhar pelo menos 3x/sem, por 30 min, com intensidade de 50 a 80% da frequência cardíaca de reserva e a fazer alongamentos antes e após a caminhada. A aptidão física e os fatores de risco cardiovascular foram avaliados pré e pós-intervenção. A análise dos dados foi dividida em duas fases: 1) análise na amostra total; 2) análise nos indivíduos com fatores de risco alterados. Os dados foram comparados pelo teste t pareado. RESULTADOS: Na amostra total, a aptidão física melhorou nos testes de marcha estacionária (+8,1 ± 14,5 passos, p < 0,05), impulsão vertical (+0,5 ± 2,7 cm, p < 0,05), flexibilidade lombar (+1,1 ± 4,7 cm, p < 0,05) e flexibilidade de ombro (+1,2 ± 2,1 cm, p < 0,05). Não ocorreram alterações nos fatores de risco cardiovascular, com exceção da redução da pressão arterial diastólica (-0,9 ± 6,0 mmHg, p < 0,05). Entretanto, nos subgrupos com fatores alterados, observou-se reduções significantes das pressões arteriais sistólica e diastólica (-13,3 ± 16,9 e -5,8 ± 8,3 mmHg, p < 0,05, respectivamente) nos hipertensos, da colesterolemia total (-19,5 ± 33,5 mg/dl, p < 0,05) nos hipercolesterolêmicos e da circunferência da cintura (-1,0 ± 4,7 cm, p < 0,05) e do índice cintura-quadril (-0,01 ± 0,04, p < 0,05) nos com obesidade central. CONCLUSÃO: Numa situação real de atuação, a prescrição de caminhada sem supervisão da prática foi efetiva em melhorar a aptidão física da amostra geral e em diminuir o risco cardiovascular específico dos indivíduos com fatores de risco

Multiplicity dependence of light (anti-)nuclei production in p–Pb collisions at sNN=5.02 TeV

The measurement of the deuteron and anti-deuteron production in the rapidity range −1 < y < 0 as a function of transverse momentum and event multiplicity in p–Pb collisions at √sNN = 5.02 TeV is presented. (Anti-)deuterons are identified via their specific energy loss dE/dx and via their time-of- flight. Their production in p–Pb collisions is compared to pp and Pb–Pb collisions and is discussed within the context of thermal and coalescence models. The ratio of integrated yields of deuterons to protons (d/p) shows a significant increase as a function of the charged-particle multiplicity of the event starting from values similar to those observed in pp collisions at low multiplicities and approaching those observed in Pb–Pb collisions at high multiplicities. The mean transverse particle momenta are extracted from the deuteron spectra and the values are similar to those obtained for p and particles. Thus, deuteron spectra do not follow mass ordering. This behaviour is in contrast to the trend observed for non-composite particles in p–Pb collisions. In addition, the production of the rare 3He and 3He nuclei has been studied. The spectrum corresponding to all non-single diffractive p-Pb collisions is obtained in the rapidity window −1 < y < 0 and the pT-integrated yield dN/dy is extracted. It is found that the yields of protons, deuterons, and 3He, normalised by the spin degeneracy factor, follow an exponential decrease with mass number

Production of charged pions, kaons, and (anti-)protons in Pb-Pb and inelastic pppp collisions at sNN\sqrt {s_{NN}} = 5.02 TeV

International audienceMid-rapidity production of $\pi^{\pm}$, $\rm{K}^{\pm}$ and ($\bar{\rm{p}}$)p measured by the ALICE experiment at the LHC, in Pb-Pb and inelastic pp collisions at $\sqrt{s_{\rm{NN}}}$ = 5.02 TeV, is presented. The invariant yields are measured over a wide transverse momentum ($p_{\rm{T}}$) range from hundreds of MeV/$c$ up to 20 GeV/$c$. The results in Pb-Pb collisions are presented as a function of the collision centrality, in the range 0$-$90%. The comparison of the $p_{\rm{T}}$-integrated particle ratios, i.e. proton-to-pion (p/$\pi$) and kaon-to-pion (K/$\pi$) ratios, with similar measurements in Pb-Pb collisions at $\sqrt{s_{\rm{NN}}}$ = 2.76 TeV show no significant energy dependence. Blast-wave fits of the $p_{\rm{T}}$ spectra indicate that in the most central collisions radial flow is slightly larger at 5.02 TeV with respect to 2.76 TeV. Particle ratios (p/$\pi$, K/$\pi$) as a function of $p_{\rm{T}}$ show pronounced maxima at $p_{\rm{T}}$ $\approx$ 3 GeV/$c$ in central Pb-Pb collisions. At high $p_{\rm{T}}$, particle ratios at 5.02 TeV are similar to those measured in pp collisions at the same energy and in Pb-Pb collisions at $\sqrt{s_{\rm{NN}}}$ = 2.76 TeV. Using the pp reference spectra measured at the same collision energy of 5.02 TeV, the nuclear modification factors for the different particle species are derived. Within uncertainties, the nuclear modification factor is particle species independent for high $p_{\rm{T}}$ and compatible with measurements at $\sqrt{s_{\rm{NN}}}$ = 2.76 TeV. The results are compared to state-of-the-art model calculations, which are found to describe the observed trends satisfactorily

Multiplicity dependence of (multi-)strange hadron production in proton-proton collisions at s\sqrt{s} = 13 TeV

The production rates and the transverse momentum distribution of strange hadrons at mid-rapidity ($\left| y\right| < 0.5$) are measured in proton-proton collisions at $\sqrt{s}$ = 13 TeV as a function of the charged particle multiplicity, using the ALICE detector at the LHC. The production rates of $\mathrm{K}^{0}_{S}$, $\Lambda$, $\Xi$, and $\Omega$ increase with the multiplicity faster than what is reported for inclusive charged particles. The increase is found to be more pronounced for hadrons with a larger strangeness content. Possible auto-correlations between the charged particles and the strange hadrons are evaluated by measuring the event-activity with charged particle multiplicity estimators covering different pseudorapidity regions. When comparing to lower energy results, the yields of strange hadrons are found to depend only on the mid-rapidity charged particle multiplicity. Several features of the data are reproduced qualitatively by general purpose QCD Monte Carlo models that take into account the effect of densely-packed QCD strings in high multiplicity collisions. However, none of the tested models reproduce the data quantitatively. This work corroborates and extends the ALICE findings on strangeness production in proton-proton collisions at 7 TeV

Measurement of prompt D0^{0}, D+^{+}, D∗+^{*+}, and DS+ {\mathrm{D}}_{\mathrm{S}}^{+} production in p–Pb collisions at sNN \sqrt{{\mathrm{s}}_{\mathrm{NN}}} = 5.02 TeV

International audienceThe measurement of the production of prompt D$^{0}$, D$^{+}$, D$^{*+}$, and ${\mathrm{D}}_{\mathrm{S}}^{+}$ mesons in proton–lead (p–Pb) collisions at the centre-of-mass energy per nucleon pair of $\sqrt{s_{\mathrm{NN}}}$ = 5.02 TeV, with an integrated luminosity of 292 ± 11 μb$^{−1}$, are reported. Differential production cross sections are measured at mid-rapidity (−0.96 < y$_{cms}$< 0.04) as a function of transverse momentum (p$_{T}$) in the intervals 0 < p$_{T}$< 36 GeV/c for D$^{0}$, 1 < p$_{T}$< 36 GeV/c for D$^{+}$ and D$^{*+}$, and 2 < p$_{T}$< 24 GeV/c for D$^{+}$ mesons. For each species, the nuclear modification factor R$_{pPb}$ is calculated as a function of p$_{T}$ using a proton-proton (pp) ref- erence measured at the same collision energy. The results are compatible with unity in the whole p$_{T}$ range. The average of the non-strange D mesons R$_{pPb}$ is compared with theoretical model predictions that include initial-state effects and parton transport model predictions. The p$_{T}$ dependence of the D$^{0}$, D$^{+}$, and D$^{*+}$ nuclear modification factors is also reported in the interval 1 < p$_{T}$< 36 GeV/c as a function of the collision centrality, and the central-to-peripheral ratios are computed from the D-meson yields measured in different centrality classes. The results are further compared with charged-particle measurements and a similar trend is observed in all the centrality classes. The ratios of the p$_{T}$-differential cross sections of D$^{0}$, D$^{+}$, D$^{*+}$, and ${\mathrm{D}}_{\mathrm{S}}^{+}$ mesons are also reported. The ${\mathrm{D}}_{\mathrm{S}}^{+}$ and D$^{+}$ yields are compared as a function of the charged-particle multiplicity for several p$_{T}$ intervals. No modification in the relative abundances of the four species is observed with respect to pp collisions within the statistical and systematic uncertainties

Coherent J/ψ\psi photoproduction at forward rapidity in ultra-peripheral Pb-Pb collisions at sNN=5.02\sqrt{s_{\rm{NN}}}=5.02 TeV

The ALICE collaboration performed the first rapidity-differential measurement of coherent J/ψ photoproduction in ultra-peripheral Pb–Pb collisions at a center-of-mass energy $\sqrt{s_{\rm NN}}$ = 5.02 TeV. The J/ψ is detected via its dimuon decay in the forward rapidity region (−4.0 < y <−2.5 ) for events where the hadronic activity is required to be minimal. The analysis is based on an event sample corresponding to an integrated luminosity of about 750 $\mu$b$^{-1}$ . The cross section for coherent J/ψ production is presented in six rapidity bins. The results are compared with theoretical models for coherent J/ψ photoproduction. These comparisons indicate that gluon shadowing effects play a role in the photoproduction process. The ratio of ψ′ to J/ψ coherent photoproduction cross sections was measured and found to be consistent with that measured for photoproduction off protons