Effect of Metaboreflex on Cardiovascular System in Subjects of Metabolic Syndrome

• Main Authors: PRAMITA DUBEY, SUNITA TIWARI, MANISH BAJPAI, KALPANA SINGH, PRAVEEN JHA
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2017-07-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: autonomic nervous system; cardiac parameters; haemodynamics; isometric exercise; rhythmic exercise
• Online Access: https://jcdr.net/articles/PDF/10178/27583_CE(RA1)_F(T)_PF1(RU_VT_NE)_PFA(NE_SS).pdf

Introduction: Metaboreflex is a reflex in which muscle receptors send signals regarding metabolic (metabolites accumulation like lactic acid, potassium, adenosine) conditions of the muscles to nucleus tractus solitarius via afferent III and IV fibres to cause haemodynamic adjustments in order to regulate blood flow on the basis of the status of contracting muscle. Dysregulation in its mechanism in metabolic syndrome is demonstrated. Aim: to study the effect of metaboreflex by both isometric and rhythmic handgrip exercise on CVS parameters {Blood Pressure (BP), Cardiac Output (CO) and Systemic Vascular Resistance (SVR)} in subjects of metabolic syndrome. Materials and Methods: In this study, 27 subjects aged 25 to 45 years were enrolled after ethical clearance and proper consent. They were divided into: a) subjects without metabolic syndrome; and b) subjects with metabolic syndrome. Impedance cardiovasography was done to assess cardiac parameters (systolic and diastolic blood pressure, cardiac output, systemic vascular resistance). Pre-exercise parameters were assessed followed by isometric exercise and post-isometric exercise parameter measurement. Again after rest, rhythmic exercise was followed. Finally post exercise parameters were assessed. Student paired t-test for comparison between pre and post exercise parameters were done. Results: Changes in diastolic BP following exercise were statistically significant in subjects without metabolic syndrome (p-value 0.01 and 0.001 following isometric and rhythmic exercise respectively). In subjects with metabolic syndrome also these changes were significant, but to a lesser extent (p-value 0.1 and 0.01 respectively for isometric and rhythmic exercise). Changes in systolic BP following exercise were statistically significant in subjects without metabolic syndrome (p-value 0.001 and 0.001 following isometric and rhythmic exercise respectively). In subjects with metabolic syndrome also these changes were significant (p-value 0.01 and 0.001 respectively for isometric and rhythmic exercise). Conclusion: Diminished pressor response is found after exercise in subjects with metabolic syndrome.