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This study aimed to assess the effect of the supplementation with grape seed extract (GSE) on blood pressure during static handgrip exercise and muscle metaboreflex in individuals with elevated and state 1 hypertension.
Muscle metatoreflex (MMR) has been known to play an important role in adjusting hemodynamic responses during exercise. The reflex increases sympathetic activity to heart and blood vessels to increase blood supply to contracting skeletal muscles. On the other hand, studies demonstrated that abnormal cardiovascular responses occurred by the overactive MMR in pathological conditions such as hypertension, diabetes, and congestive heart failure. Excessive blood pressure (BP) responses to exercise induce cardiovascular events such as stroke, heart attack, and coronary artery disease. Previously, a study found that dietary supplementation with grape seed extract (GSE) reduced BP response to dynamic exercise in individuals with elevated and stage 1 hypertension (ES1H) and associated with peripheral vasodilation. However, mechanisms underlying this phenomenon are not clear. Purpose: therefore, the purpose of this study is to investigate whether chronic dietary supplementation with GSE can decrease BP responses to exercise and this observation is associated with reduced MMR. Methods: 12 ES1H males were studied. Changes in cardiac output (Q), mean arterial pressure (MAP) and total peripheral resistance (TPR) were compared between the GSE and placebo supplementations during static handgrip exercise (SHE) and post exercise muscular ischemia (PEMI). Participants completed 3 min of SHE at 40% of MVC followed by 2 min of PEMI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dietary Supplementation with Grape Seed Extract | Experimental | Participants received the supplement (600 mg, capsules) via cross-over design for 7 days |
|
| Placebo | Placebo Comparator | Participants received the placebo (600 mg, capsules) via cross-over design for 7 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Grape Seed Extract | Dietary Supplement | dietary supplements that rich in polyphenolic compounds |
|
| Measure | Description | Time Frame |
|---|---|---|
| heart rate (bpm) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
| stroke volume (ml) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
| cardiac output (l/min) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
| systolic blood pressure (mmHg) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
| diastolic blood pressure (mmHg) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
| total peripheral resistance (mmHg/l/min) | measured these variables at rest and during static handgrip exercise and muscle metaboreflex | 5 minutes, 3 minutes, and 2 minutes, respectively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jong-Kyung Kim, Ph.D. | California Baptist University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| California Baptist University | Riverside | California | 92504 | United States |
This study needs the Institutional Research Board (IRB) and participant's approvals to share the data. Without the approval, the data collected from this study will not be shared.
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| Placebo | Dietary Supplement | Starch |
|
| ID | Term |
|---|---|
| D058246 | Prehypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D056604 | Grape Seed Extract |
| ID | Term |
|---|---|
| D010936 | Plant Extracts |
| D028321 | Plant Preparations |
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
| D004364 | Pharmaceutical Preparations |
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