PMID- 37458822 OWN - NLM STAT- MEDLINE DCOM- 20240115 LR - 20240115 IS - 1439-6327 (Electronic) IS - 1439-6319 (Print) IS - 1439-6319 (Linking) VI - 124 IP - 1 DP - 2024 Jan TI - The implementation of a home-based isometric wall squat intervention using ratings of perceived exertion to select and control exercise intensity: a pilot study in normotensive and pre-hypertensive adults. PG - 281-293 LID - 10.1007/s00421-023-05269-2 [doi] AB - PURPOSE: Isometric exercise (IE) and isometric wall squat (IWS) training have been shown to be effective methods of reducing arterial blood pressure. However, most IE interventions require methodologies and equipment that could present a barrier to participation. Therefore, this study aimed to examine the effectiveness of an accessible RPE prescribed IWS intervention. METHODS: Thirty normotensive and pre-hypertensive adults were randomly assigned to a control group or one of two 4-week home-based IWS intervention groups: the first group conducted IWS exercise where intensity was prescribed and monitored using RPE (RPE-EX), whilst the other used a previously validated HR prescription method (HR-EX). Resting and ambulatory heart rate (HR) and blood pressure (BP) were measured pre- and post-intervention. RESULTS: Minimum clinically important differences (MCID; - 5 mmHg) in SBP and/or DBP were shown in 100% of intervention participants. Statistically significant reductions were shown in resting seated BP (RPE-EX: SBP: - 9 +/- 6, DBP: - 6 +/- 4, MAP: - 6 +/- 3 mmHg; HR-EX: SBP: - 14 +/- 6, DBP: - 6 +/- 4, MAP: - 8 +/- 4 mmHg), supine BP (RPE-EX: SBP: - 8 (- 5), DBP: - 8 (- 7), MAP: - 8 (- 4) mmHg; HR-EX: SBP: - 5 (- 4), MAP - 5 (- 4) mmHg), and ambulatory SBP (RPE-EX: - 8 +/- 6 mmHg; HR-EX: - 10 +/- 4 mmHg) following the interventions. There were no statistically significant differences between intervention groups in the magnitude of BP reduction. CONCLUSION: RPE prescribed IWS exercise can provide an effective and more accessible method for reducing BP at home, providing reductions comparable to the current HR-based prescription method. CI - (c) 2023. The Author(s). FAU - Lea, John W D AU - Lea JWD AD - School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK. FAU - O'Driscoll, Jamie M AU - O'Driscoll JM AD - School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK. FAU - Wiles, Jonathan D AU - Wiles JD AUID- ORCID: 0000-0002-7790-8063 AD - School of Human and Life Sciences, Canterbury Christ Church University, Canterbury, Kent, UK. jim.wiles@canterbury.ac.uk. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20230717 PL - Germany TA - Eur J Appl Physiol JT - European journal of applied physiology JID - 100954790 SB - IM MH - Adult MH - Humans MH - Blood Pressure/physiology MH - Pilot Projects MH - Physical Exertion MH - *Hypertension MH - Exercise/physiology MH - *Hypotension PMC - PMC10786991 OTO - NOTNLM OT - Blood pressure OT - Hypertension OT - Perceived effort OT - RPE OT - Randomised control trial OT - Resistance exercise COIS- The authors declare that they have no conflict of interest. EDAT- 2023/07/17 15:09 MHDA- 2024/01/15 12:42 PMCR- 2023/07/17 CRDT- 2023/07/17 11:07 PHST- 2022/12/22 00:00 [received] PHST- 2023/06/28 00:00 [accepted] PHST- 2024/01/15 12:42 [medline] PHST- 2023/07/17 15:09 [pubmed] PHST- 2023/07/17 11:07 [entrez] PHST- 2023/07/17 00:00 [pmc-release] AID - 10.1007/s00421-023-05269-2 [pii] AID - 5269 [pii] AID - 10.1007/s00421-023-05269-2 [doi] PST - ppublish SO - Eur J Appl Physiol. 2024 Jan;124(1):281-293. doi: 10.1007/s00421-023-05269-2. Epub 2023 Jul 17.