A Game-Based Approach to Lower Blood Pressure? Comparing Acute Hemodynamic Responses to Endurance Exercise and Exergaming: A Randomized Crossover Trial

Eva Kircher, Sascha Ketelhut, Kerstin Ketelhut, Lisa Röglin, Kuno Hottenrott, Anna Lisa Martin-Niedecken and Reinhard G. Ketelhut
Additional contact information
Eva Kircher: Department of Medical Sciences, Charité University Medicine Berlin, 10117 Berlin, Germany
Sascha Ketelhut: Institute of Sport Science, Martin Luther University Halle-Wittenberg, 06120 Halle (Saale), Germany
Kerstin Ketelhut: Faculty of Natural Science, MSB Medical School Berlin, 14197 Berlin, Germany
Lisa Röglin: Institute of Sport Science, Martin Luther University Halle-Wittenberg, 06120 Halle (Saale), Germany
Kuno Hottenrott: Institute of Sport Science, Martin Luther University Halle-Wittenberg, 06120 Halle (Saale), Germany
Anna Lisa Martin-Niedecken: Department of Design, Institute for Design Research, Zurich University of the Arts, 8031 Zurich, Switzerland
Reinhard G. Ketelhut: Department of Medical Sciences, Charité University Medicine Berlin, 10117 Berlin, Germany

IJERPH, 2022, vol. 19, issue 3, 1-13

Abstract: The present randomized crossover study aimed to determine whether an exergaming session in an innovative, functional fitness game could be an effective exercise approach that elicits favorable blood pressure (BP) responses, such as a typical moderate endurance exercise (ET). Therefore, acute hemodynamic responses after a training session in the ExerCube and an ET on a treadmill were assessed and compared. Twenty-eight healthy recreational active participants (13 women; aged 24.8 ± 3.9 years) completed an exergaming session (EX) and an ET in a randomized and counterbalanced order. Before and throughout the 45 min after the training, the peripheral and central BP were measured. After the ET, there was a moderate decrease in both peripheral systolic (−1.8 mmHg; p = 0.14) and diastolic (−0.8 mmHg; p = 0.003), as well as central diastolic (−1.5 mmHg; p = 0.006) pressure compared to the resting value before the exercise. After the EX, there was a significant decrease in peripheral systolic (−6.3 mmHg; p < 0.001) and diastolic (−4.8 mmHg; p < 0.001), as well as central systolic (−5.8 mmHg; p < 0.001) and diastolic (−5.3 mmHg; p < 0.001) pressure compared to baseline. The interaction effects showed significant differences in peripheral and central systolic BP as well as in peripheral diastolic BP ( p = 0.05). The EX seems to be an effective training approach that triggers relevant peripheral and central BP-responses, which are more pronounced than after a typical ET. Therefore, the ExerCube can be a time-efficient training tool to improve cardiovascular health.

Keywords: exergaming; hemodynamics; peripheral blood pressure; central blood pressure; post-exercise hypotension; moderate endurance training (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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