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Int J Sports Med 2017; 38(13): 1029-1034
DOI: 10.1055/s-0043-118009
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Reproducibility (Reliability and Agreement) of Post-exercise Hypotension

Rafael Yokoyama Fecchio
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo,Brazil
,
Marcel Chehuen
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo,Brazil
,
Leandro Campos Brito
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo,Brazil
,
Tiago Peçanha
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo,Brazil
,
Andréia Cristiane Carrenho Queiroz
2   Department of Physical Education - Governador Valadares, Federal University of Juiz de Fora, Minas Gerais, Brazil
,
Claudia Lucia de Moraes Forjaz
1   Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo,Brazil
› Author Affiliations
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Publication History



accepted after revision 17 July 2017

Publication Date:
18 September 2017 (online)

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Abstract

This study determined the reproducibility of post-exercise hypotension (PEH) calculated by the following methods: PEH_I=post-exercise BP − pre-exercise BP; PEH_II=post-exercise BP − post-control BP; and PEH_III=[(post-exercise BP − pre-exercise BP)−(post-control BP − pre-control BP)]. Twenty-five participants underwent four sessions divided in two blocks (test and retest). Each block consisted of one exercise and one control session. BP pressure was measured before and after the interventions. The presence of systematic error (paired t-tests), reliability [intraclass coefficient correlation (ICC)], and agreement [typical error (TE) and minimal detectable difference (MDD)] were evaluated. PEHs calculated by the three methods were similar between test and retest. For systolic PEH, ICC was>0.74, TE ranged from 2.6 to 4.6 mmHg and MDD from 7.2 to 12.8 mmHg for the three methods. For diastolic PEH, ICC was<0.48, TE ranged from 3.5 to 5.6 mmHg and MDD from 9.8 to 15.4 mmHg for the three methods. Thus, systolic PEH calculated by the three methods has good/excellent reliability, while diastolic PEH has fair/poor reliability. Regarding agreement, TE and MDD varied among the methods, which implies that the specific parameters given for each method should be used to estimate sample sizes for studies and the minimal individual difference considered real when comparing PEHs.

Key words

blood pressure - exercise - recovery - measurement error - minimal detectable difference - test-retest
 

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