Abstract
Purpose
Acute or regular stretching exercises reduce arterial stiffness, but whether stretching exercises per se can reduce central arterial stiffness remain controversial. Recent studies have suggested that mechanical stimulation of arteries can directly modulate arterial stiffness, rather than causing systemic effects. Thus, this study aimed to examine the effects of trunk stretching using an exercise ball on central arterial stiffness and carotid arterial compliance.
Methods
Twelve healthy young adults participated in two different trials for 30 min each in random order on separate days: a resting and sitting trial (CON); and supervised passive trunk stretching using the exercise ball (EB). In EB, subjects preformed six types of passive trunk stretching using the exercise ball. At each site, passive stretching was held for 30 s followed by a 30-s relaxation period, repeated 5 times during the 30-min trial. In CON, subjects rested on a comfortable chair for 30 min.
Results
After the experiment, carotid-femoral pulse wave velocity was significantly reduced in EB, but not in CON (EB vs. CON: −4.5 ± 1.2% vs. 0.2 ± 0.9%; P < 0.05). Carotid arterial compliance was also significantly increased in EB, but not in CON (EB vs. CON: 38.4 ± 11.4% vs. 4.1 ± 9.4%; P < 0.05). Supplemental experiments also confirmed that stretching of lower extremity did not reduce carotid-femoral pulse wave velocity.
Conclusion
Our findings indicate that acute, direct trunk stretching using an exercise ball reduces central arterial stiffness and increases carotid arterial compliance in young healthy men.
Similar content being viewed by others
Abbreviations
- ANOVA:
-
Analysis of variance
- ANCOVA:
-
Analysis of covariance
- baPWV:
-
Brachial-ankle pulse wave velocity
- BMI:
-
Body mass index
- BP:
-
Blood pressure
- CAVI:
-
Cardio-ankle vascular index
- cfPWV:
-
Carotid-femoral pulse wave velocity
- CON:
-
Control trial
- CV:
-
Coefficients of variation
- EB:
-
Exercise ball trial
- ES:
-
Effect size
- haPWV:
-
Heart-ankle pulse wave velocity
- HR:
-
Heart rate
- PP:
-
Pulse pressure
- PWV:
-
Pulse wave velocity
- SL:
-
Stretching of lower extremity
References
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498-504
Arnett DK, Evans GW, Riley WA (1994) Arterial stiffness: a new cardiovascular risk factor? Am J Epidemiol 140(8):669–682
Avolio AP, Deng FQ, Li WQ, Luo YF, Huang ZD, **ng LF, O’Rourke MF (1985) Effects of aging on arterial distensibility in populations with high and low prevalence of hypertension: comparison between urban and rural communities in China. Circulation 71(2):202–210
Ben-Shlomo Y, Spears M, Boustred C, May M, Anderson SG, Benjamin EJ, Boutouyrie P, Cameron J, Chen CH, Cruickshank JK, Hwang SJ, Lakatta EG, Laurent S, Maldonado J, Mitchell GF, Najjar SS, Newman AB, Ohishi M, Pannier B, Pereira T, Vasan RS, Shokawa T, Sutton-Tyrell K, Verbeke F, Wang KL, Webb DJ, Willum Hansen T, Zoungas S, McEniery CM, Cockcroft JR, Wilkinson IB (2014) Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects. J Am Coll Cardiol 63(7):636–646. https://doi.org/10.1016/j.jacc.2013.09.063
Bisconti AV, Ce E, Longo S, Venturelli M, Coratella G, Limonta E, Doria C, Rampichini S, Esposito F (2020) Evidence for improved systemic and local vascular function after long-term passive static stretching training of the musculoskeletal system. J Physiol 598(17):3645–3666. https://doi.org/10.1113/JP279866
Cortez-Cooper MY, Anton MM, Devan AE, Neidre DB, Cook JN, Tanaka H (2008) The effects of strength training on central arterial compliance in middle-aged and older adults. Eur J Cardiovasc Prev Rehabil 15(2):149–155. https://doi.org/10.1097/HJR.0b013e3282f02fe2
Escamilla RF, Lewis C, Pecson A, Imamura R, Andrews JR (2016) Muscle activation among supine, prone, and side position exercises with and without a Swiss ball. Sports Health 8(4):372–379. https://doi.org/10.1177/1941738116653931
Gando Y, Murakami H, Yamamoto K, Kawakami R, Ohno H, Sawada SS, Miyatake N, Miyachi M (2017) Greater progression of age-related aortic stiffening in adults with poor trunk flexibility: a 5-year longitudinal study. Front Physiol 8:454. https://doi.org/10.3389/fphys.2017.00454
Gando Y, Sawada SS, Momma H, Kawakami R, Miyachi M, Lee IM, Blair SN, Tashiro M, Horikawa C, Matsubayashi Y, Yamada T, Fujihara K, Kato K, Sone H (2021) Body flexibility and incident hypertension: the Niigata wellness study. Scand J Med Sci Sports 31(3):702–709. https://doi.org/10.1111/sms.13867
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP, College A, of Sports M, (2011) American College of Sports Medicine position stand. Quantity and quality of exercise for develo** and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43(7):1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Hayashi K, Sugawara J, Komine H, Maeda S, Yokoi T (2005) Effects of aerobic exercise training on the stiffness of central and peripheral arteries in middle-aged sedentary men. Jpn J Physiol 55(4):235–239. https://doi.org/10.2170/jjphysiol.S2116
Horvath IG, Nemeth A, Lenkey Z, Alessandri N, Tufano F, Kis P, Gaszner B, Cziraki A (2010) Invasive validation of a new oscillometric device (Arteriograph) for measuring augmentation index, central blood pressure and aortic pulse wave velocity. J Hypertens 28(10):2068–2075. https://doi.org/10.1097/HJH.0b013e32833c8a1a
Hotta K, Behnke BJ, Arjmandi B, Ghosh P, Chen B, Brooks R, Maraj JJ, Elam ML, Maher P, Kurien D, Churchill A, Sepulveda JL, Kabolowsky MB, Christou DD, Muller-Delp JM (2018) Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle. J Physiol 596(10):1903–1917. https://doi.org/10.1113/JP275459
Hotta K, Batchelor WB, Graven J, Dahya V, Noel TE, Ghai A, Katopodis JN, Dixon WC, Andrews R, Pragle A, Chheda J, Liberatore L, Behnke BJ, Muller-Delp J (2019) Daily Passive muscle stretching improves flow-mediated dilation of popliteal artery and 6-minute walk test in elderly patients with stable symptomatic peripheral artery disease. Cardiovasc Revasc Med 20(8):642–648. https://doi.org/10.1016/j.carrev.2019.05.003
Kim ED, Ballew SH, Tanaka H, Heiss G, Coresh J, Matsushita K (2019) Short-term prognostic impact of arterial stiffness in older adults without prevalent cardiovascular disease. Hypertension 74(6):1373–1382. https://doi.org/10.1161/HYPERTENSIONAHA.119.13496
Kim JJ, Song GB, Park EC (2015) Effects of Swiss ball exercise and resistance exercise on respiratory function and trunk control ability in patients with scoliosis. J Phys Ther Sci 27(6):1775–1778. https://doi.org/10.1589/jpts.27.1775
Kingwell BA, Berry KL, Cameron JD, Jennings GL, Dart AM (1997) Arterial compliance increases after moderate-intensity cycling. Am J Physiol 273(5 Pt 2):H2186-2191
Kruse NT, Scheuermann BW (2017) Cardiovascular responses to skeletal muscle stretching: “stretching” the truth or a new exercise paradigm for cardiovascular medicine? Sports Med 47(12):2507–2520. https://doi.org/10.1007/s40279-017-0768-1
Kume D, Nishiwaki M, Hotta N, Endoh H (2020) Impact of acute mental stress on segmental arterial stiffness. Eur J Appl Physiol 120(10):2247–2257. https://doi.org/10.1007/s00421-020-04448-9
Logan JG, Kim SS, Lee M, Byon HD, Yeo S (2018) Effects of static stretching exercise on lumbar flexibility and central arterial stiffness. J Cardiovasc Nurs 33(4):322–328. https://doi.org/10.1097/JCN.0000000000000460
Nishiwaki M, Kiuchi A, Nakamura T (2014a) The examination of a decline in steps in the last decade and its reason—a serial cross-sectional study in male college freshmen—(in Japanese). Jpn J Phys Fitness Sports Med 63(1):231–242
Nishiwaki M, Kurobe K, Kiuchi A, Nakamura T, Matsumoto N (2014b) Sex differences in flexibility-arterial stiffness relationship and its application for diagnosis of arterial stiffening: a cross-sectional observational study. PLoS ONE 9(11):e113646. https://doi.org/10.1371/journal.pone.0113646
Nishiwaki M, Yonemura H, Kurobe K, Matsumoto N (2015) Four weeks of regular static stretching reduces arterial stiffness in middle-aged men. Springerplus 4:555. https://doi.org/10.1186/s40064-015-1337-4
Nishiwaki M, Kora N, Matsumoto N (2017) Ingesting a small amount of beer reduces arterial stiffness in healthy humans. Physiol Rep 5(15):e13381. https://doi.org/10.14814/phy2.13381
Nishiwaki M, Nakano Y, Matsumoto N (2019) Effects of regular high-cocoa chocolate intake on arterial stiffness and metabolic characteristics during exercise. Nutrition 60:53–58. https://doi.org/10.1016/j.nut.2018.09.021
Nishiwaki M, Yamaguchi T, Nishida R, Matsumoto N (2020) Dose of alcohol from beer required for acute reduction in arterial stiffness. Front Physiol 11:1033. https://doi.org/10.3389/fphys.2020.01033
Ohkuma T, Ninomiya T, Tomiyama H, Kario K, Hoshide S, Kita Y, Inoguchi T, Maeda Y, Kohara K, Tabara Y, Nakamura M, Ohkubo T, Watada H, Munakata M, Ohishi M, Ito N, Nakamura M, Shoji T, Vlachopoulos C, Yamashina A, Collaborative Group for JB (2017) Brachial-ankle pulse wave velocity and the risk prediction of cardiovascular disease: an individual participant data meta-analysis. Hypertension 69(6):1045–1052. https://doi.org/10.1161/HYPERTENSIONAHA.117.09097
Patil SG, Aithala MR, Das KK (2015) Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: a randomized controlled study. Complement Ther Med 23(4):562–569. https://doi.org/10.1016/j.ctim.2015.06.002
Sekendiz B, Cug M, Korkusuz F (2010) Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res 24(11):3032–3040. https://doi.org/10.1519/JSC.0b013e3181d82e70
Shinno H, Kurose S, Yamanaka Y, Higurashi K, Fukushima Y, Tsutsumi H, Kimura Y (2017) Evaluation of a static stretching intervention on vascular endothelial function and arterial stiffness. Eur J Sport Sci 17(5):586–592. https://doi.org/10.1080/17461391.2017.1284267
Sugawara J, Komine H, Hayashi K, Yoshizawa M, Otsuki T, Shimojo N, Miyauchi T, Yokoi T, Maeda S, Tanaka H (2009) Reduction in alpha-adrenergic receptor-mediated vascular tone contributes to improved arterial compliance with endurance training. Int J Cardiol 135(3):346–352. https://doi.org/10.1016/j.ijcard.2008.04.007
Tanaka H, Dinenno FA, Monahan KD, Clevenger CM, DeSouza CA, Seals DR (2000) Aging, habitual exercise, and dynamic arterial compliance. Circulation 102(11):1270–1275
Tanaka H, Safar ME (2005) Influence of lifestyle modification on arterial stiffness and wave reflections. Am J Hypertens 18(1):137–144. https://doi.org/10.1016/j.amjhyper.2004.07.008
Tanaka H (2019) Antiaging effects of aerobic exercise on systemic arteries. Hypertension 74:237–243. https://doi.org/10.1161/HYPERTENSIONAHA.119.13179
Thomas E, Bellafiore M, Gentile A, Paoli A, Palma A, Bianco A (2021) Cardiovascular responses to muscle stretching: a systematic review and meta-analysis. Int J Sports Med 42(6):481–493. https://doi.org/10.1055/a-1312-7131
Vlachopoulos C, Aznaouridis K, Stefanadis C (2010) Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol 55(13):1318–1327. https://doi.org/10.1016/j.jacc.2009.10.061
Vlachopoulos C, Aznaouridis K, Terentes-Printzios D, Ioakeimidis N, Stefanadis C (2012) Prediction of cardiovascular events and all-cause mortality with brachial-ankle elasticity index: a systematic review and meta-analysis. Hypertension 60(2):556–562. https://doi.org/10.1161/HYPERTENSIONAHA.112.194779
Vlachopoulos C, Aggelakas A, Ioakeimidis N, Xaplanteris P, Terentes-Printzios D, Abdelrasoul M, Lazaros G, Tousoulis D (2015) Music decreases aortic stiffness and wave reflections. Atherosclerosis 240(1):184–189. https://doi.org/10.1016/j.atherosclerosis.2015.03.010
Wong A, Figueroa A (2014) Eight weeks of stretching training reduces aortic wave reflection magnitude and blood pressure in obese postmenopausal women. J Hum Hypertens 28(4):246–250. https://doi.org/10.1038/jhh.2013.98
Yamamoto K, Kawano H, Gando Y, Iemitsu M, Murakami H, Sanada K, Tanimoto M, Ohmori Y, Higuchi M, Tabata I, Miyachi M (2009) Poor trunk flexibility is associated with arterial stiffening. Am J Physiol Heart Circ Physiol 297(4):H1314-1318. https://doi.org/10.1152/ajpheart.00061.2009
Yamamoto K (2017) Human flexibility and arterial stiffness. J Phys Fitness Sports Med 6(1):1–5
Yamato Y, Hasegawa N, Sato K, Hamaoka T, Ogoh S, Iemitsu M (2016) Acute effect of static stretching exercise on arterial stiffness in healthy young adults. Am J Phys Med Rehabil 95(10):764–770. https://doi.org/10.1097/PHM.0000000000000498
Yamato Y, Hasegawa N, Fujie S, Ogoh S, Iemitsu M (2017) Acute effect of stretching one leg on regional arterial stiffness in young men. Eur J Appl Physiol 117(6):1227–1232. https://doi.org/10.1007/s00421-017-3609-x
Yamato Y, Higaki Y, Fujie S, Hasegawa N, Horii N, Aoyama H, Yamashina Y, Ogoh S, Iemitsu M (2021) Acute effect of passive one-legged intermittent static stretching on regional blood flow in young men. Eur J Appl Physiol 121(1):331–337. https://doi.org/10.1007/s00421-020-04524-0
Acknowledgments
We sincerely thank the study participants for their cooperation. This study was supported in part by JSPS KAKENHI to MN (19K22830).
Author information
Authors and Affiliations
Contributions
Conceived and designed the study: ST, MI, and MN. Performed the study: HI, ST, NO, YT, AM, and MN. Analyzed the data: HI, ST, NO, YT, AM, MI, and MN. Wrote the paper: HI, ST, and MN. Interpreted the data: HI, ST, AM, MI, NM, MI, TN, and MN. All authors approved the final version of the article.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there is no conflict of interests regarding the publication of this article.
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation. Because Ethics Committee of our institution restricted for participant privacy protection, our raw data cannot be shared publicly via on-line network.
Additional information
Communicated by I. Mark Olfert.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ikebe, H., Takiuchi, S., Oi, N. et al. Effects of trunk stretching using an exercise ball on central arterial stiffness and carotid arterial compliance. Eur J Appl Physiol 122, 1205–1216 (2022). https://doi.org/10.1007/s00421-022-04912-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-022-04912-8