Impact of high intensity interval and moderate continuous training on plasma ratios of ProBNP(1-108)/BNP(1-32) and NT-pro-BNP(1-76)/BNP(1-32) after coronary artery bypass grafting surgery

Background: ProBNP(1-108)/BNP(1-32), and NT-pro-BNP(1-76)/BNP(1-32) ratios are significant indices for predicting complications after coronary artery bypass grafting (CABG) surgery. However, the effect of aerobic training types on these biomarkers has not been fully understood. So, the current study aimed to determine the impact of aerobic interval and continuous training programs on plasma ratios of ProBNP(1-108)/BNP(1-32) and NT-pro-BNP(1-76)/BNP(1-32) after coronary artery bypass grafting surgery. Method: 36 patients were selected purposive (27 men and 9 women with mean of age 60.32 ± 5.81 years, height 164.64 ± 9.25 cm, weight 73.86 ± 14.23 kg, fat 32.30 ± 4.28, SBP 142.67 ± 6.49, DBP 84.5 ± 5.16 mmHg in seated position at rest situation and functional capacity of 7.08 ± 2.49 METs) and then divided randomly into three groups: control (C) group (without training program) moderate continuous training (MCT) and high intensity interval training (HIIT) (exercise training program was performed 3 days/week for 8 weeks) with intensities 65%–80% and 80%–95% of reserve heart rate in order. Blood samples were taken 48 h before the first session and 48 h after the last training session to measure the plasma levels of ProBNP(1–108), corin enzyme, BNP(1-32), and NT-pro-BNP(1-76) using the enzyme-linked immunosorbent assay (ELISA) technique. Wilcoxin and kruskal wallis tests were used for analyzing data. Results: The plasma corin enzyme was increased, and the ratios of proBNP(1-108)/BNP(1-32) and NT-pro-BNP(1-76)/BNP(1-32) were reduced in both training groups in compared with control group (p = 0.004, p = 0000, p = 0.016, p = 0.003, p = 0.009, and p = 0.016) when there was no significant difference was found between training groups (p = 0.074, p = 450, and p = 0.295). Conclusion: Both high intensity interval training and moderate continuous training in compared with inactivity have positive effects on ratios of ProBNP(1-108)/BNP(1-32), NT-pro-BNP(1-76)/BNP(1-32) and could be effective to promote the health of coronary arteries and prevention of HF in post-CABG patients.