Int J Sports Med 2021; 42(01): 41-47
DOI: 10.1055/a-1202-1536
Physiology & Biochemistry

Effect of High-velocity Resistance Exercise on 24-h Blood Pressure in Hypertensive Older Women

1   Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
,
Rodrigo Alberto Vieira Browne
2   Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
,
Ricardo Santos Oliveira
1   Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
,
Ludmila Lucena Pereira Cabral
2   Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
,
Luiz Fernando de Farias Junior
3   Graduate Program in Psychobiology, Federal University of Rio Grande do Norte, Natal, Brazil
,
Eduardo Caldas Costa
1   Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
› Author Affiliations
Funding: FFOD was supported by the Coordination for the Improvement of Higher Education Personnel (CAPES – Brazil). RAVB, LLPC and LFFJ are supported by the CAPES. ECC is supported by the National Council for Scientific and Technological Development (CNPq; 306744/2019–8).

Abstract

This study investigated the acute post-exercise effect of high-velocity resistance exercise on ambulatory blood pressure in hypertensive older women. Fourteen volunteers (67.9±5.1 years) performed a high-velocity resistance exercise session (8 exercises using Thera-Band, 3 sets of 6 repetitions as fast as possible in the concentric phase with moderate intensity) and a control session, separated by a 7–10-day period. Ambulatory blood pressure was monitored following 12-h post-sessions and compared between conditions at 1 to 4-h, 5 to 8-h, and 9 to 12-h. Average 24-h ambulatory blood pressure, awake, asleep periods, and blood pressure load were also analyzed. There was a condition by time interaction for systolic ambulatory blood pressure over 12-h post-sessions (P=0.043). It was observed a lower systolic ambulatory blood pressure in the first 4-h period following the high-velocity resistance exercise session compared to the control session (−6.7 mmHg, 95% CI  − 11.6 to −1.8 mmHg; P=0.011). No changes were observed for diastolic ambulatory blood pressure over 12-h post-sessions as well as for the other variables analyzed (P>0.05). In summary, a single high-velocity resistance exercise session elicits a post-exercise antihypertensive effect and may be considered as a strategy to acutely improve blood pressure control in hypertensive older women.



Publication History

Received: 25 April 2020

Accepted: 04 June 2020

Article published online:
12 August 2020

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  • References

  • 1 Mendes TAB, Goldbaum M, Segri NJ. et al. Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil. Cad Saude Publica 2013; 29: 2275-2286
  • 2 Minelli C, Borin LA, Trovo MC. et al. Hypertension prevalence, awareness and blood pressure control in Matao, Brazil: A pilot study in partnership with the Brazilian family health strategy program. J Clin Med Res 2016; 8: 524-530
  • 3 Rapsomaniki E, Timmis A, George J. et al. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1·25 million people. Lancet 2014; 383: 1899-1911
  • 4 Roth GA, Johnson C, Abajobir A. et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. J Am Coll Cardiol 2017; 70: 1-25
  • 5 Vamvakis A, Gkaliagkousi E, Triantafyllou A. et al. Beneficial effects of nonpharmacological interventions in the management of essential hypertension. JRSM Cardiovasc Dis 2017; 6: 2048004016683891
  • 6 Brito LC, Fecchio RY, Peçanha T. et al. Postexercise hypotension as a clinical tool: A "single brick" in the wall. J Am Soc Hypertens 2018; 12: e59-e64
  • 7 Carpio-Rivera E, Moncada-Jiménez J, Salazar-Rojas W. et al. Acute effects of exercise on blood pressure: a meta-analytic investigation. Arq Bras Cardiol 2016; 106: 422-433
  • 8 Casonatto J, Goessler KF, Cornelissen VA. et al. The blood pressure-lowering effect of a single bout of resistance exercise: a systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol 2016; 23: 1700-1714
  • 9 Fragala MS, Cadore EL, Dorgo S. et al. Resistance training for older adults: Position statement from the National Strength and Conditioning Association. J Strength Cond Res 2019; 33: 2019-2052
  • 10 Orsano VSM, Moraes NMF. et al. Comparison of the acute effects of traditional versus high velocity resistance training on metabolic, cardiovascular, and psychophysiological responses in elderly hypertensive women. Clin Interv Aging 2018; 13: 1331-1340
  • 11 Coelho-Júnior HJ, Irigoyen M-C, Aguiar SS. et al. Acute effects of power and resistance exercises on hemodynamic measurements of older women. Clin Interv Aging 2017; 12: 1103-1114
  • 12 Machado Filho J, Machado CLF, Tanaka H. et al. Postexercise hypotension after muscle power training session in older adults with hypertension. J Aging Phys Act 2019; 1-6
  • 13 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
  • 14 Lewington S, Clarke R, Qizilbash N. et al. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360: 1903-1913
  • 15 Weitzman D, Goldbourt U. The significance of various blood pressure indices for long-term stroke, coronary heart disease, and all-cause mortality in men. Stroke 2006; 37: 358-363
  • 16 Riebe D, Franklin BA, Thompson PD. et al. Updating ACSM’s recommendations for exercise preparticipation health screening. Med Sci Sports Exerc 2015; 47: 2473-2479
  • 17 Malachias MVB, Ferreira S, Souza WKSB. et al. 7th Brazilian guideline of arterial hypertension: Chapter 11 - arterial hypertension in the elderly. Arq Bras Cardiol 2016; 107: 64-66
  • 18 Colado JC, García-Massó X. Technique and safety aspects of resistance exercises: A systematic review of the literature. Phys Sportsmed 2009; 37: 104-111
  • 19 Colado JC, Garcia-Masso X, Triplett NT. et al. Construct and concurrent validation of a new resistance intensity scale for exercise with TheraBand® elastic bands. J Sports Sci Med 2014; 13: 758-766
  • 20 Colado JC, Garcia-Masso X, Triplett TN. et al. Concurrent validation of the OMNI-resistance exercise scale of perceived exertion with TheraBand resistance bands. J Strength Cond Res 2012; 26: 3018-3024
  • 21 American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults Med Sci Sports Exerc 2009; 41: 687-708
  • 22 Buysse DJ, Reynolds CF, Monk TH. et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213
  • 23 Fisberg RM, Marchioni DML, Colucci ACA. Assessment of food consumption and nutrient intake in clinical practice. Arq Bras Endocrinol Metabol 2009; 53: 617-624
  • 24 Sociedade Brasileira de Cardiologia (SBC), Sociedade Brasileira de Hipertensão (SBH), Sociedade Brasileira de Nefrologia (SBN) V Guidelines for ambulatory blood pressure monitoring (ABPM) and III guidelines for home blood pressure monitoring (HBPM). Arq Bras Cardiol 2011; 97: 1-24
  • 25 Machado CLF, Botton CE, Brusco CM. et al. Acute and chronic effects of muscle power training on blood pressure in elderly patients with type 2 diabetes mellitus. Clin Exp Hypertens 2020; 42: 153-159
  • 26 Yang W-Y, Melgarejo JD, Thijs L. et al. Association of office and ambulatory blood pressure with mortality and cardiovascular outcomes. JAMA 2019; 322: 409-420
  • 27 Santos LP, Moraes RS, Vieira PJC. et al. Effects of aerobic exercise intensity on ambulatory blood pressure and vascular responses in resistant hypertension: A crossover trial. J Hypertens 2016; 34: 1317-1324
  • 28 Scher LML, Ferriolli E, Moriguti JC. et al. The effect of different volumes of acute resistance exercise on elderly individuals with treated hypertension. J Strength Cond Res 2011; 25: 1016-1023
  • 29 Cordeiro R, Monteiro W, Cunha F. et al. Influence of acute concurrent exercise performed in public fitness facilities on ambulatory blood pressure among older adults in Rio de Janeiro city. J Strength Cond Res 2018; 32: 2962-2970
  • 30 Melo CM, Alencar Filho AC, Tinucci T. et al. Postexercise hypotension induced by low-intensity resistance exercise in hypertensive women receiving captopril. Blood Press Monit 2006; 11: 183-189
  • 31 Joseph CN, Porta C, Casucci G. et al. Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension 2005; 46: 714-718
  • 32 Li C, Chang Q, Zhang J. et al. Effects of slow breathing rate on heart rate variability and arterial baroreflex sensitivity in essential hypertension. Medicine (Baltimore) 2018; 97: e0639
  • 33 Souza DR, Gomides RS, Costa LAR. et al. Amlodipine reduces blood pressure during dynamic resistance exercise in hypertensive patients. Scand J Med Sci Sports 2015; 25: 53-60
  • 34 Reid KF, Fielding RA. Skeletal muscle power: a critical determinant of physical functioning in older adults. Exerc Sport Sci Rev 2012; 40: 4-12
  • 35 Puthoff ML, Janz KF, Nielson D. The relationship between lower extremity strength and power to everday walking behaviors in older adults with functional limitations. J Geriatr Phys Ther 2008; 31: 24-31
  • 36 Puthoff ML, Nielsen DH. Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Phys Ther 2007; 87: 1334-1347
  • 37 Herman S, Kiely DK, Leveille S. et al. Upper and lower limb muscle power relationships in mobility-limited older adults. J Gerontol A Biol Sci Med Sci 2005; 60: 476-480