Millar Philip J, Bray Steven R, MacDonald Maureen J, McCartney Neil
Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada.
J Cardiopulm Rehabil Prev. 2008 May-Jun;28(3):203-7. doi: 10.1097/01.HCR.0000320073.66223.a7.
Research has demonstrated the efficacy of isometric handgrip (IHG) training to attenuate resting blood pressure. These studies have relied on the use of programmable digital handgrips for training. This study aimed to determine the effectiveness of simple, inexpensive spring-loaded handgrip devices in producing hypotensive effects.
The study was a randomized controlled trial of 49 normotensive participants (66.4 +/- 0.9 years; 57% women). Participants in the exercise group (n = 25) trained and had blood pressure measured twice weekly for 8 weeks. Control participants (n = 24) completed weekly blood pressure measurements. Pre- and posttraining measurements were each assessed over 3 visits. Statistical analysis of the pre-post data involved analyses of variance and hierarchical linear modeling was used to examine changes over time.
Following 8 weeks, IHG participants demonstrated significant reductions in resting blood pressure. Systolic and diastolic blood pressures were reduced from 122 +/- 3 mm Hg to 112 +/- 3 mm Hg (P < .001) and from 70 +/- 1 mm Hg to 67 +/- 1 mm Hg (P < .05), respectively. Hierarchical linear modeling analysis also revealed a significant cross-level (ie, group / time) interaction, with an estimated reduction in systolic blood pressure of 5.4 mm Hg (P < .001) over the training period in the IHG group.
In agreement with previous studies, IHG training reduced resting arterial pressure following 8 weeks of training. Hypotensive effects linked to IHG training may be achieved using simple, inexpensive spring handgrip training devices and may provide a convenient and affordable therapeutic alternative or adjunctive therapy for lowering blood pressure.
研究已证明等长握力(IHG)训练在降低静息血压方面的有效性。这些研究依赖于使用可编程数字握力器进行训练。本研究旨在确定简单、廉价的弹簧式握力器在产生降压效果方面的有效性。
该研究是一项针对49名血压正常参与者(66.4±0.9岁;57%为女性)的随机对照试验。运动组(n = 25)的参与者进行训练,并在8周内每周测量两次血压。对照组参与者(n = 24)每周完成血压测量。训练前和训练后的测量均在3次就诊时进行评估。对训练前后数据的统计分析包括方差分析,并使用分层线性模型来检查随时间的变化。
8周后,IHG参与者的静息血压显著降低。收缩压和舒张压分别从122±3毫米汞柱降至112±3毫米汞柱(P <.001)和从70±1毫米汞柱降至67±1毫米汞柱(P <.05)。分层线性模型分析还显示出显著的跨层次(即组/时间)交互作用,在IHG组的训练期间,收缩压估计降低了5.4毫米汞柱(P <.001)。
与先前的研究一致,IHG训练在8周训练后降低了静息动脉压。使用简单、廉价的弹簧式握力器训练设备可能会实现与IHG训练相关的降压效果,并且可能为降低血压提供一种方便且经济实惠的治疗选择或辅助治疗方法。