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不同急性抗阻运动训练量对老年经治疗高血压患者的影响。

The effect of different volumes of acute resistance exercise on elderly individuals with treated hypertension.

机构信息

Department of Internal Medicine, Ribeirao Preto School of Medicine, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil.

出版信息

J Strength Cond Res. 2011 Apr;25(4):1016-23. doi: 10.1519/JSC.0b013e3181c70b4f.

Abstract

Acute resistance exercise can reduce the blood pressure (BP) of hypertensive subjects. The aim of this study was to evaluate the effect of different volumes of acute low-intensity resistance exercise over the magnitude and the extent of BP changes in treated hypertensive elderly individuals. Sixteen participants (7 men, 9 women), with mean age of 68 ± 5 years, performed 3 independent randomized sessions: Control (C: 40 minutes of rest), Exercise 1 (E1: 20 minutes, 1 lap in the circuit), and Exercise 2 (E2: 40 minutes, 2 laps in the circuit) with the intensity of 40% of 1 repetition maximum. Blood pressure was measured before (during 20 minutes) and after each session (every 5 minutes during 60 minutes) using both a mercury sphygmomanometer and a semiautomatic device (Omrom-HEM-431). After that, 24-hour ambulatory blood pressure monitoring was performed (Dyna-MAPA). Blood pressure decreased during the first 60 minutes (systolic: p < 0.01, diastolic: p < 0.05) after all exercise sessions. Only the highest volume session promoted a reduction of mean systolic 24-hour BP and awake BP (p < 0.05) after exercise, with higher diastolic BP during sleep (p < 0.05). Diastolic 24-hour BP and both systolic and diastolic BP during sleep were higher after E1 (p < 0.05). Concluding, acute resistive exercise sessions in a circuit with different volumes reduced BP during the first 60 minutes after exercise in elderly individuals with treated hypertension. However, only the highest volume promoted a reduction of mean 24-hour and awake systolic BP.

摘要

急性抗阻运动可降低高血压患者的血压(BP)。本研究旨在评估不同体积的急性低强度抗阻运动对接受治疗的老年高血压患者血压变化幅度和范围的影响。16 名参与者(7 名男性,9 名女性),平均年龄 68±5 岁,进行了 3 次独立的随机试验:对照组(C:40 分钟休息)、运动 1 组(E1:20 分钟,回路中 1 圈)和运动 2 组(E2:40 分钟,回路中 2 圈),强度为 1 次最大重复的 40%。使用汞柱血压计和半自动设备(欧姆龙-HEM-431)在每次试验前(20 分钟内)和后(60 分钟内每 5 分钟测量一次)测量血压。之后,进行 24 小时动态血压监测(Dyna-MAPA)。所有运动后 60 分钟内,血压均下降(收缩压:p<0.01,舒张压:p<0.05)。仅最高容量组在运动后可降低平均收缩压 24 小时 BP 和清醒 BP(p<0.05),睡眠时舒张压较高(p<0.05)。E1 后 24 小时舒张压和睡眠期间的收缩压和舒张压均较高(p<0.05)。结论,在接受治疗的高血压老年患者中,不同容量的回路式急性抗阻运动可降低运动后 60 分钟内的血压。然而,只有最高容量组可降低平均 24 小时和清醒收缩压。

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