Department of Biophysics, Federal University of São Paulo, São Paulo, SP, Brazil.
J Hum Hypertens. 2012 Sep;26(9):533-9. doi: 10.1038/jhh.2011.67. Epub 2011 Jul 7.
Post-exercise hypotension (PEH), the reduction of blood pressure (BP) after a single bout of exercise, is of great clinical relevance. As the magnitude of this phenomenon seems to be dependent on pre-exercise BP values and chronic exercise training in hypertensive individuals leads to BP reduction; PEH could be attenuated in this context. Therefore, the aim of the present study was to investigate whether PEH remains constant after resistance exercise training. Fifteen hypertensive individuals (46 ± 8 years; 88 ± 16 kg; 30 ± 6% body fat; 150 ± 13/93 ± 5 mm Hg systolic/diastolic BP, SBP/DBP) were withdrawn from medication and performed 12 weeks of moderate-intensity resistance training. Parameters of cardiovascular function were evaluated before and after the training period. Before the training program, hypertensive volunteers showed significant PEH. After an acute moderate-intensity resistance exercise session with three sets of 12 repetitions (60% of one repetition maximum) and a total of seven exercises, BP was reduced post-exercise (45-60 min) by an average of aproximately -22 mm Hg for SBP, -8 mm Hg for DBP and -13 mm Hg for mean arterial pressure (P<0.05). However, this acute hypotensive effect did not occur after the 12 weeks of training (P>0.05). In conclusion, our data demonstrate that PEH, following an acute exercise session, can indeed be attenuated after 12 weeks of training in hypertensive stage 1 patients not using antihypertensive medication.
运动后低血压(PEH)是指单次运动后血压(BP)下降,这在临床上具有重要意义。由于这种现象的幅度似乎取决于运动前的血压值,而且高血压个体的慢性运动训练会导致血压下降,因此在这种情况下,PEH 可能会减弱。因此,本研究旨在探讨抗阻运动训练后 PEH 是否保持不变。15 名高血压患者(46±8 岁;88±16kg;30±6%体脂;150±13/93±5mmHg 收缩压/舒张压,SBP/DBP)停用药物并进行 12 周的中等强度抗阻训练。在训练前后评估心血管功能参数。在训练计划之前,高血压志愿者表现出明显的 PEH。在一次急性中等强度抗阻运动训练中,进行三组 12 次重复(1 次重复最大重量的 60%)和总共 7 项运动后,BP 在运动后(45-60 分钟)平均下降约 22mmHg 的 SBP、8mmHg 的 DBP 和 13mmHg 的平均动脉压(P<0.05)。然而,在 12 周的训练后,这种急性降压作用并未发生(P>0.05)。总之,我们的数据表明,在不使用抗高血压药物的 1 期高血压患者中,经过 12 周的训练后,急性运动后发生的 PEH 确实可以减弱。