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慢性常规抗阻运动可降低 1 期高血压男性的血压。

Chronic conventional resistance exercise reduces blood pressure in stage 1 hypertensive men.

机构信息

Departament of Biophysics, Universidade Federal University of São Paulo, São Paulo, Brazil.

出版信息

J Strength Cond Res. 2012 Apr;26(4):1122-9. doi: 10.1519/JSC.0b013e31822dfc5e.

DOI:10.1519/JSC.0b013e31822dfc5e
PMID:22126975
Abstract

To investigate the antihypertensive effects of conventional resistance exercise (RE) on the blood pressure (BP) of hypertensive subjects, 15 middle-aged (46 ± 3 years) hypertensive volunteers, deprived of antihypertensive medication (reaching 153 ± 6/93 ± 2 mm Hg systolic/diastolic BP after a 6-week medication washout period) were submitted to a 12-week conventional RE training program (3 sets of 12 repetitions at 60% 1 repetition maximum, 3 times a week on nonconsecutive days). Blood pressure was measured in all phases of the study (washout, training, detraining). Additionally, the plasma levels of several vasodilators or vasoconstrictors that potentially could be involved with the effects of RE on BP were evaluated pre- and posttraining. Conventional RE significantly reduced systolic, diastolic, and mean BP, respectively, by an average of 16 (p < 0.001), 12 (p < 0.01), and 13 mm Hg (p < 0.01) to prehypertensive values. There were no significant changes of vasoactive factors from the kallikrein-kinin or renin-angiotensin systems. After the RE training program, the BP values remained stable during a 4-week detraining period. Taken together, this study shows for the first time that conventional moderate-intensity RE alone is able to reduce the BP of stage 1 hypertensive subjects free of antihypertensive medication. Moreover, the benefits of BP reduction achieved with RE training remained unchanged for up to 4 weeks without exercise.

摘要

为了研究常规抗阻运动(RE)对高血压患者血压(BP)的降压作用,15 名中年(46±3 岁)高血压志愿者在停止抗高血压药物治疗 6 周(停药后收缩压/舒张压达到 153±6/93±2mmHg)后,接受了 12 周的常规 RE 训练计划(3 组,每组 12 次,重复次数为 60%1 次最大重复次数,每周 3 次,非连续日)。在所有研究阶段(洗脱期、训练期、停训期)都测量了血压。此外,还评估了训练前后几种可能与 RE 对 BP 影响相关的血管舒张剂或血管收缩剂的血浆水平。常规 RE 分别平均降低收缩压、舒张压和平均血压 16mmHg(p<0.001)、12mmHg(p<0.01)和 13mmHg(p<0.01)至高血压前期值。激肽释放酶-激肽系统或肾素-血管紧张素系统的血管活性因子没有显著变化。RE 训练计划后,BP 值在 4 周的停训期内保持稳定。综上所述,本研究首次表明,单独进行常规中等强度 RE 即可降低无抗高血压药物的 1 期高血压患者的血压。此外,RE 训练带来的 BP 降低益处在不运动的情况下,至少可以持续 4 周不变。

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