Moeini Mahin, Salehi Zahra, Sadeghi Masoumeh, Kargarfard Mehdi, Salehi Kobra
Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Nursing, Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2015 Jul-Aug;20(4):431-5. doi: 10.4103/1735-9066.160999.
One of the most important risk factors for cardiovascular disease is hypertension. 1 billion people in the world and 25-35% of the adult population in Iran suffer from hypertension. Despite the emphasis on medicational treatments, non-medicational treatments and modification of lifestyle, including physical activity and exercise, are important for the control and treatment of hypertension and lead to a reduction in cardiovascular diseases. Among the various types of exercises, resistance exercise has been considered important by the cardiologists. The present study investigates the effect of resistance exercise on mean blood pressure in the cardiovascular patients.
In a randomized clinical trial, 40 patients admitted to the rehabilitation unit of cardiovascular research center were assigned to study and control groups. Demographic data were collected. Their blood pressure values were measured and recorded once 1 day before the beginning of the intervention and another time 1 day after its completion. All study subjects participated in two 45-60 min exercise sessions for eight straight weeks. The control group followed routine rehabilitation unit protocol that was aerobic exercise. The study group subjects performed resistance exercise in addition to routine exercise. The weight was determined in the first session of the intervention. At the beginning, the number of the repetitions in the range of motion was 10, which was increased gradually to 15. After it reached 15 repetitions, the amount of weight was increased by 3-5% and the number of sets increased.
One day before the beginning of the intervention, mean systolic blood pressure was 128.21 (15.39) mmHg in the study group and 120.00 (20.51) mmHg in the control group. Mean diastolic blood pressure was 82.50 (9.35) mmHg in the study group and 82.00 (13.11) mmHg in the control group. There were no differences between the groups in terms of mean systolic and diastolic blood pressure (P > 0.05). After the end of the intervention, mean systolic blood pressure values were 116.42 (7.18) mmHg and 112.00 (12.60) mmHg in the study and control groups, respectively. There were no significant differences between the groups (P = 0.24). Mean diastolic blood pressure values were 81.78 (7.99) mmHg in the study group and 78.25 (12.48) mmHg in the control group. There was no significant difference between the groups (P = 0.35). At the end of the intervention, mean systolic blood pressure in the study group decreased significantly (P = 0.02).
In the present study, the effect of resistance exercise on mean systolic blood pressure showed a significant difference, caused by the aerobic exercise.
心血管疾病最重要的危险因素之一是高血压。全球有10亿人患有高血压,伊朗25 - 35%的成年人口受其困扰。尽管强调药物治疗,但非药物治疗和生活方式的改变,包括体育活动和锻炼,对于高血压的控制和治疗很重要,并有助于降低心血管疾病的发生率。在各种类型的运动中,抗阻运动已被心脏病专家视为重要的运动方式。本研究旨在调查抗阻运动对心血管疾病患者平均血压的影响。
在一项随机临床试验中,心血管研究中心康复科收治的40例患者被分为研究组和对照组。收集了人口统计学数据。在干预开始前1天和结束后1天分别测量并记录他们的血压值。所有研究对象连续八周参加两次每次45 - 60分钟的运动课程。对照组遵循康复科常规方案,即有氧运动。研究组患者除常规运动外还进行抗阻运动。在干预的第一阶段确定重量。开始时,动作范围内的重复次数为10次,逐渐增加到15次。达到15次重复后,重量增加3 - 5%,组数增加。
干预开始前1天,研究组平均收缩压为128.21(15.39)mmHg,对照组为120.00(20.51)mmHg。研究组平均舒张压为82.50(9.35)mmHg,对照组为82.00(13.11)mmHg。两组在平均收缩压和舒张压方面无差异(P > 0.05)。干预结束后,研究组和对照组的平均收缩压值分别为116.42(7.18)mmHg和112.00(12.60)mmHg。两组之间无显著差异(P = 0.24)。研究组平均舒张压值为81.78(7.99)mmHg,对照组为78.25(12.48)mmHg。两组之间无显著差异(P = 0.35)。干预结束时,研究组的平均收缩压显著下降(P = 0.02)。
在本研究中,抗阻运动对平均收缩压的影响显示出显著差异,这是由有氧运动引起的。