Galdino Giovane, Silva Andreia Maria, Bogão José Angelo, Braz de Oliveira Marcos Paulo, Araújo Hayslenne Andressa Gonçalves de Oliveira, Oliveira Maísa Sodoco, Maldonado Ana Clara Desiderio, Ulisses de Oliveira Herick, Borges Juliana Bassalobre Carvalho
Physiotherapy School, Federal University of Alfenas, Brazil.
J Phys Ther Sci. 2016 Dec;28(12):3421-3426. doi: 10.1589/jpts.28.3421. Epub 2016 Dec 27.
[Purpose] The purpose of present study was associate the increase of respiratory muscle strength with blood pressure levels in hypertensive subjects who underwent an aerobic exercise program. [Subjects and Methods] 90 hypertensive subjects were divided in two groups: intervention and control. All participants had an interview with a physiotherapist and were evaluated by 6-minute walk test, maximal inspiratory pressure, maximal expiratory pressure, heart rate, systolic blood pressure and diastolic blood pressure, before and after the 8 weeks. In the intervention group, the subjects underwent aerobic exercise program, 2 times a week for 8 weeks [Results] After the program, the levels of blood pressure were significantly reduced and the distance walked in the 6-minute walk test and the respiratory muscle strength were increased, compared to pre intervention and control group values. However, there was no correlation between the results provided by 6-minute walk test, maximal inspiratory pressure and maximal expiratory pressure with systolic arterial blood pressure levels. Nonetheless, the distance walked correlated with respiratory muscle strength values, in the intervention group. [Conclusion] The present study demonstrated that the aerobic training was effective in reducing the arterial blood pressure in hypertensive subjects associated with an improvement of physical conditioning and respiratory muscle strength.
[目的]本研究旨在探讨进行有氧运动计划的高血压患者呼吸肌力量增加与血压水平之间的关系。[对象与方法]90名高血压患者被分为两组：干预组和对照组。所有参与者均接受了物理治疗师的访谈，并在8周前后通过6分钟步行试验、最大吸气压力、最大呼气压力、心率、收缩压和舒张压进行评估。干预组患者每周进行2次有氧运动，共8周。[结果]与干预前及对照组相比，该计划实施后，患者血压水平显著降低，6分钟步行试验中的步行距离及呼吸肌力量增加。然而，6分钟步行试验、最大吸气压力和最大呼气压力的结果与收缩动脉血压水平之间无相关性。尽管如此，干预组中步行距离与呼吸肌力量值相关。[结论]本研究表明，有氧运动训练可有效降低高血压患者的动脉血压，同时改善身体状况和呼吸肌力量。
