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在公共广场以自发或规定强度进行步行者运动对运动后低血压的影响。

Effect of the exercise of walkers performed in public squares with spontaneous or prescribed intensity on post-exercise hypotension.

作者信息

Silva Taís Feitosa da, Souza Alesandra Araújo de, Lima Fabiano Ferreira de, Suassuna Jennifer Ariely Sales, Couto Henrique Eduardo Paiva Lira do, Tenório Gustavo Roque, Silva Maria Irene de Andrade Gomes, Dias Guilherme Leandebal Bonifácio, Silva Alexandre Sérgio

机构信息

Programa Associado de Pós-Graduação em Educação Física. Universidade de Pernambuco. Universidade Federal da Paraíba. Recife, PE, Brasil.

Departamento de Educação Física. Universidade Federal da Paraíba. João Pessoa, PB, Brasil.

出版信息

Rev Saude Publica. 2017 Jul 20;51:71. doi: 10.1590/S1518-8787.2017051006247.

DOI:10.1590/S1518-8787.2017051006247
PMID:28746572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5510784/
Abstract

OBJECTIVE

To quantify the intensity adopted by walkers in public squares and check the occurrence and magnitude of post-exercise hypotension in the spontaneously adopted intensity and in a prescribed intensity.

METHODS

In 98 volunteers (38 of them being hypertensive), walkers in public squares of the city of João Pessoa, State of Paraíba, Brazil, we have identified the intensity of a usual training monitored by heart rate and we have investigated the occurrence and magnitude of post-exercise hypotension. Subsequently, participants were instructed to walk with moderate intensity. Blood pressure was measured after rest and during post-exercise recovery.

RESULTS

Of the total participants, 41% of the hypertensive and 36% of the normotensive individuals walked with light intensity. With the prescription, intensity increased to 55% and 52%, for the hypertensive and normotensive individuals, respectively. In the usual and prescribed intensity, the hypertensive individuals had post-exercise hypotension of -3.7±11.6 mmHg and -4.72±12.8 mmHg, respectively. There was no correlation between post-exercise hypotension and the initial systolic component of the hypertensive individuals (r2 = 0.2; p < 0.002).

CONCLUSIONS

Walkers in public squares choose light intensity for walking. When they exercise with the prescribed intensity, they increase the intensity, but the magnitude of the PEH is not increase with this guidance.

OBJETIVO

Quantificar a intensidade adotada por caminhantes em praças públicas e verificar a ocorrência e a magnitude da hipotensão pós-exercício na intensidade espontaneamente adotada e em uma intensidade prescrita.

MÉTODOS: Em 98 voluntários (38 hipertensos), caminhantes em praças públicas da cidade de João Pessoa, PB, identificamos a intensidade de um treino habitual monitorada por meio da frequência cardíaca e averiguamos a ocorrência e magnitude de hipotensão pós-exercício. Posteriormente, os participantes foram instruídos a caminhar com intensidade moderada. A pressão arterial foi aferida após o repouso e durante a recuperação pós-exercício.

RESULTADOS

Do total de participantes, 41% dos hipertensos e 36% dos normotensos caminhavam com intensidade leve. Com a prescrição, a intensidade aumentou para 55% e 52%, para hipertensos e normotensos. Na intensidade habitual e prescrita, os hipertensos obtiveram hipotensão pós-exercício de -3,7±11,6 mmHg e -4,72±12,8 mmHg. Houve correlação entre hipotensão pós-exercício e o componente sistólico inicial dos hipertensos (r2 = 0,2; p < 0,002).

CONCLUSÕES: Caminhantes em praças públicas selecionam intensidade leve para realização de caminhada. Quando realizam exercício com intensidade prescrita, aumentam discretamente a intensidade, mas não obtêm aumento da magnitude da HPE com esta orientação.

摘要

目的

量化在公共广场行走者所采用的运动强度,并检测在自发采用的强度以及规定强度下运动后低血压的发生情况及程度。

方法

在巴西帕拉伊巴州若昂佩索阿市公共广场的98名志愿者(其中38名高血压患者)中,我们通过心率监测确定了其日常训练的强度,并调查了运动后低血压的发生情况及程度。随后,指导参与者进行中等强度的行走。在休息后以及运动后恢复期间测量血压。

结果

在所有参与者中,41%的高血压患者和36%的血压正常者以轻度强度行走。在接受规定强度指导后,高血压患者和血压正常者的强度分别提高到了55%和52%。在日常强度和规定强度下,高血压患者运动后低血压分别为-3.7±11.6 mmHg和-4.72±12.8 mmHg。高血压患者运动后低血压与初始收缩压成分之间无相关性(r2 = 0.2;p < 0.002)。

结论

在公共广场行走的人选择轻度强度进行行走。当他们按照规定强度进行运动时,强度有所增加,但运动后低血压的程度并未因该指导而增加。

目标

量化在公共广场行走者所采用的强度,并核查在自发采用的强度以及规定强度下运动后低血压的发生情况及幅度。

方法

在98名志愿者(38名高血压患者)中,这些在巴西帕拉伊巴州若昂佩索阿市公共广场行走的人,我们通过心率监测确定了其日常训练的强度,并调查了运动后低血压的发生情况及幅度。随后,指导参与者以中等强度行走。在休息后以及运动后恢复期间测量动脉血压。

结果

在所有参与者中,41%的高血压患者和36%的血压正常者以轻度强度行走。在接受规定强度指导后,高血压患者和血压正常者的强度分别提高到了55%和52%。在日常强度和规定强度下,高血压患者运动后低血压分别为-3.7±11.6 mmHg和-4.72±12.8 mmHg。高血压患者运动后低血压与初始收缩压成分之间存在相关性(r2 = 0.2;p < 0.002)。

结论

在公共广场行走的人选择轻度强度进行行走。当他们按照规定强度进行运动时,强度略有增加,但运动后低血压幅度并未因该指导而增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/87b353416ec5/0034-8910-rsp-S1518-51-87872017051006247-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/96a454f70968/0034-8910-rsp-S1518-51-87872017051006247-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/f4c28253f779/0034-8910-rsp-S1518-51-87872017051006247-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/cfecf265b787/0034-8910-rsp-S1518-51-87872017051006247-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/87b353416ec5/0034-8910-rsp-S1518-51-87872017051006247-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/96a454f70968/0034-8910-rsp-S1518-51-87872017051006247-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/f4c28253f779/0034-8910-rsp-S1518-51-87872017051006247-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/cfecf265b787/0034-8910-rsp-S1518-51-87872017051006247-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2af/5510784/87b353416ec5/0034-8910-rsp-S1518-51-87872017051006247-gf04.jpg

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