Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Exercise Pathophysiology Research Laboratory, Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Exercise Pathophysiology Research Laboratory, Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; National Institute of Science and Technology for Health Technology Assessment (IATS)-CNPq, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.
Exp Gerontol. 2017 Nov;98:1-7. doi: 10.1016/j.exger.2017.08.012. Epub 2017 Aug 10.
Despite the fact that simultaneous performance of resistance and aerobic exercises (i.e., concurrent exercise) has become a standard exercise prescription for the elderly, no information is available on its effects on post-exercise hypotension (PEH) in elderly men with hypertension.
To compare the effects of different types of exercise on PEH in elderly men with hypertension.
Twenty elderly men with essential hypertension participated in three crossover interventions, in random order, and on separate days: a non-exercise control session at seated rest, aerobic exercise performed for 45min, and 45min of concurrent resistance and aerobic exercise consisted of 4 sets of 8 repetitions at 70% 1RM of resistance exercise followed by aerobic exercise on treadmill. After each session, blood pressure (BP) was measured continuously for 1h in the laboratory and for 24h under ambulatory conditions.
During the first hour in laboratory, diastolic BP was lower after aerobic (-5mmHg) and concurrent exercise (-6mmHg) in comparison with Control. Day-time diastolic BP was significantly lower after aerobic exercise (-7mmHg) when compared to the control. No significant differences were found among the three experimental sessions for night-time and 24-hour diastolic BP, as well as day-time, night-time and 24-hour systolic BP.
Concurrent exercise produced acute PEH similar to aerobic exercise but such effect did not last as long as aerobic exercise in elderly patients with essential hypertension.
尽管同时进行抗阻运动和有氧运动(即同时运动)已成为老年人的标准运动处方,但对于高血压老年男性运动后低血压(PEH),尚无相关信息。
比较不同类型运动对高血压老年男性 PEH 的影响。
20 名患有原发性高血压的老年男性参与了三种交叉干预,随机分组,分别在不同天进行:非运动对照,即静坐休息;有氧运动持续 45 分钟;以及 45 分钟的抗阻和有氧运动相结合,包括 4 组 8 次重复,阻力运动的 1RM 为 70%,然后在跑步机上进行有氧运动。每次运动后,在实验室连续测量 1 小时,在 24 小时的动态条件下测量血压(BP)。
在实验室的第一个小时内,与对照相比,有氧运动(-5mmHg)和同时运动(-6mmHg)后舒张压降低。与对照相比,有氧运动后白天的舒张压明显降低(-7mmHg)。在夜间和 24 小时的舒张压、白天、夜间和 24 小时的收缩压方面,三次实验之间无显著差异。
同时运动产生的急性 PEH 与有氧运动相似,但在原发性高血压老年患者中,这种效果不如有氧运动持续时间长。