Maris Stephen A, Winter Christa R, Paolone Vincent J, Headley Samuel A E
Department of Exercise Science and Sport Studies, Springfield College, Springfield, MA, USA.
Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Int J Exerc Sci. 2019 Jan 1;12(3):77-87. doi: 10.70252/AAUX3960. eCollection 2019.
Hypertension is a major health concern throughout the United States and is a major cause of cardiovascular disease. The purpose of this study was to compare the responses of Tai Chi and walking on measures of central and peripheral cardiac mechanisms when controlling for exercise intensity. Fifteen hypertensive subjects (2 males, 13 females; age = 20.7 ± 3.77 years; body fat = 24.26 ± 10.27%) participated in Tai Chi (TC) and walking (WK) for 30 minutes on non-consecutive days. Central systolic (CSBP) and diastolic blood pressure (CDBP), augmentation index (Alx), pulse pressure (PP), heart rate (HR), and brachial systolic (BSBP) and diastolic blood pressure (BDBP) were measured prior to exercise and following exercise every 10 minutes for a total of 60 minutes in a seated position. There were no significant differences between the two exercise forms. CSBP decreased 10 minutes after exercise in both exercise types (TC = 6.63 ± 3.258 mmHG; WK = 7 ± 4.144 mmHG < 0.05), and 40 minutes after exercise in both exercise types (TC = 6.07 ± 3.33 mmHG; WK = 8.2 ± 3.15 mmHG, < 0.05) compared to the initial measurement. BSBP also decreased in both exercise forms following 10 min of rest (TC = 6.99 ± 3.776 mmHG; WK = 8.8 ± 3.20 mmHG = 0.05), and 40 min (TC = 8.46 ± 3.07 mmHG; WK = 8.87 ± 3.87 mmHG, < 0.05) when compared to the initial resting measurement. Central aortic pressure exhibits a post exercise hypotensive (PEH) effect similar to that of peripheral blood pressure. Both Tai Chi and walking elicited similar PEH effects on systolic blood pressure in hypertensive individuals.
高血压是美国主要的健康问题,也是心血管疾病的主要病因。本研究的目的是在控制运动强度的情况下,比较太极拳和步行对心脏中枢及外周机制指标的影响。15名高血压受试者(2名男性,13名女性;年龄=20.7±3.77岁;体脂=24.26±10.27%)在非连续的日子里分别进行30分钟的太极拳(TC)和步行(WK)运动。在运动前以及运动后每隔10分钟测量一次中心收缩压(CSBP)、中心舒张压(CDBP)、增强指数(Alx)、脉压(PP)、心率(HR)以及肱动脉收缩压(BSBP)和舒张压(BDBP),共测量60分钟,测量时受试者均处于坐姿。两种运动形式之间没有显著差异。两种运动类型在运动后10分钟时CSBP均下降(太极拳组=6.63±3.258 mmHg;步行组=7±4.144 mmHg,P<0.05),在运动后40分钟时也均下降(太极拳组=6.07±3.33 mmHg;步行组=8.2±3.15 mmHg,P<0.05),与初始测量值相比。两种运动形式在休息10分钟后(太极拳组=6.99±3.776 mmHg;步行组=8.8±3.20 mmHg,P=0.05)以及休息40分钟后(太极拳组=8.46±3.07 mmHg;步行组=8.87±3.87 mmHg,P<0.05),BSBP也均下降,与初始休息测量值相比。中心主动脉压表现出与外周血压相似的运动后低血压(PEH)效应。太极拳和步行对高血压个体的收缩压均产生相似的PEH效应。