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掌握血压控制的最佳方法:研究一种具有成本效益的等长手握式替代方法。

Getting the best GRIP on blood pressure control: Investigating a cost-effective isometric handgrip alternative.

机构信息

Department of Kinesiology, Faculty of Human Kinetics, 8637University of Windsor, Windsor, Canada.

Department of Life & Sport Sciences, 4918University of Greenwich, Medway Campus, London, UK.

出版信息

Chronic Illn. 2022 Dec;18(4):964-973. doi: 10.1177/17423953211049753. Epub 2021 Nov 6.

Abstract

OBJECTIVES

The World Health Organization emphasises the need for cost-effective alternative methods to lower blood pressure (BP). Endorsed nationally in HTN guidelines, isometric handgrip (IHG) training is an alternative method of BP control. The purpose of this study was to compare the BP, heart rate (HR) and rates of perceived exertion (RPE) responses between a bout of IHG training performed using the traditional computerized device and a more affordable, inflatable stress ball.

METHODS

Twenty healthy adults performed one bout (4, 2-min isometric contractions, with 1-min rests between each contraction at 30% maximal voluntary contraction) of IHG training using the traditional computerized device, and one bout with the inflatable stress ball. BP, HR, and RPE were recorded.

RESULTS

No statistically significant differences between devices were observed with HR, BP, and RPE ( < 0.05). However, average RPE for both devices ranged between 5 and 6 indicating that participants were rating 30% of their MVC, consistent with previous work.

DISCUSSION

The similar cardiovascular and psychophysical responses provide support for the potential use of this low individual- and provider-burden, cost-efficient IHG device, and lay the foundation for a future training study to test the hypothesis of benefit.

摘要

目的

世界卫生组织强调需要有经济有效的替代方法来降低血压(BP)。HTN 指南中推荐的等长手握(IHG)训练是一种替代的血压控制方法。本研究的目的是比较使用传统电脑设备和更经济实惠的充气压力球进行的 IHG 训练对血压(BP)、心率(HR)和感知用力率(RPE)的影响。

方法

20 名健康成年人分别使用传统电脑设备和充气压力球进行一次 IHG 训练(4 次,每次 2 分钟等长收缩,每次收缩之间休息 1 分钟,达到 30%最大自主收缩)。记录血压、心率和 RPE。

结果

两种设备在 HR、BP 和 RPE 方面没有观察到统计学上的显著差异(<0.05)。然而,两种设备的平均 RPE 在 5 到 6 之间,表明参与者的 MVC 为 30%,与之前的研究一致。

讨论

类似的心血管和心理物理反应为使用这种低个体和提供者负担、成本效益高的 IHG 设备提供了支持,并为未来的训练研究奠定了基础,以检验其有益的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ddf/9643810/be8345b63d6c/10.1177_17423953211049753-fig1.jpg

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