Caminiti Giuseppe, Perrone Marco Alfonso, Volterrani Maurizio, Iellamo Ferdinando, Marazzi Giuseppe, Selli Serena, Franchini Alessio, Padua Elvira
Cardiology Rehabilitation Unit, S. Raffaele IRCCS, 00163 Rome, Italy.
Department of Human Science and Promotion of Quality of Life, San Raffaele Open University, 00163 Rome, Italy.
J Cardiovasc Dev Dis. 2022 May 27;9(6):172. doi: 10.3390/jcdd9060172.
The purpose of this study was to compare changes in blood pressure variability (BPV) and blood pressure (BP) values occurring in response to concurrent training (CT) between the two genders. A total of 35 males and 20 women aged 55-80 years, with hypertension and coronary artery disease, were included. They underwent a 12-week CT program. The aerobic component of CT was performed according to the rate of perceived exertion while the intensity of the resistance component was set at 60% of 1 repetition maximum for the first 4 weeks and then increased to 80%. BP and BPV were evaluated at baseline and at the end of the CT program through 24 h ambulatory blood pressure monitoring. After 12-weeks, 24 h and daytime systolic BPV decreased in both men and women without significant between-groups differences. Twenty-four-hour daytime and nighttime diastolic BPV decreased in both genders with a significantly greater decrease in women compared to men. Twenty-four-hour daytime systolic and 24 h diastolic BP decreased in men while they were unchanged in women. In conclusion, CT induced similar reductions of systolic BPV in men and women and a greater decrease in diastolic BPV in women. Conversely, CT decreased BP values in males but not in females. CT appears to be an effective intervention for reducing BPV in both genders.
本研究的目的是比较两种性别在进行同步训练(CT)时血压变异性(BPV)和血压(BP)值的变化。共有35名年龄在55 - 80岁之间、患有高血压和冠状动脉疾病的男性以及20名女性被纳入研究。他们接受了为期12周的CT计划。CT的有氧运动部分根据主观用力程度进行,而阻力运动部分的强度在前4周设定为1次重复最大值的60%,然后增加到80%。通过24小时动态血压监测在基线和CT计划结束时评估血压和血压变异性。12周后,男性和女性的24小时和日间收缩压变异性均降低,组间差异无统计学意义。男女两性的24小时日间和夜间舒张压变异性均降低,女性的降低幅度显著大于男性。男性的24小时日间收缩压和24小时舒张压降低,而女性则无变化。总之,CT使男性和女性的收缩压变异性降低程度相似,女性的舒张压变异性降低幅度更大。相反,CT降低了男性的血压值,但未降低女性的血压值。CT似乎是一种降低两性血压变异性的有效干预措施。