de Oliveira Carpes Leandro, Domingues Lucas Betti, Fuchs Sandra Costa, Ferrari Rodrigo
Graduate Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-903, Brazil.
Sports and Exercise Training Study Group, Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-903, Brazil.
Sports (Basel). 2023 Mar 6;11(3):58. doi: 10.3390/sports11030058.
Post-exercise hypotension (PEH) is typically reported as mean values, but a great inter-individual variation in blood pressure (BP) response after a single exercise session is expected, especially when comparing different modalities of exercise. The purpose was to evaluate the inter-individual BP responses after beach tennis, aerobic, resistance and combined exercise sessions in adults with hypertension. We conducted a post hoc analysis of pooled crossover randomized clinical trials from six previously published studies of our research group, and analyzed data from 154 participants with hypertension (≥35 years). BP was assessed using office BP, and the mean changes throughout the 60 min after recreational beach tennis (BT, n = 23), aerobic (AE, n = 18), combined (COMB, n = 18), and resistance (RES, n = 95) exercise sessions were compared to a non-exercising control session (C). To categorize the participants as responders and non-responders for PEH, the typical error (TE) was calculated as follows: TE = SD/√2, where SD is the standard deviation of the differences in BP measured before the interventions in the exercise and control sessions. Participants who presented PEH greater than TE were classified as responders. The TE was 7 and 6 mmHg for baseline systolic and diastolic BP, respectively. The rate of responders for systolic BP was as follows: BT: 87%; AE: 61%; COMB: 56%; and RES: 43%. For diastolic BP, the rate of responders was as follows: BT: 61%; AE: 28%; COMB: 44%; and RES: 40%. Results evidenced that there was a high inter-individual variation of BP after a single bout of different physical activity modalities in adults with hypertension, suggesting that exercise protocols with aerobic characteristics (i.e., BT, AE, and COMB sessions) presented PEH in most of its practitioners.
运动后低血压（PEH）通常以平均值报告，但单次运动后血压（BP）反应存在很大的个体差异，尤其是在比较不同运动方式时。目的是评估高血压成人在沙滩网球、有氧运动、抗阻运动和联合运动后的个体血压反应。我们对研究组先前发表的六项研究中的汇总交叉随机临床试验进行了事后分析，并分析了154名高血压参与者（≥35岁）的数据。使用诊室血压评估血压，并将休闲沙滩网球（BT，n = 23）、有氧运动（AE，n = 18）、联合运动（COMB，n = 18）和抗阻运动（RES，n = 95）运动后60分钟内的平均变化与非运动对照期（C）进行比较。为了将参与者分为PEH反应者和非反应者，典型误差（TE）计算如下：TE = SD/√2，其中SD是运动和对照期干预前测量的血压差异的标准差。PEH大于TE的参与者被分类为反应者。基线收缩压和舒张压的TE分别为7 mmHg和6 mmHg。收缩压反应者的比例如下：BT：87%；AE：61%；COMB：56%；RES：43%。舒张压反应者的比例如下：BT：61%；AE：28%；COMB：44%；RES：40%。结果表明，高血压成人在单次不同体育活动方式后血压存在高度个体差异，这表明具有有氧特征的运动方案（即BT、AE和COMB运动）在大多数参与者中出现了PEH。
