不同类型等长运动的急性血压反应：一项系统评价与荟萃分析
Acute Blood Pressure Response to Different Types of Isometric Exercise: A Systematic Review with Meta-Analysis.
作者信息
Coneglian Juliana C, Barcelos Guilherme T, Bandeira Antonio Cleilson N, Carvalho Ana Carolina A, Correia Marilia A, Farah Breno Q, Ritti-Dias Raphael M, Gerage Aline M
机构信息
Post-graduate Program in Physical Education, Federal University of Santa Catarina, 88040-001 Florianópolis (SC), Brazil.
Sports Center, Federal University of Santa Catarina, 88040-001 Florianópolis (SC), Brazil.
出版信息
Rev Cardiovasc Med. 2023 Feb 10;24(2):60. doi: 10.31083/j.rcm2402060. eCollection 2023 Feb.
BACKGROUND
This study aimed to identify the blood pressure (BP) responses during different types of isometric exercises (IE) in adults and to evaluate whether BP responses according to IE is influenced by the characteristics of participants and exercise protocols.
METHODS
The search was conducted in PubMed, Cochrane Central, SPORTDiscus, and LILACS databases in June 2020. Random effects models with a 95% confidence interval and 0.05 were used in the analyses.
RESULTS
Initially, 3201 articles were found and, finally, 102 studies were included in this systematic review, seven of which were included in the meta-analysis comparing handgrip to other IE. Two-knee extension and deadlift promoted greater increases in systolic (+9.8 mmHg; = 0.017; = 74.5% and +26.8 mmHg; 0.001; = 0%, respectively) and diastolic (+7.9 mmHg; = 0.022; = 68.6% and +12.4 mmHg; 0.001; = 36.3%, respectively) BP compared to handgrip. Men, middle-aged/elderly adults, hypertensive individuals, and protocols with higher intensities potentiate the BP responses to handgrip exercise ( 0.001).
CONCLUSIONS
IE involving larger muscle groups elicit greater BP responses than those involving smaller muscle masses, especially in men, middle-aged/elderly adults and hypertensive individuals. Future studies should directly compare BP responses during various types of IE in different populations.
背景
本研究旨在确定成年人在不同类型的等长运动（IE）期间的血压（BP）反应，并评估根据等长运动得出的血压反应是否受参与者特征和运动方案的影响。
方法
2020年6月在PubMed、Cochrane Central、SPORTDiscus和LILACS数据库中进行检索。分析中使用了具有95%置信区间和P<0.05的随机效应模型。
结果
最初检索到3201篇文章，最终102项研究纳入本系统评价，其中7项纳入将握力与其他等长运动进行比较的荟萃分析。与握力相比，双腿伸展和硬拉可使收缩压（分别为+9.8 mmHg；P = 0.017；I² = 74.5%和+26.8 mmHg；P<0.001；I² = 0%）和舒张压（分别为+7.9 mmHg；P = 0.022；I² = 68.6%和+12.4 mmHg；P<0.001；I² = 36.3%）升高更显著。男性、中年/老年成年人、高血压个体以及更高强度的运动方案会增强对等长握力运动的血压反应（P<0.001）。
结论
涉及较大肌肉群的等长运动比涉及较小肌肉群的等长运动引起更大的血压反应，尤其是在男性、中年/老年成年人和高血压个体中。未来的研究应直接比较不同人群在各种类型等长运动期间的血压反应。
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