Haryono Ignatio R, Prastowo Nawanto A
Department of Physiology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia -
Department of Physiology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
J Sports Med Phys Fitness. 2025 May;65(5):701-707. doi: 10.23736/S0022-4707.25.16599-7. Epub 2025 Feb 11.
Evidence on the effectiveness of combined exercise over aerobic exercise alone in lowering blood pressure (BP) remains limited. This study compared the effectiveness of combined aerobic plus resistance training versus aerobic training alone, with both interventions matched for exercise duration.
This randomized controlled trial included thirty-one female participants eligible for final analysis. Participants were randomly assigned to two groups: 15 to the Control (C) group, which underwent 8 weeks of aerobics, and 16 to the Combined Training (CT) group, which underwent 8 weeks of combined training. Outcome measures included weight, height, Body Mass Index (BMI), systolic and diastolic blood pressure (SBP and DBP), heart rate (HR), mean arterial pressure (MAP), pulse pressure (PP), hand grip strength (HGS), and performance on the 30-second Chair Stand Test (30-s CST). These variables were assessed at baseline and at the end of week 8. Two-way ANOVA followed Tukey post-hoc was applied to analyze changes within and between groups over time. The effect size was calculated using partial eta squared (η
Baseline characteristics were similar across groups, except for heart rate. Both groups showed significant reductions in SBP and DBP after the intervention ([C: SBP decreased by -7.4±2.2, P=0.00; DBP decreased by -5.1±2.4, P=0.00] [CT: SBP decreased by -6.1±2.1, P<0.01, and DBP decreased by -6.9±2.0, P<0.01]). The reduction in SBP was more pronounced in the C than in the CT (P=0.04), while the reduction in DBP was greater in the CT group (P=0.04). An improvement in the outcome variable is caused by the "group" or "time" effect but not by the effect of "group × time."
Adding resistance training to aerobic exercise enhances the reduction in diastolic blood pressure compared to aerobic exercise alone in prehypertension middle-aged women.
关于联合运动与单纯有氧运动相比在降低血压方面的有效性的证据仍然有限。本研究比较了有氧加抗阻训练与单纯有氧训练的有效性，两种干预措施的运动时长相匹配。
这项随机对照试验纳入了31名符合最终分析条件的女性参与者。参与者被随机分为两组：15人进入对照组（C组），进行为期8周的有氧运动；16人进入联合训练组（CT组），进行为期8周的联合训练。观察指标包括体重、身高、体重指数（BMI）、收缩压和舒张压（SBP和DBP）、心率（HR）、平均动脉压（MAP）、脉压（PP）、握力（HGS）以及30秒坐立试验（30-s CST）的表现。这些变量在基线时和第8周结束时进行评估。采用双向方差分析并随后进行Tukey事后检验来分析组内和组间随时间的变化。效应量使用偏 eta 平方（η
除心率外，各组基线特征相似。干预后两组的收缩压和舒张压均显著降低（[C组：收缩压下降-7.4±2.2，P = 0.00；舒张压下降-5.1±2.4，P = 0.00] [CT组：收缩压下降-6.1±2.1，P < 0.01，舒张压下降-6.9±2.0，P < 0.01]）。收缩压的下降在C组比CT组更明显（P = 0.04），而舒张压的下降在CT组更大（P = 0.04）。结果变量的改善是由“组”或“时间”效应引起的，而非“组×时间”效应。
与单纯有氧运动相比，在有氧运动中加入抗阻训练可增强高血压前期中年女性舒张压的降低幅度。
