血压正常和1期高血压个体在不同抗阻训练方法过程中的血压变化：一项重复测量的横断面研究
Blood pressure changes during different methods of resistance training in normotensive and stage 1 hypertensive individuals: a repeated measures cross-sectional study.
作者信息
Jurik Roman, Stastny Petr, Kolinger Dominik, Gola Artur, Vetrovsky Tomas
机构信息
Faculty of Physical Education and Sport, Charles University, José Martího 269/31, Prague, 162 52, Czech Republic.
The Jerzy Kukuczka Academy of Physical Education and Sport in Katowice, Mikołowska 72A, Katowice, 40-065, Poland.
出版信息
BMC Sports Sci Med Rehabil. 2025 Mar 14;17(1):49. doi: 10.1186/s13102-025-01097-3.
BACKGROUND
Stage 1 hypertension influences acute cardiovascular responses to resistance exercises and post-exercise recovery. We examined whether the order of exercises, particularly in agonist-antagonist pairings, can alter these cardiovascular responses. This study compares systolic and diastolic blood pressure responses during agonist and agonist-antagonist paired sets of upper and lower-body resistance exercises with a load of 75% repetition maximum in individuals with normotension and stage 1 hypertension.
METHODS
A cross-sectional study enrolled 47 participants with sedentary jobs, comprising 30 normotensive individuals (47.8 ± 5.9 years, height 174.8 ± 10.2 cm, weight 77.7 ± 15.4 kg, BMI 25.3 ± 3.6 kg/m) and 17 hypertensive individuals (54.3 ± 6.0 years, 177.6 ± 11.3 cm, 89.8 ± 16.4 kg, BMI 28.5 ± 4,5 kg/m). Acute cardiovascular parameters were measured using an arteriograph, a non-invasive device designed to assess vascular stiffness and cardiovascular health, after each set of resistance training.
RESULTS
No significant differences in systolic blood pressure changes were found between the resistance training methods and aerobic exercise when comparing normotensive and hypertensive individuals. However, significant increases in systolic blood pressure were observed during lower-body exercises (11.3-24.7 mmHg for normotensives and 11.7-24.1 mmHg for hypertensives, p < 0.05). Hypertensive individuals showed slightly higher increases during lower-body supersets (p < 0.05). Regarding diastolic blood pressure, significant decreases were noted during upper-body resistance training for both groups, especially for normotensives (-10.6 to -13.7 mmHg, p < 0.05).
CONCLUSIONS
Agonist and agonist-antagonist paired set resistance training for both lower and upper-body exercises resulted in similar blood pressure changes in individuals with normotension and stage 1 hypertension. These findings suggest that both methods may have comparable cardiovascular effects across blood pressure.
TRIAL REGISTRATION
The study was registered on ClinicalTrials.gov (NCT06047678). Registration date: 31 August 2023.
背景
1级高血压会影响急性心血管对阻力运动的反应以及运动后的恢复。我们研究了运动顺序，尤其是在 agonist-antagonist 配对中，是否会改变这些心血管反应。本研究比较了血压正常和1级高血压个体在进行上半身和下半身阻力运动时，采用75%最大重复次数负荷的 agonist 组和 agonist-antagonist 配对组运动过程中的收缩压和舒张压反应。
方法
一项横断面研究招募了47名从事久坐工作的参与者，其中包括30名血压正常个体（年龄47.8±5.9岁，身高174.8±10.2厘米，体重77.7±15.4千克，BMI 25.3±3.6千克/平方米）和17名高血压个体（年龄54.3±6.0岁，身高177.6±11.3厘米，体重89.8±16.4千克，BMI 28.5±4.5千克/平方米）。在每组阻力训练后，使用动脉造影仪（一种用于评估血管僵硬度和心血管健康的非侵入性设备）测量急性心血管参数。
结果
在比较血压正常和高血压个体时，阻力训练方法与有氧运动之间的收缩压变化无显著差异。然而，在下半身运动期间观察到收缩压显著升高（血压正常者为11.3 - 24.7 mmHg，高血压者为11.7 - 24.1 mmHg，p < 0.05）。高血压个体在下半身超级组运动期间的升高幅度略高（p < 0.05）。关于舒张压，两组在上半身阻力训练期间均出现显著下降，尤其是血压正常者（-10.6至-13.7 mmHg，p < 0.05）。
结论
上半身和下半身运动的 agonist 组和 agonist-antagonist 配对组阻力训练在血压正常和1级高血压个体中导致相似的血压变化。这些发现表明，这两种方法在不同血压水平下可能具有相当的心血管效应。
试验注册
该研究已在ClinicalTrials.gov上注册（NCT06047678）。注册日期：2023年8月31日。
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