Blood pressure response after exercise and their associated factors
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Abstract
Introduction: in Academia da Cidade, hypertensive individuals involved in daily exercise practice, but fewer studies have been developed about blood pressure (BP) behavior in these spaces. Another gap refers to the predictive factors for the blood pressure response. Aim: to investigate the blood pressure behavior and to analyze its predictive factors during exercise. Methods: observational study, carried out between December of 2018, January to February 2019. Sixteen hypertensives (58.8 ± 15.3 years) took part in the exercise practice. BP and heart rate were checked before and after each exercise session. Heart rate variability was assessed in April. Statistical analysis was carried out with One-way ANOVA and linear regression. Results: the systolic BP (SBP) at rest did not decrease between the months of observation. The diastolic BP (DBP) at rest decreased between December and January (79.3±9.7mmHg to 73.0±7.1 mmHg, p=0.02, Cohen's D =0.77). In April, for post-training PAS, SDNN (β:1.6, 95%CI: 0.3-0.6, p=0.0), RMSSD (β:-2.0, 95%CI: -2.3 - -1.5, p=0.0) and pre-exercise SBP (β:0.6, 95%CI:0.3-0.8, p=0.0) were predictors. For the post-exercise DBP, the LF/HF (β:-0.9, 95%CI:-4.2 - -0.8, p=0.0) and the pre-exercise DBP (β:0, 8, 95%CI: 0.4-1.4, p=0.0) were predictors. Other relations were observed between February and March. Conclusion: only the PAD reduced significantly. Variables of the autonomic nervous system, systolic or diastolic pre-exercise blood pressure and heart rate during exercise practice predicted the behavior of post-exercise blood pressure.
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References
American College of Sports Medicine, Pescatello, L. S., Franklin, B. A., Fagard, R., Farquhar, W. B., Kelley, G. A., & Ray, C. A. (2004). Exercise and Hypertension. Medicine and Science in Sports and Exercise, 36(3), 533–553. https://doi.org/10.1249/01.MSS.0000115224.88514.3A DOI: https://doi.org/10.1249/01.MSS.0000115224.88514.3A
Bocalini, D. S., Bergamin, M., Evangelista, A. L., Rica, R. L., Pontes, F. L., Figueira, A., … Dos Santos, L. (2017). Post-exercise hypotension and heart rate variability response after water-and landergometry exercise in hypertensive patients. PLoS ONE, 12(6), 1–14. https://doi.org/10.1371/journal.pone.0180216 DOI: https://doi.org/10.1371/journal.pone.0180216
Ministério da Saúde (Brasil). (8 de novembro de 2013). Portaria n°2.681 de 7 de novembro de 2013, Redefine o Programa Academia da Saúde no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União
Carpio-Rivera, E., Moncada-Jiménez, J., Salazar-Rojas, W., & Solera-Herrera, A. (2016). Acute effects of exercise on blood pressure: A meta-analytic investigation. Arquivos Brasileiros de Cardiologia, 106(5), 422–433. https://doi.org/10.5935/abc.20160064 DOI: https://doi.org/10.5935/abc.20160064
Centers for Disease Control and Prevention. (2003). Prevalence of healthy weight, overweight, and obesity Trends from the 1960s to 2000. U.S. Department of Health and Human Services, 7, 1–2.
de Oliveira, G. M. M., Mendes, M., Malachias, M. V. B., Morais, J., Moreira Filho, O., Coelho, A. S., … Fernandes, M. (2017). 2017 guidelines for arterial hypertension management in primary health care in Portuguese language countries. Arquivos Brasileiros de Cardiologia, 109(5), 389–396. https://doi.org/10.5935/abc.20170165 DOI: https://doi.org/10.5935/abc.20170165
Gjøvaag, T., Berge, H., Olsrud, M., & Welde, B. (2020). Acute Post-Exercise Blood Pressure Responses in Middle-Aged Persons with Elevated Blood Pressure/Stage 1 Hypertension following Moderate and High-Intensity Isoenergetic Endurance Exercise. International Journal of Exercise Science, 13(3), 1532.
Hagberg, J. M., Park, J.-J., & Brown, M. D. (2000). The role of exercise training in the therapy of hyperlipoproteinemia. Sports Medicine, 30(3), 193–256. https://doi.org/10.1016/s0733-8651(18)30552-6 DOI: https://doi.org/10.2165/00007256-200030030-00004
Jones, M. D., Munir, M., Wilkonski, A., Ng, K., Beynon, G., & Keech, A. (2020). Post-exercise hypotension time-course is influenced by exercise intensity: a randomised trial comparing moderate-intensity, high-intensity, and sprint exercise. Journal of Human Hypertension, 35(9), 776-784. https://doi.org/10.1038/s41371-020-00421-3 DOI: https://doi.org/10.1038/s41371-020-00421-3
Karvonen, M., Kentala, E., & Mustala, O. (1957). The effects of training on heart rate; a longitudinal study. Ann Med Exp Biol Fenn, 35(3), 307–315.
Lemos, S., Figueiredo, T., Marques, S., Leite, T., Cardozo, D., Willardson, J. M., & Simão, R. (2018). Effects of Strength Training Sessions Performed with Different Exercise Orders and Intervals on Blood Pressure and Heart Rate Variability. International Journal of Exercise Science, 11(2), 55–67. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/29795724%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5955307
Malachias, M., Souza, W., Plavnik, F., Rodrigues, C., Brandão, A., Neves, M., & Al., E. (2016). 7. Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol, 107(3 Supl.3), 1–83. https://doi.org/10.1097/MPH.0000000000001116 DOI: https://doi.org/10.1097/MPH.0000000000001116
Malta, D. C., Castro, A. M. de, Gosch, C. S., Cruz, D. K. A., Bressan, A., Nogueira, J. D., … Temporão, J. G. (2009). A Política Nacional de Promoção da Saúde e a agenda da atividade física no contexto do SUS. Epidemiologia e Serviços de Saúde, 18(1), 79–86. https://doi.org/10.5123/s1679-49742009000100008 DOI: https://doi.org/10.5123/S1679-49742009000100008
Pereira, R. de A., Alves, J. L. de B., Silva, J. H. da C., Costa, M. da S., & Silva, A. S. (2020). Validity of a smartphone application and chest strap for recording RR intervals at rest in Athletes. International Journal of Sports Physiology and Performance, 15(6), 896–899. https://doi.org/10.1123/ijspp.2019-0406 DOI: https://doi.org/10.1123/ijspp.2019-0406
Pimenta, F. C., Montrezol, F. T., Dourado, V. Z., da Silva, L. F. M., Borba, G. A., de Oliveira Vieira, W., & Medeiros, A. (2019). High-intensity interval exercise promotes post-exercise hypotension of greater magnitude compared to moderate-intensity continuous exercise. European Journal of Applied Physiology, 0(0), 0. https://doi.org/10.1007/s00421-019-04114-9 DOI: https://doi.org/10.1007/s00421-019-04114-9
Putland, C., Baum, F. E., & Ziersch, A. M. (2011). From causes to solutions - Insights from lay knowledge about health inequalities. BMC Public Health, 11. https://doi.org/10.1186/1471-2458-11-67 DOI: https://doi.org/10.1186/1471-2458-11-67
Queiroz, A. C. C., Sousa, J. C. S., Cavalli, A. A. P., Silva, N. D., Costa, L. A. R., Tobaldini, E., … Forjaz, C. L. M. (2015). Post-resistance exercise hemodynamic and autonomic responses: Comparison between normotensive and hypertensive men. Scandinavian Journal of Medicine and Science in Sports, 25(4), 486–494. https://doi.org/10.1111/sms.12280 DOI: https://doi.org/10.1111/sms.12280
Silva, T. F. da, Souza, A. A. de, Lima, F. F. de, Suassuna, J. A. S., CoutoI, H. E. P. L. do, Tenório, G. R., … Silva, A. S. (2017). Efeito do exercício de caminhantes realizado em praças públicas com intensidade espontânea ou prescrita sobre a hipotensão pós-exercício. Revista de Saúde Pública, 51, 1–10.
Stewart, a a, Marfell-Jones, M., Olds, T., & Al., E. (2011). International standards for anthropometric assessment. Lower Hutt, New Zealand: International Society for the Advancement of Kinanthropometry, 125f. https://doi.org/10.1152/japplphysiol.00187.2013 DOI: https://doi.org/10.1152/japplphysiol.00187.2013
World Health Organization. (2008). Purpose and Goals of the HPH Network. Retrieved from http://www.who-cc.dk/goals-and-purpose-of-the-hph-network/