دورية أكاديمية
أعرض في EDS

Blood pressure responsiveness to resistance training in the hypertensive older adult: a randomized controlled study.

التفاصيل البيبلوغرافية
العنوان: Blood pressure responsiveness to resistance training in the hypertensive older adult: a randomized controlled study.
المؤلفون: Abrahin O; Laboratory of Resistance Exercise and Health, State University of Para (UEPA), Belém, Pará.; Graduate Program in Genetics and Molecular Biology, Federal University of Pará, Belém, Pará., Abrahin RP; Laboratory of Resistance Exercise and Health, State University of Para (UEPA), Belém, Pará.; Graduate Program in Genetics and Molecular Biology, Federal University of Pará, Belém, Pará., Guimarães M; Laboratory of Resistance Exercise and Health, State University of Para (UEPA), Belém, Pará., de Holanda VBT; Laboratory of Resistance Exercise and Health, State University of Para (UEPA), Belém, Pará., Figueiredo FAPL; Graduate Program in Genetics and Molecular Biology, Federal University of Pará, Belém, Pará., Viana Rosa B; Department of Physical Education, Catholic University of Brasilia (UCB), Brasília., de Sousa Neto IV; School of Physical Education and Sport of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil., Rolnick N; The Human Performance Mechanic, Lehman College, New York, New York, USA., de Melo GF; Department of Physical Education, Catholic University of Brasilia (UCB), Brasília., Prestes EF; Department of Physical Education, Catholic University of Brasilia (UCB), Brasília., da Cunha Nascimento D; Department of Physical Education, Catholic University of Brasilia (UCB), Brasília.
المصدر: Blood pressure monitoring [Blood Press Monit] 2024 Apr 01; Vol. 29 (2), pp. 71-81. Date of Electronic Publication: 2024 Jan 15.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 9606438 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5725 (Electronic) Linking ISSN: 13595237 NLM ISO Abbreviation: Blood Press Monit Subsets: MEDLINE
أسماء مطبوعة: Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: London ; Philadelphia, PA : Rapid Science Publishers, c1996-
مواضيع طبية MeSH: Resistance Training* , Hypertension*/therapy, Humans ; Aged ; Blood Pressure/physiology ; Hand Strength ; Single-Blind Method ; Glucose
مستخلص: Different lifestyle changes have been employed to improve clinical hypertension. However, there is scarce evidence on the blood pressure responsiveness to resistance training (RT) in hypertensive older adults. Consequently, little is known about some participants clinically reducing blood pressure and others not. Thus, we investigate the effects and responsiveness of RT on blood pressure in hypertensive older adults. We secondarily evaluated the biochemical risk factors for cardiovascular disease and functional performance. Older participants with hypertension were randomly assigned into RT (n = 27) and control group (n = 25). Blood pressure, functional performance (timed up and go, handgrip strength, biceps curl and sit-to-stand), fasting glucose, and lipid profiles were evaluated preintervention and postintervention. The statistic was performed in a single-blind manner, the statistician did not know who was the control and RT. RT was effective in reducing systolic blood pressure (SBP) (pre 135.7 ± 14.7; post 124.7 ± 11.0; P  < 0.001) and the responses to RT stimuli varied noticeably between hypertensive older adults after 12 weeks. For example, 13 and 1 responders displayed a minimal clinical important difference for SBP attenuation (10.9 mmHg) in the RT and control groups, respectively. RT improved the functional performance of older people with hypertension, while no differences were found in biochemical parameters (triglycerides, HDL, LDL, fasting glucose) after 12 weeks. In conclusion, responses to RT stimuli varied noticeably between hypertensive individuals and RT was effective in reducing SBP.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
References: Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandao AA, Feitosa ADM, et al. Brazilian guidelines of hypertension - 2020. Arq Bras Cardiol 2021; 116:516–658.
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, et al. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol 2020; 43:99–107.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380:2224–2260.
World Health Organization. Hypertension. 2021. https://www.who.int/news-room/fact-sheets/detail/hypertension . [Accessed 14 September 2022].
Martell Claros N. Importance of adherence in the management of hypertension. Hipertens Riesgo Vasc 2023; 40:34–39.
Abrahin O, Abrahin RP, de Sousa EC, Cortinhas-Alves EA, Nascimento DDC, Guerreiro JF. Inter-individual variations in response to aerobic and resistance training in hypertensive older adults. J Hypertens 2022; 40:1090–1098.
Naci H, Salcher-Konrad M, Dias S, Blum MR, Sahoo SA, Nunan D, et al. How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. Br J Sports Med 2019; 53:859–869.
Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc 2013; 2:e004473.
Abrahin O, Moraes-Ferreira R, Cortinhas-Alves EA, Guerreiro JF. Is resistance training alone an antihypertensive therapy? A meta-analysis. J Hum Hypertens 2021; 35:769–775.
Mann TN, Lamberts RP, Lambert MI. High responders and low responders: factors associated with individual variation in response to standardized training. Sports Med 2014; 44:1113–1124.
Bonafiglia JT, Preobrazenski N, Gurd BJ. A systematic review examining the approaches used to estimate interindividual differences in trainability and classify individual responses to exercise training. Front Physiol 2021; 12:665044.
Nascimento DDC, da Silva CR, Valduga R, Saraiva B, de Sousa Neto IV, Vieira A, et al. Blood pressure response to resistance training in hypertensive and normotensive older women. Clin Interv Aging 2018; 13:541–553.
Bonafiglia JT, Islam H, Preobrazenski N, Ma A, Deschenes M, Erlich AT, et al. Examining interindividual differences in select muscle and whole-body adaptations to continuous endurance training. Exp Physiol 2021; 106:2168–2176.
Lawes CM, Bennett DA, Feigin VL, Rodgers A. Blood pressure and stroke: an overview of published reviews. Stroke 2004; 35:776–785.
Lewington S, Clarke R, Qizilbash N, Peto R, Collins R, Prospective Studies C. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360:1903–1913.
Wang JG, Staessen JA, Franklin SS, Fagard R, Gueyffier F. Systolic and diastolic blood pressure lowering as determinants of cardiovascular outcome. Hypertension 2005; 45:907–913.
Rikli RE, Jones CJ. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist 2013; 53:255–267.
Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing 2011; 40:423–429.
Colado JC, Garcia-Masso X, Triplett TN, Flandez J, Borreani S, Tella V. Concurrent validation of the OMNI-resistance exercise scale of perceived exertion with Thera-band resistance bands. J Strength Cond Res 2012; 26:3018–3024.
MacCoun R, Perlmutter S. Blind analysis: hide results to seek the truth. Nature 2015; 526:187–189.
Sussman JB, Hayward RA. An IV for the RCT: using instrumental variables to adjust for treatment contamination in randomised controlled trials. BMJ 2010; 340:c2073.
Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front Psychol 2013; 4:863.
Serdar CC, Cihan M, Yucel D, Serdar MA. Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb) 2021; 31:010502.
Faul F, Erdfelder E, Lang A-G, Buchner AJB. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39:175–191.
Swinton PA, Hemingway BS, Saunders B, Gualano B, Dolan E. A statistical framework to interpret individual response to intervention: paving the way for personalized nutrition and exercise prescription. Front Nutr 2018; 5:41.
da Cunha Nascimento D, Neto IVS, Saraiva B, Lima ADS, Navalta JW, Pereira GB, et al. Advancements and critical steps for statistical analyses in blood pressure response to resistance training in hypertensive older women: a methodological approach. Blood Press Monit 2021; 26:135–145.
Copay AG, Subach BR, Glassman SD, Polly DW Jr, Schuler TC. Understanding the minimum clinically important difference: a review of concepts and methods. Spine J 2007; 7:541–546.
Uchmanowicz B, Chudiak A, Uchmanowicz I, Rosinczuk J, Froelicher ES. Factors influencing adherence to treatment in older adults with hypertension. Clin Interv Aging 2018; 13:2425–2441.
Correia RR, Veras ASC, Tebar WR, Rufino JC, Batista VRG, Teixeira GR. Strength training for arterial hypertension treatment: a systematic review and meta-analysis of randomized clinical trials. Sci Rep 2023; 13:201.
Oliveira-Dantas FF, Brasileiro-Santos MDS, Thomas SG, Silva AS, Silva DC, Browne RAV, et al. Short-term resistance training improves cardiac autonomic modulation and blood pressure in hypertensive older women: a randomized controlled trial. J Strength Cond Res 2020; 34:37–45.
Farinatti P, da Silva Itaborahy A, de Paula T, Monteiro WD, Neves MF. Effects of aerobic, resistance and concurrent exercise on pulse wave reflection and autonomic modulation in men with elevated blood pressure. Sci Rep 2021; 11:760.
Dantas FF, Brasileiro-Santos Mdo S, Batista RM, do Nascimento LS, Castellano LR, Ritti-Dias RM, et al. Effect of strength training on oxidative stress and the correlation of the same with forearm vasodilatation and blood pressure of hypertensive elderly women: a randomized clinical trial. PLoS One 2016; 11:e0161178.
Otsuki T, Nakamura F, Zempo-Miyaki A. Nitric Oxide and decreases in resistance exercise blood pressure with aerobic exercise training in older individuals. Front Physiol 2019; 10:1024.
Ferrari L, Vicenzi M, Tarantini L, Barretta F, Sironi S, Baccarelli AA, et al. Effects of physical exercise on endothelial function and DNA methylation. Int J Environ Res Public Health 2019; 16:2530.
Montrezol FT, Marinho R, Mota G, D’Almeida V, de Oliveira EM, Gomes RJ, et al. ACE gene plays a key role in reducing blood pressure in the hyperintensive elderly after resistance training. J Strength Cond Res 2019; 33:1119–1129.
Neves VJ, Fernandes T, Roque FR, Soci UP, Melo SF, de Oliveira EM. Exercise training in hypertension: role of microRNAs. World J Cardiol 2014; 6:713–727.
Chen T, Lin J, Lin Y, Xu L, Lu D, Li F, et al. Effects of aerobic exercise and resistance exercise on physical indexes and cardiovascular risk factors in obese and overweight school-age children: a systematic review and meta-analysis. PLoS One 2021; 16:e0257150.
Jamka M, Makarewicz-Bukowska A, Bokayeva K, Smidowicz A, Geltz J, Kokot M, et al. Comparison of the effect of endurance, strength and endurance-strength training on glucose and insulin homeostasis and the lipid profile of overweight and obese subjects: a systematic review and meta-analysis. Int J Environ Res Public Health 2022; 19:14928.
Cooper R, Kuh D, Hardy R, Mortality Review Group; FALCon and HALCyon Study Teams. Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ 2010; 341:c4467.
Abrahin O, Rodrigues RP, Nascimento VC, Da Silva-Grigoletto ME, Sousa EC, Marcal AC. Single- and multiple-set resistance training improves skeletal and respiratory muscle strength in elderly women. Clin Interv Aging 2014; 9:1775–1782.
Chua KY, Lim WS, Lin X, Yuan JM, Koh WP. Handgrip strength and timed Up-and-Go (TUG) test are predictors of short-term mortality among elderly in a population-based cohort in singapore. J Nutr Health Aging 2020; 24:371–378.
Isaksen J, Egge A, Waterloo K, Romner B, Ingebrigtsen T. Risk factors for aneurysmal subarachnoid haemorrhage: the Tromso study. J Neurol Neurosurg Psychiatry 2002; 73:185–187.
Gomides RS, Costa LA, Souza DR, Queiroz AC, Fernandes JR, Ortega KC, et al. Atenolol blunts blood pressure increase during dynamic resistance exercise in hypertensives. Br J Clin Pharmacol 2010; 70:664–673.
MacDonald HV, Johnson BT, Huedo-Medina TB, Livingston J, Forsyth KC, Kraemer WJ, et al. Dynamic resistance training as stand-alone antihypertensive lifestyle therapy: a meta-analysis. J Am Heart Assoc 2016; 5:e003231.
Moraes MR, Bacurau RF, Casarini DE, Jara ZP, Ronchi FA, Almeida SS, et al. Chronic conventional resistance exercise reduces blood pressure in stage 1 hypertensive men. J Strength Cond Res 2012; 26:1122–1129.
Nascimento D da C, Tibana RA, Benik FM, Fontana KE, Ribeiro Neto F, Santana FS, et al. Sustained effect of resistance training on blood pressure and hand grip strength following a detraining period in elderly hypertensive women: a pilot study. Clin Interv Aging 2014; 9:219–225.
Ketelhut RG, Franz IW, Scholze J. Efficacy and position of endurance training as a non-drug therapy in the treatment of arterial hypertension. J Hum Hypertens 1997; 11:651–655.
Fu Y, Feng Q, Wei Y, Fan L, Pan Y, Ji J, et al. Meta-analysis of the effect of aerobic training on blood pressure in hypertensive patients. Comput Math Methods Med 2022; 2022:9281661.
Burton E, Hill AM, Pettigrew S, Lewin G, Bainbridge L, Farrier K, et al. Why do seniors leave resistance training programs? Clin Interv Aging 2017; 12:585–592.
Qiu Y, Fernandez-Garcia B, Lehmann HI, Li G, Kroemer G, López-Otín C, et al. Exercise sustains the hallmarks of health. J Sport Health Sci 2023; 12:8–35.
المشرفين على المادة: IY9XDZ35W2 (Glucose)
تواريخ الأحداث: Date Created: 20240201 Date Completed: 20240301 Latest Revision: 20240301
رمز التحديث: 20240301
DOI: 10.1097/MBP.0000000000000690
PMID: 38300019
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-5725
DOI:10.1097/MBP.0000000000000690