دورية أكاديمية

Effect of exercise modalities on postexercise hypotension in pre- and postmenopausal women: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Effect of exercise modalities on postexercise hypotension in pre- and postmenopausal women: a systematic review and meta-analysis.
المؤلفون: Le Bourvellec M; Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France., Delpech N; Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France., Hervo J; Laboratoire de Traitement de l'information Médicale (LaTIM), UMR1101, Université Bretagne Occidentale, Brest, France., Bosquet L; Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France., Enea C; Laboratory MOVE (UR20296), Faculté des Sciences du Sport, Université de Poitiers, Poitiers, France.
المصدر: Journal of applied physiology (Bethesda, Md. : 1985) [J Appl Physiol (1985)] 2024 Apr 01; Vol. 136 (4), pp. 864-876. Date of Electronic Publication: 2024 Feb 08.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: American Physiological Society Country of Publication: United States NLM ID: 8502536 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-1601 (Electronic) Linking ISSN: 01617567 NLM ISO Abbreviation: J Appl Physiol (1985) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Bethesda, MD : American Physiological Society, c1985-
مواضيع طبية MeSH: Post-Exercise Hypotension* , Hypertension*, Humans ; Female ; Postmenopause ; Prospective Studies ; Blood Pressure ; Exercise
مستخلص: Hormonal changes associated with menopause increase the risk of hypertension. Postexercise hypotension (PEH) is an important tool in the prevention and management of hypertension; however, menopause may alter this response. The aim of this systematic review and meta-analysis [International Prospective Registered of Systematic Review (PROSPERO): CRD42023297557] was to evaluate the effect of exercise modalities (aerobic, AE; resistance, RE; and combined exercise, CE: AE + RE) on PEH in women, according to their menopausal status (premenopausal or postmenopausal). We searched controlled trials in PubMed, Web of Science, EBSCO, and Science Direct published between 1990 and March 2023. Inclusion criteria were normotensive, pre- and hypertensive, pre- and postmenopausal women who performed an exercise session compared with a control session and reported systolic blood pressure (SBP) and diastolic blood pressure (DBP) for at least 30 min after the sessions. Methodological quality was assessed using the PEDro scale. Standardized mean differences (Hedge's g ) and their 95% confidence intervals (CIs) were calculated, and Q -test and Z -test were conducted to assess differences between moderators. Forty-one trials with 718 women (474 menopausal) were included. Overall, we found with moderate evidence that SBP and DBP decreased significantly after exercise session (SBP: g = -0.69, 95% CI -0.87 to -0.51; DBP: g = -0.31, 95% CI -0.47 to -0.14), with no difference between premenopausal and postmenopausal women. Regarding exercise modalities, RE is more effective than AE and CE in lowering blood pressure (BP) in women regardless of menopausal status. In conclusion, women's menopausal status does not influence the magnitude of PEH, and the best modality to reduce BP in women seems to be RE. NEW & NOTEWORTHY This meta-analysis has demonstrated that a single bout of exercise induces postexercise hypotension (PEH) in women and that the hormonal shift occurring with menopause does not influence the magnitude of PEH. However, we have shown with moderate evidence that the effectiveness of exercise modalities differs between pre- and postmenopausal women. Resistance and combined exercises are the best modalities to induce PEH in premenopausal women, whereas resistance and aerobic exercises are more effective in postmenopausal women.
معلومات مُعتمدة: ANR-21-EXES-0013 Université de Poitiers (UP)
فهرسة مساهمة: Keywords: blood pressure; exercise; menopause; postexercise hypotension; systematic review
تواريخ الأحداث: Date Created: 20240208 Date Completed: 20240408 Latest Revision: 20240408
رمز التحديث: 20240408
DOI: 10.1152/japplphysiol.00684.2023
PMID: 38328822
قاعدة البيانات: MEDLINE
الوصف
تدمد:1522-1601
DOI:10.1152/japplphysiol.00684.2023