RESUMO

OBJECTIVE: The objective of this study was to evaluate the effect of whole red grape juice (juice) on blood pressure (BP) at rest and on the magnitude of post-exercise hypotension (PEH). METHODS: This double-blind, randomized controlled study was performed with 26 individuals with hypertension (40 to 59 years old) who were divided into experimental (n = 14) and control (n = 12) groups. Subsequently, the experimental group was subdivided according to the initial BP values. The subjects performed 2 sessions of aerobic exercise on a treadmill (60 minutes, 60%-85% maximum heart rate), separated by a 28-day period of supplementation with a daily dose of juice (150 ml for men and 100 ml for women) or a control drink. BP was measured before, during, and immediately after each exercise session as well as every 10 minutes during the 60-minute post-exercise recovery period. RESULTS: The BP at rest did not change in the experimental group, but when this group was subdivided by initial BP, the subjects with controlled initial BP (EGCP) achieved a significant reduction (133.3 ± 5.6 to 114.6 ± 12.2 mmHg, p = 0.02); in contrast, the experimental group with borderline hypertensive BP values (EGBP) did not. Intervention with juice did not modify PEH in the experimental group, but when this group was divided as a function of the initial BP, PEH was potentiated at some times in EGCP. CONCLUSIONS: We conclude that juice promotes a reduction in BP at rest and is also capable of improving PEH in individuals with hypertension, but these effects are dependent on the initial BP values.

Assuntos

Pressão Sanguínea/efeitos dos fármacos , Exercício Físico/fisiologia , Frutas , Hipertensão/dietoterapia , Hipotensão Pós-Exercício/dietoterapia , Descanso/fisiologia , Vitis , Adulto , Método Duplo-Cego , Feminino , Sucos de Frutas e Vegetais , Humanos , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Preparações de Plantas/farmacologia , Preparações de Plantas/uso terapêutico , Hipotensão Pós-Exercício/fisiopatologia , Resultado do Tratamento

RESUMO

The reduction in blood pressure after the physical exercise practice is called postexercise hypotension (PEH). Previous studies have demonstrated that the ingestion of caffeine at levels corresponding to three doses of coffee eliminates this phenomenon. Thus, we evaluated the influence of different doses of coffee in the PEH in twelve hypertensives, who performed four experimental sessions of aerobic exercise on a cycle ergometer (lasting 40 minutes, with intensity between 60% and 80% of maximum heart rate), followed by the ingestion of one (CAF-1), two (CAF-2), or three (CAF-3) doses of caffeinated coffee, or three doses of decaffeinated coffee (DESC). The blood pressure was measured at rest and at 10-minute intervals during 120 minutes of recovery post exercise. DESC resulted in systolic PEH at all moments of measurement, with averages of -4.1±1.2 mmHg and -1.8±1.3 mmHg on the 1st and 2nd hours post exercise, respectively. In CAF-1, both systolic hypotensive and hypertensive responses to the exercise were identified, with averages of -1.2±1.7 and 0.5±0.4 mmHg after one and two hours of recovery. Conversely, hypertensive systolic response occurred in all measurements compared rest blood pressure. The 1st and 2nd hours post exercise was 4.5±1.1 and 6.5+1.1 mmHg in CAF-2 and 5.1+0.9 and 6.5+1.0 mmHg to CAF-3. Diastolic PEH was not found in any of the experimental sessions. Therefore, the ingestion of two and three doses of caffeinated coffee completely blunts the PEH, while one dose results in partial elimination of the PEH.