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Postexercise Hypotension After Aquatic Exercise in Older Women With Hypertension: A Randomized Crossover Clinical Trial.
Cunha, Raphael M; Costa, Andressa Moura; Silva, Christoffer Novais F; Póvoa, Thais Inácio R; Pescatello, Linda S; Lehnen, Alexandre Machado.
Afiliação
  • Cunha RM; Departament of Experimental Medicine and Clinical Research Laboratory, Institute of Cardiology of Rio Grande do Sul/University Foundation of Cardiology, Porto Alegre, Rio Grande do Sul, Brazil.
  • Costa AM; Departament of Physical Education and Exercise Physiology Laboratory of States University of Goiás, Goiás, Brazil.
  • Silva CNF; Departament of Physical Education and Exercise Physiology Laboratory of States University of Goiás, Goiás, Brazil.
  • Póvoa TIR; Departament of Physical Education and Exercise Physiology Laboratory of States University of Goiás, Goiás, Brazil.
  • Pescatello LS; Departament of Physical Education and Exercise Physiology Laboratory of States University of Goiás, Goiás, Brazil.
  • Lehnen AM; Department of Kinesiology and Human Performance Laboratory, University of Connecticut, Connecticut, USA.
Am J Hypertens ; 31(2): 247-252, 2018 01 12.
Article em En | MEDLINE | ID: mdl-28985278
BACKGROUND: Hypertension can be prevented and modified with lifestyle interventions that include regular exercise. Aquatic exercise is widely recommended for older adults for a variety of health benefits, but few studies have assessed the immediate ambulatory blood pressure (BP) response to aquatic exercise, a response termed postexercise hypotension (PEH). Thus, we assessed PEH after a session of aquatic exercise in physically active, older women with hypertension. METHODS: Twenty-four women 70.0 ± 3.9 years with a resting systolic (SBP)/diastolic (DBP) BP of 124.0/72.3 mm Hg and body mass index of 29.8 ± 4.1 kg/m2 were randomly assigned to participate in a 45-minute session of moderate intensity, water-based exercise (WATER) and a 45-minute land control session (CONTROL). All experimental sessions started at 9 am sharply with 7 days between them. Subjects left the experiments wearing an ambulatory BP monitor for the next 21 hours. RESULTS: SBP was lower by 5.1 ± 1.0 mm Hg after WATER than CONTROL over 21 hours (P < 0.001), over awake hours by 5.7 ± 1.1 mm Hg (P < 0.001), and sleep hours by 4.5 ± 0.4 mm Hg (P = 0.004). DBP was lower following WATER compared to CONTROL: 1.2 ± 0.3 mm Hg over 21 hours (P = 0.043); 0.9 ± 0.6 mm Hg over awake hours (P = 0.101); and 1.4 ± 0.9 mm Hg over sleep hours (P = 0.039). CONCLUSIONS: Aquatic exercise elicited PEH (~5 mm Hg) over 21 hours, BP reductions that are comparable in magnitude to land aerobic exercise. The immediate antihypertensive benefits of acute aquatic exercise should continue to be explored in future studies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Piscinas / Pressão Sanguínea / Terapia por Exercício / Hipotensão Pós-Exercício / Hipertensão Tipo de estudo: Clinical_trials / Diagnostic_studies Limite: Aged / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Hypertens Assunto da revista: ANGIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Piscinas / Pressão Sanguínea / Terapia por Exercício / Hipotensão Pós-Exercício / Hipertensão Tipo de estudo: Clinical_trials / Diagnostic_studies Limite: Aged / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Am J Hypertens Assunto da revista: ANGIOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos