Acute Blood Pressure Response to High- and Moderate-Speed Resistance Exercise in Older Adults With Hypertension

2021 ◽  
pp. 1-8
Author(s):  
Carlos Leonardo Figueiredo Machado ◽  
Régis Radaelli ◽  
Clarissa Muller Brusco ◽  
Eduardo Lusa Cadore ◽  
Eurico N. Wilhelm ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Resistance Exercise ◽  
Blood Pressure Response ◽  
Individual Response ◽  
Older Individuals ◽  
Repetition Maximum ◽  
Control Protocol ◽  
The Individual ◽  
And Control

An increase in blood pressure (BP) occurs during resistance exercise; attention to this response may be necessary in older individuals with hypertension. We compared the BP responses following high- (HSRE) and moderate-speed resistance exercise (MSRE) (4 × 8 repetitions at 60% one-repetition maximum) and control protocol in 15 older adults with hypertension. HSRE and MSRE increased systolic BP (SBP) by the end of each set compared with preexercise and control protocol. Immediately after the fourth set, a higher SBP was observed in MSRE than HSRE (147 ± 14 vs. 141 ± 12 mmHg; p = .01). Taking an exploratory analysis of the individual response, we observed that MSRE resulted in greater mean changes and number of SBP exposures to values ≥150 mmHg (22-fold) than HSRE (10-fold). Diastolic BP increased (p < .05) with exercise, but only MSRE increased compared with the control condition (p < .05). HSRE may be an alternative for individuals in which SBP peak should be avoided.

Abstract P198: Clinic versus Out-of-Clinic Daytime Blood Pressure Among Older Adults: Data From the Jackson Heart Study

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Rikki M Tanner ◽  
Daichi Shimbo ◽  
Samantha Seals ◽  
Gbenga Ogedegbe ◽  
Paul Muntner
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Blood Pressure Monitoring ◽  
White Coat ◽  
Older Individuals ◽  
Jackson Heart Study ◽  
Large White ◽  
Younger Adults ◽  
White Coat Effect ◽  
Heart Study

In the US, antihypertensive medication treatment decisions are primarily based on blood pressure (BP) measurements obtained in the clinic setting. The optimal systolic BP (SBP) goal for adults ≥60 years is controversial and a large difference between clinic and out-of-clinic daytime BP, a white-coat effect, may be present in older individuals. We estimated the white-coat effect and calculated the percentage of untreated and treated adults <60 and ≥60 years with elevated clinic BP (defined as SBP/diastolic BP [DBP] ≥140/90 mmHg), but non-elevated out-of-clinic daytime BP (“daytime BP”, defined as SBP/DBP <135/85 mmHg) among 257 African-American participants in the Jackson Heart Study with at least 10 daytime ambulatory BP measurements. For the overall population, the white-coat effect for SBP was 12.2 mmHg (95% confidence interval [CI]: 9.2-15.1) in older adults and 8.4 mmHg (95% CI: 5.7-11.1) in younger adults (p=0.06). After multivariable (MV) adjustment, this difference was 1.3 mmHg. Among those without diabetes or chronic kidney disease (CKD), the white coat effect for SBP was 15.2 mmHg (95% CI: 10.1-20.2) and 8.6 mmHg (95% CI: 5.0-12.3) for older and younger adults, respectively (p=0.04). After MV adjustment, this difference was 5.9 mmHg. Also, SBP ≥150 mmHg versus <150 mm Hg was associated with a larger white-coat effect in the overall population after MV adjustment. Among those without CKD or diabetes, older age and SBP ≥150 mmHg were associated with a larger white-coat effect after MV adjustment. Among younger and older participants with elevated clinic BP, the prevalence of non-elevated daytime BP was 34% (95% CI: 26%-44%) and 32% (95% CI: 24%-40%), respectively (p=0.64), in the overall population and 35% (95% CI: 24%-48%) and 43% (95% CI: 31%-56%), respectively, for those without CKD or diabetes (p=0.37). In conclusion, a large white-coat effect was present among older adults. These data suggest a role for ambulatory blood pressure monitoring in preventing potential over-treatment for hypertension among older adults.

Maintenance of endothelial function following acute resistance exercise in females is associated with a tempered blood pressure response

2020 ◽  
Vol 129 (4) ◽  
pp. 792-799 ◽  
Author(s):  
Takuma Morishima ◽  
Jaume Padilla ◽  
Yosuke Tsuchiya ◽  
Eisuke Ochi
Keyword(s):  
Blood Pressure ◽  
Sexual Dimorphism ◽  
Endothelial Function ◽  
Resistance Exercise ◽  
Blood Pressure Response ◽  
Pressure Response ◽  
Healthy Male ◽  
Vascular Effects ◽  
First Time ◽  
Female Subjects

The present data demonstrate for the first time that acute resistance exercise impairs endothelial function in young, healthy male but not female subjects. In addition, we show that the preservation of endothelial function in females is associated with a mitigated blood pressure response during resistance exercise. Accordingly, this work portrays a sexual dimorphism in the barostress response, and ensuing vascular effects, to resistance exercise.

scholarly journals Resistance exercise with different volumes: blood pressure response and forearm blood flow in the hypertensive elderly

2014 ◽  
pp. 2151 ◽  
Author(s):  
Caio Victor Coutinho de Oliveira ◽  
Amilton da Cruz Santos ◽  
Aline Brito ◽  
Maria so Socorro Brasileiro
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Resistance Exercise ◽  
Forearm Blood Flow ◽  
Blood Pressure Response ◽  
Pressure Response

Acute Intraarterial Blood Pressure Response to Bench Press Weight Lifting in Children

1990 ◽  
Vol 2 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Karen L. Nau ◽  
Victor L. Katch ◽  
Robert H. Beekman ◽  
Macdonald Dick
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Bench Press ◽  
Diastolic Pressure ◽  
Blood Pressure Response ◽  
Systolic Pressure ◽  
Weight Lifting ◽  
Peak Heart Rate ◽  
Repetition Maximum ◽  
Peak Pressures

Intraarterial blood pressure (BP) response to bench press weight lifting (WL) was evaluated in 11 children. Aortic systolic and diastolic pressures and heart rate (HR) were measured during WL. Baseline systolic and diastolic pressures were 120 and 81 mmHg, and HR was 86 bpm. Subjects lifted to voluntary fatigue weights equaling 60, 75, 90, and 100% of their predetermined one-repetition maximum (1RM). For each weight lifting condition, BP and HR increased as more repetitions were completed. Peak systolic pressure was 168, 177, 166, and 162 mmHg, peak diastolic pressure was 125, 139, 133, and 130 mmHg, and peak heart rate was 142, 148, 142, and 139 bpm at 60, 75, 90, and 100% 1RM, respectively. Peak BP and HR were greater during WL than rest but did not differ between conditions. The relative BP response to WL in children was similar to adult values. For all conditions, pressures increased as more repetitions were completed. It was concluded that peak pressures occur at voluntary fatigue, independent of the combination of resistance and repetitions used to achieve fatigue.

scholarly journals “We shall have gone to a higher standard”: Training village heath teams (VHTs) to use a smartphone-guided intervention to link older Ugandans with hypertension and diabetes to care

2020 ◽  
Vol 3 ◽  
pp. 25
Author(s):  
Joseph Okello Mugisha ◽  
Janet Seeley
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Older Adults ◽  
Blood Sugar ◽  
Standard Training ◽  
And Control ◽  
Depth Interviews ◽  
Study Setting ◽  
Village Health ◽  
Village Health Teams

Background: It is not clear whether village health teams (VHTs) can be empowered to participate in interventions to prevent and control hypertension and diabetes in older adults in Uganda. We conducted this study in rural Uganda to establish the experiences of VHTs in managing older adults with health problems, their knowledge of hypertension and diabetes and their understanding of referral systems. We also explored their experiences with smartphones and whether VHTs could be effectively trained to use a smartphone-guided intervention to link older adults with hypertension and diabetes mellitus to care. Methods: We conducted in-depth interviews (IDIs) with and trained 20 VHTs randomly selected from Bukulula sub-county in Kalungu district from October 2017-December 2018. We used interview guides to explore topics relevant to our study objectives. VHTs were trained to measure blood sugar and blood pressure using digital machines. VHTs were trained on identifying symptoms of diabetes mellitus. Data from IDIs were analysed using thematic content analysis. Competence tests were used to evaluate the training. Results: Most of the VHTs were female (75%). All VHTs had some knowledge on hypertension and diabetes and other chronic diseases. They did not have any experience in treating older adults since they had been trained to deal mainly with children. Half of the VHTs owned smartphones. All were willing to participate in an intervention using a smartphone to link older adults with hypertension and diabetes mellitus to care. By the end of the training, all but three participants could comprehend the symptoms of diabetes and measure blood sugar and blood pressure. Conclusion: Village health teams in the study setting need training in managing the health needs of older adults before engaging with an intervention using smartphones to link older adults with diabetes mellitus and hypertension to care.

Blood Pressure Response to Strength Training May be Influenced by Agiotensinogen (AGT M235T) Genotype in Older Adults

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S94
Author(s):  
Matthew J. Delmonico ◽  
Anish Meerasahib ◽  
Robert E. Ferrell ◽  
Greg F. Martel ◽  
Stephen M. Roth ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Strength Training ◽  
Blood Pressure Response ◽  
Pressure Response
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