scholarly journals ACUTE PHYSICAL EXERCISE AND HYPERTENSION IN THE ELDERLY: A SYSTEMATIC REVIEW

2020 ◽  
Vol 26 (4) ◽  
pp. 347-353
Author(s):  
Thaís Amanda Reia ◽  
Roberta Fernanda da Silva ◽  
André Mourão Jacomini ◽  
Ana Maria Guilmo Moreno ◽  
Anderson Bernardino da Silva ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Physical Exercise ◽  
The Elderly ◽  
Acute Effect ◽  
Population Increase ◽  
Exercise Session ◽  
Control Group ◽  
Post Exercise ◽  
Acute Physical Exercise

ABSTRACT As the population ages, health conditions, including hypertension (HT), which is one of the most prevalent diseases in the elderly population, increase. Regular physical exercise has been recommended for hypertensive individuals; however, due to the variety of factors involved in exercise, different acute responses can be achieved. Accordingly, the purpose of this study was to perform a systematic review of the acute effect of physical exercise on blood pressure (BP) in elderly hypertensive patients and of its applicability to the treatment of HT. The search was performed in electronic databases available at Pubmed/Medline, Scopus and Bireme from 2008 to 2018, using the terms “acute physical exercise and hypertension and elderly”. A total of 592 articles were found, and after applying the inclusion criteria, 9 articles were selected to form the analysis. All studies evaluated the acute effect of the exercise session and the acute effect of the session after a training period in male and female hypertensive individuals aged 60 years or over. The results indicate that in spite of the heterogeneity of training methods, all intervention protocols used in these studies were effective in promoting BP reduction post exercise when compared to the control group. However, there is still a gap in the reviewed literature regarding the maintenance time of post exercise hypotension (PEH) in the elderly. This information could suggest how long individuals undergoing physical exercise would be “protected” from high blood pressure values and their health risks, and help plan physical exercise sessions at the precise time the hypotensive effect ceases to be present. Level of evidence II; Therapeutic studies-Investigation of treatment results.

scholarly journals Acute and Training Effects of Exercise in Hypertensive Individuals

Proceedings ◽  
2019 ◽  
Vol 25 (1) ◽  
pp. 35
Author(s):  
Stergiou ◽  
Chryssanthopoulos ◽  
Mantas ◽  
Tafrali ◽  
Kavida ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Handgrip Strength ◽  
Isometric Exercise ◽  
Exercise Bout ◽  
Acute Effect ◽  
Control Group ◽  
Maximal Heart Rate ◽  
Post Exercise ◽  
Arterial Blood ◽  
Stage 1

Aim: Aerobic, resistance, or isometric exercise has been shown to reduce blood pressure (BP) in normotensive and hypertensive individuals. The aim of this study was to examine the acute effect of combining resistance and isometric exercise and the training effect of combining all 3 types (aerobic, resistance and isometric exercise) in hypertensive patients. Material & Method: Fourteen adults, six females and eight males (age, 55 ± 11 yrs; BMI, 31.0 ± 6.0 kg.m2; body fat, 34 ± 14 %; waist circumference, 102 ± 18 cm; mean ± SD), with stage 1 and 2 hypertension performed a combined resistance and isometric exercise bout to examine the acute effect of exercise. Afterwards, volunteers were randomly divided into two groups of 7 participants each. One group performed 3 exercise sessions per week for 8 weeks (T). Training consisted of aerobic (45 min at 60–80% of maximal heart rate), resistance (3 sets of 10–15 repetitions at 60–80% of 1RM) and isometric (4 sets at 30% maximum handgrip strength for 2 min) exercise. The other group acted as a control group (C) and performed only isometric exercise at 5% of maximum handgrip strength for 2 min. Results: After the resistance-isometric exercise bout the average systolic (SBP), diastolic (DBP) and mean arterial blood pressure (MBP) over one hour post-exercise were reduced by 11 ± 2 mm Hg, 6 ± 1 mm Hg and 8 ± 1 mm Hg, respectively, compared to pre-exercise levels (p < 0.001). After 8 weeks of training in the T group SBP, DBP and MBP were reduced by 16 ± 4 mm Hg, 10 ± 3 mm Hg and 12 ± 3 mm Hg, respectively, compared to pre-training (p < 0.05). These values were higher (p < 0.05) than the corresponding values in the C group, where no changes were observed (SBP, 2 ± 1 mm Hg; DBP, 0 ± 1 mm Hg; MBP, 1 ± 1 mm Hg; p > 0.05). Conclusions: One bout of resistance-isometric exercise acutely reduced SBP, DBP, and MBP over one hour post-exercise, while 8 weeks of training that combined aerobic, resistance, and isometric exercise also reduced SBP, DBP, and MBP in adult patients with stage 1 and 2 hypertension.

scholarly journals EFFECT OF A THERMOGENIC SUPPLEMENTATION ON POST AEROBIC EXERCISE HEMODYNAMIC RESPONSES IN HEALTHY YOUNG MEN

2020 ◽  
Vol 20 (38) ◽  
pp. 155-162
Author(s):  
Vilton Emanoel Lopes de Moura E Silva ◽  
Valmir Oliveira Silvino ◽  
Jefferson Fernando Coelho Rodrigues Júnior ◽  
Alyson Felipe da Costa Sena ◽  
Carlos Eduardo Neves Amorim ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Aerobic Exercise ◽  
Statistical Significance ◽  
Group Versus ◽  
Test Group ◽  
Exercise Session ◽  
Control Group ◽  
Exercise Recovery ◽  
Post Exercise ◽  
Post Exercise Recovery

Introduction: The use of food supplements with esthetic or performance-enhancing goals has been largely investigated. Thermogenics are supplements that increase energy expenditure through thermogenesis and are widely consumed by individuals seeking to improve body composition and exercise performance. Objective: To evaluate the effects of a commercially available thermogenic supplement on post-exercise blood pressure responses. Materials and Methods: Twenty-seven healthy thermogenic supplements users participated in the study. Nine were assigned in the control group (21.67 ± 1.87 years), nine in the thermogenic group (24.00 ± 4.18), and nine in the placebo group (23.67 ± 3.04). The volunteers performed a treadmill aerobic exercise session for 60 minutes at 65 to 85% max heart rate. The hemodynamic variables were measured at rest and during 60 minutes in the post-exercise recovery. The normality of the data was evaluated using the Shapiro-Wilk test. Baseline momentum and post-exercise recovery were analyzed using the two-way ANOVA test (group versus time factors), with Bonferroni post-hoc test. The level of statistical significance was set at p <0.05. Results: The thermogenic supplement did not significantly compromise post-exercise hypotension when compared to the other groups. However, thermogenic supplementation increased the blood pressure in >5 mmHg, which reportedly plays an important role in cardiovascular diseases. Conclusion: The use of the thermogenic Lipo 6 Black Ultra Concentre Nutrex ® did not alter PEH in healthy youngsters. However, since an increase in the blood pressure was observed, this supplementation must be administered with caution.

scholarly journals Exercise performed at hypoxia influences mood state and anxiety symptoms

2015 ◽  
Vol 21 (2) ◽  
pp. 177-184
Author(s):  
Jorge Fernando Tavares de Souza ◽  
Sara Quaglia de Campos Giampá ◽  
Valdir de Aquino Lemos ◽  
Samile Amorim dos Santos ◽  
Edgar Tavares da Silva ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Mood State ◽  
Hypoxic Condition ◽  
Acute Effect ◽  
Anxiety Symptoms ◽  
Mood States ◽  
Initial Time ◽  
Exercise Session ◽  
Moderate Physical Activity ◽  
Post Exercise

During hypoxia conditions, psychological states can be worsened. However, little information is available regarding the effect of physical exercise performed in hypoxia conditions on mood state and anxiety symptoms. The aim of the present study was to elucidate the acute effect of moderate physical exercise performed at hypoxia on mood states and anxiety symptoms in healthy young subjects. Ten volunteers were subjected to the following conditions: a normoxic condition (NC) and a hypoxic condition (HC). They performed 45 min of physical exercise. Their anxiety symptoms and mood states were evaluated at the initial time point as well as immediately following and 30 and 60 min after the exercise session. Our results showed a significant increase in post-exercise anxiety symptoms and a significant decrease in mood scores immediately after and 30 min after exercise performed in the HC. Moderate physical activity performed at hypoxia condition increased post-exercise anxiety and worsened mood state.

Ejercicio físico aeróbico y atención selectiva en escolares de educación primaria (Aerobic physical exercise and selective attention in primary school children)

Retos ◽  
2020 ◽  
pp. 421-428
Author(s):  
Andres Rosa Guillamón ◽  
Eliseo Garcia Canto ◽  
Hector Martínez García
Keyword(s):  
Academic Performance ◽  
Physical Exercise ◽  
Selective Attention ◽  
Cognitive Functions ◽  
Inverse Correlation ◽  
Acute Effect ◽  
Primary School Children ◽  
Exercise Session ◽  
Control Group ◽  
Experimental Group

 El ejercicio físico puede tener efectos beneficiosos sobre las funciones cognitivas y el rendimiento académico. Entre las funciones cognitivas, el estudio de la atención en escolares ha adquirido un especial interés por su posible influencia en aspectos concretos tales como el rendimiento académico o la integración social. El objetivo fue analizar el efecto agudo de una sesión de ejercicio físico aeróbico sobre la atención selectiva en una muestra de 48 niños y 40 niñas (Edad, M ± DT = 9.48 ± .505 años). Se empleó un diseño de estudio cuasi-experimental con un grupo control y otro experimental. El ejercicio físico consistió en recorrer una milla lo más rápidamente posible. Se midió la atención selectiva con el Test de Caras. El grupo experimental se dividió en dos subgrupos (menor v. mayor) según el tiempo empleado en la milla. Los resultados mostraron diferencias significativas en aciertos (p = .012), control inhibitorio (p = .020) y omisiones (p = .007) tras la intervención. Se detectó una correlación inversa entre el tiempo empleado en el ejercicio físico y aciertos (p = .022). El análisis de la varianza detectó registros superiores en aciertos (p = .047) en el grupo con menor tiempo empleado. Los resultados sugieren que la realización de una sesión de ejercicio físico aeróbico de corta duración podría tener efectos agudos positivos en la atención selectiva. La realización en menor tiempo de un ejercicio físico como la milla se relaciona con una mejor atención selectiva. Tener una mejor capacidad aeróbica podría relacionarse con una mayor atención selectiva.  Abstract. Physical exercise can have beneficial effects on cognitive functions and academic performance. Among cognitive functions, the study of attention in schoolchildren has acquired special interest due to its possible influence on specific aspects such as academic performance or social integration. The objective was analyze the acute effect of an aerobic physical exercise session on selective attention in a sample of 48 boys and 40 girls (Age, M ± DT = 9.48 ± .505 years). A quasi-experimental study design with a control group and an experimental group was used. Physical exercise involves walking a mile as quickly as possible. Selective attention was measured with the Face Test. The experimental group was divided into two subgroups (minor v. major) according to the time spent in the mile. The results of the differences affected in correct answers (p = .012), inhibitory control (p = .020) and omissions (p = .007) after the intervention. An inverse correlation was detected between the time spent on physical exercise and correct answers (p = .022). The analysis of variance detected higher records in correct answers (p = .047) in the group with less time spent. The results suggest that performing a short duration aerobic exercise session could have positive acute effects on selective attention. Performing physical exercise like the mile in less time is related to better selective attention. A better aerobic capacity could be related to more selective attention.

scholarly journals A Single Session of Exercise Reduces Blood Pressure Reactivity to Stress: a Systematic Review With Meta-analysis

2021 ◽  
Author(s):  
Igor M. Mariano ◽  
Ana Luiza Amaral ◽  
Paula A. B. Ribeiro ◽  
Guilherme M. Puga
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Effect Size ◽  
Meta Analysis ◽  
Exercise Session ◽  
Single Session ◽  
Blood Pressure Reactivity ◽  
Pressure Reactivity ◽  
Mean Differences ◽  
Acute Physical Exercise

Abstract Stressful situations are common in everyday life and disturb homeostasis. So, an exercise session is a strategy to mitigate blood pressure (BP) peaks in response to stress (i.e., BP reactivity), decreasing the cardiovascular risk of these individuals. This is a systematic review with a meta-analysis that aims to verify the effects of a single session of physical exercises on BP reactivity to stress. The searches were realized in digital databases (PUBMED, LILACS, EMBASE and PsycInfo) and 28 studies were included, totaling 846 individuals (meta-analysis stage: k = 24, n = 710). As for exercise characteristics, 23 of the 28 studies focused on aerobic exercises, and 24 studies focused on low to moderate intensities. Favorable metanalytic results (standardized mean differences through random-effects approach) for the exercises were found, with attenuated reactivity in systolic BP (pooled effect size = -0.35 [-0.46; -0.23], representing average reductions of 3.8 ± 3.5 mmHg), diastolic BP (pooled effect size = -0.49 [-0.68; -0.30], representing average reductions of 3.1 ± 3.6 mmHg), and mean BP (pooled effect size = -0.48 [-0.70; -0.26], representing average reductions of 4.1 ± 3.0 mmHg). So, acute physical exercise lowers systolic, diastolic, and mean blood pressure reactivity in response to stressor tasks.

Can IGF-1 Serum Levels Really be Changed by Acute Physical Exercise? A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (5) ◽  
pp. 575-584
Author(s):  
Diego de Alcantara Borba ◽  
Eduardo da Silva Alves ◽  
João Paulo Pereira Rosa ◽  
Lucas Alves Facundo ◽  
Carlos Magno Amaral Costa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Physical Exercise ◽  
Resistance Exercise ◽  
Meta Analysis ◽  
Random Effect ◽  
Serum Levels ◽  
Exercise Session ◽  
Exercise Load ◽  
Exercise Type ◽  
Acute Physical Exercise

Background: Physical exercise plays an important role in metabolic health, especially in the insulin-like growth factor-1 (IGF-1) system. The objective of this study was to perform a systematic review and meta-analysis to evaluate the effects of a single endurance and resistance exercise session on IGF-1 serum. Methods: The systematic review was performed in SPORTDiscus, MEDLINE, PubMed, and Google Scholar databases. All analyses are based on random-effect models. The study identified 249 records of which 21 were included. Results: There was an effect of endurance exercise on total IGF-1 (P = .01), but not for free IGF-1 (P = .36). Resistance exercise similarly only affected total IGF-1 (P = .003) and not free IGF-1 (P = .37). The effect size indicated that total IGF-1 is more affected (ES = 0.81) by endurance than by resistance exercise (ES = 0.46). The present study showed that IGF-1 serum concentrations are altered by exercise type, but in conditions which are not well-defined. Conclusions: The systematic review and meta-analysis suggest that there is no determinant in serum IGF-1 changes for the exercise load characteristic. Therefore, physical exercise may be an alternative treatment to control changes in IGF-1 metabolism and blood concentration.

scholarly journals Post-exercise hypotension in concurrent training: a systematic review

2020 ◽  
Vol 22 ◽  
Author(s):  
Diego De Mello ◽  
Thatiane Lopes Valentim Di Paschoale Ostolin
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Acute Effect ◽  
Reduce Blood Pressure ◽  
Concurrent Training ◽  
Effective Strategy ◽  
Eligibility Criteria ◽  
Post Exercise ◽  
Post Exercise Hypotension

Abstract Physical exercise is capable to reduce blood pressure (BP) acutely in a phenomenon described as post-exercise hypotension (PEH). However, the acute effect of concurrent training on PEH needs clarification. The present review aimed to verify and summarize the acute effect of concurrent training on PEH in normotensive and hypertensive subjects. The search was carried out in the databases PubMed, Scielo, and Lilacs, and resulted in 3806 articles. Only 14 studies met the eligibility criteria and were selected. According to included studies, concurrent training can promote PEH regardless of the order, volume, and intensity prescribed, being an effective strategy in the control of arterial hypertension. There is no consensus in the literature regarding the best prescription strategy, as well as the order of execution of the types of exercise.

scholarly journals The Effect of Acute Physical Exercise on NK-Cell Cytolytic Activity: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Christopher Rumpf ◽  
Sebastian Proschinger ◽  
Alexander Schenk ◽  
Wilhelm Bloch ◽  
Amit Lampit ◽  
...  
Keyword(s):  
Systematic Review ◽  
Physical Exercise ◽  
Cell Count ◽  
Nk Cell ◽  
Meta Analysis ◽  
Recovery Period ◽  
Cytolytic Activity ◽  
Quantitative Change ◽  
Control Group ◽  
Acute Physical Exercise

Abstract Background Data on changes in natural killer cell cytolytic activity (NKCA) in response to acute physical exercise are contradictory. Objective The aim of this systematic review, meta-analysis and meta-regression is to (1) examine the effect of acute physical exercise on NKCA, (2) shed more light on the moderating factors, and (3) test the assumption of NKCA suppression subsequent to performing sports. Methods Two comparisons of NKCA were performed: (1) pre- versus post-exercise and (2) pre-exercise versus recovery. Data were acquired through a systematic search of MEDLINE (via PubMed), Scopus, and SportDiscus. Studies were eligible for inclusion if the effect of acute physical exercise was assessed including a passive control group and reporting NKCA prior to and immediately after the trial, and during the first 2 h of recovery. To better explain between-study heterogeneity, a moderator analysis was conducted. Results Pooled estimate from 12 studies reporting 18 effect sizes show that NKCA is largely elevated by acute physical exercise (Hedges’ g = 1.02, 95% CI 0.59–1.46, p < 0.01). Meta-regressions reveal that this effect is larger for endurance versus resistance exercise and increases with the intensity of exercise (both p < 0.01), whereas the blood material used in the assay (p = 0.71), and the quantitative change in NK-cell count (R2 = 0%, p = 0.55) do not play a significant role. Physical exercise does not affect the level of NKCA after the recovery period (g = 0.06, 95% CI − 0.37 to 0.50, p < 0.76). Conclusions This work provides solid evidence for elevated NKCA through performing sports which returns to baseline during the first 1–2 h of recovery, but not below the pre-exercise values providing counterevidence to the assumption of temporarily reduced NKCA. Remarkably, the functional change in NKCA exists independently from the quantitative change in NK-cell count. PROSPERO registration number: CRD42020134257.

PENGARUH TERAPI TERTAWA TERHADAP PENURUNAN TEKANAN DARAH LANSIA DI UPT PANTI WREDHA BUDHI DHARMA YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta
Keyword(s):  
Blood Pressure ◽  
Data Analysis ◽  
The Elderly ◽  
Control Group ◽  
Group Comparison ◽  
Control Blood Pressure ◽  
Men And Women ◽  
Treatment Of Hypertension ◽  
Before And After ◽  
The Difference

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

scholarly journals Refined Multiscale Fuzzy Entropy to Analyse Post-Exercise Cardiovascular Response in Older Adults With Orthostatic Intolerance

Entropy ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. 860 ◽  
Author(s):  
Marcos Hortelano ◽  
Richard Reilly ◽  
Francisco Castells ◽  
Raquel Cervigón
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Orthostatic Intolerance ◽  
Cardiovascular Response ◽  
Recovery Period ◽  
The Elderly ◽  
Fuzzy Entropy ◽  
Post Exercise ◽  
And Gender ◽  
Risk Factors For Falls

Orthostatic intolerance syndrome occurs when the autonomic nervous system is incapacitated and fails to respond to the demands associated with the upright position. Assessing this syndrome among the elderly population is important in order to prevent falls. However, this problem is still challenging. The goal of this work was to determine the relationship between orthostatic intolerance (OI) and the cardiovascular response to exercise from the analysis of heart rate and blood pressure. More specifically, the behavior of these cardiovascular variables was evaluated in terms of refined composite multiscale fuzzy entropy (RCMFE), measured at different scales. The dataset was composed by 65 older subjects, 44.6% (n = 29) were OI symptomatic and 55.4% (n = 36) were not. Insignificant differences were found in age and gender between symptomatic and asymptomatic OI participants. When heart rate was evaluated, higher differences between groups were observed during the recovery period immediately after exercise. With respect to the blood pressure and other hemodynamic parameters, most significant results were obtained in the post-exercise stage. In any case, the symptomatic OI group exhibited higher irregularity in the measured parameters, as higher RCMFE levels in all time scales were obtained. This information could be very helpful for a better understanding of cardiovascular instability, as well as to recognize risk factors for falls and impairment of functional status.

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