scholarly journals Different volumes of repetitions and workloads in the pressor responses of hypertensive elderly: A systematic review

2021 ◽  
Vol 10 (9) ◽  
pp. e30110918105
Author(s):  
Jessica Cescon Fonseca da Silva ◽  
Leandro de Oliveira Sant'Ana ◽  
Jeferson Macedo Vianna ◽  
Larissa Carneiro Guimarães ◽  
Janine Meirelles dos Santos Ramos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Resistance Training ◽  
Final Analysis ◽  
Hypotensive Effect ◽  
Post Exercise ◽  
Pressor Responses ◽  
Elderly Hypertensive ◽  
Pressure Resistance ◽  
External Loads

Objective: To synthesize the findings of chronic effects and the differences between the volume of repetitions and levels of external loads in the pressure responses of elderly hypertensive patients. Methods: The study followed the proposals of PRISMA (Preferred Reporting Items are Systematic Reviews and Metanalysis). As searches for the selected articles on the Medline, Pub Med, Cochrane, and Periodical platforms, between August and December 2020. The same studies were found using several words according to the proposed theme. ("Resistance training" and "elderly") ("Resistance training" and "blood pressure") ("Resistance training" and "cardiovascular and elderly") ("Resistance training" and "blood pressure" and "elderly") ("Resistance training" and "blood pressure" and "older"). Results: 2,698 articles were identified with these keywords. Title, abstract, duplicates excluded studies and after reading in full. Finally, ten studies were selected to read the integration, and four were selected for final analysis. Conclusion: This systematic review study uses low repetition and repetition to reduce similar magnitudes' blood pressure. The levels of external loads did not interfere in large proportions in hypertensive older adults' pressure responses. However, studies on the post-exercise resistance hypotensive effect and its variables are still scarce, making further studies on the subject necessary.

scholarly journals EFFECT OF THE AEROBIC COMPONENT OF COMBINED TRAINING ON THE BLOOD PRESSURE OF HYPERTENSIVE ELDERLY WOMEN

2019 ◽  
Vol 25 (6) ◽  
pp. 469-473 ◽  
Author(s):  
Magno Petrônio Galvão Leandro ◽  
José Luiz Silva de Moura ◽  
Gustavo Willames Pimentel Barros ◽  
Adilson Pereira da Silva Filho ◽  
Aline Cavalcante de Oliveira Farias ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Aerobic Training ◽  
Elderly Women ◽  
Hypotensive Effect ◽  
Level Of Evidence ◽  
Post Exercise ◽  
Combined Training ◽  
Before And After ◽  
Elderly Hypertensive ◽  
Group 2

ABSTRACT Introduction Aerobic (AT), strength (ST) and combined (CT) training are already well referenced as a method for the treatment and control of arterial hypertension (AH) inducing positive changes in blood pressure (BP) reduction, a phenomenon known as post-exercise hypotension (PEH). However, the correct order of combined training to promote PEH is still unclear. Objective To verify the effect of the order of the aerobic component in combined training on PEH among hypertensive elderly women. Methods Randomized clinical trial of 24 elderly hypertensive women allocated to three training groups: Group 1 - Aerobic + Strength Training (AT + ST), Group 2 - Strength + Aerobic Training (ST + AT) and Group 3 - Aerobic + Strength + Aerobic Training (AT + ST + AT). Participants underwent AT at 60% heart rate reserve intensity for 30 minutes and ST with four exercises in three sets of 12 repetitions at 60% of one-repetition maximum (1RM) also for 30 minutes. The training involved 24 sessions (three times a week).Systolic (SBP) and diastolic blood pressure (DBP) were measured in all groups at time points before and after each session, and the mean BP (MBP) was calculated. Results The variables analyzed did not differ significantly between groups in either the pre- or post-training period. MBP showed a significant reduction only in G1. However, G3 had a greater effect on all the variables analyzed. Conclusion Combined training with an aerobic component (G3) generated a significant post-exercise hypotensive effect over 24 sessions, and is indicated for elderly hypertensive women. Level of evidence II; Therapeutic studies.

Relationship between the Hypotensive and Renin-Stimulating Actions of Diuretic Therapy in Hypertensive Patients

1978 ◽  
Vol 55 (s4) ◽  
pp. 307s-309s ◽  
Author(s):  
G. Leonetti ◽  
Laura Terzoli ◽  
Carla Sala ◽  
C. Bianchini ◽  
Laura Sernesi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Plasma Renin Activity ◽  
Diuretic Therapy ◽  
Plasma Renin ◽  
Hypotensive Effect ◽  
Renin Activity ◽  
Hypotensive Activity ◽  
Pressor Responses ◽  
Angiotensin Ii Antagonist

1. The pressor role of renin stimulated by chronic diuretic therapy has been assessed in 31 patients with essential hypertension by infusing the angiotensin II antagonist, saralasin, immediately before and at the end of 2 weeks' treatment with the diuretic, chlorthalidone. 2. Under diuretic therapy the change in blood pressure caused by saralasin was found to be correlated to plasma renin activity values, in such a way that small pressor responses were again observed in patients whose renin was mildly stimulated by the diuretic, whereas a marked depressor response occurred in patients whose renin was markedly increased. 3. On the other hand, the hypotensive effect of chlorthalidone was correlated to values of plasma renin activity under diuretic therapy in an opposite direction: indeed little or no decrease and sometimes an increase in blood pressure were observed in patients with marked renin activation by diuretic therapy. 4. It is concluded that stimulation of renin release by chronic diuretic therapy can be considered a factor limiting the hypotensive activity of diuretic drugs.

scholarly journals Efecto agudo del orden de ejecución de ejercicios contra resistencia sobre la presión arterial en jóvenes estudiantes normotensos (Acute effect of the order of execution of resistance exercises on blood pressure in normotensive young students)

Retos ◽  
2016 ◽  
pp. 68-71
Author(s):  
Engell Quesada Valle ◽  
Andrea Solera Herrera
Keyword(s):  
Blood Pressure ◽  
Resistance Training ◽  
Hypotensive Effect ◽  
Acute Effect ◽  
Control Group ◽  
Experimental Conditions ◽  
Exercise Blood Pressure ◽  
Young Students ◽  
Muscle Groups ◽  
Training Exercises

Objetivo: El objetivo de la presente investigación fue determinar el efecto del orden de ejecución de ejercicios contra resistencia (CR) sobre la presión arterial (PA) en reposo de jóvenes estudiantes normotensos. Método: Para el estudio se contó con la participación de 14 hombres sanos, familiarizados con el ejercicio de contra resistencia con edad promedio de 23.3 ± 1.4 años. Las condiciones experimentales fueron realizadas en orden aleatorizado, en diferentes días de trabajo y consistieron en: (1) iniciar el ejercicio CR con grupo muscular grande y terminar con pequeños (G-Peq), (2) iniciar con grupos musculares pequeño y finalizar con grandes (P-Gde) y (3), condición control .La rutina de ejercicio constó de ocho ejercicios  los cuales se trabajaron al 60% de 1 repetición máxima (RM), se realizaron 3 series de 10 repeticiones para cada ejercicio , las mediciones de presiones arteriales se tomaron antes del ejercicio, al terminar el  ejercicio y cada 10 minutos luego de terminar la rutina durante 1 hora. Resultados: En la PA sistólica se encontraron disminuciones importantes durante 30 min tanto de la condición G-Peq como de la P-Gde en comparación con el grupo control (p≤ 0.001), no obstante, la magnitud de la disminución fue mayor posterior a G-Peq (6-11 mm Hg) en comparación con P-Gde (4-10 mm Hg). Para la PA diastólica no se encontró interacción significativa (p=0.39). Conclusión. Existe efecto hipotensor posterior a ambas rutinas, sin embargo, se observó una disminución mayor de la PA sistólica al finalizar la rutina con grupos musculares grandes. Abstract. Objective: The aim of this study was to determine the effect of the order of execution of resistance training exercises (RT) on blood pressure (BP) in normotensive young students at rest. Method: 14 healthy men (mean age of 23.3 ± 1.4 years) who were familiar with resistance training participated in this study. The order of participation for the experimental conditions was randomized; the different conditions consisted in: (1) RT starting with large muscles groups and finishing with small ones (L-S), (2) RT starting with small muscles groups and ending with large ones (S-L) and (3) the control condition. RT routine consisted of eight exercises with intensity of 60% of one repetition maximum (RM). The participants performed 3 sets of 10 repetitions for each exercise. Blood pressure measurements were taken before exercise, at the end of the year, and every 10 minutes after finishing the routine for 1 hour. Results: systolic BP reduction was found for 30 min both in L-S and S-L compared with the control group (p ≤ 0.001), although the magnitude of the decrease was higher after L-S (6-11 mmHg) compared with S-L (4-10 mmHg). For diastolic BP no significant interaction was found (p=0.39). Conclusion There exists a hypotensive effect after both routines; however, there was a greater decrease of systolic BP at the end of the routine with large muscle groups.

scholarly journals Hypotensive Effect Induced by Strength Training Using the Delorme and Oxford Methods in Trained Men

2018 ◽  
Vol 25 (1) ◽  
pp. 23-30
Author(s):  
Jaime Della Corte ◽  
Gabriel Andrade Paz ◽  
Juliana Brandão Pinto de Castro ◽  
Humberto Miranda
Keyword(s):  
Blood Pressure ◽  
Strength Training ◽  
Volume Ratio ◽  
Hypotensive Effect ◽  
Training Methods ◽  
Post Exercise ◽  
Repetition Maximum ◽  
Leg Press ◽  
Time Points ◽  
Time Point

Abstract Introduction. The aim of the study was to investigate the hypotensive responses in normotensive trained individuals after strength training (ST) performed using two training methods: DeLorme and Oxford. Material and methods. Fifteen normotensive trained men (age: 25.1 ± 3.2 years; height: 1.78 ± 0.01 m; BMI: 24.78 ± 1.4 kg/m2) were examined alternately in crossover with an interval of 72 hours between the DeLorme and Oxford methods. Firstly, 10 repetition maximum (RM) loads were obtained. DeLorme (50%, 70%, and 90%) and Oxford (90%, 70%, and 50%) consisted in the manipulation of 10RM loads so that the subjects performed three sets until failure in the Smith Machine (SM) and the Leg Press 45° (LP). Blood pressure was recorded at rest, post-exercise, and until 60 min post-session at 10-min intervals. Results. Both the DeLorme and Oxford methods showed significant intra-protocol reduction in systolic blood pressure (SBP) at 40, 50, and 60 min time points compared to the rest value (F = 21.848; p = 0.0001). Similar results were noted for diastolic blood pressure (DBP) between rest value and the 60 min time point (F = 46.113; p = 0.0001). Conclusions. The DeLorme and Oxford resistance training methods provided similar hemodynamic responses and similar hypotensive effects. Therefore, these methods can be used as alternatives to manipulate training intensity-volume ratio intra-session with low hemodynamic stress.

scholarly journals Updated systematic review and meta-analysis on the role of isometric resistance training for resting blood pressure management in adults

2019 ◽  
Vol 37 (7) ◽  
pp. 1320-1333 ◽  
Author(s):  
Alejandro López-Valenciano ◽  
Iñaki Ruiz-Pérez ◽  
Francisco Ayala ◽  
Julio Sánchez-Meca ◽  
Francisco José Vera-Garcia
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Resistance Training ◽  
Meta Analysis ◽  
Pressure Management ◽  
Blood Pressure Management ◽  
Resting Blood Pressure

scholarly journals Protein Intakes Greater Than vs. at the RDA Differentially Affect Lean Body Mass Change to Purposeful Catabolic and Anabolic Stressors: A Systematic Review and Meta-analysis (P08-075-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yu Wang ◽  
Joshua Hudson ◽  
Robert Bergia ◽  
Wayne Campbell
Keyword(s):  
Systematic Review ◽  
Resistance Training ◽  
Lean Mass ◽  
Meta Analysis ◽  
Final Analysis ◽  
Energy Restriction ◽  
Mass Change ◽  
Whole Body ◽  
Control Group ◽  
Body Mass Change

Abstract Objectives Under stressful conditions such as energy restriction (ER) and resistance training (RT), recommended dietary allowance (RDA) for protein of 0.8 g/kg/d may no longer be an appropriate recommendation. Higher protein intakes are proposed to help promote, preserve, or attenuate the loss of lean mass. No known meta-analysis has been published previously that compares protein intakes greater than the RDA vs. the RDA as a control group. Therefore, we conducted a systematic review and meta-analysis to assess the effects of protein intake greater than versus at the RDA on changes in whole-body lean mass. Methods Three researchers independently screened 1531 articles published through August 2018 using PubMed, Scopus, CINAHL, and Cochrane databases, with additional articles identified through previously published review articles. Randomized-controlled, parallel studies at least 6 weeks long with apparently healthy adults (> = 19 years old) were eligible for data extraction. (PROSPERO, CRD 42018106532). Results Data from 19 studies resulting in 23 comparisons of lean mass changes were included in the final analysis. This abstract presents sub-analyses for comparisons with catabolic and anabolic stimuli, specifically ER and/or RT, respectively. Among all comparisons, protein intakes greater than the RDA attenuated lean mass loss after ER [0.41 kg (0.15, 0.67); WMD (95% CI), n = 15 comparisons], but did not influence lean mass change without ER [0.23 kg (−0.44, 0.89), n = 8]. Protein intakes greater than the RDA increased lean mass after RT [0.77 kg (0.23, 1.31), n = 3], but not influence change in lean mass without RT [0.29 kg (−0.04, 0.62, n = 20]. Conclusions Protein intakes greater than the RDA positively influence changes in lean mass when adults are purposefully stressed by the catabolic stimulus of dietary energy restriction and/or the anabolic stimulus of resistance training. The RDA for protein is adequate for adults during non-stressed states. Funding Sources Purdue University Lynn Fellowship. No external funding was provided for this review.

scholarly journals Effect of traditional resistance training on blood pressure in normotensive elderly persons: a systematic review of randomized controlled trials and meta-analyses

2017 ◽  
Vol 20 (4) ◽  
pp. 571-581 ◽  
Author(s):  
Durcelina Schiavoni ◽  
Ligia Maxwell Pereira ◽  
Hugo Maxwell Pereira ◽  
Edilson Serpeloni Cyrino ◽  
Jefferson Rosa Cardoso
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Clinical Trials ◽  
Resistance Training ◽  
Randomized Clinical Trials ◽  
Random Effect Model ◽  
Control Group ◽  
Elderly Persons ◽  
Traditional Resistance Training ◽  
Meta Analyses

Abstract The objective of the present study was to determine the effectiveness of the regular practice of traditional resistance training (RT) on systolic (SBP) and diastolic blood pressure (DBP) in normotensive elderly persons. A systematic review of randomized clinical trials and meta-analyses was performed. Searches were performed without language restrictions in different databases. Randomized clinical trials published from 1966 to 2010 that assessed the effects of traditional RT on resting blood pressure (BP) and/or for the treatment of high BP were included. Only studies that assessed the effects of traditional RT on elderly adults, regardless of the number of exercises, with the presence of a control group and comparisons between groups, were included. Twenty-nine studies were found, but only six met the inclusion criteria. The mean difference was used for meta-analysis, using a 95% confidence interval and a random effect model. Traditional RT induced a significant decrease in SBP (-6.63 mmHg; p=0.02) but not in DBP (-3.34 mmHg; p=0.11). These results suggest that traditional RT may be a non-pharmacological strategy for the control of BP in the elderly.

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