scholarly journals Ischemic Preconditioning Promotes Post-Exercise Hypotension in a Session of Resistance Exercise in Normotensive Trained Individuals

Author(s):  
Patricia Panza ◽  
Jefferson Novaes ◽  
Luiz Guilherme Telles ◽  
Yuri Campos ◽  
Gleisson Araújo ◽  
...  

Ischemic preconditioning (IPC) is a method that has been used prior to resistance exercise to improve performance. However, little is known about its effect before a resistance exercise training session on hemodynamic responses. Thus, the aim of the study was to verify the acute effect of IPC before a session of resistance exercises on the systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) of trained normotensive trained individuals. Sixteen men (25.3 ± 1.7 years; 78.4 ± 6.2 kg; 176.9 ± 5.4 cm, 25.1 ± 1.5 m2.kg−1) trained in resistance exercise (RE) (5.0 ± 1.7 years) were evaluated in five sessions on non-consecutive days. The first two sessions’ subjects performed one repetition maximum (RM) test and retest, and for the next three sessions, they performed the experimental protocols: (a) IPC + RE; (b) SHAM + RE; (c) RE. The RE protocol consisted of six multi-joint exercises, three sets at 80% of 1RM until concentric failure. Blood pressure was monitored pre-session, immediately after and every 10 min for 60 min after RE. IPC consisted of 4 × 5 min of vascular occlusion/reperfusion at 220 mmHg. SHAM (fake protocol) consisted of 20 mmHg of vascular occlusion/reperfusion. The IPC + RE protocol showed significant reductions on SBP, DBP, and MBP compared with SHAM + RE (p < 0.05) and with RE (p < 0.05). The IPC + RE protocol presented a greater magnitude and duration of post-exercise hypotension (PEH) from 20 to 60 min after exercise in SBP (−11 to 14 mmHg), DBP (−5 to 14 mmHg), and MBP (−7 to 13 mmHg). Therefore, we can conclude that the application of IPC before an RE session potentiated the PEH in normotensive individuals trained in resistance exercise.

2009 ◽  
Vol 4 (1) ◽  
pp. 357
Author(s):  
Anderson José Melo Rodrigues Da Silva ◽  
William Serrano Smethurst

ABSTRACTObjective: to observe, through a literature review, the effects of counter-resistance exercise on hypotension post-exercise. Methods: this is a review study, based on national and international literature, that was considered the inclusion of articles in order to determine the cardiovascular responses in patients, with the use of resistance exercises, which used non-invasive methods of measurement of blood pressure. Studies that showed no recovery time after exercise as well as research involving other types of combined exercise except resistance exercise were excluded. Results: among the eleven studies involving hemodynamic responses and resistance exercise, four were evaluated considering the criteria for exclusion. Two studies showed a decrease in BP after a resistance exercise session for both systolic blood pressure and for diastolic blood pressure. One study that was found only for systolic blood pressure, and another just for the diastolic. Final comments: although it is not yet a consensus about the prescription of exercise for post-exercise hypotension, resistance exercise greater volume impacting more positively in blood pressure after activity, and this result may be more easily found through the systematic and continued practice of resistance exercise (physical training), and not simply an acute form. Descriptors: hypertension; post-exercise hypotension; resistance exercise.  RESUMOObjetivo: observar, por meio de uma revisão de literatura, os efeitos do exercício contra-resistência, na hipotensão pós-exercício. Métodos: estudo de revisão, nacional e internacional, considerando-se a inclusão de artigos com o objetivo de verificar as respostas cardiovasculares em hipertensos, com o uso de exercícios resistidos, por meio de métodos não-invasivos de mensuração da tensão arterial. Foram excluídos aqueles que não apresentavam tempo de recuperação após o exercício e pesquisas envolvendo outro tipo de exercício combinado que não o resistido exclusivamente. Resultados: dos onze estudos envolvendo respostas hemodinâmicas e exercício contra-resistência, quatro foram avaliados. Dois mostraram diminuição da PA após uma sessão de exercício resistido, tanto para a pressão arterial sistólica como para a diastólica. Um estudo que encontrou hipotensão apenas para a sistólica, e o outro para a diastólica. Considerações finais: apesar de ainda não ser consenso a forma como deve ser conduzido a prescrição de exercícios contra-resistência para obter hipotensão pós-exercício, exercícios resistidos de maior volume possam repercutir de forma mais positiva na pressão arterial após atividade, e talvez esse resultado seja mais encontrado por meio da sistematização e continuidade da prática de exercícios resistidos (treinamento físico), e não simplesmente de forma aguda. Descritores: hipertensão; hipotensão pós-exercício; exercício resistido.  RESUMEN Objetivo: observar, a través de una revisión, los efectos del ejercicio de resistencia a la hipotensión pos-ejercicio. Métodos: este stúdio se basa en la literatura nacional e internacional, considerando la inclusión de los artículos a fin de determinar las respuestas cardiovasculares, con el uso de ejercicios de resistencia, que utiliza métodos no invasivos de la medición de la presión arterial. Se excluyeron de la evaluación, los estudios no han mostrado el tiempo de recuperación después del ejercicio y la investigación con otros tipos de ejercicios combinados que no se resistió. Resultados: de los once estudios con las respuestas hemodinámicas y el ejercicio de resistencia, cuatro fueron evaluadas teniendo en cuenta los criterios de exclusión. Dos estudios mostraron una reducción de la PA después de un período de ejercicio de resistencia, tanto para la presión arterial sistólica y diastólica. Un estudio encontró que la presión arterial sólo para la sistólica y la otra sólo para la presión. Consideraciones finales: a pesar de que no es un consenso sobre cómo debe llevarse a cabo el ejercicio de resistencia para a la hipotensión pos –ejercicio, ejercicio de fuerza mayor volumen que afectan de forma más positiva de la presión arterial después de la actividad, y este resultado puede ser más fácil de encontrar a través de la práctica sistemática y continua de los ejercicios de resistencia (entrenamiento físico), y no una forma aguda. Descriptores: hipertensión; hipotensión pos-ejercicio; ejercicio contra la resistencia. 


2021 ◽  
Vol 7 (8) ◽  
Author(s):  
Luiz Guilherme da Silva Telles ◽  
Jeferson Macedo Vianna ◽  
James Derek Kingsley ◽  
Gleisson da Silva Araújo ◽  
Aline Aparecida de Souza Ribeiro ◽  
...  

The aim of this study was to investigate the acute effect of ischemic preconditioning (IPC) in a session of resistance exercise (RE) for upper and lower limbs on the heart rate variability (HRV) in normotensive and trained men. sixteen normotensive and trained men visit the laboratory in five sessions in non-consecutive days. The first two sessions subjects performed one repetition maximum (RM) test and retest, and the next three visits they performed the experimental protocols: a) RE (CON), b) IPC+RE (IPC), c) SHAM+RE (SHAM). RE were performed in 3 sets at 80% 1RM until concentric failure. IPC consisted of 4x5-mins of vascular occlusion at 220 mmHg alternating with 5-min of reperfusion. SHAM protocol followed the same IPC method with 20mmHg vascular occlusion. A significant decrease in LF­nu and RMSSDms (p=0.001) was found from baseline for IPC, SHAM, and CON. A significant increase in HFnu and LF/HF (p=0.001) was found from baseline for IPC, SHAM, and CON. A significant decrease in LF­nu and LF/HF was observed from 60-min post for IPC vs. SHAM and IPC vs. CON (p<0.05). A significant increase in HFnu was observed from 60-min post for IPC vs. SHAM and IPC vs. CON (p<0.05). A significant increase in RMSSDms was found from post-60 for IPC vs. SHAM (p < 0.05). RE followed IPC shows significantly improvements in the autonomic cardiac modulation, accelerating the autonomic recovery after the RE session, by increasing the vagal activity and reducing the sympathetic activation when compared to RE and SHAM protocols.


Motricidade ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 60 ◽  
Author(s):  
Mauricio Assis Saldanha ◽  
José Vilaça-Alves ◽  
Gabriel Rodrigues Neto ◽  
Jefferson Da Silva Novaes ◽  
Francisco Saavedra ◽  
...  

<p>The aim of this study was to investigate the acute effect of resistance exercise performed at different intensities on the hemodynamics of normotensive men. The study included 10 normotensive and recreationally-trained men (25.40 ± 6.90 years) performed the following three experimental protocols in a randomized order: a) 60% of 8RM; b) 80% of 8RM; c) 100% of 8RM. All protocols performed six exercises (Leg Press, Vertical Bench Press, Leg Flexion, Close-Grip Seated Row, Leg Extension and Shoulder Press) with three sets of eight repetitions for each exercise. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and double product (DP) were measured at rest, at the end of exercise and during the 60-minute post-exercise. The findings showed that there was a significant reduction in the faster SBP with a longer duration (<em>p</em>&lt; 0.0001) for the 100% of 8RM intensity, but without significant decreases in DBP for all intensities (<em>p</em>&gt; 0.05). There were significantly higher elevations in HR and DP for 100% of 8RM at all times (<em>p</em>&lt;0.0001). We conclude that high intensities (100% of 8RM) promote post-exercise hypotension with faster responses and greater duration and increase HR and DP in normotensive men.</p>


2021 ◽  
Vol 12 ◽  
Author(s):  
Leandro de Oliveira Carpes ◽  
Lucas Betti Domingues ◽  
Renato Schimitt ◽  
Sandra C. Fuchs ◽  
Taha Alhalimi ◽  
...  

Background: The efficacy of power training (PT) to acutely reduce blood pressure (BP) in participants with hypertension is controversial, and no studies have assessed the influence of sex on post-exercise hypotension and its mechanisms in older adults.Purpose: The aims of this secondary, exploratory analysis were to compare the effects of a single bout of PT on post-exercise hypotension, BP variability, and endothelial function between older men and women with hypertension.Methods: Twenty-four participants with hypertension (12 men and 12 women aged to &gt;60 years old) took part in this crossover study and randomly performed two experimental sessions: power exercise training (PT) and non-exercising control session (Con). The PT protocol was composed of 3 sets of 8–10 repetitions of five exercises performed in the following order: leg press, bench press, knee extension, upright row, and knee flexion, using an intensity corresponding to 50% of one repetition maximal test (1RM) and 2-min intervals between sets and exercises. The concentric phase of exercises during each repetition was performed “as fast as possible,” while the eccentric phase lasted 1 to 2 s. During Con, the participants remained at seated rest on the same exercise machines, but without any exercise. Each protocol lasted 40 min. Office BP, flow-mediated dilatation (FMD), 24-h ambulatory BP, and the average real variability (ARV) of systolic and diastolic BP were assessed before and after experimental sessions.Results: Comparing PT with Con, a reduced office BP after exercise was found in men (systolic BP—average post 1 h: −14 mmHg, p &lt; 0.001; diastolic BP—average post 1 h: −8 mmHg, p &lt; 0.001) and only a reduced systolic BP in women (average post 1 h: −7 mmHg, p = 0.04). Comparing men and women, a reduced systolic BP (post 60': −15 mmHg, p = 0.048; average post 1 h: −7 mmHg, p = 0.046) and diastolic BP (post 60': −9 mmHg, p = 0.049) after the first hour were found in men. In relation to 24-h ambulatory BP, ARV, and FMD, no statistically significant differences were found between men and women.Conclusion: In older adults with hypertension, the office BP response after the experimental sessions was different in men and women, showing that the PT protocol is more effective to acutely reduce BP in men. Additionally, the mechanisms behind this reduction remain unclear. This finding suggests that sex cannot be combined to analyze post-exercise hypotension.Clinical Trial Registration: ClinicalTrials.gov, Identifier: NCT03615625.


2013 ◽  
Vol 19 (4) ◽  
pp. 681-687 ◽  
Author(s):  
Aparecido Pimentel Ferreira ◽  
Bruno Rafael Martins Campos ◽  
Édis Rodrigues Junior ◽  
Guilherme Morais Puga ◽  
Ciro José Brito

The present study aimed to determine the effect of the intensity of aerobic and resistance exercise on the 24h BP response in normotensive women. Twenty-four women (aged 33 ± 9 years) performed five experimental sessions in randomized order: CON - no exercise; AE50 - 50% of heart rate reserve (HRR); AE70 - 70% of HRR; RE40 - 40% of 1repetition maximum (RM) and RE70 - 70% of 1RM. Systolic and diastolic BP and HR measurements were measured during 24h post-exercise at the participant's workplace. The AE50, AE70 and RE40 sessions led to the greatest and longest-lasting effects on the SBP, which persisted for up to 24h. For the DBP, the experimental sessions led to similar results; post exercise hypotension was observed until 7h post-exercise, with the exception of the AE70 session, which produced effects that persisted for 24h. Results shows that both aerobic and resistance exercise performed during the morning can decrease the mean BP above the baseline lasting 24 hours during a normal daily work. The aerobic exercise performed around 50% of HRR can better regulate both systolic and diastolic BP in this population.


Author(s):  
Diego De Mello ◽  
Thatiane Lopes Valentim Di Paschoale Ostolin

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.


Motricidade ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 33
Author(s):  
André Luiz F Medeiros ◽  
Manoela Vieira Sousa ◽  
Morgana Lunardi ◽  
Silas Nery Oliveira ◽  
Cintia De la Rocha Freitas

The purpose of this study was to analyse the effect of a concurrent training session (CT) with different intensities in post-exercise blood pressure responses in normotensive adults. Ten normotensive adult males (30.7 ± 4.1 years) participated in this study, they performed four experimental protocols: a) Strength Training (ST) at 50% of 1RM and aerobic training (AT) between 50-60% of the Working Heart Rate (WHR); b) ST at 50% of 1RM and AT between 80-90% of the WHR; c) ST at 85% of 1RM and AT between 50-60% of the WHR; d) ST at 85% of 1RM and AT between 80-90% of the WHR. Every protocol presented a decrease in the systolic blood pressure (SBP) 1 minute after finishing the training session, however, only the protocol with the intensity of 50% 1RM and 80-90% WHR presented a significant hypotensive effect (p ≤ 0.05). None of the protocols presented a significant decrease in the diastolic blood pressure. We concluded that the hypotensive effect in the SBP can be observed when the CT is performed at the intensity of 50% of 1RM and of 80-90% of the WHR.


2021 ◽  
Vol 130 (4) ◽  
pp. 1085-1092
Author(s):  
Giuseppe Caminiti ◽  
Ferdinando Iellamo ◽  
Annalisa Mancuso ◽  
Anna Cerrito ◽  
Matteo Montano ◽  
...  

Combined exercise training (CT) including aerobic plus resistance exercises could be more effective in comparison with aerobic exercise (AT) alone in reducing blood pressure variability (BPV) in hypertensive patients. We report that CT was indeed more effective than AT in reducing short-term BPV, and both exercise modalities reduced BP levels to the same extent. CT appears to be a more appropriate exercise modality if the objective is to reduce BPV in addition to BP levels.


2015 ◽  
Vol 21 (3) ◽  
pp. 192-195 ◽  
Author(s):  
Emerson Pardono ◽  
Manuella de Oliveira Fernandes ◽  
Luan Morais Azevêdo ◽  
Jeeser Alves de Almeida ◽  
Marcio Rabelo Mota ◽  
...  

INTRODUCTION: After a single session of physical exercise the blood pressure is reduced (post-exercise hypotension, PHE) and it has been considered as a non-pharmacological mechanism to control the blood pressure. When the exercise is performed since youth it can prevent or avoid hypertension. However, it is important to consider studies with clear practical applications to optimize its reproducibility on a daily basis. OBJECTIVE: Analyze the PEH of normotensive and physically active young men after two track running sessions (maximum and submaximal). METHODS: Participated in this study 62 physically active young men (23.3 ± 4.2 years old; 75.5 ± 9.8 kg; 177.7 ± 5.5 cm; 12.0 ± 4.6% body fatF; 52.4 ± 4.0 mL.kg-1.min-1oxygen uptake), which performed a maximum laboratory exercise test for determination of maximal oxygen uptake (VO2max - aerobic power) and subsequently three randomly running sessions (maximum - T1600; submaximal - T20; control - CON), with 48h interval between themselves. Blood pressure (BP) was measured each 15min during a 60 min period after sessions. RESULTS: Both the maximum and the submaximal exercise lead to PEH. The post-exercise values of systolic blood pressure and diastolic blood pressure differed from resting value in session T20 (p<0.05). The same pattern occurred after T1600 (p<0.05), evidenced from 30th minute post-exercise. The CON did not result in PEH. The magnitude of decay for the mean BP at the 45th after maximum exercise was higher than the other sessions (p<0.05). CONCLUSION: We concluded that both maximum and submaximal exercises, performed on a track running condition, caused PEH in young normotensive and physically active men.


2020 ◽  
Vol 42 (01) ◽  
pp. 41-47
Author(s):  
Filipe Fernandes Oliveira-Dantas ◽  
Rodrigo Alberto Vieira Browne ◽  
Ricardo Santos Oliveira ◽  
Ludmila Lucena Pereira Cabral ◽  
Luiz Fernando de Farias Junior ◽  
...  

AbstractThis study investigated the acute post-exercise effect of high-velocity resistance exercise on ambulatory blood pressure in hypertensive older women. Fourteen volunteers (67.9±5.1 years) performed a high-velocity resistance exercise session (8 exercises using Thera-Band, 3 sets of 6 repetitions as fast as possible in the concentric phase with moderate intensity) and a control session, separated by a 7–10-day period. Ambulatory blood pressure was monitored following 12-h post-sessions and compared between conditions at 1 to 4-h, 5 to 8-h, and 9 to 12-h. Average 24-h ambulatory blood pressure, awake, asleep periods, and blood pressure load were also analyzed. There was a condition by time interaction for systolic ambulatory blood pressure over 12-h post-sessions (P=0.043). It was observed a lower systolic ambulatory blood pressure in the first 4-h period following the high-velocity resistance exercise session compared to the control session (−6.7 mmHg, 95% CI  − 11.6 to −1.8 mmHg; P=0.011). No changes were observed for diastolic ambulatory blood pressure over 12-h post-sessions as well as for the other variables analyzed (P>0.05). In summary, a single high-velocity resistance exercise session elicits a post-exercise antihypertensive effect and may be considered as a strategy to acutely improve blood pressure control in hypertensive older women.


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