P110 ACUTE EFFECT OF AEROBIC, RESISTANCE, AND COMBINED EXERCISE ON BLOOD PRESSURE AND VASCULAR RESISTANCE OF HYPERTENSIVE PATIENTS: RANDOMIZED CLINICAL TRIAL
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- Abstract
Background: Exercise is part of antihypertensive therapy. However, little is known about the effect of different types of exercise on hemodynamic variables in systemic arterial hypertension (SAH). Purpose: To evaluate the effect of an aerobic (AE), resistance (RE) and combined (CE) exercise session on BP, blood flow (BF) and vascular resistance (VR) in hypertensive patients.
Methods: Twenty-nine men with SAH randomly performed 40 min AE (60% of reserve heart rate) or 40 min RE (4 exercises, lower limbs, 4x12rep, 60% 1-maximal repetition) or 40 min CE (20 min ER [2x12rep] and 20 min EA). The BF, RV and BP were analyzed 10 min before, 5-25-55 min after the session. Doppler ultrasound videos were analyzed by CardiovasculareSuit™. Statistics: generalized estimation equation and post-hoc Bonferroni, p < 0.05.
Results: No difference among groups for age: AE 42.13 ± 9.19, RE 42.63 ± 17.43, CE 45.29 ± 7.80; BMI: AE 28.95 ± 3.83, RE 31.03 ± 3.70, CE 30.73 ± 5,48; SBP: AE 131.82 ± 7.87, RE 133.41 ± 9.25, CE 133.20 ± 8.07; and DBP: AE 84.04 ± 10.50, RE 81,51 ± 10.12, CE 77.22 ± 8.06. Compared to baseline, there was a decreased in SBP with AE (25 min: 138.00 ± 5.59 vs. 128.40 ± 5.27 mmHg, p < 0,001; 55 min: 138.00 ± 5.59 vs. 131.50 ± 6.37 mmHg, p = 0.042) and increase for RE (5min: 138.10 ± 3.10 vs. 143.80 ± 3.21 mmHg, p < 0.001). Changes in DBP after AE (5min: 86.40 ± 3.15 vs. 79.00 ± 2,98 mmHg, p = 0.027). Increased in BF (5min: 190.18 ± 29.62 vs. 290.22 ± 36.06 mL/min, p = 0.001) and decreased in RV (5 min: 0.70 ± 0.14 vs. 0.41 ± 0.06 units, p = 0.017) after CE.
Conclusions: AE provided reduction in SBP and DBP levels and CE led to increased BF and reduction in RV. These findings may indicate different acute vascular responses from types of exercise in SAH.
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TY - JOUR AU - Gustavo Waclawovsky AU - Bruna Eibel AU - Liliana Boll AU - Maximiliano Schaun AU - Eduardo Barbosa AU - Alexandre Lehnen AU - ARDI Group PY - 2018 DA - 2018/12/04 TI - P110 ACUTE EFFECT OF AEROBIC, RESISTANCE, AND COMBINED EXERCISE ON BLOOD PRESSURE AND VASCULAR RESISTANCE OF HYPERTENSIVE PATIENTS: RANDOMIZED CLINICAL TRIAL JO - Artery Research SP - 111 EP - 111 VL - 24 IS - C SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2018.10.163 DO - 10.1016/j.artres.2018.10.163 ID - Waclawovsky2018 ER -