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Can blood pressure decrease after maximal exercise test predict the blood pressure lowering effect of aerobic training in treated hypertensive men?
Journal of Human Hypertension ( IF 2.7 ) Pub Date : 2023-08-16 , DOI: 10.1038/s41371-023-00853-7
Luan Morais Azevêdo 1 , Leandro Campos de Brito 1, 2 , Tiago Peçanha 1, 3 , Rafael Yokoyama Fecchio 1 , Rafael Andrade Rezende 1 , Giovânio Vieira da Silva 4 , Andrea Pio-Abreu 4 , Décio Mion Junior 4 , John Robert Halliwill 5 , Cláudia Lúcia de Moraes Forjaz 1
Affiliation  

The acute decrease in blood pressure (BP) observed after a session of exercise (called post-exercise hypotension) has been proposed as a tool to predict the chronic reduction in BP induced by aerobic training. Therefore, this study investigated whether post-exercise hypotension observed after a maximal exercise test is associated to the BP-lowering effect of aerobic training in treated hypertensives. Thirty hypertensive men (50 ± 8 years) who were under consistent anti-hypertensive treatment underwent a maximal exercise test (15 watts/min until exhaustion), and post-exercise hypotension was determined by the difference between BP measured before and at 30 min after the test. Subsequently, the patients underwent 10 weeks of aerobic training (3 times/week, 45 min/session at moderate intensity), and the BP-lowering effect of training was assessed by the difference in BP measured before and after the training period. Pearson correlations were employed to evaluate the associations. Post-maximal exercise test hypotension was observed for systolic and mean BPs (−8 ± 6 and −2 ± 4 mmHg, all P < 0.05). Aerobic training reduced clinic systolic/diastolic BPs (−5 ± 6/−2 ± 3 mmHg, both P < 0.05) as well as awake and 24 h mean BPs (−2 ± 6 and −2 ± 5 mmHg, all P < 0.05). No significant correlation was detected between post-exercise hypotension and the BP-lowering effect of training either for clinic or ambulatory BPs (r values ranging from 0.00 to 0.32, all p > 0.05). Post-exercise hypotension assessed 30 min after a maximal exercise test cannot be used to predict the BP-lowering effect of aerobic training in treated hypertensive men.



中文翻译:

最大运动试验后血压下降能否预测接受治疗的高血压男性有氧训练的降压效果?

运动后观察到的血压 (BP) 急剧下降(称为运动后低血压)已被提议作为预测有氧训练引起的血压慢性下降的工具。因此,本研究调查了最大运动测试后观察到的运动后低血压是否与治疗高血压的有氧训练的降压作用相关。30 名接受持续抗高血压治疗的高血压男性(50 ± 8 岁)接受了最大运动测试(15 瓦/分钟直至力竭),运动后低血压通过运动前和运动后 30 分钟测量的血压之间的差异来确定考试。随后,患者进行10周的有氧训练(每周3次,45分钟/次,中等强度),通过训练前后测得的血压差异来评估训练的降压效果。采用皮尔逊相关性来评估关联性。观察到收缩压和平均血压的最大运动试验后低血压(−8 ± 6 和−2 ± 4 mmHg,所有P  < 0.05)。有氧训练降低了临床收缩压/舒张压(−5 ± 6/−2 ± 3 mmHg,均P  < 0.05)以及清醒时和 24 小时平均血压(−2 ± 6 和 −2 ± 5 mmHg,均P  < 0.05 ) )。运动后低血压与诊所或动态血压训练的降压效果之间没有发现显着相关性(r值范围为 0.00 至 0.32,所有p  > 0.05)。最大运动测试后 30 分钟评估的运动后低血压不能用于预测接受治疗的高血压男性有氧训练的降压效果。

更新日期:2023-08-17
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