Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial

Aim. The present study compared the acute effects of aerobic (AER), resistance (RES), and combined (COM) exercises on blood pressure (BP) levels in people with resistant hypertension (RH) and nonresistant hypertension (NON-RH). Methods. Twenty patients (10 RH and 10 NON-RH) were recruited and random...

Full description

Saved in:
Bibliographic Details
Main Authors: Nayara Fraccari Pires, Helio José Coelho-Júnior, Bruno Bavaresco Gambassi, Ana Paula Cabral de Faria, Alessandra Mileni Versuti Ritter, Catarina de Andrade Barboza, Silvia Elaine Ferreira-Melo, Bruno Rodrigues, Heitor Moreno Júnior
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Cardiovascular Therapeutics
Online Access:http://dx.doi.org/10.1155/2020/8157858
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832568579255435264
author Nayara Fraccari Pires
Helio José Coelho-Júnior
Bruno Bavaresco Gambassi
Ana Paula Cabral de Faria
Alessandra Mileni Versuti Ritter
Catarina de Andrade Barboza
Silvia Elaine Ferreira-Melo
Bruno Rodrigues
Heitor Moreno Júnior
author_facet Nayara Fraccari Pires
Helio José Coelho-Júnior
Bruno Bavaresco Gambassi
Ana Paula Cabral de Faria
Alessandra Mileni Versuti Ritter
Catarina de Andrade Barboza
Silvia Elaine Ferreira-Melo
Bruno Rodrigues
Heitor Moreno Júnior
author_sort Nayara Fraccari Pires
collection DOAJ
description Aim. The present study compared the acute effects of aerobic (AER), resistance (RES), and combined (COM) exercises on blood pressure (BP) levels in people with resistant hypertension (RH) and nonresistant hypertension (NON-RH). Methods. Twenty patients (10 RH and 10 NON-RH) were recruited and randomly performed three exercise sessions and a control session. Ambulatory BP was monitored over 24 hours after each experimental session. Results. Significant reductions on ambulatory BP were found in people with RH after AER, RES, and COM sessions. Notably, ambulatory BP was reduced during awake-time and night-time periods after COM. On the other hand, the effects of AER were more prominent during awake periods, while RES caused greater reductions during the night-time period. In NON-RH, only RES acutely reduced systolic BP, while diastolic BP was reduced after all exercise sessions. However, the longest postexercise ambulatory hypotension was observed after AER (~11 h) in comparison to RES (~8 h) and COM (~4 h) exercises. Conclusion. Findings of the present study indicate that AER, RES, and COM exercises elicit systolic and diastolic postexercise ambulatory hypotension in RH patients. Notably, longer hypotension periods were observed after COM exercise. In addition, NON-RH and RH people showed different changes on BP after exercise sessions, suggesting that postexercise hypotension is influenced by the pathophysiological bases of hypertension.
format Article
id doaj-art-7b5bad0dd4f74428ae77ed45fdcb8660
institution Kabale University
issn 1755-5914
1755-5922
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Cardiovascular Therapeutics
spelling doaj-art-7b5bad0dd4f74428ae77ed45fdcb86602025-02-03T00:58:43ZengWileyCardiovascular Therapeutics1755-59141755-59222020-01-01202010.1155/2020/81578588157858Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover TrialNayara Fraccari Pires0Helio José Coelho-Júnior1Bruno Bavaresco Gambassi2Ana Paula Cabral de Faria3Alessandra Mileni Versuti Ritter4Catarina de Andrade Barboza5Silvia Elaine Ferreira-Melo6Bruno Rodrigues7Heitor Moreno Júnior8Laboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Investigation and Exercise, School of Physical Education (FEF), University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Investigation and Exercise, School of Physical Education (FEF), University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilLaboratory of Cardiovascular Pharmacology, School of Medical Sciences, University of Campinas (UNICAMP), Campinas, BrazilAim. The present study compared the acute effects of aerobic (AER), resistance (RES), and combined (COM) exercises on blood pressure (BP) levels in people with resistant hypertension (RH) and nonresistant hypertension (NON-RH). Methods. Twenty patients (10 RH and 10 NON-RH) were recruited and randomly performed three exercise sessions and a control session. Ambulatory BP was monitored over 24 hours after each experimental session. Results. Significant reductions on ambulatory BP were found in people with RH after AER, RES, and COM sessions. Notably, ambulatory BP was reduced during awake-time and night-time periods after COM. On the other hand, the effects of AER were more prominent during awake periods, while RES caused greater reductions during the night-time period. In NON-RH, only RES acutely reduced systolic BP, while diastolic BP was reduced after all exercise sessions. However, the longest postexercise ambulatory hypotension was observed after AER (~11 h) in comparison to RES (~8 h) and COM (~4 h) exercises. Conclusion. Findings of the present study indicate that AER, RES, and COM exercises elicit systolic and diastolic postexercise ambulatory hypotension in RH patients. Notably, longer hypotension periods were observed after COM exercise. In addition, NON-RH and RH people showed different changes on BP after exercise sessions, suggesting that postexercise hypotension is influenced by the pathophysiological bases of hypertension.http://dx.doi.org/10.1155/2020/8157858
spellingShingle Nayara Fraccari Pires
Helio José Coelho-Júnior
Bruno Bavaresco Gambassi
Ana Paula Cabral de Faria
Alessandra Mileni Versuti Ritter
Catarina de Andrade Barboza
Silvia Elaine Ferreira-Melo
Bruno Rodrigues
Heitor Moreno Júnior
Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
Cardiovascular Therapeutics
title Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
title_full Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
title_fullStr Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
title_full_unstemmed Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
title_short Combined Aerobic and Resistance Exercises Evokes Longer Reductions on Ambulatory Blood Pressure in Resistant Hypertension: A Randomized Crossover Trial
title_sort combined aerobic and resistance exercises evokes longer reductions on ambulatory blood pressure in resistant hypertension a randomized crossover trial
url http://dx.doi.org/10.1155/2020/8157858
work_keys_str_mv AT nayarafraccaripires combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT heliojosecoelhojunior combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT brunobavarescogambassi combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT anapaulacabraldefaria combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT alessandramileniversutiritter combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT catarinadeandradebarboza combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT silviaelaineferreiramelo combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT brunorodrigues combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial
AT heitormorenojunior combinedaerobicandresistanceexercisesevokeslongerreductionsonambulatorybloodpressureinresistanthypertensionarandomizedcrossovertrial