Hemodynamic Response After Concurrent Cross Exercise in Hypertensive Women

Stressful situations are common in everyday life and disturb homeostasis. So, an exercise session is a strategy to mitigate blood pressure (BP) peaks in response to stress (i.e., BP reactivity), decreasing the cardiovascular risk. This is a systematic review and meta-analysis that aims to verify the effects of a single session of physical exercises on BP reactivity to stress in adults. The searches were performed in digital databases (MEDLINE, LILACS, EMBASE, SPORTDiscus, and PsycInfo) and 29 studies were included, totaling 795 individuals (quantitative analysis: k = 25, n = 659). As for exercise characteristics, 21 of the 29 studies focused on aerobic exercises, and 23 studies focused on low to moderate intensities. As for the stress tests, we have them in the following order from the most to the least frequent: stroop color and word test, cold pressor test, arithmetic test, public speaking, handgrip, trier social stress test, and study task. Favorable metanalytic results (standardized mean differences through random-effects approach) for the exercises were found, with attenuated reactivity in systolic BP (pooled effect size = − 0.38 [− 0.49; − 0.27], representing average reductions of 3.7 ± 3.8 mmHg), diastolic BP (pooled effect size = − 0.51 [− 0.70; − 0.33], representing average reductions of 2.9 ± 3.7 mmHg), and mean BP (pooled effect size = − 0.51 [− 0.72; − 0.31], representing average reductions of 4.1 ± 3.3 mmHg). So, acute physical exercise lowers systolic, diastolic, and mean blood pressure reactivity in response to stressor tasks. However, given the small magnitude of effects, the clinical relevance of this result must be interpreted with caution and be better explored.

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A single session of exercise reduces blood pressure reactivity to stress: a systematic review and meta-analysis

Mariano

Amaral

Ribeiro

et al. 2022

Sci Rep

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Effect of exercise modalities on postexercise hypotension in pre- and postmenopausal women: a systematic review and meta-analysis

Le Bourvellec,

Delpech,

Hervo

et al. 2024

Journal of Applied Physiology

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Hormonal changes associated with menopause increase the risk of hypertension. Post-exercise hypotension (PEH) is an important tool in the prevention and management of hypertension; however, menopause may alter this response. The aim of this systematic review and meta-analysis (PROSPERO: CRD42023297557) was to evaluate the effect of exercise modalities (aerobic, AE; resistance, RE; and combined exercise, CE: AE+RE) on PEH in women, according to their menopausal status (premenopausal or postmenopausal). We searched controlled trials in PubMed, Web of Science, EBSCO, and Science Direct published between 1990 and March 2023. Inclusion criteria were normotensive, pre- and hypertensive, pre- and postmenopausal women who performed an exercise session compared with a control session and reported systolic (SBP) and diastolic (DBP) blood pressure (BP) for at least 30 minutes after the sessions. Methodological quality was assessed using the PEDro scale. Standardized mean differences (Hedge's g) and their 95% confidence intervals (CI) were calculated, and Q-test and Z-test were conducted to assess differences between moderators. 41 trials with 718 women (474 menopausal) were included. Overall, we found with moderate evidence that SBP and DBP decreased significantly after exercise session (SBP: g= -0.69, 95%CI -0.87 to -0.51; DBP: g= -0.31, 95%CI -0.47 to -0.14), with no difference between premenopausal and postmenopausal women. Regarding exercise modalities, RE is more effective than AE and CE in lowering BP in women regardless of menopausal status. In conclusion, women's menopausal status does not influence the magnitude of PEH, and the best modality to reduce BP in women seems to be RE.

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Hemodynamic Response After Concurrent Cross Exercise in Hypertensive Women

Cited by 2 publications

References 18 publications

A single session of exercise reduces blood pressure reactivity to stress: a systematic review and meta-analysis

A single session of exercise reduces blood pressure reactivity to stress: a systematic review and meta-analysis

Effect of exercise modalities on postexercise hypotension in pre- and postmenopausal women: a systematic review and meta-analysis

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