Resistance exercise for the management of arterial hypertension: An intervention that works!

Ribeiro, Fernando

doi:10.1111/jch.14197

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…This was similar with Idland G’s research, who applied a 12-week program of progressive resistance exercise on a group of nonagenarian (≥90 years) community-dwelling women, and the results showed that progressive resistance training was a safe and efficient method to enhance mobility and increase lower body strength. [ 25 ] The American Heart Association and the American College of Sports Medicine jointly issued a Fitness Guideline, pointing out that the older adults aged over 65 years should have 8 to 10 different kinds of resistance training, such as dumbbell, elastic band exercise, roller skates and binding sandbag, for at least 2 to 3 times a week [ 26 ] The age of intervention population in these studies ranged from 60 to 90 years, including not only the healthy older adults, but also those with underlying diseases, such as diabetes, [ 27 ] dementia, [ 28 ] hypertension, [ 29 ] osteoporosis, [ 30 ] mobility disorder or disability, [ 31 ] and the training effect was also relatively comprehensive including long-term body changes and short-term changes within 30 minutes such as blood glucose, blood pressure and heart rate, etc. [ 32 ] In China, aerobic exercise is considered the major method of exercise for the older adults; whereas, resistance exercise has mainly focused on theoretical researches but less practical studies with scientific guidance.…”

Section: Discussionmentioning

confidence: 99%

Impact of resistance exercise program on muscle strength, cardiopulmonary function and glycolipid metabolism of bedridden population aged 80 years and above: A randomized controlled trial

Wang,

Huo,

Wang

et al. 2024

Medicine

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Background: This study aimed to evaluate the impact of a resistance exercise program in the bedridden older adults in China. Methods: The patients aged 80 years and above with stable diseases were randomly divided into control group (receiving routine treatment and nursing) and training group (receiving the elastic ball and elastic band training applied for 55 minutes, 3 times a week during 6 months). Results: A total of 59 patients (control group: 30; training groups: 29) completed the study. In terms of muscle strength, the patients of the training group had better grip strength and supine leg lifts and 30-s sit-to-stand actions. In terms of cardiopulmonary function and glycolipid metabolism, the patients in the training groups had better lung capacity and high-density lipoprotein. Conclusion: The low-load and low-intensity resistance training may effectively improve not only the muscle strength of the bedridden older adults, but also the lung function and blood lipid metabolism.

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Section: Discussionmentioning

confidence: 99%

Impact of resistance exercise program on muscle strength, cardiopulmonary function and glycolipid metabolism of bedridden population aged 80 years and above: A randomized controlled trial

Wang,

Huo,

Wang

et al. 2024

Medicine

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“…30 Dynamic resistance exercise seems to be as effective as aerobic exercise in reducing blood pressure among individuals with hypertension. 31 Even though no doubt remains about the importance of physical exercise for the management of hypertension, the mechanisms of the beneficial effects have not been fully elucidated. Physical exercise, in the presence of AH, seems effective in increasing the amplitude and decreasing the decay time of cytosolic calcium, suggesting a higher availability of intracellular calcium, faster removal of this ion from the cytosol, and consequently, increased cellular relaxation.…”

Section: Discussionmentioning

confidence: 99%

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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Arterial hypertension (AH) is a burning problem in the world. Antihypertensive pharmacological therapy combined by physical exercises is well-studied in patients with mild and moderate AH. However, studies that have investigated relaxation in patients with severe AH in addition to drug therapy are lacking. Optimization of a comprehensive treatment for patients with severe AH, by using a multicomponent rational antihypertensive pharmacotherapy (PT) with subsequent application of relaxation exercise therapy (RET). The study involved 32 male patients with severe AH. Initially, clinical-instrumental and laboratory examination, blood pressure registration and daily arterial blood pressure monitoring were carried out. Suitable PT was selected for all the patients. 3 months after starting PT the patients were divided in 2 groups. The patients of the 1st group were prescribed RET in addition to PT. The 2nd group of patients continued receiving PT alone. 3 months later, average daily blood pressure (ADBP)-syst and ADBP-diast were compared in both groups. Three months after PT both groups demonstrated a significant decrease in ADBP-syst and ADBP diast, but these indicators remained higher than normal and did not reach the target level. Three months after the inclusion of RET in the comprehensive treatment, the 1st group demonstrated a significant decrease in ADBP (systolic and diastolic), not only in comparison with the initial data, but also with the data observed three months after PT. After 6 months, ADBP-syst and ADBP-diast in the 1st group were significantly lower compared with those of patients in the 2nd group. The inclusion of RET in addition to a multicomponent antihypertensive PT is a promising treatment option for severe AH.

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“…One particular strategy which has been explored is resistance exercise (RE) with multiple studies indicating that RE may be an effective nonpharmacological strategy to promote PEH (7,14). Resistance exercise has shown efficacy in promoting a significant PEH response using a variety of different program designs (volumes, intensities, and training methods) (14,31,34). Results reported by MacDonald et al (22) in a metaanalysis support these conclusions, indicating that results from RE are comparable with or greater than aerobic training to promote PEH in non-White hypertensive adults.…”

Section: Introductionmentioning

confidence: 99%

Effects of Manual Therapies and Resistance Exercise on Postexercise Hypotension in Women With Normal Blood Pressure

Monteiro

Pescatello

Winchester

et al. 2021

Journal of Strength and Conditioning Research

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Monteiro, ER, Pescatello, LS, Winchester, JB, Corrêa Neto, VG, Brown, AF, Budde, H, Marchetti, PH, Silva, JG, Vianna, JM, and Novaes, JdS. Effects of manual therapies and resistance exercise on postexercise hypotension in women with normal blood pressure. J Strength Cond Res 36(4): 948–954, 2022—The purpose of this investigation was to examine the acute effects of resistance exercise (RE) and different manual therapies (static stretching and manual massage [MM]) performed separately or combined on blood pressure (BP) responses during recovery in women with normal BP. Sixteen recreationally strength-trained women (age: 25.1 ± 2.9 years; height: 158.9 ± 4.1 cm; body mass: 59.5 ± 4.9 kg; body mass index: 23.5 ± 1.9 kg·m−2; baseline systolic BP median: 128 mm Hg; and baseline diastolic BP median: 78 mm Hg) were recruited. All subjects performed 6 experiments in a randomized order: (a) rest control (CON), (b) RE only (RE), (c) static-stretching exercise only (SS), (d) MM only, (e) RE immediately followed by SS (RE + SS), and (f) RE immediately followed by MM (RE + MM). RE consisted of 3 sets of bilateral bench press, back squat, front pull-down, and leg press exercises at 80% of 10RM. Static stretching and MM were applied unilaterally in 2 sets of 120 seconds to each of the quadriceps, hamstring, and calf regions. Systolic (SBP) and diastolic BP were measured before (rest) and every 10 minutes for 60 minutes following (Post 10–60) each intervention. There were significant intragroup differences for RE in Post-50 (p = 0.038; d = −2.24; ∆ = −4.0 mm Hg). Similarly, SBP intragroup differences were found for the SS protocol in Post-50 (p = 0.021; d = −2.67; ∆ = −5.0 mm Hg) and Post-60 (p = 0.008; d = −2.88; ∆ = −5.0 mm Hg). Still, SBP intragroup differences were found for the MM protocol in Post-50 (p = 0.011; d = −2.61; ∆ = −4.0 mm Hg) and Post-60 (p = 0.011; d = −2.74; ∆ = −4.0 mm Hg). Finally, a single SBP intragroup difference was found for the RE + SS protocol in Post-60 (p = 0.024; d = −3.12; ∆ = −5.0 mm Hg). Practitioners should be aware that SS and MM have the potential to influence BP responses in addition to RE or by themselves and therefore should be taken into consideration for persons who are hypertensive or hypotensive.

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Resistance exercise for the management of arterial hypertension: An intervention that works!

Cited by 4 publications

References 28 publications

Impact of resistance exercise program on muscle strength, cardiopulmonary function and glycolipid metabolism of bedridden population aged 80 years and above: A randomized controlled trial

Impact of resistance exercise program on muscle strength, cardiopulmonary function and glycolipid metabolism of bedridden population aged 80 years and above: A randomized controlled trial

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Effects of Manual Therapies and Resistance Exercise on Postexercise Hypotension in Women With Normal Blood Pressure

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