Acute Blood Pressure Effects in Older Adults with Hypertension After Different Modalities of Exercise: An Experimental Study

in Journal of Aging and Physical Activity
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This study investigated the acute blood pressure (BP) effects of different exercise modalities in older adults with hypertension. Sixty volunteers were randomly assigned (n = 15/group) into different exercise protocols: resistance, bike, water-based exercise (WE), and a control session—all for ∼45 min. Clinic BP measurements were taken before, immediately after, and 15 and 30 min after protocols. The data were analyzed by one-way analysis of variance; generalized estimating equations, following Bonferroni post hoc (p < .05). Immediately after exercise, the systolic BP (SBP) increased in all exercise protocols (resistance exercise = Δ10.3, bike exercise = Δ5.8, WE = Δ9.5 mmHg; p < .001), while the diastolic BP was not altered. Afterward, the SBP reached the value observed before exercise. In Minute 30, only WE presented a significant reduction for SBP (WE = Δ−4.6 mmHg; p < .05). This study has important clinical implications in hemodynamic safety for acute BP increases immediately after exercises, as well as, in the SBP, reduction benefits for older adults with hypertension.

Cunha and Oliveira-Silva are with the Master Degree and PhD Postgraduate Program in Human Movement and Rehabilitation, University Center of Anápolis—UniEVANGELICA, Anápolis, Goiás, Brazil. Cunha and Lehnen are with the Institute of Cardiology of Rio Grande do Sul/University Foundation of Cardiology, Rio Grande do Sul, Brazil. Cunha and Rocha are with the Exercise Physiology Laboratory, Health Sciences Institute—FINAMA, Goiás, Brazil. Arsa is with the Faculty of Physical Education, Federal University of Mato Grosso, Mato Grosso, Brazil.

Cunha (prof.raphaelcunha@gmail.com) is corresponding author.
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