Active and passive interval during resistance exercises can cause different hemodynamic responses.
OBJECTIVE:
To evaluate the effect of passive and active intervals between sets of high-intensity resistance exercise on post-exercise hypotension in hypertensive women.
METHODS:
Fifteen sedentary women who have hypertension controlled by medication [64.1 ± 7.9 years, systolic blood pressure (SBP) < 140 mmHg, diastolic blood pressure (DBP) < 90 mmHg] performed one control session without exercise and two resistance exercises sessions with passive and active intervals between sets, in a randomized order. All hypertensive women participated in a supervised resistance training session. SBP and DBP were measured in six different times for all sessions. The first two measures were at rest (10 and 15 minutes) followed by 15-minute intervals after the end of control/exercise sessions up to one hour.
RESULTS:
Post-exercise hypotension (p < 0.05) was observed in SBP after active intervals session compared with passive interval session, at 30 and 45 minutes. The area under the delta curve of SBP in the active protocol was ∼ 21 mmHg of hypotension during 60 minutes, 10 mmHg in passive protocol and 5 mmHg in the control session.
CONCLUSIONS:
Active intervals during high-intensity resistance exercises promote higher post-exercise hypotension compared with passive intervals.
HackamDG, QuinnRR, RavaniP, RabiDM, DasguptaK, DaskalopoulouSS, et al. The 2013 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Can J Cardiol. 2013; 29(5): 528-42.
2.
HamerM. The anti-hypertensive effects of exercise: Integrating acute and chronic mechanisms. Sports Med. 2006; 36(2): 109-116.
3.
LewingtonS, ClarkeR, QizilbashN, PetoR, and CollinsR. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002; 360(9349): 1903-13.
4.
CornelissenVA, and SmartNA. Exercise training for blood pressure: A systematic review and meta-analysis. J Am Heart Assoc. 2013; 2: e004473.
MotaMR, OliveiraRJ, DutraMT, PardonoE, TerraDF, LimaRM, et al. Acute and chronic effects of resistive exercise on blood pressure in hypertensive elderly women. J Strength Cond Res. 2013; 27(12): 3475-80.
7.
NascimentoDD, TibanaRA, BenikFM, FontanaKE, Ribeiro NetoF, SantanaFS, et al. Sustained effect of resistance training on blood pressure and hand grip strength following a detraining period in elderly hypertensive women: a pilot study. Clin Interv Aging. 2014; 9: 219-25.
8.
TerraDF, MotaMR, RabeloHT, BezerraLMA, LimaRM, RibeiroAG, et al. Reduction of arterial pressure and double product at rest after resistance exercise training in elderly hypertensive women. Arq Bras Cardiol. 2008; 91(5): 299-305.
9.
WestcottWL. Resistance training is medicine: effects of strength training on health. Curr Sports Med Rep. 2012; 11(4): 209-16.
10.
Chodzko-ZajkoWJ, ProctorDN, Fiatarone SinghMA, MinsonCT, NiggCR, SalemGJ, et al. Exercise and physical activity for older adults. Med Sci Sports Exerc. 2009; 41(7): 1510-30.
11.
GoesslerKF, and PolitoMD. Effect of fixed and self-suggested rest intervals between sets of resistance exercise on post-exercise cardiovascular behavior. Rev Bras Cineantropom Desempenho Hum. 2013; 15(4): 467-475.
12.
SallesBF, MaiorAS, PolitoM, NovaesJ, AlexanderJ, RheaM, et al. Influence of rest interval lengths on hypotensive response after strength training sessions performed by older men. J Strength Cond Res. 2010; 24(11): 3049-54.
13.
BritoAF, AlvesNF, AraújoAS, GonçalvesMC, and SilvaAS. Active intervals between sets of resistance exercises potentiate the magnitude of postexercise hypotension in elderly hypertensive women. J Strength Cond Res. 2011; 25(11): 3129-3136.
14.
JacksonAS, PollockML, and WardA. Generalized equations for predicting body density of women. Med Sci Sports Exerc. 1980; 12(3): 175-181.
15.
NortonK, and OldsT. Anthropometrica: A Texbook of Body Measurement for Sports and Health Education. CBS Publishers & Distributors, 2007.
16.
TopouchianJA, El AssaadMA, OrobinskaiaLV, El FeghaliRN, and AsmarRG. Validation of two devices for self-measurement of brachial blood pressure according to the International Protocol of the European Society of Hypertension: The SEINEX SE-9400 and the Microlife BP 3AC1-1. Blood Press Monit. 2005; 10(6): 325-31.
17.
PickeringTG, HallJE, AppelLJ, FalknerBE, GravesJ, HillMN, et al. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005; 111(5): 697-716.
18.
CasonattoJ, and PolitoMD. Post-exercise hypotension: A systematic review. Rev Bras Med Esporte. 2009; 15(2): 151-157.
19.
KimH-S, and KimD-G. Effect of long-term resistance exercise on body composition, blood lipid factors, and vascular compliance in the hypertensive elderly men. J Exerc Rehabil. 2013; 9(2): 271-277.
20.
CiolacEG. High-intensity interval training and hypertension: maximizing the benefits of exercise?Am J Cardiovasc Dis. 2012; 2(2): 102-10.
21.
HoodMS, LittleJP, TarnopolskyMA, MyslikF, and GibalaMJ. Low-volume interval training improves muscle oxidative capacity in sedentary adults. Med Sci Sports Exerc. 2011; 43(10): 1849-1856.
22.
BritoAF, OliveiraCV, SantosMD, and SantosAD. High-intensity exercise promotes postexercise hypotension greater than moderate intensity in elderly hypertensive individuals. Clin Physiol Funct Imaging. 2014; 34(2): 126-32.
23.
MoraesMR, BacurauRFP, SimõesHG, CampbellCSG, PudoMA, WasinskiF, et al. Effect of 12 weeks of resistance exercise on post-exercise hypotension in stage 1 hypertensive individuals. J Hum Hypertens. 2012; 26(29): 533-539.
24.
DuncanMJ, BirchSL, and OxfordSW. The effect of exercise intensity on postresistance exercise hypotension in trained men. J Strength Cond Res. 2014; 28(6): 1706-13.
25.
ArteroEG, LeeD, RuizJR, SuiX, OrtegaFB, ChurchTS, et al. A prospective study of muscular strength and all-cause mortality in men with hypertension. J Am Coll Cardiol. 2011; 57(18): 1831-1837.
26.
GuimarãesGV, CiolacEG, CarvalhoVO, D'AvilaVM, BortolottoLA, and BocchiEA. Effects of continuous vs. interval exercise training on blood pressure and arterial stiffness in treated hypertension. Hypertens Res. 2010; 33(6): 627-32.
