Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://dx.doi.org/10.1371/journal.pone.0180216 https://repositorio.unifesp.br/handle/11600/53637 |
Resumo: | Background systemic arterial hypertension is the most prevalent cardiovascular disease; physical activity for hypertensive patients is related to several beneficial cardiovascular adaptations. This paper evaluated the effect of water- and land-ergometry exercise sessions on post-exercise hypotension (PEH) of healthy normotensive subjects versus treated or untreated hypertensive patients. Methods Forty-five older women composed three experimental groups: normotensive (N, n = 10), treated hypertensive (TH, n = 15) and untreated hypertensive (UH, n = 20). The physical exercise acute session protocol was performed at 75% of maximum oxygen consumption (VO2max) for 45 minutes; systolic (SBP), diastolic (DBP) and mean (MBP) blood pressure were evaluated at rest, peak and at 15, 30, 45, 60, 75 and 90 minutes after exercise cessation. Additionally, the heart rate variability (HRV) was analyzed by R-R intervals in the frequency domain for the assessment of cardiac autonomic function. Results In both exercise modalities, equivalent increases in SBP were observed from rest to peak exercise for all groups, and during recovery, significant PEH was noted. At 90 minutes after the exercise session, the prevalence of hypotension was significantly higher in water- than in the land-based protocol. Moreover, more pronounced reductions in SBP and DBP were observed in the UH patients compared to TH and N subjects. Finally, exercise in the water was more effective in restoring HRV during recovery, with greater effects in the untreated hypertensive group. Conclusion Our data demonstrated that water-ergometry exercise was able to induce expressive PEH and improve cardiac autonomic modulation in older normotensive, hypertensive treated or hypertensive untreated subjects when compared to conventional land-ergometry. |
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Bocalini, Danilo SalesBergamin, MarcoEvangelista, Alexandre LopesRica, Roberta LukseviciusPontes Junior, Francisco LucianoFigueira Junior, Aylton JoséSerra, Andrey JorgeRossi, Emilly MartinelliTucci, Paulo José Ferreira [UNIFESP]Santos, Leonardo dos2020-06-26T16:30:35Z2020-06-26T16:30:35Z2017https://dx.doi.org/10.1371/journal.pone.0180216Plos One. San Francisco, v. 12, n. 6, p. -, 2017.1932-6203https://repositorio.unifesp.br/handle/11600/53637WOS000404607900066.pdf10.1371/journal.pone.0180216WOS:000404607900066Background systemic arterial hypertension is the most prevalent cardiovascular disease; physical activity for hypertensive patients is related to several beneficial cardiovascular adaptations. This paper evaluated the effect of water- and land-ergometry exercise sessions on post-exercise hypotension (PEH) of healthy normotensive subjects versus treated or untreated hypertensive patients. Methods Forty-five older women composed three experimental groups: normotensive (N, n = 10), treated hypertensive (TH, n = 15) and untreated hypertensive (UH, n = 20). The physical exercise acute session protocol was performed at 75% of maximum oxygen consumption (VO2max) for 45 minutes; systolic (SBP), diastolic (DBP) and mean (MBP) blood pressure were evaluated at rest, peak and at 15, 30, 45, 60, 75 and 90 minutes after exercise cessation. Additionally, the heart rate variability (HRV) was analyzed by R-R intervals in the frequency domain for the assessment of cardiac autonomic function. Results In both exercise modalities, equivalent increases in SBP were observed from rest to peak exercise for all groups, and during recovery, significant PEH was noted. At 90 minutes after the exercise session, the prevalence of hypotension was significantly higher in water- than in the land-based protocol. Moreover, more pronounced reductions in SBP and DBP were observed in the UH patients compared to TH and N subjects. Finally, exercise in the water was more effective in restoring HRV during recovery, with greater effects in the untreated hypertensive group. Conclusion Our data demonstrated that water-ergometry exercise was able to induce expressive PEH and improve cardiac autonomic modulation in older normotensive, hypertensive treated or hypertensive untreated subjects when compared to conventional land-ergometry.Univ Sao Judas Tadeu, Postgrad Program Phys Educ, Translat Physiol Lab, Sao Paulo, BrazilUniv Sao Judas Tadeu, Postgrad Program Aging, Sao Paulo, BrazilUniv Padua, Dept Med, Sport & Exercise Med Div, Padua, ItalyUniv Sao Paulo, Dept Phys Educ, Sao Paulo, BrazilUniv Sao Paulo, Sch Arts Sci & Humanities, Sao Paulo, BrazilNove de Julho Univ, Postgrad Biophoton Appl Hlth Sci, Sao Paulo, BrazilUniv Fed Espirito Santo, Dept Physiol Sci, Espirito Santo, BrazilUniv Fed Sao Paulo, Sao Paulo Med Sch, Div Cardiol, Dept Med, Sao Paulo, BrazilUniv Fed Sao Paulo, Sao Paulo Med Sch, Div Cardiol, Dept Med, Sao Paulo, BrazilWeb of Science-engPublic Library SciencePlos OnePost-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSan Francisco126info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000404607900066.pdfapplication/pdf2719069${dspace.ui.url}/bitstream/11600/53637/1/WOS000404607900066.pdfe29a1dcd857a52afb0e3a3de22133b99MD51open accessTEXTWOS000404607900066.pdf.txtWOS000404607900066.pdf.txtExtracted texttext/plain47627${dspace.ui.url}/bitstream/11600/53637/2/WOS000404607900066.pdf.txt35b93dcf9d81c64c74530be91a37faddMD52open accessTHUMBNAILWOS000404607900066.pdf.jpgWOS000404607900066.pdf.jpgIM Thumbnailimage/jpeg7635${dspace.ui.url}/bitstream/11600/53637/4/WOS000404607900066.pdf.jpg3b294b81560c819c6317722defef1931MD54open access11600/536372022-08-01 09:52:05.165open accessoai:repositorio.unifesp.br:11600/53637Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-08-01T12:52:05Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
title |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
spellingShingle |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients Bocalini, Danilo Sales |
title_short |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
title_full |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
title_fullStr |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
title_full_unstemmed |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
title_sort |
Post-exercise hypotension and heart rate variability response after water- and landergometry exercise in hypertensive patients |
author |
Bocalini, Danilo Sales |
author_facet |
Bocalini, Danilo Sales Bergamin, Marco Evangelista, Alexandre Lopes Rica, Roberta Luksevicius Pontes Junior, Francisco Luciano Figueira Junior, Aylton José Serra, Andrey Jorge Rossi, Emilly Martinelli Tucci, Paulo José Ferreira [UNIFESP] Santos, Leonardo dos |
author_role |
author |
author2 |
Bergamin, Marco Evangelista, Alexandre Lopes Rica, Roberta Luksevicius Pontes Junior, Francisco Luciano Figueira Junior, Aylton José Serra, Andrey Jorge Rossi, Emilly Martinelli Tucci, Paulo José Ferreira [UNIFESP] Santos, Leonardo dos |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Bocalini, Danilo Sales Bergamin, Marco Evangelista, Alexandre Lopes Rica, Roberta Luksevicius Pontes Junior, Francisco Luciano Figueira Junior, Aylton José Serra, Andrey Jorge Rossi, Emilly Martinelli Tucci, Paulo José Ferreira [UNIFESP] Santos, Leonardo dos |
description |
Background systemic arterial hypertension is the most prevalent cardiovascular disease; physical activity for hypertensive patients is related to several beneficial cardiovascular adaptations. This paper evaluated the effect of water- and land-ergometry exercise sessions on post-exercise hypotension (PEH) of healthy normotensive subjects versus treated or untreated hypertensive patients. Methods Forty-five older women composed three experimental groups: normotensive (N, n = 10), treated hypertensive (TH, n = 15) and untreated hypertensive (UH, n = 20). The physical exercise acute session protocol was performed at 75% of maximum oxygen consumption (VO2max) for 45 minutes; systolic (SBP), diastolic (DBP) and mean (MBP) blood pressure were evaluated at rest, peak and at 15, 30, 45, 60, 75 and 90 minutes after exercise cessation. Additionally, the heart rate variability (HRV) was analyzed by R-R intervals in the frequency domain for the assessment of cardiac autonomic function. Results In both exercise modalities, equivalent increases in SBP were observed from rest to peak exercise for all groups, and during recovery, significant PEH was noted. At 90 minutes after the exercise session, the prevalence of hypotension was significantly higher in water- than in the land-based protocol. Moreover, more pronounced reductions in SBP and DBP were observed in the UH patients compared to TH and N subjects. Finally, exercise in the water was more effective in restoring HRV during recovery, with greater effects in the untreated hypertensive group. Conclusion Our data demonstrated that water-ergometry exercise was able to induce expressive PEH and improve cardiac autonomic modulation in older normotensive, hypertensive treated or hypertensive untreated subjects when compared to conventional land-ergometry. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
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2020-06-26T16:30:35Z |
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2020-06-26T16:30:35Z |
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Plos One. San Francisco, v. 12, n. 6, p. -, 2017. |
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https://repositorio.unifesp.br/handle/11600/53637 |
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1932-6203 |
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Plos One. San Francisco, v. 12, n. 6, p. -, 2017. 1932-6203 WOS000404607900066.pdf 10.1371/journal.pone.0180216 WOS:000404607900066 |
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