Acute Effect of Resistance Exercise with and without Blood-Flow Restriction on Blood Pressure in Pre-Hypertensive and Hypertensive Middle-aged Women

Document Type : Research Paper I Open Access I Released under (CC BY-NC 4.0) license

Authors

1 MSs of Exercise Physiology, Department of Physical Education and Sports Science, Alzahra University, Tehran, Iran.

2 Department of Exercise Physiology, Faculty of Sports Sciences, Alzahra University, Tehran, Iran

3 Assistant Professor,Clinical Research Development Unit, Ganjavian Hospital, Dezful University of Medical Sciences, Dezful, Iran

4 PhD of Exercise Physiology, Ilam Education Office, Ilam, Iran

5 Associate Professor, Department of Sports Science, School of Literature and Humanities, Ilam University, Ilam, Iran

10.22049/jahssp.2022.27551.1416

Abstract

Aim: Hypertensive is among the leading causes of mortality and exploring alternative strategies for its better control has ever had special importance. The aim of this study was to investigate effect of acute resistance exercise session with and without blood flow restriction (BFR) on blood pressure in pre-hypertensive and hypertensive women. Methods:  24 volunteer subjects, were randomized into two groups (n=12) of pre-hypertensive (blood pressure: 12.5-14 mmHg, age: 54.5±1.88 years and BMI 27.0±2.01 kg/m2) and hypertensive (blood pressure: 14.5-16 mmHg, age: 55/25±2.05 years and BMI 27.51±1.93 kg/m2) patients. All three groups experienced three different sessions with a week washout interval including on control, resistance training (3 sets at 20-30% of 1RM) with BFR and resistance training (3 sets at 70% of 1RM) without BFR. Blood pressure and heart rate were recorded at resting condition, between sets rest intervals, at respectively 15, 30, 45, 60 and 120 minutes, post exercise and also at resting condition 24 hours post exercise. Data were analyzed by repeated measures analysis of variance test at the P <0.05. Results: There were significant falls in systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial blood pressure (MAP) level as well as heart rate (HR) post exercise in both groups, with sharper drops observed in training with BFR session (P<0.001). Conclusion: It seems that resistance training with BFR could be more beneficial to lower patients’ blood pressure.

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Main Subjects

   

 

This is an open access article distributed under the following Creative Commons license: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

References

  1.  

    1. Spragg C. Post Exercise Hypotension and Blood Pressure Circadian Rhythm in Pre-hypertensive Older Adults: Citeseer; 2009.
    2. Collaboration BPLTT. Blood pressure-lowering treatment based on cardiovascular risk: a meta-analysis of individual patient data. The Lancet. 2014;384(9943):591-8.
    3. Khoshdel A, Dormanesh B, Noorifard M. Ups and downs of hypertension. 2011.
    4. Gudmundsdottir H, Høieggen A, Stenehjem A, Waldum B, Os I. Hypertension in women: latest findings and clinical implications. Therapeutic advances in chronic disease. 2012;3(3):137-46.
    5. Reule S, Drawz PE. Heart rate and blood pressure: any possible implications for management of hypertension? Current hypertension reports. 2012;14(6):478-84.
    6. Luo D, Cheng Y, Zhang H, Ba M, Chen P, Li H, et al. Association between high blood pressure and long term cardiovascular events in young adults: systematic review and meta-analysis. bmj. 2020;370.
    7. Bassuk SS, Manson JE. Physical activity and health in women: a review of the epidemiologic evidence. American Journal of Lifestyle Medicine. 2014;8(3):144-58.
    8. Fu J, Liu Y, Zhang L, Zhou L, Li D, Quan H, et al. Nonpharmacologic Interventions for Reducing Blood Pressure in Adults With Prehypertension to Established Hypertension. Journal of the American Heart Association. 2020;9(19):e016804.
    9. Rohani H, Azali-Alamdari KJJoAEP. Effect of Aerobic Training on Blood Pressure in Hypertensive Patients: A Meta-Analysis Study. 2019;15(30):77-102.
    10. Mohammadpour Z, Azali Alamdari K, Zarneshan AJRiSM, Technology. Effect of regular aquatic exercises on blood pressure in Hypertensive subjects: a meta-analysis. 2021;18(20):0-.
    11. Darya Noosh F, Amo Ali N, Sherafati Mogadam M, Dadvand SS. The Effect of 12 Weeks of Resistance Exercise on Serum Cardiotrophin-1 Levels, Left Ventricular Hypertrophy and Blood Pressure in Hypertensive Elderly Women %J Journal of Applied Health Studies in Sport Physiology. 2017;3(2):11-6.
    12. Haram Baf A, Nikbakht M, Habibi A. Acute effect of incremental aerobic exercise with arm and leg on response of heart rate and blood pressure recovery in active and inactive girls %J Journal of Applied Health Studies in Sport Physiology. 2017;4(1):37-44.
    13. Khalafi M, Ravasi AA. A comparison of the impact of exercise training with weight loss diet versus weight loss diet alone on blood pressure in individual with overweight or obesity: a systemic review and meta-analysis %J Journal of Applied Health Studies in Sport Physiology. 2021;8(1):70-87.
    14. Mello DD, Ostolin TLVDP. Post-exercise hypotension in concurrent training: a systematic review. Revista Brasileira de Cineantropometria & Desempenho Humano. 2020;22.
    15. Lopes S, Mesquita-Bastos J, Alves AJ, Ribeiro F. Exercise as a tool for hypertension and resistant hypertension management: current insights. Integrated blood pressure control. 2018;11:65.
    16. Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta‐analysis. Journal of the American heart association. 2013;2(1):e004473.
    17. Cezar MA, De Sá CA, Corralo VdS, Copatti SL, Santos GAGd, Grigoletto MEdS. Effects of exercise training with blood flow restriction on blood pressure in medicated hypertensive patients. Motriz: Revista de Educação Física. 2016;22(2):9-17.
    18. Renzi CP, Tanaka H, Sugawara J. Effects of leg blood flow restriction during walking on cardiovascular function. Medicine and science in sports and exercise. 2010;42(4):726.
    19. Loenneke JP, Pujol TJ. The use of occlusion training to produce muscle hypertrophy. Strength & Conditioning Journal. 2009;31(3):77-84.
    20. Hosseini A SA. A Comparison of the Effect of Traditional Resistance Training with Resistance Training with Vascular Occlusion on Muscular Function and Cardiovascular Endurance in Young Females. Journal of Sport Biosciences. 2012;4(10):95-114.
    21. Kazeminia M, Daneshkhah A, Jalali R, Vaisi-Raygani A, Salari N, Mohammadi M. The Effect of Exercise on the Older Adult’s Blood Pressure Suffering Hypertension: Systematic Review and Meta-Analysis on Clinical Trial Studies. International Journal of Hypertension. 2020;2020.
    22. Anabestani M, HOSSEINI KA, Hamedinia M. Comparison of combined training with and without vascular occlusion on selected physical fitness components in postmenopausal women. 2014.
    23. Proctor DN, Parker BA. Vasodilation and vascular control in contracting muscle of the aging human. Microcirculation. 2006;13(4):315-27.
    24. Figueroa A, Okamoto T, Jaime SJ, Fahs CA. Impact of high-and low-intensity resistance training on arterial stiffness and blood pressure in adults across the lifespan: a review. Pflügers Archiv-European Journal of Physiology. 2019;471(3):467-78.
    25. Satoh I. Kaatsu training: application to metabolic syndrome. International Journal of KAATSU Training Research. 2011;7(1):7-12.
    26. Araújo JP, Silva ED, Silva JC, Souza TS, Lima EO, Guerra I, et al. The acute effect of resistance exercise with blood flow restriction with hemodynamic variables on hypertensive subjects. Journal of human kinetics. 2014;43:79.
    27. Casonatto J, Tinucci T, Dourado AC, Polito M. Cardiovascular and autonomic responses after exercise sessions with different intensities and durations. Clinics. 2011;66(3):453-8.
    28. Neto GR, Novaes JS, Dias I, Brown A, Vianna J, Cirilo‐Sousa MS. Effects of resistance training with blood flow restriction on haemodynamics: a systematic review. Clinical physiology and functional imaging. 2017;37(6):567-74.
    29. Pinto RR, Polito MD. Haemodynamic responses during resistance exercise with blood flow restriction in hypertensive subjects. Clinical physiology and functional imaging. 2016;36(5):407-13.
    30. Otsuki T, Maeda S, Iemitsu M, Saito Y, Tanimura Y, Ajisaka R, et al. Vascular endothelium-derived factors and arterial stiffness in strength-and endurance-trained men. American Journal of Physiology-Heart and Circulatory Physiology. 2007;292(2):H786-H91.
    31. Ozaki H, Yasuda T, Ogasawara R, Sakamaki-Sunaga M, Naito H, Abe T. Effects of high-intensity and blood flow-restricted low-intensity resistance training on carotid arterial compliance: role of blood pressure during training sessions. European journal of applied physiology. 2013;113(1):167-74.
    32. Joseph CN, Porta C, Casucci G, Casiraghi N, Maffeis M, Rossi M, et al. Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. hypertension. 2005;46(4):714-8.
    33. Andreazzi A, Scomparin D, Mesquita F, Balbo S, Gravena C, De Oliveira J, et al. Swimming exercise at weaning improves glycemic control and inhibits the onset of monosodium L-glutamate-obesity in mice. Journal of Endocrinology. 2009;201(3):351.
    34. Almeida MB, Araújo CGS. Effects of aerobic training on heart rate. Revista Brasileira de Medicina do Esporte. 2003;9(2):113-20.
    35. Ozaki H, Miyachi M, Nakajima T, Abe T. Effects of 10 weeks walk training with leg blood flow reduction on carotid arterial compliance and muscle size in the elderly adults. Angiology. 2011;62(1):81-6.
    36. Domingos E, Polito MD. Blood pressure response between resistance exercise with and without blood flow restriction: A systematic review and meta-analysis. Life sciences. 2018;209:122-31.
Journal of Applied Health Studies in Sport Physiology
Volume 8, Issue 2
August 2021
Pages 119-126

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History

  • Receive Date: 06 December 2021
  • Revise Date: 12 January 2022
  • Accept Date: 12 January 2022

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