Effect of isometric contraction duration on hemodynamic responses in hypertensive women
Original article - e235584 - Published 2024 Abr 3
DOI:
https://doi.org/10.33233/rbfex.v23i1.5584Keywords:
isometric exercise, blood pressure, hypertensionAbstract
Introduction: Isometric exercise (IE) is one of the non-pharmacological strategies for reducing post-exercise blood pressure measurements. Objective: To compare the acute effect of two protocols with different configurations of isometric exercise prescription on hemodynamic parameters in hypertensive women. Methods: Ten hypertensive women performed 2 sessions of IE at 30% of 1RM on the horizontal bench press with a guided bar. The protocols were: 4 sets of 2 minutes of isometric contraction with 2 minutes of rest (4x2x2); and 16 sets of 30 seconds of isometric contraction with 24 seconds of rest (16x30x24), with a 7-day interval between sessions. Blood pressure was measured using a digital sphygmomanometer, pre-exercise, immediately after exercise, and during the 60-minute recovery period. Results: Both protocols showed an increase in heart rate and double product (4x2x2, p = 0.002 and p < 0.001; 16x30x24, p = 0.001 and p = 0.002, respectively). Protocol 4x2x2 increased systolic blood pressure and mean arterial pressure (p = 0.014 and p = 0.034, respectively), while 16x30x24 increased pulse pressure (p < 0.001) compared to rest immediately after exercise. Normalization of the evaluated values was observed from 10 minutes of recovery in both protocols. There was no interaction effect between the protocols. Conclusion: Isometric exercise for the upper limbs with different configurations (4x2x2 and 16x30x24), when equalized by work-to-rest ratio, promotes similar acute hemodynamic responses in controlled hypertensive women.
References
Carlson DJ, Dieberg G, Hess NC, Millar PJ, Smart NA. Isometric exercise training for blood pressure management: A systematic review and meta-analysis. Mayo Clin Proc. 2014;89:327–34. doi: 10.1016/j.mayocp.2013.10.030
Pescatello LS, Buchner DM, Jakicic JM, Powell KE, Kraus WE, Bloodgood B, et al. Physical activity to prevent and treat hypertension: a systematic review. Med Sci Sports Exerc. 2019;51:1314–23. doi: 10.1249/MSS.0000000000001943
Hartog R, Bolignano D, Sijbrands E, Pucci G, Mattace-Raso F. Short-term vascular hemodynamic responses to isometric exercise in young adults and in the elderly. Clin Interv Aging. 2018;13:509–14. doi: 10.2147/CIA.S151984
Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: Executive summary: A report of the American College of Cardiology/American Heart Association Task. 2018;71. doi: 10.1161/HYP.0000000000000066
Amiri M, Ramezani Tehrani F, Behboudi-Gandevani S, Bidhendi-Yarandi R, Carmina E. Risk of hypertension in women with polycystic ovary syndrome: A systematic review, meta-analysis and meta-regression. Reproductive Biology and Endocrinology. 2020;18:1–15. doi: 10.1186/s12958-020-00576-1
Leite RD, Prestes J, Pereira GB, Shiguemoto GE, Perez SEA, Deapartment PS, et al. Menopause : Highlighting the effects of resistance training 2010:761–7. Int J Sports Med. 2010;31:761-7. doi: 10.1055/s-0030-1263117
Chedraui P, Escobar GS, Ramírez C, Pérez-López FR, Hidalgo L, Mannella P, et al. Nitric oxide and pro-inflammatory cytokine serum levels in postmenopausal women with the metabolic syndrome. Gynecol Endocrinol. 2012;28:787–91. doi: 10.3109/09513590.2012.671395
Aubert AE, Seps B, Beckers F. Heart rate variability in athletes. Sports Med. 2003;33:889–919. doi: 10.2165/00007256-200333120-00003
Heller EM. Rehabilitation after myocardial infarction: practical experience with a graded exercise program. Can Med Assoc J [citado 2023 jun 12]. 1967;97:22–7. Disponível em: https://www.semanticscholar.org/paper/Rehabilitation-after-myocardial-infarction%3A-with-a-Heller/e6537f3fd8583577fba1fa4ed0fc26974020e038
Smart NA, Way D, Carlson D, Millar P, McGowan C, Swaine I, et al. Effects of isometric resistance training on resting blood pressure: Individual participant data meta-Analysis. J Hypertens. 2019;37:1927–38. doi: 10.1097/HJH.0000000000002105
Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc 2013;2:1–9. doi: 10.1161/JAHA.112.004473
Wiles JD, Goldring N, Coleman D. Home-based isometric exercise training induced reductions resting blood pressure. Eur J Appl Physiol 2017;117:83–93. doi: 10.1007/s00421-016-3501-0
Taylor AC, McCartney N, Kamath M V., Wiley RL. Isometric training lowers resting blood pressure and modulates autonomic control. Med Sci Sports Exerc. 2003;35:251–6. doi: 10.1249/01.MSS.0000048725.15026.B5
Smart NA, Gow J, Bleile B, Van der Touw T, Pearson MJ. An evidence-based analysis of managing hypertension with isometric resistance exercise—are the guidelines current? Hypertension Research 2020;43:249–54. doi: 10.1038/s41440-019-0360-1
Baffour-Awuah B, Pearson MJ, Dieberg G, Smart NA. Isometric resistance training to manage hypertension: systematic review and meta-analysis. Curr Hypertens Rep 2023;25:35–49. doi: 10.1007/S11906-023-01232-W
Paulo AC, Tricoli V, Queiroz ACC, Laurentino G, Forjaz CLM. Blood pressure response during resistance training of different work-to-rest ratio. J Strength Cond Res 2019;33:399–407. doi: 10.1519/JSC.0000000000002074
Río-Rodríguez D, Iglesias-Soler E, Olmo MF. Set configuration in resistance exercise: Muscle fatigue and cardiovascular effects. PLoS One 2016;11:1–18. doi: 10.1371/journal.pone.0151163
Mayo X, Iglesias-Soler E, Fariñas-Rodríguez J, Fernández-Del-Olmo M, Kingsley JD. Exercise type affects cardiac vagal autonomic recovery after a resistance training session. J Strength Cond Res 2016;30:2565–73. doi: 10.1519/JSC.0000000000001347
Mayo X, Iglesias-Soler E, Carballeira-Fernández E, Fernández-Del-Olmo M. A shorter set reduces the loss of cardiac autonomic and baroreflex control after resistance exercise. Eur J Sport Sci. 2016;16:996–1004. doi: 10.1080/17461391.2015.1108367
Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (ipaq): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física & Saúde 2001;6:5–18. doi: 10.12820/RBAFS.V.6N2P5-18
Heyward VHSLM. Avaliação da composição corporal aplicada: fundamentos da composição corporal. São Paulo: Editora Ma; 2000.
Lagally KM, Robertson RJ. Construct validity of the OMNI Resistance Exercise Scale. J Strength Cond Res. 2006;20:252–6. doi: 10.1519/R-17224.1
Baechle TR, Earle RW. Essentials of strength training and conditioning. NSCA -National Strength & Conditioning Association; 2000.
Lagally KM, Robertson RJ. Construct validity of the OMNI resistance exercise scale. J Strength Cond Res. 2006;20:252–6. doi: 10.1519/R-17224.1
Mendes-Pinto D, Rodrigues-Machado MG. Aplicabilidade dos marcadores de rigidez arterial na doença arterial periférica. J Vasc Bras. 2019;18:1–9. doi: 10.1590/1677-5449.009318
Paulo CA, Roschel H, Ugrinowitsch C, Kobal R, Tricoli V. Influence of different resistance exercise loading schemes on mechanical power output in work to rest ratio – equated and – nonequated conditions. J Strength Cond Res. 2012;26:1308–12. doi: 10.1519/JSC.0b013e31822e89d0
Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155–63. doi: 10.1016/J.JCM.2016.02.012
Polito MD, Farinatti PDTV. Comportamento da pressão arterial após exercícios contra-resistência: Uma revisão sistemática sobre variáveis determinantes e possíveis mecanismos. Rev Bras Med Esporte. 2006;12:386–92. doi: 10.1590/s1517-86922006000600017
Halliwill JR, Buck TM, Lacewell AN, Romero SA. Postexercise hypotension and sustained postexercise vasodilatation: What happens after we exercise? Exp Physiol. 2013;98:7–18. doi: 10.1113/expphysiol.2011.058065
MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol. 1985;58:785–90. doi: 10.1152/jappl.1985.58.3.785
Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: A scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2007;116:572–84. doi: 10.1161/CIRCULATIONAHA.107.185214
Mendes R, Themudo Barata JL. Envelhecimento e pressão arterial. Acta Med Port. 2008;21:193–8.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Leudyenne Pacheco de Abreu, Carlos Brendo Ferreira Reis, Thiago Gomes Leite, Cristiano Teixeira Mostarda, Richard Diego Leite, Mário Alves de Siqueira-Filho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms: Authors retain the copyright and grant the journal the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution License which allows the sharing of work with acknowledgment of authorship and initial publication in this magazine; Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this journal (eg, publish in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal; Authors are allowed and encouraged to publish and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes as well as increase impact and citation of published work (See The Effect of Open Access).