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Int J Sports Med 2021; 42(11): 985-993
DOI: 10.1055/a-1337-2998
Physiology & Biochemistry

Effects of Isometric Biceps Exercise on Blood Pressure in Adults with Hypertension

Paulo Henrique Medeiros Silva
1   Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
,
Leandro Campos de Brito
2   School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
,
Ludmila Lucena Pereira Cabral 
3   Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
,
Luiz Fernando Farias-Junior 
4   Graduate Program in Psychobiology, Federal University of Rio Grande do Norte, Natal, Brazil
,
Rodrigo Alberto Vieira Browne 
3   Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
,
Lauro C. Vianna 
5   NeuroVASQ - Integrative Physiology Laboratory, Faculty of Physical Education, University of Brasilia, Brazil
,
Eduardo Caldas Costa 
1   Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
3   Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
6   Department of Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
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Abstract

We investigated the acute effects of isometric biceps exercise on resting and ambulatory blood pressure in hypertensive adults. A total of 12 medicated hypertensive adults (aged 47±7 years; body mass index 27.2±2.7 kg/m2; resting blood pressure 123±12/74±6 mmHg) performed an isometric biceps exercise session (bilateral biceps exercise; 4×1 min at 30% of 1-RM, 2 min recovery) and a control session (without exercise) in a randomized order separated by a 7 to 10-day period. Resting blood pressure, heart rate, and heart rate variability indexes (SDNN, RMSSD, LF, HF, and LF/HF) were measured pre- and up to 30 min post-sessions. Next, ambulatory blood pressure was monitored during 22-hour post-sessions (awake and asleep periods). No significant changes were observed for resting blood pressure, heart rate, or heart rate variability indexes up to 30 min post-sessions (p>0.05). Furthermore, no significant differences were observed in average ambulatory blood pressure values in 22-hour (126±11/71±6 mmHg vs. 126±15/71±9 mmHg), awake (127±10/74±6 mmHg vs. 130±14/75±10 mmHg), and asleep (123±15/68±6 mmHg vs. 120±17/66±9 mmHg) periods between the control and isometric sessions, respectively (p>0.05). In conclusion, an isometric biceps exercise session does not elicit an acute antihypertensive effect in adults with hypertension, which suggests that its prescription to improve the acute BP control is limited.

Key words

resistance training - post-exercise hypotension - heart rate


Publikationsverlauf

Eingereicht: 07. Oktober 2020

Angenommen: 07. Dezember 2020

Artikel online veröffentlicht:
22. Februar 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Pescatello LS, Buncher DM, Jakicic JM. et al. Physical activity to prevent and treat hypertension. Med Sci Sports Exerc 2019; 51: 1314-1323
    CrossrefPubMedGoogle Scholar
  • 2 Costa EC, Hay JL, Kehler DS. et al. Effects of high-intensity interval training versus moderate-intensity continuous training on blood pressure in adults with pre- to established hypertension: A systematic review and meta-analysis of randomized trials. Sports Med 2018; 48: 2127-2142
    CrossrefPubMedGoogle Scholar
  • 3 Naci H, Salcher-Konrad M, Dias S. et al. How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure. Br J Sports Med 2019; 53: 859-869
    CrossrefPubMedGoogle Scholar
  • 4 Pescatello LS, MacDonald HV, Ash GI. et al. Assessing the existing professional exercise recommendations for hypertension: A review and recommendations for future research priorities. Mayo Clin Proc 2015; 90: 801-812
    CrossrefPubMedGoogle Scholar
  • 5 Smart NA, Way D, Carlson D. et al. Effects of isometric resistance training on resting blood pressure: Individual participant data meta-analysis. J Hypertens 2019; 37: 1927-1938
    CrossrefPubMedGoogle Scholar
  • 6 Smart NA, Gow J, Bleile B. et al. An evidence-based analysis of managing hypertension with isometric resistance exercise–are the guidelines current?. Hypertens Res 2020; 43: 249-254
    CrossrefPubMedGoogle Scholar
  • 7 Carlson DJ, Dieberg G, Hess NC. et al. Isometric exercise training for blood pressure management: A systematic review and meta-analysis. Mayo Clin Proc 2014; 89: 327-334
    CrossrefPubMedGoogle Scholar
  • 8 Inder JD, Carlson DJ, Dieberg G. et al. Isometric exercise training for blood pressure management: a systematic review and meta-analysis to optimize benefit. Hypertens Res 2016; 39: 88-94
    CrossrefPubMedGoogle Scholar
  • 9 Brook RD, Appel LJ, Rubenfire M. et al. Beyond medications and diet: Alternative approaches to lowering blood pressure. Hypertension 2013; 61: 1360-1383
    CrossrefPubMedGoogle Scholar
  • 10 Whelton PK, Carey RM, Aronow WS. 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 TaF. Hypertens 2018; 71: 1269-1324
    CrossrefPubMedGoogle Scholar
  • 11 Sharman JE, Smart NA, Coombes JS. et al. Exercise and sport science Australia position stand update on exercise and hypertension. J Hum Hypertens 2019; 33: 837-843
    CrossrefPubMedGoogle Scholar
  • 12 Kenney MJ, Seals DR. Postexercise hypotension. Key features, mechanisms, and clinical significance. Hypertension 1993; 22: 653-664
    PubMedGoogle Scholar
  • 13 Brito LC, Fecchio RY, Peçanha T. et al. Postexercise hypotension as a clinical tool: A “single brick” in the wall. J Am Soc Hypertens 2018; 12: e59-e64
    CrossrefPubMedGoogle Scholar
  • 14 Carpio-Rivera E, Moncada-Jiménez J, Salazar-Rojas W. et al. Acute effects of exercise on blood pressure: a meta-analytic investigation. Arq Bras Cardiol 2016; 106: 422-433
    PubMedGoogle Scholar
  • 15 Casonatto J, Goessler KF, Cornelissen VA. et al. The blood pressure-lowering effect of a single bout of resistance exercise: A systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol 2016; 23: 1700-1714
    CrossrefPubMedGoogle Scholar
  • 16 Farah B, Germano-Soares A, Rodrigues S. et al. Acute and chronic effects of isometric handgrip exercise on cardiovascular variables in hypertensive patients: A systematic review. Sports (Basel) 2017; 5: 55
    CrossrefPubMedGoogle Scholar
  • 17 Olher RRV, Bocalini D, Bacurau RF. et al. Isometric handgrip does not elicit cardiovascular overload or post-exercise hypotension in hypertensive older women. Clin Interv Aging 2013; 8: 649-655
    PubMedGoogle Scholar
  • 18 Silva G, Farah B, Germano-Soares A. et al. Acute blood pressure responses after different isometric handgrip protocols in hypertensive patients. Clinics (São Paulo) 2018; 73: e373
    CrossrefPubMedGoogle Scholar
  • 19 Souza LR, Vicente JB, Melo GR. et al. Acute hypotension after moderate-intensity handgrip exercise in hypertensive elderly people. J Strength Cond Res 2018; 32: 2971-2977
    CrossrefPubMedGoogle Scholar
  • 20 Olher RR, Rosa TS, Souza LHR. et al. Isometric exercise with large muscle mass improves redox balance and blood pressure in hypertensive adult. Med Sci Sports Exerc 2020; 52: 1187-1195
    CrossrefPubMedGoogle Scholar
  • 21 van Assche T, Buys R, de Jaeger M. et al. One single bout of low-intensity isometric handgrip exercise reduces blood pressure in healthy pre- and hypertensive individuals. J Sports Med Phys Fitness 2017; 57: 469-475
    CrossrefPubMedGoogle Scholar
  • 22 Ash GI, Taylor BA, Thompson PD. et al. The antihypertensive effects of aerobic versus isometric handgrip resistance exercise. J Hypertens 2017; 35: 291-299
    CrossrefPubMedGoogle Scholar
  • 23 Goessler K, Buys R, Cornelissen VA. Low-intensity isometric handgrip exercise has no transient effect on blood pressure in patients with coronary artery disease. J Am Soc Hypertens 2016; 10: 633-639
    CrossrefPubMedGoogle Scholar
  • 24 Teixeira AL, Ritti-Dias R, Antonino D. et al. Sex differences in cardiac baroreflex sensitivity after isometric handgrip exercise. Med Sci Sports Exerc 2018; 50: 770-777
    CrossrefPubMedGoogle Scholar
  • 25 Boutron I, Altman DG, Moher D. et al. CONSORT statement for randomized trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Ann Intern Med 2017; 167: 40-47
    CrossrefPubMedGoogle Scholar
  • 26 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 27 Malachias MVB. 7th Brazilian guideline of arterial hypertension: Presentation. Arq Bras Cardiol 2016; 107: 1-83
    PubMedGoogle Scholar
  • 28 Tudor-Locke C, Craig CL, Brown WJ. et al. How many steps/day are enough? For adults. Int J Behav Nutr Phys Act 2011; 8: 79
    CrossrefPubMedGoogle Scholar
  • 29 Warburton DER, Jamnik VK, Bredin SSD. et al. Evidence-based risk assessment and recommendations for physical activity clearance: An introduction. Appl Physiol Nutr Metab 2011; 36 Suppl 1: S1-S2
    CrossrefPubMedGoogle Scholar
  • 30 Pescatello LS, Arena R, Riebe D. et al. ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2014
    Google Scholar
  • 31 Tudor-Locke C, Han H, Aguiar EJ. et al. How fast is fast enough? Walking cadence (steps/min) as a practical estimate of intensity in adults: A narrative review. Br J Sports Med 2018; 52: 776-788
    CrossrefPubMedGoogle Scholar
  • 32 Robertson RJ, Goss FL, Rutkowski J. et al. Concurrent validation of the OMNI perceived exertion scale for resistance exercise. Med Sci Sports Exerc 2003; 35: 333-341
    CrossrefPubMedGoogle Scholar
  • 33 Lagally KM, Robertson RJ. Construct validity of the OMNI resistance exercise scale. J Strength Cond Res 2006; 20: 252-256
    PubMedGoogle Scholar
  • 34 Nobre F, Mion Júnior D, Gomes MAM. et al. V Guidelines for ambulatory blood pressure monitoring (ABPM) and III Guidelines for home blood pressure monitoring (HBPM). J Bras Nefrol 2011; 33: 365-388
    CrossrefPubMedGoogle Scholar
  • 35 Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Eur Heart J 1996; 17: 354-381
    CrossrefPubMedGoogle Scholar
  • 36 Bloomfield DM, Magnano A, Bigger JT. et al. Comparison of spontaneous vs. metronome-guided breathing on assessment of vagal modulation using RR variability. Am J Physiol Heart Circ Physiol 2001; 280: H1145-H1150
    CrossrefPubMedGoogle Scholar
  • 37 Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15: 155-163
    Google Scholar
  • 38 de Brito LC, Fecchio RY, Peçanha T. et al. Recommendations in post-exercise hypotension: Concerns, best practices and interpretation. Int J Sports Med 2019; 40: 487-497
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 39 Forjaz CLM, Tinucci T, Ortega KC. et al. Factors affecting post-exercise hypotension in normotensive and hypertensive humans. Blood Press Monit 2000; 5: 255-262
    CrossrefPubMedGoogle Scholar
  • 40 Stewart JM, Montgomery LD, Glover JL, Medow MS. Changes in regional blood volume and blood flow during static handgrip. Am J Physiol Heart Circ Physiol 2007; 292: H215-H223
    CrossrefPubMedGoogle Scholar
  • 41 Millar PJ, MacDonald MJ, McCartney N. Effects of isometric handgrip protocol on blood pressure and neurocardiac modulation. Int J Sports Med 2011; 32: 174-180
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 42 Gaborieau V, Delarche N, Gosse P. Ambulatory blood pressure monitoring versus self-measurement of blood pressure at home: correlation with target organ damage. J Hypertens 2008; 26: 1919-1927
    CrossrefPubMedGoogle Scholar
  • 43 Yang W-Y, Melgarejo JD, Thijs L. et al. Association of office and ambulatory blood pressure with mortality and cardiovascular outcomes. JAMA 2019; 322: 409
    CrossrefPubMedGoogle Scholar