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Prolonged Post-Exercise Hypotension: Effects of Different Exercise Modalities and Training Statuses in Elderly Patients with Hypertension

Author

Listed:
  • Ferdinando Iellamo

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy
    Dipartimento di Scienze Cliniche e Medicina Traslazionale, Università Tor Vergata, 00133 Rome, Italy)

  • Giuseppe Caminiti

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy)

  • Matteo Montano

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy)

  • Vincenzo Manzi

    (Dipartimento di Scienze Cliniche e Medicina Traslazionale, Università Tor Vergata, 00133 Rome, Italy)

  • Alessio Franchini

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy)

  • Annalisa Mancuso

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy)

  • Maurizio Volterrani

    (Cardiology Rehabilitation Unit, S.Raffaele IRCCS, 00163 Rome, Italy)

Abstract

Background: In this study, we aimed at comparing the effects of three different exercise modalities on post-exercise hypotension (PEH) in elderly hypertensive patients and at investigating whether PEH responses to the same exercises are affected by their training status. Methods: Thirty-six male sedentary hypertensive patients over 60 years old, were included. They were divided into three groups each one corresponding to a different exercise modality, i.e., aerobic continuous exercise (ACE), high-intensive interval exercise (HIIE), and combined (aerobic and resistance) exercise (CE). PEH was assessed in each group by ambulatory blood pressure monitoring (ABPM) in two different conditions as follows: (1) sedentary status and (2) trained status, at the end of a 12 week of ACE training program. A cardiopulmonary test was performed before and at the end of the training program. Results: In the sedentary status, 24-h and nocturnal systolic and diastolic blood pressure (BP) decreased in all groups as compared with top pre-exercise, with a greater but not significant reduction in the ACE and CE groups as compared with HIIE. ACE and HIIE groups presented a more sustained PEH than CE. In the trained status, 24-h and nighttime systolic and diastolic BP decreased significantly only after HIIE, but were unchanged as compared with pre-exercise in the ACE and CE groups. Conclusions: ACE and CE produced greater PEH than HIIE in sedentary elderly hypertensive patients. However, after training, HIIE produced the greater and more sustained PEH. The training status appears to exert significant effects on PEH produced by different exercise modalities.

Suggested Citation

  • Ferdinando Iellamo & Giuseppe Caminiti & Matteo Montano & Vincenzo Manzi & Alessio Franchini & Annalisa Mancuso & Maurizio Volterrani, 2021. "Prolonged Post-Exercise Hypotension: Effects of Different Exercise Modalities and Training Statuses in Elderly Patients with Hypertension," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3229-:d:521084
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    Cited by:

    1. Muhammed Mustafa Atakan & Yanchun Li & Şükran Nazan Koşar & Hüseyin Hüsrev Turnagöl & Xu Yan, 2021. "Evidence-Based Effects of High-Intensity Interval Training on Exercise Capacity and Health: A Review with Historical Perspective," IJERPH, MDPI, vol. 18(13), pages 1-27, July.

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