Effect of a water-based exercise session on hypotensive response in normotensive and hypertensive elderly women
DOI:
https://doi.org/10.5585/22.2023.23202Keywords:
Aged, Water based exercise, Hypertension, Aging, ExerciseAbstract
Objective: The aim of the study was to verify the hypotensive effect of a water aerobics session in normotensive and stage 1 hypertensive elderly women.
Method: twenty-eight physically independent elderly women divided into two groups: normotensive (N, n:10) and hypertensive (H, n:18) were submitted to water based exercise session lasting 45 minutes, the intensity being monitored by the subjective perception of exertion. Systolic (SBP) and diastolic (DBP) blood pressure were analyzed. Differences were analyzed by t-test or repeated measures ANOVA as appropriate and significance level of p<0.05.
Results: Sixty minutes after water aerobics, a significant reduction in SBP and DBP was found only in the hypertensive group. However, an effect on time, group and interaction was identified only on PAS.
Conclusion: an acute water aerobics session was able to promote a reduction in systolic, diastolic, mean and double product pressures only in hypertensive elderly women.
Downloads
References
Alberton CL, Zaffari P, Pinto SS, Reichert T, Bagatini NC, Kanitz AC, Almada BP, Kruel LFM. Water-based exercises in postmenopausal women: Vertical ground reaction force and oxygen uptake responses. Eur J Sport Sci. 2021 Mar;21(3):331-340. doi: 10.1080/17461391.2020.1746835.
Bocalini DS, Bergamin M, Evangelista AL, Rica RL, Pontes FL Junior, Figueira A Junior, et al. Post-exercise hypotension and heart rate variability response after water- and land-ergometry exercise in hypertensive patients. Plos one. 2017;6: e0180216. DOI: 10.1371/journal.pone.0180216.
Bocalini DS, Serra AJ, Murad N, Levy RF. Water- versus land-based exercise effects on physical fitness in older women. Geriatr Gerontol Int 2008; 8:265–271. DOI: 10.1111/j.1447-0594.2008.00485.x
Casonatto J, polito MD. Hipotensão pós-exercício aeróbio: Uma revisão sistemática. Revista Brasileira Medicina do Esporte, 2009;15(2): 151-157. https://doi.org/10.1590/S1517-86922009000200014
Forjaz CL, Cardoso CG, JR, Rezk CC, Santaella DF, Tinucci T. Post-exercise hypotension and hemodynamics: the role of exercise intensity. Journal Sports Med Phys Fitness, 2004; 44:54–62.
Goto C, Higashi Y, Kimura M, Noma K, Hara K, Nakagawa K, et al. Effect of different intensities of exercise on endothelium-dependent vasodilation in humans: role of endothelium-dependent nitric oxide and oxidative stress. Circulation 2003; 108(5):530–535. DOI: 10.1161/01.CIR.0000080893.55729.28
Graef FI, Kruel LFM. Heart rate and perceived exertion at aquatic environment: differences in relation to land environment and applications for exercise prescription – a review. Rev Bras Med Esporte. 2006;12: 221–228. DOI: 10.2466/pms.98.1.340-348
Harvey PJ, Morris BL, Kubo T, et al. Hemodynamic after-effects of acute dynamic exercise in sedentary normotensive postmenopausal women. J Hypertens. 2005;23:285–292. 32. DOI: 10.1097/00004872-200502000-00010
Jones H, George K, Edwards B, Atkinson G. Is the magnitude of acute post-exercise hypotension mediated by exercise intensity or total work done? European Journal Applied Physiology, 2007; 102(1):33-40. DOI: https://doi.org/10.1007/s00421-007-0562-0
Júnior FA, Gomes SG, da Silva FF, Souza PM, Oliveira EC, Coelho DB, Nascimento-Neto RM, Lima W, Becker LK. The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives. Cardiovasc J Afr. 2020;31(3):116-122. doi: 10.5830/CVJA-2019-051.
Kanavos P, Ostergren J, Weber MA. High blood pressure and health policy: Where we are and where we need to go next. New York, USA: Ruder Finn Inc; 2007.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, HE J. Global burden of hypertension: analysis of worldwide data. Lancet, 2005; 365: 217–223. DOI: 10.1016/S0140-6736(05)17741-1
Kruel, L FM; Bgeginski R, KanitzAC,Pinto SS, AlmadaBP, Finatto P; AlbertonCL. Acute blood pressure during and short-term after water aerobics for hypertensive women. Apunts. Educación Física Y Deportes, 2021; 144: 25-32, 2021.
Kruel LF, Peyré-Tartaruga LA, Coertjens M, Dias AB, Da Silva RC, Rangel AC. Using heart rate to prescribe physical exercise during head-out water immersion. J Strength Cond Res. 2014 Jan;28(1):281-9. doi: 10.1519/JSC.0b013e318295d534. PMID: 23591950
Meredith-jones K, Waters D, Legge M, Jones L. Upright water-based exercise to improve cardiovascular and metabolic health: a qualitative review. Complement Ther Med. 2011; 19(2):93-103. DOI: 10.1016/j.ctim.2011.02.002
Meyer K, Bücking J. Exercise in heart failure: should aqua therapy and swimming be allowed? Medicine Science Sports Exercise, 2004; 36:2017–2023. DOI: 10.1249/01.mss.0000147591.19416.39
Moraes MR, Bacurau RF, Ramalho JD, Reis FC, Casarini DE, Chagas JR. Increase in kinins on post-exercise hypotension in normotensive and hypertensive volunteers. Biological Chemestry, 2007; 388(5):533-40. DOI: 10.1515/BC.2007.055
Peng Y, Su Y, Wang YD, Yuan LR, Wang R, Dai JS. Effects of regular dance therapy intervention on blood pressure in hypertension individuals: a systematic review and meta-analysis. J Sports Med Phys Fitness. 2021; 61(2):301-309. DOI: 10.23736/S0022-4707.20.11088-0
Pescatello LS, Franklin BA, Fagard R. American College of Sports Medicine position stand. Exercise and hypertension. Medicine Science Sports Exercise, 2004; 36(3):533-53. DOI: 10.1249/01.mss.0000115224.88514.3a
Pontes FL JR, Bacurau RF, Moraes MR, Navarro F, Casarini DE, Pesquero JL. Kallikrein kinin system activation in post-exercise hypotension in water running of hypertensive volunteers. International Immunopharmacology, 2008; 8(2):261-6. DOI: 10.1016/j.intimp.2007.09.001
Pontes FL JR, Prestes J, Leite RD, Rodriguez D. Influence of aerobic exercise on physiopathological mechanisms of systemic hypertension. Rev. Bras. Ciênc. Esporte 2010; 32 (2–4):229–244.
Queiroz ACC, Sousa JCS, Cavalli AAP. Silva ND, Costa, LR, Tobaldini E, et al. Post-resistance exercise hemodynamic and autonomic responses: comparison between normotensive and hypertensive men. Scandinavian Journal Of Medicine & Science In Sports, 2014; 25(4): 486-494. DOI: 10.1111/sms.12280
Reilly TR, Dowzer NC, Cable NT. The physiology of deep-water running. Journal Sports Science, 2003; 21:959–972. DOI: 10.1080/02640410310001641368
Rica LR, Mendes RM, Serra AJ, Rodriguez D, Pontes Junior FL, Bocalini DS. Effects of water-based exercise in obese older women: Impact of short-term follow-up study on anthropometric, functional fitness and quality of life parameters. Geriatr Gerontol Int. 2013;13(1):209-14. DOI: 10.1111/j.1447-0594.2012.00889.x
Rocha J, Cunha FA, Cordeiro R, Monteiro W, Pescatello LS, Farinatti P. Acute effect of a single session of pilates on blood pressure and cardiac autonomic control in middle-aged adults with hypertension. J Strength Cond Res, 2020; 34(1):114-123. DOI: 10.1519/JSC.0000000000003060
Rodriguez D, Silva V, Prestes J, Rica RL, Serra AJ, Bocalini DS, Pontes FL JR. Hypotensive response after water-walking and land-walking exercise sessions in normotensive trained and untrained women. International Journal of General Medicine, 2011; 4: 549–554. DOI:10.2147/IJGM.S23094
Rondon MUPB, Alves MJ, Braga AM, Teixeira OT, Barretto AC, Krieger EM, et al. Postexercise blood pressure reduction in elderly hypertensive patients. J Am Coll Cardio 2002; 39(4):676–682. DOI: 10.1016/s0735-1097(01)01789-2
Silva EM, Kruel LFM. Walking on land and in water: a review study about the comparison of neuromuscular and cardiorespiratory responses. Rev Bras Med Esporte. 2008;14(6):553–556
Takeshima N, Rogers ME, Watanabe E. Water-based exercise improves health-related aspects of fitness in older women. Medicine and Science in Sports and Exercise, 2002; 33(3): 544–551. DOI: 10.1097/00005768-200203000-00024
Teixeira CVLS, Ferreira SE, Azevedo PH, Chulvi-medrano I, Dorgo S, salles BF, Simao R, Gomes RJ. Effects of manual resistance training and free weight resistance training on postexercise blood pressure in hypertensive men: a pilot study. J Sports Med Phys Fitness, 2017; 57(10):1367-1374. DOI: 10.23736/S0022-4707.16.06497-5
Trindade CO, Oliveira EC, Coelho DB, Casonatto J, Becker LK. Effects of Aquatic Exercise in Post-exercise Hypotension: A Systematic Review and Meta-Analysis. Front Physiol, 2022, 31;13:834-812. DOI: 10.3389/fphys.2022.834812
Wilber RL, Moffatt RJ, Scott BE, Lee DT, Cucuzzo NA. Influence of water run training on the maintenance of aerobic performance. Med Sci Sports Exerc 1996; 28: 1056– 1062.DOI: 10.1097/00005768-199608000-00017
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ConScientiae Saúde
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
O(s) autor(es) autoriza(m) a publicação do texto na revista;
O(s) autor(es) garantem que a contribuição é original e inédita e que não está em processo de avaliação em outra(s) revista(s);
A revista não se responsabiliza pelas opiniões, idéias e conceitos emitidos nos textos, por serem de inteira responsabilidade de seu(s) autor(es);
É reservado aos editores o direito de proceder a ajustes textuais e de adequação às normas da publicação;
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob uma Licença Creative Commons Atribuição-NãoComercial-CompartilhaIgual 4.0 Internacional;
Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado;
Em virtude de aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com atribuições próprias, em aplicações educacionais e não-comerciais.
