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Can blood pressure decrease after maximal exercise test predict the blood pressure lowering effect of aerobic training in treated hypertensive men?

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16
Aug

Abstract

The acute decrease in blood pressure (BP) observed after a session of exercise (called post-exercise hypotension) has been proposed as a tool to predict the chronic reduction in BP induced by aerobic training. Therefore, this study investigated whether post-exercise hypotension observed after a maximal exercise test is associated to the BP-lowering effect of aerobic training in treated hypertensives. Thirty hypertensive men (50 ± 8 years) who were under consistent anti-hypertensive treatment underwent a maximal exercise test (15 watts/min until exhaustion), and post-exercise hypotension was determined by the difference between BP measured before and at 30 min after the test. Subsequently, the patients underwent 10 weeks of aerobic training (3 times/week, 45 min/session at moderate intensity), and the BP-lowering effect of training was assessed by the difference in BP measured before and after the training period. Pearson correlations were employed to evaluate the associations. Post-maximal exercise test hypotension was observed for systolic and mean BPs (−8 ± 6 and −2 ± 4 mmHg, all P < 0.05). Aerobic training reduced clinic systolic/diastolic BPs (−5 ± 6/−2 ± 3 mmHg, both P < 0.05) as well as awake and 24 h mean BPs (−2 ± 6 and −2 ± 5 mmHg, all P < 0.05). No significant correlation was detected between post-exercise hypotension and the BP-lowering effect of training either for clinic or ambulatory BPs (r values ranging from 0.00 to 0.32, all p > 0.05). Post-exercise hypotension assessed 30 min after a maximal exercise test cannot be used to predict the BP-lowering effect of aerobic training in treated hypertensive men.

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Additional data will be provided by the corresponding author on reasonable request.

References

  1. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16:223–37.

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  2. Thoenes M, Neuberger H-R, Volpe M, Khan BV, Kirch W, Böhm M. Antihypertensive drug therapy and blood pressure control in men and women: an international perspective. J Hum Hypertens. 2010;24:336–44.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  3. Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa AD, et al. Diretrizes Brasileiras de Hipertensão Arterial – 2020. Arq Bras Cardiol. 2021;116:516–658.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  4. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206–52.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  5. Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–104.

    Article 
    PubMed 

    Google Scholar 

  6. Cao L, Li X, Yan P, Wang X, Li M, Li R, et al. The effectiveness of aerobic exercise for hypertensive population: a systematic review and meta‐analysis. J Clin Hypertens. 2019;21:868–76.

    Article 

    Google Scholar 

  7. Naci H, Salcher-Konrad M, Dias S, Blum MR, Sahoo SA, Nunan D, 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;53:859–69.

    Article 
    PubMed 

    Google Scholar 

  8. Hagberg JM, Park J-J, Brown MD. The role of exercise training in the treatment of hypertension. Sport Med. 2000;30:193–206.

    Article 
    CAS 

    Google Scholar 

  9. Carpio-Rivera E, Moncada-Jiménez J, Salazar-Rojas W, Solera-Herrera A. Acute effects of exercise on blood pressure: a meta-analytic investigation. Arq Bras Cardiol. 2016;106:422–33.

    PubMed 
    PubMed Central 

    Google Scholar 

  10. Brito LC, Fecchio RY, Peçanha T, Andrade-Lima A, Halliwill JR, Forjaz CLM. Postexercise hypotension as a clinical tool: a “single brick” in the wall. J Am Soc Hypertens. 2018;12:e59–e64.

    Article 
    PubMed 

    Google Scholar 

  11. Luttrell MJ, Halliwill JR. Recovery from exercise: vulnerable state, window of opportunity, or crystal ball? Front Physiol. 2015;6:204.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  12. ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Wolters Kluwer Health: Philadelphia, 2017.

  13. Hecksteden A, Grütters T, Meyer T. Association between postexercise hypotension and long-term training-induced blood pressure reduction. Clin J Sport Med. 2013;23:58–63.

    Article 
    PubMed 

    Google Scholar 

  14. Wegmann M, Hecksteden A, Poppendieck W, Steffen A, Kraushaar J, Morsch A, et al. Postexercise hypotension as a predictor for long-term training-induced blood pressure reduction: a large-scale randomized controlled trial. Clin J Sport Med. 2018;28:509–15.

    Article 
    PubMed 

    Google Scholar 

  15. Headley S, Germain M, Wood R, Joubert J, Milch C, Evans E, et al. Blood pressure response to acute and chronic exercise in chronic kidney disease. Nephrology. 2017;22:72–78.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  16. Barnett AG. Regression to the mean: what it is and how to deal with it. Int J Epidemiol. 2004;34:215–20.

    Article 
    PubMed 

    Google Scholar 

  17. Pearson K. Mathematical contributions to the theory of evolution.—On a form of spurious correlation which may arise when indices are used in the measurement of organs. Proc R Soc Lond. 1897;60:489–98.

    Article 

    Google Scholar 

  18. Brito LC, Peçanha T, Fecchio RY, Rezende RA, Sousa P, Da Silva-Júnior N, et al. Morning versus evening aerobic training effects on blood pressure in treated hypertension. Med Sci Sport Exerc. 2019;51:653–62.

    Article 

    Google Scholar 

  19. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4:97–110.

    CAS 
    PubMed 

    Google Scholar 

  20. Benedetti TRB, Antunes PC, Rodriguez-Añez CR, Mazo GZ, Petroski EL. Reprodutibilidade e validade do Questionário Internacional de Atividade Física (IPAQ) em homens idosos em homens idosos. Rev Bras Med do Esport. 2007;13:11–6.

    Article 

    Google Scholar 

  21. Skinner JS, McLellan TH. The transition from aerobic to anaerobic metabolism. Res Q Exerc Sport. 1980;51:234–48.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  22. Ettehad D, Emdin CA, Kiran A, Anderson SG, Callender T, Emberson J, et al. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet. 2016;387:957–67.

    Article 
    PubMed 

    Google Scholar 

  23. de Brito LC, Fecchio RY, Peçanha T, Lima A, Halliwill J, Forjaz CL, et al. Recommendations in post-exercise hypotension: concerns, best practices and interpretation. Int J Sports Med. 2019;40:487–97.

    Article 
    PubMed 

    Google Scholar 

  24. Sosner P, Guiraud T, Gremeaux V, Arvisais D, Herpin D, Bosquet L. The ambulatory hypotensive effect of aerobic training: a reappraisal through a meta-analysis of selected moderators. Scand J Med Sci Sports. 2017;27:327–41.

    Article 
    CAS 
    PubMed 

    Google Scholar 

  25. Saco‐Ledo G, Valenzuela PL, Ruiz‐Hurtado G, Ruilope LM, Lucia A. Exercise reduces ambulatory blood pressure in patients with hypertension: a systematic review and meta‐analysis of randomized controlled trials. J Am Heart Assoc. 2020;9:18487.

    Article 

    Google Scholar 

  26. Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG. Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sport Exerc. 2012;44:1644–52.

    Article 

    Google Scholar 

Download references

Acknowledgements

The authors thank the volunteers for participating and Dr. Sean M. Rice from the Oregon Health & Science University for statistical assistance.

Funding

This study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP 2014/216676-6), Programa de Excelência Acadêmica (PROEX 88882.327719/2019-01), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq 304436/2018-6), and Coordenação de Aperfeiçoamento Pessoal de Nível Superior–Brasil (CAPES, financial code 0001).

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Author notes

  1. These authors contributed equally: Luan Morais Azevêdo, Leandro Campos de Brito.

Authors and Affiliations

  1. Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil

    Luan Morais Azevêdo, Leandro Campos de Brito, Tiago Peçanha, Rafael Yokoyama Fecchio, Rafael Andrade Rezende & Cláudia Lúcia de Moraes Forjaz

  2. Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA

    Leandro Campos de Brito

  3. Hypertension Unit, Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, Brazil

    Giovânio Vieira da Silva, Andrea Pio-Abreu & Décio Mion Junior

  4. Department of Human Physiology, University of Oregon, Eugene, OR, USA

    John Robert Halliwill

  5. Department of Sport and Exercise Sciences, Manchester Metropolitan University, Institute of Sport, Manchester, United Kingdom

    Tiago Peçanha

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Contributions

LMA and LCB collaborate to the study design, collected data, carried out the statistical analysis, contributed to the interpretation of results, and drafted the initial manuscript; TP, RYF, RAR collected data, and revised the manuscript; GVS, APA, DMJ were responsible for patients clinical evaluation and follow-up, and revised the manuscript; JRH contributed to the interpretation of results and revised the manuscript; CLMF designed the study, get grants for the study, supervised data collection, contributed to the interpretation of results and revised the manuscript. All authors gave final approval of the manuscript version submitted for publication.

Corresponding author

Correspondence to
Cláudia Lúcia de Moraes Forjaz.

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Competing interests

The authors declare no competing interests.

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All patients signed a written consent form. The study from which data of the present investigation was derived was approved by the Research Ethical Committee of the School of Physical Education and Sport (no. 966.072) and registered in the Brazilian Clinical Trials platform (RBR-7q7pz7), and its procedures followed the standards proposed by the Helsinki Declaration.

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Azevêdo, L.M., Brito, L.C.d., Peçanha, T. et al. Can blood pressure decrease after maximal exercise test predict the blood pressure lowering effect of aerobic training in treated hypertensive men?.
J Hum Hypertens (2023). https://doi.org/10.1038/s41371-023-00853-7

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  • Received: 30 September 2022

  • Revised: 04 June 2023

  • Accepted: 08 August 2023

  • Published: 16 August 2023

  • DOI: https://doi.org/10.1038/s41371-023-00853-7

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