Decreased exercise blood pressure in older adults after exercise training: contributions of increased fitness and decreased fatness.

British Journal of Sports Medicine
B B BaroneK J Stewart

Abstract

To describe the contribution of changes in fitness and fatness resulting from exercise training on changes in submaximal exercise blood pressure (BP) during treadmill testing. Prospective, randomised, controlled trial. Sedentary older adults (n = 115) with untreated prehypertension or mild hypertension. Six-month supervised aerobic and strength training. Systolic BP (SBP) was assessed at rest and during each stage of a maximal graded exercise test (GXT) that determined Vo(2)peak. General and regional fatness was assessed by anthropometry, dual-energy x-ray absorptiometry and MRI. BP changes were calculated for each GXT stage, and multivariate regression models were used to describe the association of changes in exercise BP with changes in fitness and fatness. After training, exercisers versus controls had significantly increased Vo(2)peak and significantly lower measures of general and regional fatness. Also, stage-specific SBP was significantly lower at stage 3 (-9.4 vs -1.6 mm Hg, p = 0.03) and stage 4 (-7.9 vs -1.2 mm Hg, p = 0.03). Pooled regression analysis across all stages showed that exercisers had a 7.1 mm Hg reduction in SBP, but this reduction fell short of statistical significance (p = 0.12) compared with controls. ...Continue Reading

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Citations

May 2, 2012·Menopause : the Journal of the North American Menopause Society·Damon L SwiftTimothy S Church
Nov 6, 2010·Nutrition & Metabolism·Salwa W Rizkalla
Oct 20, 2012·Canadian Journal of Physiology and Pharmacology·Isabelle CameronLindsay Brown
Dec 2, 2015·Journal of Women's Health·Vivek Kumar PrasadSteven N Blair
Oct 17, 2015·BMC Complementary and Alternative Medicine·Kelly McDermottFrederick M Hecht
Oct 12, 2014·American Journal of Hypertension·James E SharmanJeff S Coombes
Feb 27, 2020·Scandinavian Journal of Medicine & Science in Sports·Zhengzheng HuangMartin G Schultz
Sep 4, 2020·Current Hypertension Reports·Shelley E KeatingTom G Bailey
Sep 14, 2011·Journal of Aging and Physical Activity·Joaquin U GonzalesDavid N Proctor
Oct 20, 2017·Current Hypertension Reports·Martin G SchultzJames E Sharman
Jan 30, 2021·Progress in Cardiovascular Diseases·Peter KokkinosJonathan Myers
Feb 26, 2021·The Cochrane Database of Systematic Reviews·Ling-Ling LeeHui-Hsin Lin
Apr 21, 2021·Scandinavian Journal of Medicine & Science in Sports·Zhengzheng HuangMartin G Schultz
Aug 14, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Amanda Veiga SardeliMara Patrícia Traina Chacon-Mikahil

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