Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women

Rafael Gauche,1 Ricardo M Lima,1,2 Jonathan Myers,2 André B Gadelha,1 Silvia GR Neri,1 Claudia LM Forjaz,3 Lauro C Vianna1 1Faculty of Physical Education, University of Brasília, Brasília, Brazil; 2Cardiology Division, Veterans Affairs Palo Alto Health Care System a...

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Autores principales: Gauche R, Lima RM, Myers J, Gadelha AB, Neri SGR, Forjaz CLM, Vianna LC
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:75345eebf41049898485b8882e2421a32021-12-02T02:50:10ZBlood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women1178-1998https://doaj.org/article/75345eebf41049898485b8882e2421a32017-05-01T00:00:00Zhttps://www.dovepress.com/blood-pressure-reactivity-to-mental-stress-is-attenuated-following-res-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Rafael Gauche,1 Ricardo M Lima,1,2 Jonathan Myers,2 André B Gadelha,1 Silvia GR Neri,1 Claudia LM Forjaz,3 Lauro C Vianna1 1Faculty of Physical Education, University of Brasília, Brasília, Brazil; 2Cardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Palo Alto, CA, USA; 3School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil Purpose: This study aimed to investigate the effects of resistance exercise (RE) on autonomic control and blood pressure (BP) reactivity during mental stress (MS) in treated older hypertensive women. Methods: Ten older hypertensive women (age =71.1±5.5 years; body mass index =24.2±3.9; mean BP [MBP] =85.4±3.5) underwent a protocol consisting of BP and heart rate variability (HRV) output assessments at baseline and during MS, and these measurements were taken before and 60 minutes after two bouts of RE (traditional and circuit). MS was induced through a computerized 3-minute Stroop color–word test before and 1 hour after each exercise session; BP was measured every minute during MS, and HRV was monitored as a measure of cardiac autonomic control. Results: A significant effect of time on systolic BP (∆pre =17.4±12.8 versus ∆post =12.5±9.6; P=0.01), diastolic BP (∆pre =13.7±7.1 versus ∆post =8.8±4.5; P=0.01), and MBP (∆pre =14.0±7.7 versus ∆post =9.3±5.4; P<0.01) after RE was observed, with no differences between the two sessions. In addition, a significant effect of time on log-normalized low-frequency component of HRV (ms2; 5.3±0.8 pre-exercise MS versus 4.8±1.0 baseline value; P=0.023) was also observed, showing a significant change from baseline to MS before RE, but not after RE sessions. These results may be related to a lessened RE-mediated cardiac sympathetic activity during MS. Conclusion: RE is an effective tool to reduce BP reactivity to MS, which could therefore be associated with an acute reduction in cardiovascular risk. This result presents relevant clinical implications, combining previous evidence that recommends this exercise modality as an important component of an exercise program designed for the older and hypertensive subjects. Keywords: resistance training, psychological stress, aging, hypertension, autonomic nervous systemGauche RLima RMMyers JGadelha ABNeri SGRForjaz CLMVianna LCDove Medical PressarticleResistance TrainingPsychological StressAgingHypertensionAutonomic Nervous System.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 793-803 (2017)
institution DOAJ
collection DOAJ
language EN
topic Resistance Training
Psychological Stress
Aging
Hypertension
Autonomic Nervous System.
Geriatrics
RC952-954.6
spellingShingle Resistance Training
Psychological Stress
Aging
Hypertension
Autonomic Nervous System.
Geriatrics
RC952-954.6
Gauche R
Lima RM
Myers J
Gadelha AB
Neri SGR
Forjaz CLM
Vianna LC
Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
description Rafael Gauche,1 Ricardo M Lima,1,2 Jonathan Myers,2 André B Gadelha,1 Silvia GR Neri,1 Claudia LM Forjaz,3 Lauro C Vianna1 1Faculty of Physical Education, University of Brasília, Brasília, Brazil; 2Cardiology Division, Veterans Affairs Palo Alto Health Care System and Stanford University, Palo Alto, CA, USA; 3School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil Purpose: This study aimed to investigate the effects of resistance exercise (RE) on autonomic control and blood pressure (BP) reactivity during mental stress (MS) in treated older hypertensive women. Methods: Ten older hypertensive women (age =71.1±5.5 years; body mass index =24.2±3.9; mean BP [MBP] =85.4±3.5) underwent a protocol consisting of BP and heart rate variability (HRV) output assessments at baseline and during MS, and these measurements were taken before and 60 minutes after two bouts of RE (traditional and circuit). MS was induced through a computerized 3-minute Stroop color–word test before and 1 hour after each exercise session; BP was measured every minute during MS, and HRV was monitored as a measure of cardiac autonomic control. Results: A significant effect of time on systolic BP (∆pre =17.4±12.8 versus ∆post =12.5±9.6; P=0.01), diastolic BP (∆pre =13.7±7.1 versus ∆post =8.8±4.5; P=0.01), and MBP (∆pre =14.0±7.7 versus ∆post =9.3±5.4; P<0.01) after RE was observed, with no differences between the two sessions. In addition, a significant effect of time on log-normalized low-frequency component of HRV (ms2; 5.3±0.8 pre-exercise MS versus 4.8±1.0 baseline value; P=0.023) was also observed, showing a significant change from baseline to MS before RE, but not after RE sessions. These results may be related to a lessened RE-mediated cardiac sympathetic activity during MS. Conclusion: RE is an effective tool to reduce BP reactivity to MS, which could therefore be associated with an acute reduction in cardiovascular risk. This result presents relevant clinical implications, combining previous evidence that recommends this exercise modality as an important component of an exercise program designed for the older and hypertensive subjects. Keywords: resistance training, psychological stress, aging, hypertension, autonomic nervous system
format article
author Gauche R
Lima RM
Myers J
Gadelha AB
Neri SGR
Forjaz CLM
Vianna LC
author_facet Gauche R
Lima RM
Myers J
Gadelha AB
Neri SGR
Forjaz CLM
Vianna LC
author_sort Gauche R
title Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
title_short Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
title_full Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
title_fullStr Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
title_full_unstemmed Blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
title_sort blood pressure reactivity to mental stress is attenuated following resistance exercise in older hypertensive women
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/75345eebf41049898485b8882e2421a3
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