Post-resistance exercise hemodynamic and autonomic responses:
Comparison between normotensive and hypertensive men
A. C. C. Queiroz
1
, J. C. S. Sousa
1
, A. A. P. Cavalli
1
, N. D. Silva Jr
1
, L. A. R. Costa
1
, E. Tobaldini
2
, N. Montano
2
,
G. V. Silva
3
, K. Ortega
3
, D. Mion Jr
3
, T. Tinucci
1,3
, C. L. M. Forjaz
1
1
Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil,
2
Department of Biomedical and Clinical Sciences “L. Sacco”, Medicine and Physiopathology, L. Sacco Hospital, University of Milan,
Milan, Italy,
3
Hypertension Unit, General Hospital, University of São Paulo, São Paulo, Brazil
Corresponding author: Andréia Cristiane Carrenho Queiroz, PhD, Exercise Hemodynamic Laboratory, School of Physical Education
and Sport, University of São Paulo, Av. Prof. Mello Moraes, 65 Butantã, São Paulo, SP 05508-030, Brazil. Tel: +55 11 30918792,
Fax: +55 11 38135921, E-mail: andreiaqueiroz@usp.br
Accepted for publication 28 May 2014
To compare post-resistance exercise hypotension (PREH)
and its mechanisms in normotensive and hypertensive
individuals, 14 normotensives and 12 hypertensives
underwent two experimental sessions: control (rest) and
exercise (seven exercises, three sets, 50% of one repetition
maximum). Hemodynamic and autonomic clinic mea-
surements were taken before (Pre) and at two moments
post-interventions (Post 1: between 30 and 60 min; Post
2: after 7 h). Ambulatory blood pressure (BP) was moni-
tored for 24 h. At Post 1, exercise decreased systolic BP
similarly in normotensives and hypertensives (-8 ± 2 vs
-13 ± 2 mmHg, P > 0.05), whereas diastolic BP decreased
more in hypertensives (-4 ± 1 vs -9 ± 1 mmHg, P < 0.05).
Cardiac output and systemic vascular resistance did not
change in normotensives and hypertensives (0.0 ± 0.3 vs
0.0 ± 0.3 L/min; -1 ± 1 vs -2 ± 2 U, P > 0.05). After exer-
cise, heart rate (+13 ± 3 vs +13 ± 2 bpm) and its variabil-
ity (low- to high-frequency components ratio, 1.9 ± 0.4 vs
+1.4 ± 0.3) increased whereas stroke volume (-14 ± 5 vs
-11 ± 5 mL) decreased similarly in normotensives and
hypertensives (all, P > 0.05). At Post 2, all variables
returned to pre-intervention, and ambulatory data were
similar between sessions. Thus, a session of resistance
exercise promoted PREH in normotensives and hyperten-
sives. Although this PREH was greater in hypertensives,
it did not last during the ambulatory period, which limits
its clinical relevance. In addition, the mechanisms of
PREH were similar in hypertensives and normotensives.
Hypertension is a very prevalent chronic disease and
considered one of the most important risk factors for
cardiovascular disease (Chobanian et al., 2003). Aerobic
exercise is recommended for the treatment of hyperten-
sives, and nowadays resistance exercise has been added
to this recommendation as an adjunct therapy (Williams
et al., 2007; American College of Sports Medicine,
2010). A single session of aerobic or resistance exercise
reduces blood pressure (BP) during the recovery period,
which is called post-exercise hypotension. To be clini-
cally significant, however, this BP reduction should have
an important magnitude and should last for many hours
after the end of the exercise (Kenney & Seals, 1993).
Post-resistance exercise hypotension (PREH) has
been extensively reported in normotensive subjects
(Rezk et al., 2006; Moraes et al., 2007; Queiroz et al.,
2009, 2013b; Teixeira et al., 2011). The magnitude of
systolic/diastolic BP reductions after resistance exercise
in these individuals varies from -4/-2 to -14/-4 mmHg.
In regard to the duration of PREH in normotensives,
most of the studies reported significant decreases for
60–90 min after the exercise, but a decrease on
post-resistance exercise ambulatory BP has not been
observed (Queiroz et al., 2009).
Nevertheless, studies point out that BP reduction after
a resistance exercise session is greater in subjects with
higher pre-exercise BP (Queiroz et al., 2009). Studies in
patients with hypertension have reported reductions of
systolic/diastolic BP of -12/-6 to -23/-14 mmHg
(Hardy & Tucker, 1998; Melo et al., 2006; Moraes et al.,
2007, 2012). These reductions may be sustained up to
10 h during ambulatory conditions (Melo et al., 2006).
Together, these results suggest that PREH should be
greater and last longer in hypertensives than normoten-
sives. However, to our knowledge, no study has com-
pared PREH magnitude and duration between these
subjects after the same exercise session.
Hemodynamic and autonomic determinants of PREH
have been investigated in normotensives but not in
hypertensives. In normotensives, BP reduction was
attributed to a decrease in cardiac output (CO) promoted
by a reduction in stroke volume (SV) and not accompa-
nied by an increase in systemic vascular resistance
(SVR) (Teixeira et al., 2011). The decrease in CO
Scand J Med Sci Sports 2014: ••: ••–••
doi: 10.1111/sms.12280
© 2014 John Wiley & Sons A/S.
Published by John Wiley & Sons Ltd
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