Impact of dynamic explosive resistance exercise with elastic bands on pulse pressure in hypertensive older adults: a randomized crossover study

Author:

Bavaresco Gambassi Bruno123,Nobre Izadora1,Prazeres Jozimar2,de Melo Maycon Henrique1,Bianco Roberto1,Novais Tânia Maria1,Oliveira Paula de Lourdes1,Souza Thiago Antonio4,Ribeiro Maria Jacqueline5,Schwingel Paulo Adriano3

Affiliation:

1. Universidade Ceuma

2. Programa de Pós-Graduação em Gestão de Programas e Serviços de Saúde (PPGGPSS), Universidade Ceuma, São Luís, MA

3. Laboratório de Pesquisas em Desempenho Humano (LAPEDH), Universidade de Pernambuco (UPE), Petrolina, PE

4. Hospital Universitário da Universidade Federal do Maranhão (HU-UFMA), Empresa Brasileira de Serviços Hospitalares (EBSERH)

5. Clínica Laservasc - Cardiologia, Angiologia e Cirurgia Vascular (LASERVASC), São Luís, MA, Brazil.

Abstract

Objective This study aimed to evaluate the acute responses of pulse pressure (PP), SBP, and DBP to dynamic explosive resistance exercise (DERE) with elastic resistance bands in hypertensive older adults. Methods Eighteen hypertensive older adults were randomly assigned to participate in DERE and control sessions. PP, SBP, and DBP were measured before (baseline) and after each session (immediately, 10, and 20 min after the session). The DERE protocol has five sets of two consecutive exercises. Results There was an important clinical decrease in PP (Δ = −7.8 mmHg; d z = 0.7) and in DBP (Δ = −6.3 mmHg; d z = 0.6) favoring the exercise session post-20 min in the intersession comparison. DERE also promoted lowering levels in SBP (140.3 ± 16.0 vs. 126.2 ± 14.3 mmHg; Δ = −14.1 mmHg; P = 0.04) with a large effect size (d z = 0.9) post-20 min when compared to the control session. Conclusion Our findings indicate that DERE with elastic resistance bands improved SBP in hypertensive older adults. In addition, our results support the hypothesis that DERE can an important clinical decrease in PP and DBP. According to this, professionals may have additional exercise training possibilities with elastic resistance bands when prescribing resistance exercises for systemic arterial hypertension treatment in this population.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Assessment and Diagnosis,Cardiology and Cardiovascular Medicine,General Medicine,Internal Medicine

Reference33 articles.

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5. Pulse pressure and vascular risk in the elderly: associations and clinical implications.;Swaminathan;Am J Geriatr Cardiol,2006

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