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Influence of Endurance and Resistance Exercise Order on the Post-Exercise Hemodynamic Responses in Hypertensive Women
Journal article   Open access   Peer reviewed

Influence of Endurance and Resistance Exercise Order on the Post-Exercise Hemodynamic Responses in Hypertensive Women

Annelise L Meneses, C L de Moraes Forjaz, G H C de Lima, R M F Batista, M F Moteiro and Raphael M Ritti-Dias
Journal of strength and conditioning research, Vol.29(3), pp.612-618
2015
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https://doi.org/10.1519/JSC.0000000000000676View
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Abstract

hypertension exercise blood pressure vascular resistance cardiac output
The study aims to evaluate the effects of the order of endurance and resistance exercises on post-exercise blood pressure (BP) and hemodynamics in hypertensive women. Nineteen hypertensive women underwent three sessions: control (50 min rest), endurance (50-60% of heart rate reserve) followed by resistance exercise (50% of 1-RM) (E+R) and resistance followed by endurance exercise (R+E). Before and 30 min after each session, BP, peripheral vascular resistance, cardiac output, stroke volume and heart rate were measured. Post-exercise systolic (E+R: +1+/-3 mmHg, R+E: +3+/-3 mmHg), diastolic (E+R: +3+/-1 mmHg, R+E: +3+/-2 mmHg), and mean BP (E+R: +3+/-1 mmHg, R+E: +3+/-2 mmHg) were significantly lower after the exercise sessions compared to the control session (p<0.05). The exercise sessions abolished the increases in peripheral vascular resistance (E+R: +0.00+/-0.04 mmHg.min/L, R+E: +0.05+/-0.05 mmHg.min/L ) and the decreases in cardiac output (E+R: +0.04+/-0.28 L/min, R+E: -0.26+/-0.28 L/min) observed after the control session (p<0.05). After the exercise sessions, stroke volume decreased (E+R: -14+/-3 mL and R+E: -9+/-4 mL) and heart rate increased (E+R: +5+/-1 bpm and R+E: +4+/-1 bpm) in comparison to the control session (p<0.05). For all the variables, there were no significant differences between the exercise sessions. Regardless of the order of endurance and resistance exercises, combined exercise sessions abolished increases in blood pressure observed in a control condition due to a reduction in peripheral vascular resistance and increases in cardiac output. Thus, combined exercises should be prescribed to individuals with hypertension to control their blood pressure, regardless of the order they are accomplished.

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