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Postexercise hypotension differs between white and black women.

Linda S Pescatello1, Lynn Bairos, Jaci L Vanheest

  • 1Center for Health Promotion, University of Connecticut, School of Allied Health, Storrs, CT 06269-2101, USA. Linda.Pescatello@uconn.edu

American Heart Journal
|February 22, 2003
PubMed
Summary

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Exercise acutely reduced blood pressure (BP) in white women but not in black women with high BP. Factors like hypertension and insulin changes influenced BP responses in black women, while hypertension and renin influenced white women.

Area of Science:

  • Cardiovascular Physiology
  • Exercise Science
  • Health Disparities

Background:

  • Limited data exist on the acute effects of exercise on ambulatory blood pressure (BP) in premenopausal women.
  • This study investigated exercise's impact on BP across different ethnic groups and baseline BP levels.

Purpose of the Study:

  • To examine the acute effects of moderate-intensity exercise on ambulatory blood pressure (BP) in premenopausal white and black women.
  • To compare BP responses between women with normal and high BP.
  • To identify hormonal mediators of postexercise BP changes.

Main Methods:

  • 40 minutes of control and moderate-intensity exercise sessions were conducted.
  • Ambulatory blood pressure (BP) and hormone levels were measured before, during, and after each session.

Related Experiment Videos

  • Repeated measures analysis of covariance (RMANCOVA) and multiple regression analyses were used.
  • Main Results:

    • White women with hypertension showed a significant decrease in daytime systolic and diastolic BP post-exercise.
    • Black women with high BP experienced an increase in daytime systolic BP post-exercise.
    • In black women, hypertension and decreased insulin levels explained 85.6% of the postexercise systolic BP response.
    • In white women, hypertension and baseline plasma renin accounted for 53.3% of the postexercise systolic BP response.

    Conclusions:

    • Moderate-intensity exercise acutely reduced daytime BP in white women.
    • Exercise did not acutely reduce daytime BP in black women with high BP.
    • Endurance exercise may have adverse effects on the blood pressure of black women.