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Postexercise decrease in arterial blood pressure, total peripheral resistance and in circulatory responses to brief
E Izdebska1, I Cybulska, M Sawicki
1Department of Physiology, Medical University of Warsaw, Poland.
Journal of Human Hypertension
|January 12, 1999
Summary
Moderate exercise significantly lowers blood pressure in hypertensive men for up to 60 minutes post-exercise. This finding suggests dynamic exercise is an effective physiological treatment for mild hypertension.
Area of Science:
- Cardiovascular Physiology
- Exercise Science
- Hypertension Research
Background:
- Mild hypertension is characterized by elevated systolic blood pressure (SBP) and diastolic blood pressure (DBP).
- The circulatory after-response to exercise in hypertensive individuals requires further investigation.
- Arterial chemoreceptor function and its modulation by exercise in hypertension are not fully understood.
Purpose of the Study:
- To compare the circulatory after-response to moderate exercise in mildly hypertensive (HTS) and normotensive male subjects (NTS).
- To examine the circulatory and arterial chemoreceptor responses to hyperoxia at rest and post-exercise in both groups.
Main Methods:
- 20-minute moderate exercise on a cycloergometer (55% heart rate reserve).
- Continuous finger arterial blood pressure (BP) monitoring (Finapres).
- Impedance rheography for stroke volume, cardiac output, and arm blood flow.
- 3-minute hyperoxic inactivation of arterial chemoreceptors.
Main Results:
- Hypertensive subjects (HTS) showed significant reductions in SBP, DBP, total peripheral resistance (TPR), and arm vascular resistance (AVR) for 60 minutes post-exercise.
- Normotensive subjects (NTS) exhibited only a transient decrease in TPR.
- Hyperoxia reduced BP and TPR in HTS, an effect attenuated post-exercise.
Conclusions:
- A single session of moderate dynamic exercise has a prolonged antihypertensive effect in mildly hypertensive men.
- Moderate exercise can be considered an effective physiological intervention for reducing elevated blood pressure in mild hypertension.
- Attenuated sympatho-excitatory arterial chemoreceptor reflex activity may contribute to post-exercise hypotension in HTS.