Influence of Resting Blood Pressure on Functional Fitness: An Experimental Study Comparing Hypertensive and Normotensive Older Women
Blood Pressure and Functional Fitness
Keywords:Functional Capacity, Geriatrics, Hypertension, Muscle Strength, Older persons
Introduction: Hypertensive older adults have reduced blood flow and oxygen supply as compared to normotensive individuals. These negative adaptations can negatively impact muscle function. Although the vascular consequences of systemic arterial hypertension (SAH) have been extensively discussed, the literature on functional fitness (FF) in hypertensive older persons is limited. The objective of the present study was to investigate the influence of resting blood pressure (BP) on functional fitness in hypertensive as compared to normotensive older women. Methods: A total of 48 older women were included according to their resting BP: 24 from the normal BP group (GNBP) and 24 from the high BP group (GHBP). Anthropometric measurements and FF (30s Chair Stand, Arm Curl, Chair Sit and Reach and 8-Foot Up-and-Go) were investigated. Results: The comparison between groups revealed that the GNBP had a higher number of repetitions in the 30s chair stand test (p=0.007, d=0.618) as compared to the GHPB. Conclusion: Hypertensive older women have lower values of lower limb muscle strength compared to normotensive older women. Therefore, functional tests that measure muscle strength of lower limbs may be adapted for this population.
American College of Sports Medicine. (2004). ACSM position on exercise and hypertension. Med Sci Sports Exerc, 36, 533-553.
Blanchard, A. R., Taylor, B. A., Thompson, P. D., Lepley, L. K., White, C. M., Corso, L. M., ... & Pescatello, L. S. (2018). The Influence of Resting Blood Pressure on Muscle Strength in Healthy Adults: Resting Blood Pressure and Muscle Strength. Blood pressure monitoring, 23(4), 185-190. Doi: 10.1097/MBP.0000000000000325
Cardozo, D. C., De Salles, B. F., Mannarino, P., Vasconcelos, A. P. S., Miranda, H., Willardson, J. M., & Simão, R. (2019). The effect of exercise order in circuit training on muscular strength and functional fitness in older women. International journal of exercise science, 12(4), 657.
Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & Roccella, E. J. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama, 289(19), 2560-2571. doi:10.1001/jama.289.19.2560
Dong, B., Wang, Z., Arnold, L., Song, Y., Wang, H. J., & Ma, J. (2016). The association between blood pressure and grip strength in adolescents: does body mass index matter? Hypertension Research, 39(12), 919-925.
Gosker, H. R., Wouters, E. F., van der Vusse, G. J., & Schols, A. M. (2000). Skeletal muscle dysfunction in chronic obstructive pulmonary disease and chronic heart failure: underlying mechanisms and therapy perspectives. The American journal of clinical nutrition, 71(5), 1033-1047. doi.org/10.1093/ajcn/71.5.1033
Greaney, J. L., Edwards, D. G., Fadel, P. J., & Farquhar, W. B. (2015). Rapid onset pressor and sympathetic responses to static handgrip in older hypertensive adults. Journal of Human Hypertension, 29(7), 402-408. doi.org/10.1038/jhh.2014.106
MacDougall, J. D., Tuxen, D. S. D. G., Sale, D. G., Moroz, J. R., & Sutton, J. R. (1985). Arterial blood pressure response to heavy resistance exercise. Journal of applied Physiology, 58(3), 785-790. doi.org/10.1152/jappl.19184.108.40.2065
Malachias, M. V. B. (2016). 7th Brazilian guideline of arterial hypertension: presentation. Arquivos brasileiros de cardiologia, 107(3), 1-83. http://dx.doi.org/10.5935/abc.20160140
Nyberg, M., Jensen, L. G., Thaning, P., Hellsten, Y., & Mortensen, S. P. (2012). Role of nitric oxide and prostanoids in the regulation of leg blood flow and blood pressure in humans with essential hypertension: effect of high‐intensity aerobic training. The Journal of physiology, 590(6), 1481-1494. https://doi.org/10.1113/jphysiol.2011.225136
Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., ... & Roccella, E. J. (2005). Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension, 45(1), 142-161. https://doi.org/10.1161/01.HYP.0000150859.47929.8e
Rikli, R. E., & Jones, C. J. (2013). Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The Gerontologist, 53(2), 255-267. https://doi.org/10.1093/geront/gns071
Rhea, M. R. (2004). Determining the magnitude of treatment effects in strength training research through the use of the effect size. Journal of strength and conditioning research, 18, 918-920.
Vasconcelos, A. P. S. L., Cardozo, D. C., Lucchetti, A. L. G., & Lucchetti, G. (2016). Comparison of the effect of different modalities of physical exercise on functionality and anthropometric measurements in community-dwelling older women. Journal of bodywork and movement therapies, 20(4), 851-856.
Vongpatanasin, W., Wang, Z., Arbique, D., Arbique, G., Adams‐Huet, B., Mitchell, J. H., ... & Thomas, G. D. (2011). Functional sympatholysis is impaired in hypertensive humans. The Journal of physiology, 589(5), 1209-1220. https://doi.org/10.1113/jphysiol.2010.203026
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