Immediate and late acute effect of moderate continuous and high intensity interval training on hypertension stage I: case report
Article Sidebar
Main Article Content
Abstract
Physical training is used in the control of arterial hypertension (AH), especially in patients with higher levels of blood pressure (BP). However, there are still few studies on the effects of physical training on AH in less advanced stages of the disease. The aim of the present study was to assess the immediate and late acute effects of continuous moderate physical training (CMT) and high intensity interval training (HIIT) in patients with mild AH, and to assess which training method induces a greater hypotensive effect. A female patient, 43 years old, sedentary, diagnosed with mild AH (stage 1), taking Losartana 50 mg twice a day was studied. She underwent one CMT and one HIIT session, one week apart. BP measurements were taken before and after each session, as well as 24 hours before and after the sessions. After the physical training sessions, we observed a drop in the patient's BP that lasted up to 60 minutes, and a reduction in blood pressure levels on the day after the training. We conclude that both training modalities were efficient in reducing the BP of the patient with mild acute immediate and delayed hypertension.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Malachias MVB, Gomes MAM, Nobre F, Alessi A, Feitosa AD, Coelho EB. 7a Diretriz Brasileira de Hipertensão Arterial: Capítulo 2 – Diagnóstico e Classificação. Arq. Bras. Cardiol. 2016;107(3).
Gomes Neto M, Durães AR, Conceição LSR, Saquetto MB, Ellingsen Ø, Carvalho VO. High intensity interval training versus moderate intensity continuous training on exercise capacity and quality of life in patients with heart failure with reduced ejection fraction: A systematic review and meta-analysis. Int J Cardiol. 2018;261:134–41.
Pescatello LS, MacDonald HV, Ash GI, Lamberti LM, Farquhar WB, Arena R, Johnson BT. Assessing the Existing Professional Exercise Recommendations for Hypertension: A Review and Recommendations for Future Research Priorities. Mayo Clin Proc. 2015;90(6):801–12.
Gillen JB, Gibala MJ. Interval training: a time-efficient exercise strategy to improve cardiometabolic health. Appl Physiol Nutr Metab. 2018;43(10):3–4.
Van De Heyning CM, De Maeyer C, Pattyn N, Beckers PJ, Cornelissen VA, Goetschalckx K, Possemiers N, Craenenbroeck EMV, Voigt JU, Vanhees L, Shivalkar B. Impact of aerobic interval training and continuous training on left ventricular geometry and function: a SAINTEX-CAD substudy. Int J Cardiol. 2018;257:193–8. doi: 10.1016/j.ijcard.2017.11.053.
Hamer M. The Anti-Hypertensive Effects of Exercise: Integrating Acute and Chronic Mechanisms. Sports Med. 2006;36(2):109–16. doi: 10.2165/ 00007256-200636020-00002.
Casonatto J, Domingues V, Christofaro DGD. Impact of continuous and interval exercise on the autonomic and pressoric response in 24 hours. Rev Bras Med Esporte. 2016;22(6):455–60. doi: 10.1590/1517-869220162206150972.
Carvalho RST de, Pires CMR, Junqueira GC, Freitas D, Marchi-Alves LM. Hypotensive Response Magnitude and Duration in Hypertensives: Continuous and Interval Exercise. Arq Bras Cardiol. 2015;104(3):234-241. doi: 10.5935/abc.20140193.
Clark T, Morey R, Jones MD, Marcos L, Ristov M, Ram A, Hakansson S, Franklin A, McCarthy C, De Carli L, Ward R, Keech A. High-intensity interval training for reducing blood pressure: a randomized trial vs. moderate-intensity continuous training in males with overweight or obesity. Hypertens Res. 2020;43(5):396-403. doi: 10.1038/s41440-019-0392-6.
Guimarães GV, Ciolac EG, Carvalho VO, D'Avila VM, Bortolotto LA, Bocchi EA. Effects of continuous vs. interval exercise training on blood pressure and arterial stiffness in treated hypertension. Hypertens Res. 2010;33(6):627-632. doi: 10.1038/hr.2010.42.
Leal JM, Galliano LM, Del Vecchio FB. Effectiveness of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Hypertensive Patients: a Systematic Review and Meta-Analysis. Curr Hypertens Rep. 2020;22(3):26. doi: 10.1007/s11906-020-1030-z.
Ciolac EG, Guimarães GV, D Avila VM, Bortolotto LA, Doria EL, Bocchi EA. Acute effects of continuous and interval aerobic exercise on 24-h ambulatory blood pressure in long-term treated hypertensive patients. Int J Cardiol. 2009;133(3):381-387. doi: 10.1016/j.ijcard.2008.02.005.
Pimenta FC, Montrezol FT, Dourado VZ, da Silva LFM, Borba GA, de Oliveira Vieira W, Medeiros A. High-intensity interval exercise promotes post-exercise hypotension of greater magnitude compared to moderate-intensity continuous exercise. Eur J Appl Physiol. 2019;119(5):1235-1243. doi: 10.1007/s00421-019-04114-9.
Costa EC, Kent DE, Boreskie KF, Hay JL, Kehler DS, Edye-Mazowita A, Nugent K, Papadopoulos J, Stammers NA, Oldfield C, Arora RC, Browne RAV, Duhamel TA. Acute Effect of High-Intensity Interval Versus Moderate-Intensity Continuous Exercise on Blood Pressure and Arterial Compliance in Middle-Aged and Older Hypertensive Women With Increased Arterial Stiffness. J Strength Cond Res. 2020;34(5):1307-1316. doi: 10.1519/ JSC.0000000000003552.