Acute Physical Exercise and Hypertension in the Elderly: A Systematic Review

Abstract

As the population ages, health conditions, including hypertension (HT), which is one of the most prevalent diseases in the elderly population, increase. Regular physical exercise has been recommended for hypertensive individuals; however, due to the variety of factors involved in exercise, different acute responses can be achieved. Accordingly, the purpose of this study was to perform a systematic review of the acute effect of physical exercise on blood pressure (BP) in elderly hypertensive patients and of its applicability to the treatment of HT. The search was performed in electronic databases available at Pubmed/Medline, Scopus and Bireme from 2008 to 2018, using the terms “acute physical exercise and hypertension and elderly”. A total of 592 articles were found, and after applying the inclusion criteria, 9 articles were selected to form the analysis. All studies evaluated the acute effect of the exercise session and the acute effect of the session after a training period in male and female hypertensive individuals aged 60 years or over. The results indicate that in spite of the heterogeneity of training methods, all intervention protocols used in these studies were effective in promoting BP reduction post exercise when compared to the control group. However, there is still a gap in the reviewed literature regarding the maintenance time of post exercise hypotension (PEH) in the elderly. This information could suggest how long individuals undergoing physical exercise would be “protected” from high blood pressure values and their health risks, and help plan physical exercise sessions at the precise time the hypotensive effect ceases to be present. Level of evidence II; Therapeutic studies-Investigation of treatment results.

Physical Activities of Working Communities During the COVID-19 Pandemic With Hypertension Incidence in Indralaya District

“…This research was in line with previous research which stated the relationship between central obesity and hypertension. 6,15,16,17,18 One of the factors that causes obesity was the consumption of high-fat foods. Individuals who consumed foods high in fat were at risk of increasing body mass index and waist circumference, as well as waist-to-hip ratio.…”

The regular gymnastics program on the quality of life for elderly people with hypertension

“…Aerobic exercise can be a potential non-pharmacological treatment method for the essential management of blood pressure in hypertensive patients (Wen & Wang, 2017). The metaanalysis study conducted in Brazil stated that despite the heterogeneity of the training methods, all exercise intervention protocols used were effective in promoting post-exercise blood pressure reduction (Reia, Silva, Jacomini, Moreno, Silva, Monteiro, & Zago, 2020).…”

Efeito de um Programa de Exercício Físico na Pressão Arterial Aguda e Crônica em Sobreviventes de Câncer de Mama

“…A coincidência em determinados fatores de risco, em particular a inatividade física, permite a implementação de estratégias de intervenção integradas cujos mecanismos de proteção são comuns tanto para o câncer quanto para as DCV 7,8 . Há um corpo de evidências expressivo apresentando alterações agudas e crônicas da pressão arterial (PA) com a prática de exercício físico, principalmente em idosos e hipertensos 9,10 . Todavia, os estudos de intervenção com sobreviventes de câncer de mama, tendo como desfecho alterações na PA, são escassos e apresentam limitações metodológicas, destacadamente no que se refere ao reportarem os componentes da prescrição (frequência, intensidade, tempo e tipo -FITT) e aderência ao protocolo [11][12][13] .…”