Due to differences in study populations and protocols, the hemodynamic determinants
of post-aerobic exercise hypotension (PAEH) are controversial. This review analyzed
the factors that might influence PAEH hemodynamic determinants, through a search on
PubMed using the following key words: “postexercise” or “post-exercise” combined with
“hypotension”, “blood pressure”, “cardiac output”, and “peripheral vascular
resistance”, and “aerobic exercise” combined only with “blood pressure”. Forty-seven
studies were selected, and the following characteristics were analyzed: age, gender,
training status, body mass index status, blood pressure status, exercise intensity,
duration and mode (continuous or interval), time of day, and recovery position. Data
analysis showed that 1) most postexercise hypotension cases are due
to a reduction in systemic vascular resistance; 2) age, body mass
index, and blood pressure status influence postexercise hemodynamics, favoring
cardiac output decrease in elderly, overweight, and hypertensive subjects;
3) gender and training status do not have an isolated influence;
4) exercise duration, intensity, and mode also do not affect
postexercise hemodynamics; 5) time of day might have an influence,
but more data are needed; and 6) recovery in the supine position
facilitates systemic vascular resistance decrease. In conclusion, many factors may
influence postexercise hypotension hemodynamics, and future studies should directly
address these specific influences because different combinations may explain the
observed variability in postexercise hemodynamic studies.