The Effect of Isometric Hand Grip on Blood Pressure in Post Menopausal Hypertension

Abstract

Background: The rate of hypertension increases after menopause. Whether estrogen and progesterone deficiency associated with menopause play a role in determining a worst blood pressure (BP). Hypertension (HTN) is the leading risk factor for mortality and morbidity. Isometric handgrip (IHG) training is a simple intervention endorsed by the American Heart Association as a potential adjuvant BP-lowering treatment. Aim of Study:This current study was designed to investigate the effect of isometric hand grip exercise on blood pressure on postmenopausal hypertension.Subjects and Methods: Forty post menopausal women participated in this study they complained from hypertension (diagnosed clinically byynecologist/physician), confirmed by sphygmomanometer instrument. They were selected randomly from outpatient clinic at Luxor general hospital, their age ranged from 50 to 65 years old, their body mass index were not exceed 35kg/m. and their blood pressure ranged from 140/90 to 180/110mm/Hg. They were divided randomly into two groups equal in numbers, group A consisted of 20 post menopausal women who received antihypertensive drugs and isometric hand grip exercise (4 sessions/week for 6 weeks). While group B consisted of 20 postmenopausal women who received anti hypertensive drugs only. Blood pressure was assessed by stethoscope and mercury sphygmomanometer for all patients in both groups before and after treatment. Results:The result of this study revealed that, there was a statistically highly significant decrease in the mean value of SBP in both group (A&B) with percentage of improvement 12.0% and 8.4%, respectively. There was significant decrease in the mean value of DBP in both group (A&B) with percentage of improvement 16.27% and 9.47%, respectively. Conclusion:It could be concluded that the isometric hand grip exercise is a simple, cost free and non pharmacological method in reducing blood pressure in post menopausal women and can be used as adjunct method in treatment of hypertension in postmenopausal women.

Efektivitas Isometric Handgrip Exercise dalam Menurunkan Tekanan Darah pada Pasien Hipertensi

“…Hipertensi atau tekanan darah tinggi yang tidak terkontrol dapat menyebabkan komplikasi jangka panjang dan berpotensi fatal pada kejadian penyakit arteri koroner, gagal jantung, stroke, dan gagal ginjal. Selain itu, penderita akan mengalami penurunan kognitif dan kualitas hidup yang buruk secara keseluruhan (Ahmed et al, 2019). Oleh karena itu, diperlukan pengelolaan dan penatalaksanaan yang tepat dalam mencegah terjadinya komplikasi penyakit yang lebih parah akibat hipertensi (Nurindra, B.Herman, & Yenita, 2016).…”

Studi Literatur: Efektivitas Intervensi Isometric Handgrip Exercise Untuk Menurunkan Tekanan Darah Pada Lansia Dengan Hipertensi

“…Penelitian yang dilakukan oleh (Cahu Rodrigues et al, 2020) dalam penelitiannya yang dilakukan kepada 33 pasien hipertensi berusia rata-rata 61 ± 2 tahun yang dilatih menerima intervensi latihan isometric handgrip selama 12 minggu 81dengan frekuensi 3 kali perminggu, tekanana darah mengalami penurunan sebesar 16 ± 2 mmHg pada tekanna darah sistolik dan 9 ± 2 mmHg pada tekanna darah diastolic. Sedangkan penelitian yang dilakukan oleh (Hanfy et al, 2019) dalam penelitiannya sebanyak 20 responden pascamenopause dengan tekanan darah berkisar antara 140/90 sampai 180/110 mmHg dilatih untuk menerima latihan isometric handgrip sebanyak 4 hari/minggu selama 6 minggu, tekanan darah mengalami penurunan sebesar 5 mmHg untuk tekanan darah sistolik dan 3 mmHg untuk tekanan diastolic. Hal ini membuktikan bahwa semakin lama pelatihan dilakukan dan digabungkan dengan penggunaan obat antihipertensi, semakin besar pula pengurangan tekanan darah yang terjadi.…”

Levine’s Conceptual Model-Based Nursing Interventions For Blood Pressure Recovery In The Elderly

“…The World Health Statistics reports that 57 million deaths in the world are caused by NCD disease. Hypertension is often asymptomatic, making it the silent killer of death and the main cause of heart disease, stroke, and kidney disease [1]. Hypertension in the elderly is caused by progressive age, changes in the elasticity of the aortic wall decrease, heart valves thicken to stiffen, increase peripheral vascular resistance and decrease elasticity in blood vessels so that blood pressure automatically rises and results in hypertension [2].…”