The role of interval training in the physical rehabilitation of strength sports athletes with hypertension: a randomized controlled study

Miroshnikov, A.B.; Sergeeva, K. V.; Форменов, А Д; Smolensky, A. V.

doi:10.17116/kurort2020970615

Cited by 3 publications

(7 citation statements)

References 28 publications

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“…Three studies were excluded after reading the full text of the 14 papers. Of the remaining 11 studies, 1,2,15,16,23,24,31,33, 34 ,39,41 2 were duplicates, ie, studies involving the same participants. The study by Aguirre-Betolaza et al 2 used the same participants as the study by Gorostegi-Anduaga et al, 15 and the study by Soltani et al 39 used the same participants as the study by Aghaei Bahmanbeglou et al 1 .…”

Section: Resultsmentioning

confidence: 99%

“…In all, 9 studies finally met the eligibility criteria. 1,15,16,23,24,31,33,34,41 Figure 1 shows the PRISMA flow diagram of studies used in the present review. Both authors scored all studies using the PEDro scale methodology, whose results are presented individually in Appendix Table A2, available online.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies included patients of both sexes, 15,23,24,34 while 1 included only males, 1 2 included only females, 33,41 and 2 did not report the sex of participants. 16,31 The sample sizes, outcomes, and results of the studies are summarized in Appendix Table A3, available online. The HIIT characteristics were reported in most of the 9 studies included (Appendix Table A4, available online).…”

Section: Resultsmentioning

confidence: 99%

“…Of these 9 studies, 5 compared HIIT with MICT and with the control (no exercise), 15,24,33,34,41 1 study compared HIIT with MICT, 16 and 3 studies compared HIIT with the control. 1,23,31…”

Section: Resultsmentioning

confidence: 99%

“…Five studies assessed SBP as an outcome. 15,23,31,33,34 The total number of patients in the HIIT group was 138, while 120 patients were included in the control group. The HIIT studies showed a baseline average of 138.3 mmHg and a postintervention average of 131.8 mmHg.…”

Section: Resultsmentioning

confidence: 99%

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Effect of High-Intensity Interval Training on Exercise Capacity, Blood Pressure, and Autonomic Responses in Patients With Hypertension: A Systematic Review and Meta-analysis

Mesquita

Gambassi²,

Silva³

et al. 2022

Sports Health: A Multidisciplinary Approach

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Context: Despite the well-known positive effects of exercise in hypertensive patients, the best mode of exercise is still under discussion. Objective: A systematic review of the literature, synthesizing data on the effects of high-intensity interval training (HIIT) on peak oxygen consumption (VO2 peak), blood pressure (BP), cardiac autonomic modulation, and resting heart rate (HR) in patients with hypertension. Data Sources: MEDLINE (via PubMed), CENTRAL, PEDro database, and SciELO (from the earliest date available to December 31, 2020). Study Selection: Randomized controlled trials (RCTs) that evaluated the effects of HIIT in hypertensive patients. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 2. Data Extraction: Mean differences (MDs) with a 95% CI were calculated, and heterogeneity was assessed using the I2 test. Results: Nine RCTs encompassing 569 patients met the eligibility criteria and were included in the systematic review. Five trials compared supervised HIIT with moderate-intensity continuous training (MICT) and a control; 1 trial compared HIIT with MICT, and 3 compared HIIT with a control. In comparison with MICT, HIIT improved VO2 peak MD (3.3 mL.kg-1.min-1; 95% CI, 1.4-5.3; N = 130). In comparison with controls, HIIT improved VO2 peak MD (4.4 mL.kg-1.min-1; 95% CI, 2.5-6.2; N = 162). Conclusion: Despite the low quality of the evidence, HIIT is superior to MICT in improving VO2 peak in patients with hypertension. HIIT effectively improved VO2 peak, BP, and resting HR when compared with controls. HIIT appears to be safe only when performed in a supervised manner for stage 1 hypertension patients without associated risk factors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Of these 9 studies, 5 compared HIIT with MICT and with the control (no exercise), 15,24,33,34,41 1 study compared HIIT with MICT, 16 and 3 studies compared HIIT with the control. 1,23,31…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Effect of High-Intensity Interval Training on Exercise Capacity, Blood Pressure, and Autonomic Responses in Patients With Hypertension: A Systematic Review and Meta-analysis

Mesquita

Gambassi²,

Silva³

et al. 2022

Sports Health: A Multidisciplinary Approach

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Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Lebedeva

Achilov²,

Mavlyanova

et al. 2021

Eur J Transl Myol

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Arterial hypertension (AH) is a burning problem in the world. Antihypertensive pharmacological therapy combined by physical exercises is well-studied in patients with mild and moderate AH. However, studies that have investigated relaxation in patients with severe AH in addition to drug therapy are lacking. Optimization of a comprehensive treatment for patients with severe AH, by using a multicomponent rational antihypertensive pharmacotherapy (PT) with subsequent application of relaxation exercise therapy (RET). The study involved 32 male patients with severe AH. Initially, clinical-instrumental and laboratory examination, blood pressure registration and daily arterial blood pressure monitoring were carried out. Suitable PT was selected for all the patients. 3 months after starting PT the patients were divided in 2 groups. The patients of the 1st group were prescribed RET in addition to PT. The 2nd group of patients continued receiving PT alone. 3 months later, average daily blood pressure (ADBP)-syst and ADBP-diast were compared in both groups. Three months after PT both groups demonstrated a significant decrease in ADBP-syst and ADBP diast, but these indicators remained higher than normal and did not reach the target level. Three months after the inclusion of RET in the comprehensive treatment, the 1st group demonstrated a significant decrease in ADBP (systolic and diastolic), not only in comparison with the initial data, but also with the data observed three months after PT. After 6 months, ADBP-syst and ADBP-diast in the 1st group were significantly lower compared with those of patients in the 2nd group. The inclusion of RET in addition to a multicomponent antihypertensive PT is a promising treatment option for severe AH.

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Use of Non-Drug Methods in the Treatment of Patients With Arterial Hypertension

Lebedeva

Achilov²

2021

Acta med. Eurasica

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The aim of the study is to optimize the comprehensive treatment of patients with severe arterial hypertension, through the use of multicomponent rational antihypertensive pharmacotherapy, followed by the use of unloading therapeutic exercises. 32 men with severe arterial hypertension were examined. Initially, a clinical, instrumental and laboratory examination, registration of blood pressure and its 24-hour monitoring were carried out. The average daily systolic (ADBPsyst.) and average daily diastolic (ADBPdiast.) blood pressure were determined. A multicomponent rational antihypertensive pharmacotherapy, according to the clinical recommendations for the treatment of arterial hypertension was selected for all the patients. In at least 3 months after the selection of pharmacotherapy, the patients were divided into two groups, comparable in gender, age, severity of the condition, features of the disease course and medicamentous therapy. Patients of the 1st group (active treatment group) against the background of pharmacotherapy were prescribed unloading therapeutic exercises according to a patented technique. The 2nd group of patients continued to take pharmacotherapy and it was used as a baseline group. The average age in the 1st and 2nd groups was 46,3±6,8 and 43,6±7,2 years, respectively. Patients of the 1st group were prescribed unloading therapeutic exercises and in 3 months in both groups the ADBPsyst. and ADBPdiast. were compared. Initially, there was a significant increase in ADBPsyst. and ADBPdiast. compared to the normal range in both groups. These indicators in both groups differed insignificantly. In 3 months after pharmacotherapy, there was a significant decrease in ADsyst. and ADdiast. in both groups, but these indicators remained elevated and did not reach the target level. Then, in the 1st group, unloading therapeutic exercises were included in the comprehensive treatment. Patients of the 2nd group continued to receive pharmacotherapy. In 3 months after including unloading therapeutic exercises in the 1st group, there was a significant decrease in ADBP (syst. and diast.) not only in comparison with the initial data, but also with the data in 3 months after pharmacotherapy. In the 2nd group, these indicators did not change significantly compared to the three-month data. In 6 months, ADBPsyst. and ADBPdiast. in the 1st group were significantly lower compared to similar indicators in the 2nd group, which proves significant clinical effectiveness of unloading therapeutic exercises in patients of the 1st group. The results obtained confirm that patients with severe arterial hypertension have such types of disorders at the cellular-tissue and microcirculatory level that are not eliminated only by drug therapy. For their high-grade correction, along with multicomponent pharmacotherapy, it is necessary to include unloading therapeutic exercises. To optimize the treatment of severe arterial hypertension against the background of receiving multicomponent antihypertensive pharmacotherapy, it is recommended to include unloading therapeutic exercises in the therapeutic complex.

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The role of interval training in the physical rehabilitation of strength sports athletes with hypertension: a randomized controlled study

Cited by 3 publications

References 28 publications

Effect of High-Intensity Interval Training on Exercise Capacity, Blood Pressure, and Autonomic Responses in Patients With Hypertension: A Systematic Review and Meta-analysis

Effect of High-Intensity Interval Training on Exercise Capacity, Blood Pressure, and Autonomic Responses in Patients With Hypertension: A Systematic Review and Meta-analysis

Is relaxation exercise therapy effective in the management of patients with severe arterial hypertension?

Use of Non-Drug Methods in the Treatment of Patients With Arterial Hypertension

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