Effects of Isometric Handgrip Training on Ambulatory Blood Pressure in Individuals Over 18 Years Old: A Systematic Review and Meta-Analysis.

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2024-09-01 Epub Date: 2024-09-03 DOI:10.1097/HCR.0000000000000880

Marcelo de Santana Oliveira, Paulo Henrique Melo, Marilia de Almeida Correia, Aline Mendes Gerage, Raphael Mendes Ritti-Dias, Breno Quintella Farah

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引用次数: 0

Abstract

Purpose: The aim of this study was to analyze the effects of isometric handgrip training (IHT) on ambulatory blood pressure (BP) in individuals aged 18 yr and older.

Review methods: A systematic review and meta-analysis was performed in Medline and Web of Science, encompassing studies published until July 2023, as well as the gray literature. We calculated the mean difference (MD) and 95% CI using an inverse variance method with a random effects model.

Summary: Considering both published and unpublished studies, we observed an effect of IHT on awake diastolic BP (MD = -2.02; 95% CI, -3.89 to -0.15 mmHg; P = .03). There were no significant effects on 24-hr systolic BP (MD = -1.31; 95% CI, -3.84 to 1.22 mmHg; P = .31), asleep systolic BP (MD = -0.84; 95% CI, -3.31 to 1.63 mmHg; P = .50), awake systolic BP (MD = -0.93: 95% CI, -3.10 to 1.23 mmHg; P = .40), 24-hr diastolic BP (MD = -0.96; 95% CI, -2.65 to 0.74 mmHg; P = .27), or asleep diastolic BP (MD = -1.27; 95% CI, -3.22 to 0.67 mmHg; P = .20). In conclusion, the effects of IHT on ambulatory BP were observed primarily in awake diastolic BP among individuals over 18 yr of age.

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等长握手训练对 18 岁以上人群非卧床血压的影响：系统回顾与元分析》。

目的：本研究旨在分析等长手握训练（IHT）对 18 岁及以上人群非卧床血压（BP）的影响：在 Medline 和 Web of Science 上进行了系统综述和荟萃分析，包括 2023 年 7 月之前发表的研究以及灰色文献。总结：考虑到已发表和未发表的研究，我们观察到 IHT 对清醒时舒张压的影响（MD = -2.02; 95% CI, -3.89 to -0.15 mmHg; P = .03）。对 24 小时收缩压（MD = -1.31; 95% CI, -3.84 to 1.22 mmHg; P = .31）、睡眠收缩压（MD = -0.84; 95% CI, -3.31 to 1.63 mmHg; P = .50）、清醒收缩压（MD = -0.93: 95% CI, -3.10 to 1.23 mmHg; P = .40）、24 小时舒张压（MD = -0.96; 95% CI, -2.65 to 0.74 mmHg; P = .27）或睡眠中舒张压（MD = -1.27; 95% CI, -3.22 to 0.67 mmHg; P = .20）。总之，在 18 岁以上的人群中，IHT 对动态血压的影响主要体现在清醒状态下的舒张压上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiopulmonary Rehabilitation and Prevention 医学-心血管系统

CiteScore

5.40

自引率

34.20%

发文量

164

审稿时长

6-12 weeks

期刊介绍： JCRP was the first, and remains the only, professional journal dedicated to improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation. This includes exercise testing and prescription, behavioral medicine, and cardiopulmonary risk factor management. In 2007, JCRP expanded its scope to include primary prevention of cardiovascular and pulmonary diseases. JCRP publishes scientific and clinical peer-reviewed Original Investigations, Reviews, and Brief or Case Reports focused on the causes, prevention, and treatment of individuals with cardiovascular or pulmonary diseases in both a print and online-only format. Editorial features include Editorials, Invited Commentaries, Literature Updates, and Clinically-relevant Topical Updates. JCRP is the official Journal of the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation.