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
摘要
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。
Effects of Isometric Handgrip Training on Ambulatory Blood Pressure in Individuals Over 18 Years Old: A Systematic Review and Meta-Analysis.
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Summary: Considering both published and unpublished studies, we observed an effect of IHT on awake diastolic BP (MD = -2.02; 95% CI, -3.89 to -0.15 mmHg; P = .03).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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