Diogo Pinto MSc, Nuno Dias MSc, Catarina Garcia MSc, Manuel Teixeira MSc, Maria J. Marques MD, Teresa Amaral MD, Leonor Amaral MD, Ricardo Abreu MD, Daniela Figueiredo PhD, Jorge Polónia MD, PhD, José Mesquita-Bastos MD, PhD, João L. Viana PhD, Linda S. Pescatello PhD, Fernando Ribeiro PhD, Alberto J. Alves PhD
{"title":"家庭等长肌力训练对血压正常或 I 期高血压老年人血压的影响:随机对照试验。","authors":"Diogo Pinto MSc, Nuno Dias MSc, Catarina Garcia MSc, Manuel Teixeira MSc, Maria J. Marques MD, Teresa Amaral MD, Leonor Amaral MD, Ricardo Abreu MD, Daniela Figueiredo PhD, Jorge Polónia MD, PhD, José Mesquita-Bastos MD, PhD, João L. Viana PhD, Linda S. Pescatello PhD, Fernando Ribeiro PhD, Alberto J. Alves PhD","doi":"10.1111/jgs.19213","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This trial analyzes the effects of home-based isometric handgrip training (IHT) and aerobic exercise training (AET) on ambulatory and office blood pressure (BP) in older adults with high normal to established hypertension.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This randomized controlled trial included 84 participants (46 women, 71.1 ± 3.6 years, systolic BP [SBP] 137.1 ± 13.8 mmHg, diastolic BP [DBP] 80.8 ± 8.3 mmHg). Participants were randomized into IHT (<i>n</i> = 28), AET (<i>n</i> = 28), or usual medical care plus lifestyle advice (UC, <i>n</i> = 28). Participants performed IHT or AET three times/week for 8 weeks. IHT consisted of 4 × 45 s bilateral contractions at 50% of maximum voluntary contraction with 1-min rest between sets. AET consisted of walking 30 min at 50%–70% of estimated maximum oxygen consumption. UC received standardized medical care including lifestyle advice.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Seventy-six participants completed the intervention: 27 in IHT, 26 in AET, and 23 in UC. At baseline, BP values were similar among groups. No differences were observed in 24-h ambulatory, daytime, and nighttime SBP and DBP in any group (<i>p</i> > 0.05). IHT and AET reduced office SBP (−8.0 ± 13.4 mmHg; <i>p</i> = 0.004; −5.6 ± 12.2 mmHg; <i>p</i> = 0.027, respectively). IHT reduced office DBP (−3.3 ± 7.4 mmHg; <i>p</i> = 0.024), but AET did not. No differences occurred in office BP in UC. There was no difference in office BP among groups (<i>p</i> > 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>An 8-week home-based IHT and AET failed to reduce ambulatory SBP, while office SBP was reduced by 8/5 mmHg. Only IHT reduced office DBP by 3 mmHg. Thus, IHT and AET may be effective for lowering office BP in older adults with high normal to established hypertension.</p>\n </section>\n </div>","PeriodicalId":17240,"journal":{"name":"Journal of the American Geriatrics Society","volume":"73 2","pages":"574-582"},"PeriodicalIF":4.3000,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of home-based isometric training on blood pressure in older adults with high normal BP or stage I hypertension: A randomized controlled trial\",\"authors\":\"Diogo Pinto MSc, Nuno Dias MSc, Catarina Garcia MSc, Manuel Teixeira MSc, Maria J. Marques MD, Teresa Amaral MD, Leonor Amaral MD, Ricardo Abreu MD, Daniela Figueiredo PhD, Jorge Polónia MD, PhD, José Mesquita-Bastos MD, PhD, João L. Viana PhD, Linda S. Pescatello PhD, Fernando Ribeiro PhD, Alberto J. Alves PhD\",\"doi\":\"10.1111/jgs.19213\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This trial analyzes the effects of home-based isometric handgrip training (IHT) and aerobic exercise training (AET) on ambulatory and office blood pressure (BP) in older adults with high normal to established hypertension.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This randomized controlled trial included 84 participants (46 women, 71.1 ± 3.6 years, systolic BP [SBP] 137.1 ± 13.8 mmHg, diastolic BP [DBP] 80.8 ± 8.3 mmHg). Participants were randomized into IHT (<i>n</i> = 28), AET (<i>n</i> = 28), or usual medical care plus lifestyle advice (UC, <i>n</i> = 28). Participants performed IHT or AET three times/week for 8 weeks. IHT consisted of 4 × 45 s bilateral contractions at 50% of maximum voluntary contraction with 1-min rest between sets. AET consisted of walking 30 min at 50%–70% of estimated maximum oxygen consumption. UC received standardized medical care including lifestyle advice.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Seventy-six participants completed the intervention: 27 in IHT, 26 in AET, and 23 in UC. At baseline, BP values were similar among groups. No differences were observed in 24-h ambulatory, daytime, and nighttime SBP and DBP in any group (<i>p</i> > 0.05). IHT and AET reduced office SBP (−8.0 ± 13.4 mmHg; <i>p</i> = 0.004; −5.6 ± 12.2 mmHg; <i>p</i> = 0.027, respectively). IHT reduced office DBP (−3.3 ± 7.4 mmHg; <i>p</i> = 0.024), but AET did not. No differences occurred in office BP in UC. There was no difference in office BP among groups (<i>p</i> > 0.05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>An 8-week home-based IHT and AET failed to reduce ambulatory SBP, while office SBP was reduced by 8/5 mmHg. 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Effect of home-based isometric training on blood pressure in older adults with high normal BP or stage I hypertension: A randomized controlled trial
Objective
This trial analyzes the effects of home-based isometric handgrip training (IHT) and aerobic exercise training (AET) on ambulatory and office blood pressure (BP) in older adults with high normal to established hypertension.
Methods
This randomized controlled trial included 84 participants (46 women, 71.1 ± 3.6 years, systolic BP [SBP] 137.1 ± 13.8 mmHg, diastolic BP [DBP] 80.8 ± 8.3 mmHg). Participants were randomized into IHT (n = 28), AET (n = 28), or usual medical care plus lifestyle advice (UC, n = 28). Participants performed IHT or AET three times/week for 8 weeks. IHT consisted of 4 × 45 s bilateral contractions at 50% of maximum voluntary contraction with 1-min rest between sets. AET consisted of walking 30 min at 50%–70% of estimated maximum oxygen consumption. UC received standardized medical care including lifestyle advice.
Results
Seventy-six participants completed the intervention: 27 in IHT, 26 in AET, and 23 in UC. At baseline, BP values were similar among groups. No differences were observed in 24-h ambulatory, daytime, and nighttime SBP and DBP in any group (p > 0.05). IHT and AET reduced office SBP (−8.0 ± 13.4 mmHg; p = 0.004; −5.6 ± 12.2 mmHg; p = 0.027, respectively). IHT reduced office DBP (−3.3 ± 7.4 mmHg; p = 0.024), but AET did not. No differences occurred in office BP in UC. There was no difference in office BP among groups (p > 0.05).
Conclusions
An 8-week home-based IHT and AET failed to reduce ambulatory SBP, while office SBP was reduced by 8/5 mmHg. Only IHT reduced office DBP by 3 mmHg. Thus, IHT and AET may be effective for lowering office BP in older adults with high normal to established hypertension.
期刊介绍:
Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.