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。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY
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
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引用次数: 0

摘要

目的:本试验分析了在家进行的等长手握训练(IHT)和有氧运动训练(AET)对患有高血压的正常老年人的活动血压和办公室血压的影响:本试验分析了家庭等长手握训练(IHT)和有氧运动训练(AET)对高血压正常或已确诊的老年人活动血压和办公室血压(BP)的影响:这项随机对照试验包括 84 名参与者(46 名女性,71.1 ± 3.6 岁,收缩压 [SBP] 137.1 ± 13.8 mmHg,舒张压 [DBP] 80.8 ± 8.3 mmHg)。参与者被随机分为 IHT(28 人)、AET(28 人)或常规医疗护理加生活方式建议(UC,28 人)。参与者每周进行三次 IHT 或 AET,持续 8 周。IHT 包括 4 × 45 秒的双侧收缩,收缩量为最大自主收缩量的 50%,每组之间休息 1 分钟。AET包括以估计最大耗氧量的50%-70%步行30分钟。UC 接受标准化医疗护理,包括生活方式建议:结果:76 名参与者完成了干预:27 人参加了 IHT,26 人参加了 AET,23 人参加了 UC。各组基线血压值相似。各组 24 小时流动血压、白天和夜间 SBP 和 DBP 均无差异(P > 0.05)。IHT 和 AET 可降低办公室 SBP(分别为 -8.0 ± 13.4 mmHg; p = 0.004; -5.6 ± 12.2 mmHg; p = 0.027)。IHT 降低了办公室 DBP(-3.3 ± 7.4 mmHg;p = 0.024),但 AET 没有降低。UC 的办公室血压没有差异。各组间的办公室血压没有差异(p > 0.05):结论:为期 8 周的家庭 IHT 和 AET 未能降低流动 SBP,而办公室 SBP 则降低了 8/5 mmHg。只有 IHT 能将办公室 DBP 降低 3 mmHg。因此,IHT 和 AET 可有效降低高血压正常或已确诊的老年人的办公室血压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
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.
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