吸气肌力量与有氧运动训练及去训练对高血压患者血压的影响比较。

IF 3.6 Q2 PERIPHERAL VASCULAR DISEASE
Clinical Hypertension Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI:10.5646/ch.2025.31.e15
Sae Young Jae, Tae Gu Choi, Hyun Jeong Kim, Setor K Kunutsor
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引用次数: 0

摘要

背景:本研究评估了吸气肌力量训练(IMST)作为广泛推荐的有氧运动(AE)的替代方案,在降低和维持高血压患者血压方面的有效性。方法:28例高血压患者(61±7岁)随机分为IMST组(n = 14)和AE组(n = 14)。IMST以75%的最大吸气压力(PImax)进行30次呼吸/次,总计约8分钟,每周5天。AE组以70%的心率储备运动30分钟/次,每周5天。两种监督干预都持续了8周,然后是4周的去训练期。在基线、干预后8周和去训练后分别测量肱和中央收缩压(SBP)。结果:IMST组[-9.1 (12.1)mmHg, P = 0.01]和AE组[-6.2 (7.2)mmHg, P = 0.01]臂收缩压从基线到干预后8周的平均(标准差)变化均显著降低,组间差异无统计学意义(P = 0.46)。IMST组[-9.0 (11.9)mmHg, P = 0.01]和AE组[-5.7 (6.2)mmHg, P = 0.01]中枢性收缩压也显著降低,组间差异无统计学意义(P = 0.37)。然而,IMST组在收缩压降低方面没有表现出明显的持久性,而AE组则有。结论:IMST和AE均可有效降低高血压患者8周后的肱和中央血压。虽然IMST为AE提供了一种时间效率高的辅助选择,但其长期有效性仍不确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparison of inspiratory muscle strength and aerobic exercise training and detraining on blood pressure in hypertensive patients.

Comparison of inspiratory muscle strength and aerobic exercise training and detraining on blood pressure in hypertensive patients.

Comparison of inspiratory muscle strength and aerobic exercise training and detraining on blood pressure in hypertensive patients.

Comparison of inspiratory muscle strength and aerobic exercise training and detraining on blood pressure in hypertensive patients.

Background: This study evaluated the effectiveness of inspiratory muscle strength training (IMST) as a time-efficient alternative to widely recommended aerobic exercise (AE) for reducing and maintaining blood pressure in hypertensive patients.

Methods: Twenty-eight hypertensive patients (aged 61 ± 7 years) were randomly assigned to IMST (n = 14) and AE (n = 14) groups. The IMST performed 30 breaths/session at 75% of maximal inspiratory pressure (PImax), totaling about 8 minutes, 5 days/week. The AE group exercised at 70% of heart rate reserve for 30 minutes/session, 5 days/week. Both supervised interventions lasted 8 weeks, followed by a 4-week detraining period. Brachial and central systolic blood pressure (SBP) were taken at baseline, 8-week post-intervention, and post-detraining.

Results: The mean (standard deviation) change in brachial SBP from baseline to 8 week post-intervention significantly decreased in both the IMST group [-9.1 (12.1) mmHg, P = 0.01] and the AE group [-6.2 (7.2) mmHg, P = 0.01], with no significant difference between groups (P = 0.46). Central SBP also significantly reduced in the IMST group [-9.0 (11.9) mmHg, P = 0.01] and in the AE group [-5.7 (6.2) mmHg, P = 0.01], with no significant difference between groups (P = 0.37). However, the IMST group did not show significant persistence in SBP reduction, whereas the AE group did.

Conclusions: Both IMST and AE effectively reduced brachial and central BP after 8-week interventions in hypertensive patients. While IMST presents a time-efficient adjunctive option to AE, its long-term effectiveness remains uncertain.

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来源期刊
Clinical Hypertension
Clinical Hypertension PERIPHERAL VASCULAR DISEASE-
CiteScore
5.40
自引率
4.80%
发文量
34
审稿时长
6 weeks
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