Detailed Search Results
| Author/Association: | Martinez Aguirre-Betolaza A, Mujika I, Fryer SM, Corres P, Gorostegi-Anduaga I, Arratibel-Imaz I, Perez-Asenjo J, Maldonado-Martin S |
| Title: | Effects of different aerobic exercise programs on cardiac autonomic modulation and hemodynamics in hypertension: data from EXERDIET-HTA randomized trial [with consumer summary] |
| Source: | Journal of Human Hypertension 2020 Oct;34(10):709-718 |
| Method: | clinical trial |
| Method Score: | 6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
| Consumer Summary: | SUMMARY: WHAT IS KNOWN ABOUT TOPIC: Hypertension is associated with an inappropriate activation of the sympathetic and reduction of the parasympathetic divisions at rest and in response to exercise. Regular aerobic exercise training is an excellent nonpharmacological treatment against hypertensioncaused disturbances. WHAT THIS STUDY ADDS: Supervised aerobic physical activity and healthy diet may have produced a significant improvement in the autonomic nervous system functioning (reducing heart rate and blood pressure). Low-volume-HIIT exercise training combined with a hypocaloric diet should be considered as a time efficient and safe mechanism for reducing the cardiovascular risk in hypertensive individuals. The better improvements seen when the exercise training was individually designed and supervised in overweight/obese individuals with hypertension empowers the existing professional exercise recommendations. |
| Abstract: | The aims of the present study were to analyze the effects of 16 weeks of different aerobic exercise training (ExT) programs with diet on cardiac autonomic modulation and hemodynamics in nonphysically active and overweight/obese adults (n = 249, 53.7 +/- 8.0 years) with primary hypertension, and the possible differences among ExT programs and their effects on heart rate (HR), blood pressure (BP), and long-term BP variability (BPV). Participants were randomly assigned into an attention control (AC) group (physical activity recommendations) or one of three supervised ExT groups: high volume of moderate-intensity continuous training, high-volume and high-intensity interval training (HIIT), and low-volume-HIIT. Twenty-four hours of ambulatory BP monitoring was used to analyze systolic (SBP) and diastolic (DBP) BP, HR, and BPV. A cardiopulmonary exercise test was performed to determine peak oxygen uptake (VO2peak). Following intervention, resting and submaximal exercise (HR, SBP, and DBP), along with diurnal and nocturnal SBP and DBP values decreased (p < 0.05) in all groups with no differences between groups. When the ExT groups were combined, submaximal SBP (p = 0.048) and DBP (p = 0.004), VO2peak (p = 0.014) and HR reserve (p = 0.030) were significantly improved compared with AC. Intervention did not have significant effects on BPV. In the present study better improvements in the autonomic nervous system were seen when the aerobic ExT was individually designed and supervised with pari passu effects irrespective of exercise intensity and volume. Low-volume-HIIT ExT combined with a healthy diet should be considered as a time efficient and safe mechanism for reducing the cardiovascular risk in hypertensive individuals. Reprinted by permission from Journal of Human Hypertension, Macmillan Publishers Ltd. Full text (sometimes free) may be available at these link(s):  help |
