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Treinamento aerobio nao altera pressao arterial de mulheres menopausadas e com syndrome metabolica (Aerobic training does not alter blood pressure in menopausal women with metabolic syndrome) [Portuguese]
Lima AHRA, Couto HE, Cardoso GA, Toscano LT, Silva AS, Mota MPG
Arquivos Brasileiros de Cardiologia 2012 Nov;99(5):979-987
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Arterial hypertension (AH) is an aggravating condition for metabolic syndrome (MS), as well as being aggravated by it. Menopause can make hypertension treatment more difficult, as it favors the worsening of MS components. Although there is evidence that exercise training reduces blood pressure, whether menopause and SM affect the exercise-induced benefits is yet to be elucidated. OBJECTIVE: To compare the effects of aerobic training on blood pressure in non-menopausal and menopausal women with MS. METHODS: A total of 44 women were recruited and divided into four groups: non-menopausal control (NMC 39.5 +/- 1.1 years, n = 11); menopausal control (MC 54.9 +/- 1.7 years, n = 12), non-menopausal aerobics (NMA 43.1 +/- 2.1 years, n = 11) and menopausal aerobics (MA 52.1 +/- 1.6 years, n = 10). The exercise groups performed aerobic training for three months, five times a week, at an intensity between 60% and 70% of heart rate reserve. The resting blood pressure and blood pressure response after 60 minutes of exercise were measured before and after the training period. The two-way ANOVA test was used, considering a p value < 0.05. RESULTS: The training program resulted in a decrease in abdominal fat, blood glucose and improved VO2max. Compared to pre-intervention values, systolic blood pressure (SBP) and diastolic blood pressure (DBP) did not change after training in NMC, MC, MA and NMA groups (p > 0.05). CONCLUSION: Three months of aerobic training improved MS components, but did not alter resting blood pressure or the BP response after an acute exercise session in women with MS.

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