A New Isometric Exercise Training Induced Reductions of Resting Blood Pressure in Hypertensive Patients- An Exploratory Study
DOI:
https://doi.org/10.61841/59f0yc91Keywords:
A New Isometric Exercise Training, Resting Blood Pressure,, 60° TitaniUM Core Strength Exercise®, 3, Hypertensive PatientsAbstract
Exercise training programs represent a broadly recommended element in the prevention and treatment to reduce resting blood pressure (BP) may have significant implications for management of hypertension. A developing body of evaluationindicates that isometric exercise training (IET), albeit conducted predominantly in a lab setting, is effective at decreasing resting BP. The main goal of this research study was to explore whether 12-week of their brand new IET (360° TitaniUM Core Power Exercise®) may elicit clinically important discounts (≥2 mmHg) in resting BP among hypertensive patients. 10 hypertensive participants were recruited from University of Malaya and neighbourhood community practice through email, posters and advertising. They have been included if they: (a) had a medical diagnosis of primary or idiopathic hypertension;
(b) currently on anti-hypertension medications (β-blockers or/and non-dihydropyridine calcium channel blockers). Standards: a) not on hypertensive medication. b) had aims organ damage (i.e. heart failure, renal failure, hypertensive retinopathy or stroke).c) has some joint mobility problem particularly the shoulder. Participants coached 3 sessions for 12 weeks, 1 session/week they completed their intervention at the lab guided by the researcher and 2 sessions/week doing the new IET in the home. The new IET consisted of twelve core exercises and the participants completed the exercises in sequence with every workout session consisted of 10-20 seconds/exercise progressively, and 3 sets each session with all the rest phase of one minute between sets. Results shows 12 weeks of lab visits and home of fresh IET induced animportantdecrease in resting BP (Systolic Blood Pressure--SBP, Diastolic Blood Pressure-DBP & Mean Arterial Pressure-MAP) in medicated hypertensive patients. The finding in this research revealed that the reductions of resting BP had been ≥2 mmHg, it helped several studies utilized IET to makedecreases in resting BP in the healthy participants along with medication hypertensive patients. In conclusion, such an easily available and affordable IET programme might helps in lower a number of the major obstacles known to decreasecoaching adherence and will offer a more efficient lifestyle improvement to the prevention and treatment of hypertension.
Downloads
References
1. Badrov, M. B., Freeman, S. R., Zokvic, M. A., Millar, P. J., & McGowan, C. L. (2016). Isometric exercise training lowers resting blood pressure and improves local brachial artery flow-mediated dilation equally in men and women. Eur J Appl Physiol, 116(7), 1289-1296. doi:10.1007/s00421-016-3366-2
2. Bigliassi, M., Karageorghis, C. I., Bishop, D. T., Nowicky, A. V., & Wright, M. J. (2018). Cerebral effects of music during isometric exercise: An fMRI study. International Journal of Psychophysiology, 133, 131-139. doi:https://doi.org/10.1016/j.ijpsycho.2018.07.475
3. Brook, R. D., Jackson, E. A., Giorgini, P., & McGowan, C. L. (2015). When and How to Recommend ‘Alternative Approaches’ in the Management of High Blood Pressure. The American Journal of Medicine, 128(6), 567-570. doi:https://doi.org/10.1016/j.amjmed.2014.12.029
4. Carlson, D. J., Dieberg, G., Hess, N. C., Millar, P. J., & Smart, N. A. (2014). Isometric Exercise Training for Blood Pressure Management: A Systematic Review and Meta-analysis. Mayo Clinic Proceedings, 89(3), 327-334. doi:https://doi.org/10.1016/j.mayocp.2013.10.030
5. Cornelissen, V. A., Fagard, R. H., Coeckelberghs, E., & Vanhees, L. (2011). Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension, 58(5), 950-958. doi:10.1161/HYPERTENSIONAHA.111.177071
6. Devereux, G. R., Wiles, J. D., & Howden, R. (2015). Immediate post-isometric exercise cardiovascular responses are associated with training-induced resting systolic blood pressure reductions. Eur J Appl Physiol, 115(2), 327-333. doi:10.1007/s00421-014-3021-8
7. Franke, W. D., Boettger, C. F., & McLean, S. P. (2000). Effects of varying central command and muscle mass on the cardiovascular responses to isometric exercise. Clinical Physiology, 20(5), 380-387. Retrieved from
http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=5607177&site=ehost-live
8. Gill, K. F., Arthur, S. T., Swaine, I., Devereux, G. R., Huet, Y. M., Wikstrom, E., . . . Howden, R. (2015). Intensity-dependent reductions in resting blood pressure following short-term isometric exercise training. Journal of Sports Sciences, 33(6), 616-621. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=100717720&site=ehost- live
9. Goessler, K. F., Buys, R., VanderTrappen, D., Vanhumbeeck, L., & Cornelissen, V. A. (2018). A randomized controlled trial comparing home-based isometric handgrip exercise versus endurance
training for blood pressure management. Journal of the American Society of Hypertension, 12(4), 285-
293. doi:https://doi.org/10.1016/j.jash.2018.01.007
10. Hunter, S. K. (2014). Sex differences in human fatigability: mechanisms and insight to physiological responses. Acta Physiologica, 210(4), 768-789. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=94942757&site=ehost-live
11. Iellamo, F., Massaro, M., Raimondi, G., Peruzzi, G., & Legramante, J. M. (1999). Role of muscular factors in cardiorespiratory responses to static exercise: contribution of reflex mechanisms. Journal of Applied Physiology, 86(1), 174-180. Retrieved from http://articles.sirc.ca/search.cfm?id=S-77754
12. Millar, P. J., & Goodman, J. M. (2014). Exercise as medicine: role in the management of primary hypertension. Appl Physiol Nutr Metab, 39(7), 856-858. doi:10.1139/apnm-2014-0006
13. Millar, P. J., Levy, A. S., McGowan, C. L., McCartney, N., & MacDonald, M. J. (2013). Isometric handgrip training lowers blood pressure and increases heart rate complexity in medicated hypertensive patients. Scand J Med Sci Sports, 23(5), 620-626. doi:10.1111/j.1600-0838.2011.01435.x
14. Millar, P. J., McGowan, C. L., Cornelissen, V. A., Araujo, C. G., & Swaine, I. L. (2014). Evidence for the role of isometric exercise training in reducing blood pressure: potential mechanisms and future directions. Sports Med, 44(3), 345-356. doi:10.1007/s40279-013-0118-x
15. Mitchell, J. H. (1991). Neural control of the circulation during exercise. In In, Cardiovascular & respiratory responses to exercise in health & disease : proceedings of the 8th Biennial Conference, p. 9- 22.;.
16. Owen, A., Wiles, J., & Swaine, I. (2010). Effect of isometric exercise on resting blood pressure: a meta analysis. J Hum Hypertens, 24(12), 796-800. doi:10.1038/jhh.2010.13
17. Page, P. (2014). BEYOND STATISTICAL SIGNIFICANCE: CLINICAL INTERPRETATION OF
REHABILITATION RESEARCH LITERATURE. International Journal of Sports Physical Therapy, 9(5), 726-736. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=101827789&site=ehost- live
18. Pescatello, L. S., Buchner, D. M., Jakicic, J. M., Powell, K. E., Kraus, W. E., Bloodgood, B., . . . Piercy,
K. L. (2019). Physical Activity to Prevent and Treat Hypertension: A Systematic Review. Medicine & Science in Sports & Exercise, 51(6), 1314-1323. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=136564660&site=ehost- live
19. Piikmann, S., & Reisberg, K. (2018). THE EFFECT OF ISOMETRIC HANDGRIP TRAINING ON
BLOOD PRESSURE. Acta Kinesiologiae Universitatis Tartuensis, 24, 109-120. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=134104645&site=ehost- live
20. Richardson, C., Jull, G., Hodges, P., & Hides, J. (1999). Therapeutic exercise for spinal segmental stabilization in low back pain: scientific basis and clinical approach. Edinburgh;: Churchill Livingston.
21. Seals, D. R., Hurley, B. F., Hagberg, J. M., Schultz, J., Under, B. J., Natter, L., & Ehsani, A. A. (1985). Effects of training on systolic time intervals at rest and during isometric exercise in men and women 61
to 64 years old. The American Journal of Cardiology, 55(6), 797-800. doi:https://doi.org/10.1016/0002-9149(85)90159-6
22. Soares, B. R., Neves, R. P., Olher, R. R., Souza, L. H., Santos, L. C., Condé, R. B., . . . Moraes, M. R. (2019). Cardiovascular Responses to Maximal Voluntary Isometric Contraction in Different Muscle Mass in Young Men. Journal of Exercise Physiology Online, 51-62. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=134763378&site=ehost- live
23. Souza, L. H. R., Soares, B. R., Melo, G. R., Olher, R. R., Silva, W. M., Euzébio, T. A., . . . Moraes, M.
R. (2019). Effects of Isometric Exercise on Blood Pressure in Normotensive and Hypertensive Older Adults: A Systematic Review. Journal of Exercise Physiology Online, 92-108. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=134763381&site=ehost- live
24. Taylor, A. C., McCartney, N., Kamath, M. V., & Wiley, R. L. (2003). Isometric training lowers resting blood pressure and modulates autonomic control. / L ' entrainement isometrique diminue la tension arterielle au repos et module le controle autonome. Medicine & Science in Sports & Exercise, 35(2), 251-256. Retrieved from http://articles.sirc.ca/search.cfm?id=S-864734
25. Wiles, J. D., Goldring, N., & Coleman, D. (2017). Home-based isometric exercise training induced reductions resting blood pressure. Eur J Appl Physiol, 117(1), 83-93. doi:10.1007/s00421-016-3501-0
26. Wiley, R. L., Dunn, C. L., Cox, R. H., Hueppchen, N. A., & Scott, M. S. (1992). Isometric exercise training lowers resting blood pressure. / L' entrainement isometrique fait baisser la pression sanguine au repos. Medicine & Science in Sports & Exercise, 24(7), 749-754. Retrieved from http://articles.sirc.ca/search.cfm?id=342055
27. C.MANIKANDAN, and T.NIVETHA. "ACCIDENT DETECTION AND RESCUE PROCESS USING
BLACBOX SYSTEM." International Journal of Communication and Computer Technologies 7 (2019), 27-29. doi:10.31838/ijccts/07.01.06
28. Bertolami, O., Lobo, F.S.N. Time and causation (2009) NeuroQuantology, 7 (1), pp. 1-15.
29. Tarlaci, S. Why we need quantum physics for cognitive neuroscience (2010) NeuroQuantology, 8 (1),
pp. 66-76.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
