Exercício intervalado de alta intensidade e pressão arterial ambulatorial de adolescentes obesos
DOI:
https://doi.org/10.12820/rbafs.23e0026Keywords:
Exercise, Ambulatory Blood Pressure Monitoring, Adolescent HealthAbstract
The objective of this study was to analyze the behavior of ambulatory blood pressure of obese adolescents after a session of high intensity interval exercise (HIT) on treadmill. This was a randomized cross-over study with nine male adolescents between 15 and 18 years of age. The volunteers performed two experimental protocols with a minimum interval of 48 hours: control and HIT. The HIT protocol consisted of five series at 85 – 95% of VO2peak for one minute, interspersed by three minutes of recovery at 40 – 50% of VO2peak. Before and after the protocols, heart rate, systolic blood pressure (SBP), diastolic blood pressure and mean arterial pressure were obtained in the seated position. Ambulatory blood pressure measurement was performed in both protocols through an automatic monitor of the mark SpaceLabs 90207, programmed to perform measure- ments every 20 minutes from 12:00 to 22:00 hours. e e ects of the experimental protocols on hemodynamic responses were tested through analysis of variance for repeated measures, considering the factors (control and HIT) and time (pre-session and post-session). The results showed a significant difference between the means of SBP in the control and HIT protocols in the rst hour after the end of the exercise (133.66 ± 7.56 vs 125.88 ± 7.20 mmHg, respectively, p = 0.005), indicating post-exercise hypotension induced by HIT. The HIT protocol employed promoted a moderate magnitude and short duration hypotensive e ect on SBP.
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References
1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980 – 2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.
2. Paradis G, Lambert M, O’Loughlin J, Lavallée C, Aubin J, Delvin E, et al. Blood pressure and adiposity in children and adolescents. Circulation. 2004;110(13):1832–8.
3. Maggio ABR, Aggoun Y, Marchand LM, Martin XE, Herrmann F, Beghetti M, et al. Associations among obesity, blood pressure, and left ventricular mass. J Pediatr. 2008;152(4):489–93.
4. Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J Pediatr. 2005;147(5):651–6.
5. Flynn JT, Daniels SR, Hayman LL, Maahs DM, McCrindle BW, Mitsnefes M, et al. Update: ambulatory blood pressure monitoring in children and adolescents: a scientific statement from the American Heart Association. Hypertension. 2014;63(5):1116–35.
6. Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. Exercise and Hypertension. Med Sci Sports Exerc. 2004;36(3):533–53.
7. Carvalho RST, Pires CMR, Junqueira GC, Freitas D, Marchi-Alves LM. Magnitude e duração da resposta hipotensora em hipertensos: exercício contínuo e intervalado. Arq Bras Cardiol. 2015;104(3):234–41.
8. Dias DF, Loch MR, Ronque ERV. Perceived barriers to leisure-time physical activity and associated factors in adolescents. Cien Saude Colet. 2015;20(11):3339–50.
9. Maggio ABR, Aggoun Y, Martin XE, Marchand LM, Beghetti M, Farpour-Lambert NJ. Long-term follow-up of cardiovascular risk factors after exercise training in obese children. Int J Pediatr Obes. 2011;6(2):e603–10.
10. Kavey REW, Kveselis DA, Gaum WE. Exaggerated blood pressure response to exercise in children with increased low-density lipoprotein cholesterol. Am Heart J. 1997;133(2):162–8.
11. Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG. Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sports Exerc. 2012;44(9):1644–52.
12. Lacombe SP, Goodman JM, Spragg CM, Liu S, Thomas SG. Interval and continuous exercise elicit equivalent postexercise hypotension in prehypertensive men, despite differences in regulation. Appl Physiol Nutr Metab. 2011;36(6):881–91.
13. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110.
14. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
15. World Health Organization. Global recommendations on physical activity for health. 2010.
16. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child. 1970;45(239):13–23.
17. World Health Organization. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weightfor-Length, Weight-for-Height and Body Mass Index-forAge: Methods and Development. Geneva; 2006.
18. Slaughter M, Lohman T, Boileau R, Horswill C, Stillman R, Van Loan M, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60(5):709–23.
19. Paridon SM, Alpert BS, Boas SR, Cabrera ME, Caldarera LL, Daniels SR, et al. Clinical stress testing in the pediatric age group: A statement from the American Heart Association council on cardiovascular disease in the young, committee on atherosclerosis, hypertension, and obesity in youth. Circulation. 2006;113(15):1905–20.
20. Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81.
21. Ciolac EG. High-intensity interval training and hypertension: maximizing the benefits of exercise? Am J Cardiovasc Dis. 2012;2(2):102–10.
22. Wisløff U, Coombes JS, Rognmo O. CrossTalk proposal: High intensity interval training does have a role in risk reduction or treatment of disease. J Physiol. 2015;593(24):5215–7.
23. Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Br J Sports Med. 2013;48(16):1227–34.
24. Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis. Br J Sports Med. 2015;49(19):1253–9.
25. King-Schultz L, Weaver AL, Cramer CH. Correlation of blood pressure readings from 6-hour intervals with the daytime period of 24-hour ambulatory blood pressure monitoring in pediatric patients. J Clin Hypertens. 2012;14(6):396–400.
26. Jones H, Taylor CE, Lewis NCS, George K, Atkinson G. Post-exercise blood pressure reduction is greater following intermittent than continuous exercise and is influenced less by diurnal variation. Chronobiol Int. 2009;26(2):293–306.
27. Miyashita M, Burns SF, Stensel DJ. Accumulating short bouts of running reduces resting blood pressure in young normotensive/pre-hypertensive men. J Sports Sci. 2011;29(14):1473–82.
28. Angadi SS, Weltman A, Watson-Winfield D, Weltman J, Frick K, Patrie J, et al. Effect of fractionized vs continuous, single-session exercise on blood pressure. J Hum Hypertens. 2010;24(4):300–2.
29. Brito LC, Queiroz ACC, Forjaz CLM. Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension. Brazilian J Med Biol Res. 2014;47(8):626–36.
2. Paradis G, Lambert M, O’Loughlin J, Lavallée C, Aubin J, Delvin E, et al. Blood pressure and adiposity in children and adolescents. Circulation. 2004;110(13):1832–8.
3. Maggio ABR, Aggoun Y, Marchand LM, Martin XE, Herrmann F, Beghetti M, et al. Associations among obesity, blood pressure, and left ventricular mass. J Pediatr. 2008;152(4):489–93.
4. Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J Pediatr. 2005;147(5):651–6.
5. Flynn JT, Daniels SR, Hayman LL, Maahs DM, McCrindle BW, Mitsnefes M, et al. Update: ambulatory blood pressure monitoring in children and adolescents: a scientific statement from the American Heart Association. Hypertension. 2014;63(5):1116–35.
6. Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. Exercise and Hypertension. Med Sci Sports Exerc. 2004;36(3):533–53.
7. Carvalho RST, Pires CMR, Junqueira GC, Freitas D, Marchi-Alves LM. Magnitude e duração da resposta hipotensora em hipertensos: exercício contínuo e intervalado. Arq Bras Cardiol. 2015;104(3):234–41.
8. Dias DF, Loch MR, Ronque ERV. Perceived barriers to leisure-time physical activity and associated factors in adolescents. Cien Saude Colet. 2015;20(11):3339–50.
9. Maggio ABR, Aggoun Y, Martin XE, Marchand LM, Beghetti M, Farpour-Lambert NJ. Long-term follow-up of cardiovascular risk factors after exercise training in obese children. Int J Pediatr Obes. 2011;6(2):e603–10.
10. Kavey REW, Kveselis DA, Gaum WE. Exaggerated blood pressure response to exercise in children with increased low-density lipoprotein cholesterol. Am Heart J. 1997;133(2):162–8.
11. Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG. Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sports Exerc. 2012;44(9):1644–52.
12. Lacombe SP, Goodman JM, Spragg CM, Liu S, Thomas SG. Interval and continuous exercise elicit equivalent postexercise hypotension in prehypertensive men, despite differences in regulation. Appl Physiol Nutr Metab. 2011;36(6):881–91.
13. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110.
14. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
15. World Health Organization. Global recommendations on physical activity for health. 2010.
16. Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child. 1970;45(239):13–23.
17. World Health Organization. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weightfor-Length, Weight-for-Height and Body Mass Index-forAge: Methods and Development. Geneva; 2006.
18. Slaughter M, Lohman T, Boileau R, Horswill C, Stillman R, Van Loan M, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60(5):709–23.
19. Paridon SM, Alpert BS, Boas SR, Cabrera ME, Caldarera LL, Daniels SR, et al. Clinical stress testing in the pediatric age group: A statement from the American Heart Association council on cardiovascular disease in the young, committee on atherosclerosis, hypertension, and obesity in youth. Circulation. 2006;113(15):1905–20.
20. Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377–81.
21. Ciolac EG. High-intensity interval training and hypertension: maximizing the benefits of exercise? Am J Cardiovasc Dis. 2012;2(2):102–10.
22. Wisløff U, Coombes JS, Rognmo O. CrossTalk proposal: High intensity interval training does have a role in risk reduction or treatment of disease. J Physiol. 2015;593(24):5215–7.
23. Weston KS, Wisløff U, Coombes JS. High-intensity interval training in patients with lifestyle-induced cardiometabolic disease: a systematic review and meta-analysis. Br J Sports Med. 2013;48(16):1227–34.
24. Costigan SA, Eather N, Plotnikoff RC, Taaffe DR, Lubans DR. High-intensity interval training for improving health-related fitness in adolescents: a systematic review and meta-analysis. Br J Sports Med. 2015;49(19):1253–9.
25. King-Schultz L, Weaver AL, Cramer CH. Correlation of blood pressure readings from 6-hour intervals with the daytime period of 24-hour ambulatory blood pressure monitoring in pediatric patients. J Clin Hypertens. 2012;14(6):396–400.
26. Jones H, Taylor CE, Lewis NCS, George K, Atkinson G. Post-exercise blood pressure reduction is greater following intermittent than continuous exercise and is influenced less by diurnal variation. Chronobiol Int. 2009;26(2):293–306.
27. Miyashita M, Burns SF, Stensel DJ. Accumulating short bouts of running reduces resting blood pressure in young normotensive/pre-hypertensive men. J Sports Sci. 2011;29(14):1473–82.
28. Angadi SS, Weltman A, Watson-Winfield D, Weltman J, Frick K, Patrie J, et al. Effect of fractionized vs continuous, single-session exercise on blood pressure. J Hum Hypertens. 2010;24(4):300–2.
29. Brito LC, Queiroz ACC, Forjaz CLM. Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension. Brazilian J Med Biol Res. 2014;47(8):626–36.
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Published
2018-10-16
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Faria WF de, Elias RGM, Neto AS. Exercício intervalado de alta intensidade e pressão arterial ambulatorial de adolescentes obesos. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2018 Oct. 16 [cited 2024 May 18];23:1-7. Available from: https://rbafs.org.br/RBAFS/article/view/13243
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