Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease

INTRODUCTION: Previous studies describe an imbalance of the autonomic nervous system in Chagas' disease causing increased sympathetic activity, which could influence the genesis of hypertension. However, patients undergoing regular physical exercise could counteract this condition, considering...

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Main Authors: Claudia Rosa de Oliveira, Andréa Silvestre de Sousa, Bráulio Santos, Paloma Hargreaves Fialho, Carla Cristiane Soares dos Santos, Juliana Rega de Oliveira, Marcus Vinícius Souza
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2012-12-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000600014&lng=en&tlng=en
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author Claudia Rosa de Oliveira
Andréa Silvestre de Sousa
Bráulio Santos
Paloma Hargreaves Fialho
Carla Cristiane Soares dos Santos
Juliana Rega de Oliveira
Marcus Vinícius Souza
author_facet Claudia Rosa de Oliveira
Andréa Silvestre de Sousa
Bráulio Santos
Paloma Hargreaves Fialho
Carla Cristiane Soares dos Santos
Juliana Rega de Oliveira
Marcus Vinícius Souza
author_sort Claudia Rosa de Oliveira
collection DOAJ
description INTRODUCTION: Previous studies describe an imbalance of the autonomic nervous system in Chagas' disease causing increased sympathetic activity, which could influence the genesis of hypertension. However, patients undergoing regular physical exercise could counteract this condition, considering that exercise causes physiological responses through autonomic and hemodynamic changes that positively affect the cardiovascular system. This study aimed to evaluate the effects of an exercise program on blood pressure in hypertensive patients with chronic Chagas' heart disease. METHODS: We recruited 17 patients to a 24-week regular exercise program and used ambulatory blood pressure monitoring before and after training. We determined the differences in the systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) from the beginning to the end of the study. RESULTS: The blood pressures were evaluated in general and during periods of wakefulness and sleep, respectively: SBP (p = 0.34; 0.23; 0.85), DBP (p = 0.46; 0.44; 0.94) and MBP (p = 0.41; 0.30; 0.97). CONCLUSIONS: There was no statistically significant change in blood pressure after the 24-week exercise program; however, we concluded that physical training is safe for patients with chronic Chagas' disease, with no incidence of increase in blood pressure.
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spelling doaj.art-8e73db10f7cf4ba4be0b5d21daa2eedc2022-12-22T00:25:52ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492012-12-0145672773110.1590/S0037-86822012000600014S0037-86822012000600014Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart diseaseClaudia Rosa de Oliveira0Andréa Silvestre de Sousa1Bráulio Santos2Paloma Hargreaves Fialho3Carla Cristiane Soares dos Santos4Juliana Rega de Oliveira5Marcus Vinícius Souza6Instituto Nacional de CardiologiaInstituto Nacional de CardiologiaInstituto Nacional de CardiologiaInstituto Nacional de CardiologiaInstituto Nacional de CardiologiaInstituto Nacional de CardiologiaInstituto Nacional de CardiologiaINTRODUCTION: Previous studies describe an imbalance of the autonomic nervous system in Chagas' disease causing increased sympathetic activity, which could influence the genesis of hypertension. However, patients undergoing regular physical exercise could counteract this condition, considering that exercise causes physiological responses through autonomic and hemodynamic changes that positively affect the cardiovascular system. This study aimed to evaluate the effects of an exercise program on blood pressure in hypertensive patients with chronic Chagas' heart disease. METHODS: We recruited 17 patients to a 24-week regular exercise program and used ambulatory blood pressure monitoring before and after training. We determined the differences in the systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean blood pressure (MBP) from the beginning to the end of the study. RESULTS: The blood pressures were evaluated in general and during periods of wakefulness and sleep, respectively: SBP (p = 0.34; 0.23; 0.85), DBP (p = 0.46; 0.44; 0.94) and MBP (p = 0.41; 0.30; 0.97). CONCLUSIONS: There was no statistically significant change in blood pressure after the 24-week exercise program; however, we concluded that physical training is safe for patients with chronic Chagas' disease, with no incidence of increase in blood pressure.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000600014&lng=en&tlng=enCardiopatia chagásicaHipertensãoExercíciosMonitorização ambulatorial da pressão arterial
spellingShingle Claudia Rosa de Oliveira
Andréa Silvestre de Sousa
Bráulio Santos
Paloma Hargreaves Fialho
Carla Cristiane Soares dos Santos
Juliana Rega de Oliveira
Marcus Vinícius Souza
Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
Revista da Sociedade Brasileira de Medicina Tropical
Cardiopatia chagásica
Hipertensão
Exercícios
Monitorização ambulatorial da pressão arterial
title Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
title_full Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
title_fullStr Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
title_full_unstemmed Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
title_short Effects of an exercise program on blood pressure in patients with treated hypertension and chronic Chagas' heart disease
title_sort effects of an exercise program on blood pressure in patients with treated hypertension and chronic chagas heart disease
topic Cardiopatia chagásica
Hipertensão
Exercícios
Monitorização ambulatorial da pressão arterial
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000600014&lng=en&tlng=en
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