Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern

<i>Background and Objectives</i>: The purpose of this study was to investigate the effects of a 12-week concurrent training (CT) (i.e., aerobic plus resistance exercise) on short–term blood pressure variability (BPV) and BP values in hypertensive patients with non-dippper BP nocturnal pa...

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Main Authors: Giuseppe Caminiti, Ferdinando Iellamo, Marco Alfonso Perrone, Giuseppe Marazzi, Alessandro Gismondi, Anna Cerrito, Alessio Franchini, Maurizio Volterrani
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/11/1682
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author Giuseppe Caminiti
Ferdinando Iellamo
Marco Alfonso Perrone
Giuseppe Marazzi
Alessandro Gismondi
Anna Cerrito
Alessio Franchini
Maurizio Volterrani
author_facet Giuseppe Caminiti
Ferdinando Iellamo
Marco Alfonso Perrone
Giuseppe Marazzi
Alessandro Gismondi
Anna Cerrito
Alessio Franchini
Maurizio Volterrani
author_sort Giuseppe Caminiti
collection DOAJ
description <i>Background and Objectives</i>: The purpose of this study was to investigate the effects of a 12-week concurrent training (CT) (i.e., aerobic plus resistance exercise) on short–term blood pressure variability (BPV) and BP values in hypertensive patients with non-dippper BP nocturnal pattern and underlying coronary artery disease. <i>Material and Methods</i>: The study included 72 consecutive patients who were divided into two groups according to the nocturnal BP pattern: dipping pattern (33 pts) and non-dipping (39 pts). Before starting CT and at 12 weeks, patients underwent the six minute walk test, ergometric test, assessment of 1-repetiton maximum (1 RM), and 24/h BP monitoring (24-h ABPM). <i>Results</i>: After CT, exercise capacity increased in both groups in a similar fashion. Twenty-four/h systolic BPV and daytime systolic BPV decreased significantly in the dipping group while they were unchanged in the non-dipping group (between groups changes: −1.0 ± 0.4 mmHg and −1.3 ± 0.9 mmHg; <i>p</i> = 0.02 and <i>p</i> = 0.006, respectively). Twenty-four/h systolic BP and daytime systolic BP decreased significantly in the dipping group while they were unchanged in the non-dipping group (between groups changes: −7.1 ± 2.6 mmHg and −7.8 ± 2.4 mmHg; <i>p</i> = 0.004 and <i>p</i> = 0.002, respectively). Nighttime systolic BP and BPV was unchanged in both groups. Twenty-four/h diastolic BP presented small but not significant changes in both groups. <i>Conclusions</i>: The effects of CT on BPV and BP were blunted in hypertensive subjects with a non-dipping BP pattern.
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spelling doaj.art-eddbe0721cd94a64963f26f8b166e1c02023-11-24T09:11:55ZengMDPI AGMedicina1010-660X1648-91442022-11-015811168210.3390/medicina58111682Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure PatternGiuseppe Caminiti0Ferdinando Iellamo1Marco Alfonso Perrone2Giuseppe Marazzi3Alessandro Gismondi4Anna Cerrito5Alessio Franchini6Maurizio Volterrani7Department of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Clinical Science and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Clinical Science and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, Italy<i>Background and Objectives</i>: The purpose of this study was to investigate the effects of a 12-week concurrent training (CT) (i.e., aerobic plus resistance exercise) on short–term blood pressure variability (BPV) and BP values in hypertensive patients with non-dippper BP nocturnal pattern and underlying coronary artery disease. <i>Material and Methods</i>: The study included 72 consecutive patients who were divided into two groups according to the nocturnal BP pattern: dipping pattern (33 pts) and non-dipping (39 pts). Before starting CT and at 12 weeks, patients underwent the six minute walk test, ergometric test, assessment of 1-repetiton maximum (1 RM), and 24/h BP monitoring (24-h ABPM). <i>Results</i>: After CT, exercise capacity increased in both groups in a similar fashion. Twenty-four/h systolic BPV and daytime systolic BPV decreased significantly in the dipping group while they were unchanged in the non-dipping group (between groups changes: −1.0 ± 0.4 mmHg and −1.3 ± 0.9 mmHg; <i>p</i> = 0.02 and <i>p</i> = 0.006, respectively). Twenty-four/h systolic BP and daytime systolic BP decreased significantly in the dipping group while they were unchanged in the non-dipping group (between groups changes: −7.1 ± 2.6 mmHg and −7.8 ± 2.4 mmHg; <i>p</i> = 0.004 and <i>p</i> = 0.002, respectively). Nighttime systolic BP and BPV was unchanged in both groups. Twenty-four/h diastolic BP presented small but not significant changes in both groups. <i>Conclusions</i>: The effects of CT on BPV and BP were blunted in hypertensive subjects with a non-dipping BP pattern.https://www.mdpi.com/1648-9144/58/11/1682blood pressure variabilitynon-dipping blood pressure patternconcurrent exercisehypertension
spellingShingle Giuseppe Caminiti
Ferdinando Iellamo
Marco Alfonso Perrone
Giuseppe Marazzi
Alessandro Gismondi
Anna Cerrito
Alessio Franchini
Maurizio Volterrani
Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
Medicina
blood pressure variability
non-dipping blood pressure pattern
concurrent exercise
hypertension
title Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
title_full Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
title_fullStr Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
title_full_unstemmed Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
title_short Concurrent Aerobic Plus Resistance Training Elicits Different Effects on Short-Term Blood Pressure Variability of Hypertensive Patients in Relation to Their Nocturnal Blood Pressure Pattern
title_sort concurrent aerobic plus resistance training elicits different effects on short term blood pressure variability of hypertensive patients in relation to their nocturnal blood pressure pattern
topic blood pressure variability
non-dipping blood pressure pattern
concurrent exercise
hypertension
url https://www.mdpi.com/1648-9144/58/11/1682
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