A hipotensão pós-exercício no treinamento concorrente: uma revisão sistemática

Mello, Diego De; Ostolin, Thatiane Lopes Valentim Di Paschoale

doi:10.1590/1980-0037.2020v22e72211

review article • Rev. bras. cineantropom. desempenho hum 22 • 2020 • https://doi.org/10.1590/1980-0037.2020v22e72211 linkcopiar

A hipotensão pós-exercício no treinamento concorrente: uma revisão sistemática

Autoria SCIMAGO INSTITUTIONS RANKINGS

O exercício físico tanto aeróbio como de força é capaz de reduzir a pressão arterial (PA) de forma aguda em um fenômeno descrito como hipotensão pós-exercício (HPE). Contudo, ainda não está claro o efeito agudo do treinamento concorrente na indução da HPE. A presente revisão teve por objetivo verificar e sumarizar o efeito agudo do treinamento concorrente na HPE em indivíduos normotensos e hipertensos. A busca foi realizada nas bases de dados, PubMed, Scielo e Lilacs e resultou em 3806 artigos. Somente 14 estudos atenderam aos critérios de inclusão e foram selecionados. Segundo os artigos incluídos, o treinamento concorrente é capaz de gerar HPE independente da ordem de execução, do volume e da intensidade prescritas, sendo uma eficiente estratégia no controle da HAS. Não há consenso na literatura em relação a melhor estratégia de prescrição, bem como ordem de execução dos exercícios.

Palavras-chave
Exercício físico; Hipotensão pós-exercício; Pressão sanguínea; Revisão sistemática

Study	Participants	Rest Blood Pressure		Training protocol	Duration	Results
Study	Participants	SBP	DBP	Training protocol	Duration	Results
Keese et al.28	21 normotensive men (20.7 ± 0.7 yr)	111.52 ± 2.56 mm Hg	73.86 ± 3.62 mm Hg	CG: 60 min rest AG: 60 min cycle ergometer at 65% VO_{2 peak} ST: 8 strength exercises in 3 sets of 6-8 rep at 80% 1RM CTG: 6 strength exercises in 2 sets at 80% 1RM + 30 min cycle ergometer at 65% VO_{2 peak}	BP monitoring for 120 min	Magnitude reduction BP similar to AG, ST, CTG Longer PEH duration in SBP for AG, CTG. Longer PEH duration in DBP for AG.
Ferrari et al.29	20 hypertensive men (65.3± 3.3 yr)	120 ±13 mm Hg	71 ± 10 mm Hg	CG: 45 min rest AG: 45 min treadmill at 65-70% VO_{2 max} CTG: 4 strength exercises in 4 sets of 8 rep at 70% 1RM+ 25min treadmill at 65-70% VO_{2 max}	BP monitoring for 60 min and 24-hour ambulatory monitoring	Magnitude reduction BP similar for AG and CTG Longer PEH duration in DPB for AG
Pinto et al.23	30 normotensive women (23.2 ± 4.6 yr)	110.3 ± 8.2 mm Hg	69.2 ± 7.0 mm Hg	SAG: 4 strength exercises in the water in 3 sets of 20s each + 18 min of aerobic exercises in the HR from LT ASG: 18 min of aerobic exercises in the HR from LT + 4 strength exercises in the water in 3 sets of 20s each	BP monitoring for 120 min	Similar reduction BP for GSA and GAS in 10 min for DBP and MBP
Tibana et al.11	30 normotensive women (33.1± 5.0 yr)	122.7 ± 9.2 mm Hg	77.8 ± 9.6 mm Hg	CG: 60 min rest SG: 6 strength exercises in 3 sets of 8 a 12 rep at 80% 1RM CTG: 30 min of treadmill at 65-70% HRR + 6 strength exercises in 3 sets of 8 a 12 rep at 80% 1RM	BP monitoring for 60min	Greater magnitude of BP for GCT
Lovato et al.21	9 normotensive men (24.8 ± 1.1yr)	119 ± 3.8 mm Hg	70.4 ± 2.65 mm Hg	SAG: 8 strength exercises in 3 sets of 10 a 15 rep at 60% 1RM + 50 min cycle ergometer at 60% VO_{2 peak} ASG: 50 min cycle ergometer at 60% VO_{2 peak}+ 8 strength exercises in 3 sets of 10 a 15 rep at 60% 1RM	BP monitoring for 60min	Magnitude reduction BP and PEH duration equal between groups
Menêzes et al.24	19 hypertensive women (57± 2 yr)	130 ± 3.3 mm Hg	68 ± 2 mm Hg	CG: 50 min rest SAG: 7 strength exercises in 3 sets of 10 rep at 50 % 1RM + 30 min treadmill at 50-60% HRR ASG: 30 min treadmill at 50-60% HRR + 7 strength exercises in 3 sets of 10 rep at 50% 1RM	BP monitoring for 30 min	Magnitude reduction BP and PEH duration equal between groups
Saccomani et al.22	10 normotensive men (24.5 ± 1.1yr)	115.4 ± 1.7 mm Hg	70.8 ± 2.1 mm Hg	CG: 60 min rest AG: 50 min cycle ergometer at 60% VO_{2 peak}SG: 8 strength exercises in 3 sets of 12 rep at 60% 1RM ASG: 50 min cycle ergometer at 60% VO_{2 peak}+ 8 strength exercises in 3 sets of 12 rep at 60% 1RM SAG: 8 strength exercises in 3 sets of 12 rep at 60% 1RM + 50 min cycle ergometer at 60% VO_{2 peak}	BP monitoring for 60 min	Greater magnitude reduction BP and duration da PEH for GSA e GAS No differences in execution order
Ruiz et al.30	11 normotensive men (26.8 ± 2.9 yr)	122.4 ± 8 mm Hg	76.5 ± 8.4 mm Hg	SG: 8 strength exercises in 3 sets 12RM AG: 40 min cycle ergometer at 60-70% HHR ASG: 40 min cycle ergometer at 60-70% HRR + 8 strength exercises in 3 sets 12RM	BP monitoring for 60 min	Magnitude reduction BP and duration PEH equal between groups
Santiago et al.19	15 normotensive male and female (29.4 ± 7.3 yr)	117.5 ± 11 mm Hg	68.3 ± 7.7 mm Hg	ASG: 30 min treadmill at 80% HHR + 8 strength exercises in 3 sets of 8 rep at 75% 1RM SAG: 8 8 strength exercises in 3 sets of 8 rep at 75% 1RM + 30 min treadmill at 80% HHR	BP monitoring for 60 min	Greater magnitude reduction BP for GAS
Teixeira et al.27	20 normotensive male and female (26.1 ± 1yr)	111 ± 2 mm Hg	74 ± 1 mm Hg	CG: 60 min rest AG: 30 min cycle ergometer at 75% VO_{2 peak}SG: 6 strength exercises in 3 sets of 20 rep at 50% 1RM ASG: 30 min cycle ergometer at 75% VO_{2 peak}+ 6 strength exercises in 3 sets of 20 rep at 50% 1RM	BP monitoring for 120min	Greater magnitude reduction BP and duration PEH for AG
Mazzoccante et al.20	10 normotensive men (22.6 ± 3.7 yr)	120 ± 4,5 mm Hg	68,5 ± 6,3 mm Hg	CG: 60 min rest SAG: 6 strength exercises at 90% 12 RM + 15 min treadmill at 90% LT ASG: 15 min treadmill at 90% LT + 6 strength exercises at 90% of 12RM CT AG: Alternate strength and aerobic exercises in sequence		Greater magnitude reduction BP for GSA Greater duration of PEH for GSA in comparison to GCT
Keese et al.26	21 normotensive men (20.7 ± 0.7 yr)	111.5 ± 2.6 mm Hg	73.9 ± 3.6 mm Hg	CG: 60 min rest SAG: 6 strength exercises in 2 sets of 6 to 8 rep at 80% 1RM + 30 min cycle ergometer at 50/65/80% VO_{2 peak}	BP monitoring for 60 min	Magnitude equal BP reduction between groups regardless of intensity Longer duration PEH in 65% and 80% VO_{2 peak}
Santos et al.31	60 hypertensive women (63.3 ± 6.2 yr)	162.15 ± 7.12 mm Hg	88.05 ± 4.22 mm Hg	CG: 60 min rest SEAG: 7 strength exercises in 3 sets of 10 eccentric rep at 100-120% 10 RM + 20 min treadmill at 65-75% HHR STAG: 7 strength exercises in 3 sets of 10 rep at 70-90% 10 RM + 20 min treadmill at 65-75% HRR	BP monitoring for 60 min	Greater magnitude BP reduction for GSEA
Faraji and Nikookheslat25	10 pre hypertensive women (37.6 ± 6.5 yr)	135-150 mm Hg	85-95 mm Hg	CG: 6 hours in rest CMEG: 22 min treadmill at 65% HRmax + 5 strength exercises in 3 sets of 12 rep at 65% 1RM CLEG: 22 min treadmill at 40% of HRmax + 5 strength exercises in3 sets of 12 rep at 40% 1RM	BP monitoring during 6 hours	Longer duration PEH for GCMI

Study	1	2	3	4	5	6	7	8	9	10	11	Score
Tibana et al.11	1	1	0	1	0	0	0	1	1	1	1	6/10
Santiago et al.19	1	1	0	1	0	0	0	1	1	1	1	6/10
Keese et al.28	1	1	0	1	0	0	0	1	1	1	1	6/10
Ferrari et al.29	1	1	1	1	1	1	1	1	1	1	1	10/10
Pinto et al.23	1	1	0	1	0	0	0	1	1	1	1	6/10
Lovato et al.21	1	1	0	1	0	0	0	1	1	1	1	6/10
Menêzes et al.24	1	1	1	1	1	0	0	1	1	1	1	8/10
Saccomani et al.22	1	1	0	1	0	0	0	1	1	1	1	6/10
Ruiz et al.30	1	1	0	1	0	0	0	1	1	1	1	6/10
Teixeira et al.27	1	1	0	1	0	0	0	1	1	1	1	6/10
Mazzoccante et al.20	1	0	0	1	0	0	0	1	1	1	1	5/10
Keese et al.26	1	1	0	1	0	0	0	1	1	1	1	6/10
Santos et al.31	1	1	1	1	0	0	0	1	1	1	1	7/10
Faraji and Nikookheslat25	1	1	0	1	0	0	0	1	1	1	1	6/10

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[1] Note. CG: Control Group, AG: Aerobic group, ST: Strength group, CTG: Concurrent training group, SAG: Strength aerobic group, ASG: Aerobic-strength group, SEAG: Strength eccentric-aerobic group, STAG: Strength traditional-aerobic group, CTAG: Concurrent training alternate group, CMEG: concurrent moderate exercise group, CLEG=Concurrent light exercise group. PEH=Post exercise hypotension. HR=Heart rate. LT= lactate threshold. HRR=Heart rate reserve. HRmax=Heart rate maximum. BP: Blood pressure, 1RM: 1 repetition maximum, SBP: Systolic blood pressure, DBP: Diastolic blood pressure, MBP: Mean blood pressure.