Abstract
OBJECTIVES:The objective of this study was to compare the effects of a combination of aerobic and resistance training to those of isolated aerobic training on blood pressure, body composition, and insulin sensitivity in hypertensive older adults.METHOD:Forty-four patients were randomly assigned to the aerobic group, resistance and aerobic group, and control group. Before and after 10 weeks, the following data were obtained: 24-hour ambulatory blood pressure data, abdominal circumference, waist circumference, body mass index, lean mass, fat mass, and insulin sensitivity. The study was conducted with 3 training sessions per week.RESULTS:Comparison revealed significant reductions in the body mass index, abdominal and waist circumferences, and ambulatory blood pressure (24-hour, wakefulness and sleep systolic/diastolic blood pressures) in both the aerobic group and the resistance and aerobic (combined) group. The fat mass only changed in the combined group. There was no difference in the insulin sensitivity in any group.CONCLUSIONS:The combined treatment and aerobic treatment alone were equally effective in reducing the blood pressure, body mass index, and abdominal and waist circumferences, although the addition of the resistance component also helped reduce the fat mass.
Highlights
Aging is a natural, irreversible and individual biological process that is always accompanied by progressive changes [1]
Physical ability is related to the production of energy needed for the metabolic processes, which helps reduce the incidence of cardiovascular diseases, especially in hypertensive individuals [2], for whom insulin resistance
We proposed that a program of physical activity for hypertensive older adults should include aerobic
Summary
Irreversible and individual biological process that is always accompanied by progressive changes [1]. Age is one of the most important factors associated with the increased prevalence of hypertension and insulin resistance. Older adults have greater abdominal adiposity and a higher prevalence of obesity and sedentarism, which are considered factors that elevate the morbidity and mortality of this population. Good physical ability is important for the autonomy of older adults. Physical ability is related to the production of energy needed for the metabolic processes, which helps reduce the incidence of cardiovascular diseases, especially in hypertensive individuals [2], for whom insulin resistance.
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