Abstract

ABSTRACTOBJECTIVE To quantify the intensity adopted by walkers in public squares and check the occurrence and magnitude of post-exercise hypotension in the spontaneously adopted intensity and in a prescribed intensity.METHODS In 98 volunteers (38 of them being hypertensive), walkers in public squares of the city of João Pessoa, State of Paraíba, Brazil, we have identified the intensity of a usual training monitored by heart rate and we have investigated the occurrence and magnitude of post-exercise hypotension. Subsequently, participants were instructed to walk with moderate intensity. Blood pressure was measured after rest and during post-exercise recovery.RESULTS Of the total participants, 41% of the hypertensive and 36% of the normotensive individuals walked with light intensity. With the prescription, intensity increased to 55% and 52%, for the hypertensive and normotensive individuals, respectively. In the usual and prescribed intensity, the hypertensive individuals had post-exercise hypotension of -3.7±11.6 mmHg and -4.72±12.8 mmHg, respectively. There was no correlation between post-exercise hypotension and the initial systolic component of the hypertensive individuals (r2 = 0.2; p < 0.002).CONCLUSIONS Walkers in public squares choose light intensity for walking. When they exercise with the prescribed intensity, they increase the intensity, but the magnitude of the PEH is not increase with this guidance.

Highlights

  • Systemic hypertension is the most prevalent of the chronic degenerative diseases

  • Walkers in public squares choose light intensity for walking. When they exercise with the prescribed intensity, they increase the intensity, but the magnitude of the post-exercise hypotension (PEH) is not increase with this guidance

  • We have found prevalence of 38.8% of hypertensive individuals (47.9±9.42 years) between walkers and runners in public squares of the city of João Pessoa, State of Paraíba, Brazil (Table)

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Summary

Introduction

Systemic hypertension is the most prevalent of the chronic degenerative diseases. This public health problem is aggravated by the difficulty in controlling blood pressure (BP), especially when treated with only monotherapy[1,2]. In a systematic review[5], it has been noted that hypertensive persons have a clinical and ambulatory acute hypotensive response to aerobic exercise sessions. These reductions become relevant as they can last up to 22 hours[6] and are called post-exercise hypotension (PEH)[7]

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