Immediate and late acute effect of moderate continuous and high intensity interval training on hypertension stage I: case report

Ana Luísa Freitas Siqueira,Maria Paula Fabrício De Andrade,Luciana Duarte Novais Silva,Michel Reis Abdalla,Denise Mayumi Tanaka,Douglas Reis Abdalla,George Kemil Abdalla,Bruna Pereira Molina Cruz,Gabriela Souza Faria,Pedro De Oliveira Neto,Eduardo Elias Vieira De Carvalho

doi:10.52600/2763-583x.bjcr.2021.1.4.50-56

Abstract

Physical training is used in the control of arterial hypertension (AH), especially in patients with higher levels of blood pressure (BP). However, there are still few studies on the effects of physical training on AH in less advanced stages of the disease. The aim of the present study was to assess the immediate and late acute effects of continuous moderate physical training (CMT) and high intensity interval training (HIIT) in patients with mild AH, and to assess which training method induces a greater hypotensive effect. A female patient, 43 years old, sedentary, diagnosed with mild AH (stage 1), taking Losartana 50 mg twice a day was studied. She underwent one CMT and one HIIT session, one week apart. BP measurements were taken before and after each session, as well as 24 hours before and after the sessions. After the physical training sessions, we observed a drop in the patient's BP that lasted up to 60 minutes, and a reduction in blood pressure levels on the day after the training. We conclude that both training modalities were efficient in reducing the BP of the patient with mild acute immediate and delayed hypertension.

Highlights

The treatment of arterial hypertension (AH) aims at changing lifestyles, in order to reduce pressure levels and provide protection to target organs
Physical training is used in the control of arterial hypertension (AH), especially in patients with higher levels of blood pressure (BP)
The exercise recommendations for hypertensive patients taking hypotensive medications bring guidelines based on the prescription of individualized exercise, in a prudent way, but still not well defined in terms of frequency, intensity and time, with an apparent gap regarding the type of exercise [3], being the continuous moderate intensity training (CMT) and high intensity interval training (HIIT) [4,5], the most studied currently

Summary

Introduction

The treatment of arterial hypertension (AH) aims at changing lifestyles, in order to reduce pressure levels and provide protection to target organs. The motivations that lead to the study of the acute post-exercise hypotensive effect (PEH) are directly related to the relevant clinical implications that help in the treatment and prevention of cardiovascular dysfunctions, with emphasis on AH [6]. It is already known the PEH effect in patients with severe AH [7,8], we have not yet described in the literature which training modalities may bring greater benefit for mild hypertensive patients

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Conclusion