Abstract

Aim. – Heavy resistive training is associated with a markedly increase of blood pressure. This review aims to evaluate the mechanism of the blood pressure rise and its consequences. Current. – Resistance training include the use of both concentric and eccentric muscle actions and the performance of both single- and multiple-joint exercises. During heavy exercise, blood pressure increases significantly. Pressure response is related to the size of the muscular mass and strength, the number of recruited motor units, the type of contractions, the number of repetitions, the joint angle, the Valsalva maneuver. Blood pressure rise is reflexly elicited by a central control mechanism. Regular practice induce a modest blood pressure lowering effect, at rest, similar in dynamic exercise. Resistance training exerts favorable effects on cardiovascular function, muscle strength, bone and metabolism. Conclusion. – The safety of resistance exercise in healthy persons and men with low-risk cardiovascular disease is well established. Proper preliminary screening and close monitoring are important. Detailed participation criteria and prescriptive guidelines has been provided by the AHA and endorsed by the ACSM in 2000.

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