The often-prescribed regimen of aerobic exercise for hypertensive older adults (HTN) does little to improve overall physical fitness other than cardiorespiratory endurance. However, well-rounded (aerobic, resistance, and flexibility) exercise training is not yet commonly prescribed for HTN. The purpose of this study was to determine the effects of well-rounded exercise training on overall physical fitness in a group of Japanese older adults with grade 1 or grade 2 hypertension. Twenty-three volunteers were divided into a training group (TR: 6 men and 7 women, 69 ± 3 yr) and a control group (CN: 4 men and 6 women, 69 ± 5 yr). The TR participated in 12 wk of supervised well-rounded exercise consisting of 15 min of warm-up, 30 min of combined aerobic and hydraulic resistance exercise, and 15 min of cool-down. The CN continued their normal daily physical activity. During the 12-wk period, there were no incidences of physical injury, cardiovascular complications, or attrition in either group. After 12 wk of training, the TR demonstrated increases in grip strength (6.1%, p = 0.04), side stepping agility (13%, p = 0.0002), standing trunk flexion (76%, p = 0.03), prone truk extension (18%, p = 0.04), eyes closed standing on one foot balance (41%, p = 0.04), forced vital capacity (8%, p = 0.04), oxygen uptake at lactate threshold (LT) (12%, p = 0.001), and HR at LT (13 bpm, p = 0.005). Decreases were observed in resting systolic BP (14 mmHg, p = 0.02), total cholesterol (19 mg/dl, p = 0.06), and in low density lipoprotein (20 mg/dl, p = 0.03). Muscular strength (measured by an Omnitron hydraulic-resistance machine) was increased in the TR at dial setting 2 (low intensity) for shoulder press (21%, p = 0.002), chest press (8%, p = 0.05), and lumber flexion (39%, p = 0.07); at dial setting 5 (moderate intensity) for shoulder pull (22%, p = 0.005), chest press (12%, p = 0.05), lumber extension (18%, p = 0.05), and lumber flexion (27%, p = 0.02). In the CN, no significant changes were observed in any of the measured variables after the 12-week period. These results indicate that well-rounded exercise training may be a suitable measure for the management of hypertension in HTN, and the derived improvement of overall physical fitness from well-rounded exercise training will likely enhance their ability to perform the activities of daily living and reduce their risk of suffering a fall, thus improving their overall quality of life.
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