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J Am Soc Hypertens. 2018 Dec;12(12):e59-e64. doi: 10.1016/j.jash.2018.10.006. Epub 2018 Oct 24.

Postexercise hypotension as a clinical tool: a "single brick" in the wall.

Journal of the American Society of Hypertension : JASH

Leandro C Brito, Rafael Y Fecchio, Tiago Peçanha, Aluisio Andrade-Lima, John R Halliwill, Claudia L M Forjaz

Affiliations

  1. Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil. Electronic address: [email protected].
  2. Exercise Hemodynamic Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.
  3. Applied Physiology and Nutrition Research Group, Laboratory of Assessment and Conditioning in Rheumatology, Clinical Hospital HCFMUSP, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
  4. Department of Human Physiology, University of Oregon, Eugene, OR, USA.

PMID: 30425018 DOI: 10.1016/j.jash.2018.10.006

Abstract

After an exercise session, a reduction of blood pressure (BP) is expected, a phenomenon called postexercise hypotension (PEH). PEH as a predictor of chronic training responses for BP has been broadly explored. It suggests that when PEH occurs after each exercise sessions, its benefits may summate over time, contributing to the chronic adaptation. Thus, PEH is an important clinical tool, acting as a "single brick" in the wall, and building the chronic effect of decreasing BP. However, there is large variation in the literature regarding methodology and results, creating barriers for understanding comparisons among PEH studies. Thus, the differences among subjects' and exercise protocols' characteristics observed in the studies investigating PEH must be considered when readers interpret the results. Furthermore, understanding of these factors of influence might be useful for avoiding misinterpretations in future comparisons and how the subjacent mechanisms contribute to the BP reduction after exercise.

Copyright © 2018 American Heart Association. Published by Elsevier Inc. All rights reserved.

Keywords: Aerobic exercise; blood pressure; cardiovascular; resistance exercise

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