Recommendations in Post-exercise Hypotension: Concerns, Best Practices and Interpretation

Abstract Post-exercise hypotension (PEH) is a clinically relevant phenomenon that has been widely investigated. However, the characteristics of study designs, such as familiarization to blood pressure measurements, duration of PEH assessments or strategies to analyze PEH present discrepancies across...

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Bibliographic Details
Published in:International journal of sports medicine 2019-08, Vol.40 (8), p.487-497
Main Authors: de Brito, Leandro Campos, Fecchio, Rafael Yokoyama, Peçanha, Tiago, Lima, Aluisio, Halliwill, John, Forjaz, Claudia Lucia de Moraes
Format: Article
Language:English
Subjects:
Blood pressure
Blood Pressure Determination - methods
Humans
Post-Exercise Hypotension - diagnosis
Posture
Research Design - standards
Review
Studies
Time Factors
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Summary:Abstract Post-exercise hypotension (PEH) is a clinically relevant phenomenon that has been widely investigated. However, the characteristics of study designs, such as familiarization to blood pressure measurements, duration of PEH assessments or strategies to analyze PEH present discrepancies across studies. Thus identifying key points to standardize across PEH studies is necessary to help researchers to build stronger study designs, to facilitate comparisons across studies, and to avoid misinterpretations of results. The goal of this narrative review of methods used in PEH studies was therefore to gather and find possible influencers in the characteristics of study design and strategies to analyze blood pressure. Data found in this review suggest that PEH studies should have at least two familiarization screening visits, and should assess blood pressure for at least 20 min, but preferably for 120 min, during recovery from exercise. Another important aspect is the strategy to analyze PEH, which may lead to different interpretations. This information should guide a priori study design decisions.
ISSN:0172-4622
1439-3964
DOI:10.1055/a-0938-4415