Potential Mechanisms Behind the Blood Pressure–Lowering Effect of Dynamic Resistance Training

Purpose of Review To elucidate the hemodynamic, autonomic, vascular, hormonal, and local mechanisms involved in the blood pressure (BP)–lowering effect of dynamic resistance training (DRT) in prehypertensive and hypertensive populations. Recent Findings The systematic search identified 16 studies in...

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Published in:Current hypertension reports 2021-06, Vol.23 (6), p.35-35, Article 35
Main Authors: Fecchio, Rafael Y., Brito, Leandro C., Peçanha, Tiago, de Moraes Forjaz, Cláudia Lúcia
Format: Article
Language:English
Subjects:
Blood pressure
Cardiology
Family Medicine
General Practice
Hypertension
Internal Medicine
Mechanisms of Hypertension and Target-Organ Damage (JE Hall and ME Hall
Medicine
Medicine & Public Health
Metabolic Diseases
Nephrology
Primary Care Medicine
Section Editors
Strength training
Topical Collection on Mechanisms of Hypertension and Target-Organ Damage
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Summary:Purpose of Review To elucidate the hemodynamic, autonomic, vascular, hormonal, and local mechanisms involved in the blood pressure (BP)–lowering effect of dynamic resistance training (DRT) in prehypertensive and hypertensive populations. Recent Findings The systematic search identified 16 studies involving 17 experimental groups that assessed the DRT effects on BP mechanisms in prehypertensive and/or hypertensive populations. These studies mainly enrolled women and middle-aged/older individuals. Vascular effects of DRT were consistently reported, with vascular conductance, flow-mediated dilation, and vasodilatory capacity increases found in all studies. On the other hand, evidence regarding the effects of DRT on systemic hemodynamics, autonomic regulation, hormones, and vasoactive substances are still scarce and controversial, not allowing for any conclusion. Summary The current literature synthesis shows that DRT may promote vascular adaptations, improving vascular conductance and endothelial function, which may have a role in the BP-lowering effect of this type of training in prehypertensive and hypertensive individuals. More studies are needed to explore the role of other mechanisms in the BP-lowering effect of DRT.
ISSN:1522-6417
1534-3111
DOI:10.1007/s11906-021-01154-5