Effect of exercise on blood pressure in older persons - A randomized controlled trial
ABSTRACT Because of age-related differences in the cause of hypertension, it is uncertain whether current exercise guidelines for reducing blood pressure (BP) are applicable to older persons. Few exercise studies in older persons have evaluated BP changes in relation to changes in body composition or fitness.
This was a 6-month randomized controlled trial of combined aerobic and resistance training; controls followed usual care physical activity and diet advice. Participants (aged 55-75 years) had untreated systolic BP (SBP) of 130 to 159 mm Hg or diastolic BP (DBP) of 85 to 99 mm Hg.
Fifty-one exercisers and 53 controls completed the trial. Exercisers significantly improved aerobic and strength fitness, increased lean mass, and reduced general and abdominal obesity. Mean decreases in SBP and DBP, respectively, were 5.3 and 3.7 mm Hg among exercisers and 4.5 and 1.5 mm Hg among controls (P < .001 for all). There were no significant group differences in mean SBP change from baseline (-0.8 mm Hg; P=.67). The mean DBP reduction was greater among exercisers (-2.2 mm Hg; P=.02). Aortic stiffness, indexed by aortofemoral pulse-wave velocity, was unchanged in both groups. Body composition improvements explained 8% of the SBP reduction (P = .006) and 17% of the DBP reduction (P<.001).
A 6-month program of aerobic and resistance training lowered DBP but not SBP in older adults with mild hypertension more than in controls. The concomitant lack of improvement in aortic stiffness in exercisers suggests that older persons may be resistant to exercise-induced reductions in SBP. Body composition improvements were associated with BP reductions and may be a pathway by which exercise training improves cardiovascular health in older men and women.
Full-textDOI: · Available from: Pamela Ouyang, Mar 23, 2015
SourceAvailable from: Ramin Shabani10/2014; 18(5):74-78. DOI:10.15561/20755279.2014.0514
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ABSTRACT: Effects of sport facility services of program attractiveness, socializing opportunities customer loyalty, and the sportscape on frequency of participation at three different types of sport facilities; special purpose – health and fitness centers, single-purpose – tennis, golf or swim pool amenities, and multi-use – gymnasia were examined. The purpose of the study was to identify differences between, and effects on, participation at different types of participant sport facilities due to service quality. Data were collected on a sample of 1199 participants from a mid-sized east coast Australian city. Linear restrictions testing determined that the three sport facility types were significantly different in the ways in which the constructs affect repeat participation. The sportscape has the most impact on participation frequency at fitness facilities, and minimal impact on participation at multi-sport facilities. Implications for retaining customers at each facility type are discussed.Sport Management Review 11/2012; 15(4):485-499. DOI:10.1016/j.smr.2012.03.006
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ABSTRACT: The aim of the paper was to evaluate changes in muscle force-velocity parameters (F-v) in elderly women subjected to physical exercise. The examinations encompassed 20 women, aged 62–71, who were students at the University of the Third Age in Wrocław. The evaluation of flexors and extensors of the knee joint, as well as flexors and extensors of the spine within the lumbar part, was performed under isokinetic conditions. The assessment was conducted three times: first, a preliminary evaluation; second, after four months of rehabilitation, which included march training and systemic exercises; third, was performed after another 12 months, during which the patients were subjected to various forms of individually selected physical activity. The examinations of muscles affecting the knee joint revealed that the results achieved in the second measurement, performed with load of 60°/s, revealed higher values than in the first examination and were similar or higher in the third examination. With a load of 180°/s, values achieved in the second measurement were higher than results from the first measurement and were mostly lower than registered in the measurement.Educational Gerontology 12/2012; 38(12):867-876. DOI:10.1080/03601277.2012.660849 · 0.39 Impact Factor