Coexistence of diabetes does not influence post-exercise hypotension in individuals with hypertension
DOI:
https://doi.org/10.15448/1983-652X.2018.4.30723Keywords:
hypertension, type 2 diabetes mellitus, physical exercise, post-exercise hypotension.Abstract
Introduction: Hypertension and type 2 diabetes mellitus are diseases that frequently coexist. Post-exercise hypotension is well documented in individuals with hypertension, but it is not certain whether it also occurs in the coexistence of type 2 diabetes mellitus.
Objectives: To investigate whether the coexistence of type 2 diabetes mellitus influences the hypotensive effect after aerobic exercise in individuals with hypertension.
Materials and Methods: Thirty-three individuals were divided into two groups: Hypertension group (n=17) and Hypertension+type 2 diabetes mellitus group (n=16). Both groups performed exercise and control sessions. The exercise protocol consisted of 10 minutes of warm-up, 40 minutes of moderate aerobic exercise on a cycle ergometer and 10 minutes of stretching. Blood pressure, heart rate and double product were evaluated in pre- and post-exercise (until seven hours later). Statistical analysis was performed by independent t test and repeated measures ANOVA followed by Tukey’s post hoc test.
Results: Both groups had a reduction (p<0.05) in hemodynamic parameters after exercise, lasting up to four hours. In the Hypertension group, we observed a decrease in values of systolic blood pressure (up to -11 mmHg), diastolic blood pressure (up to -7 mmHg), heart rate (up to -5 bpm) and double product (up to -1240 bpm.mmHg). In the Hypertension+type 2 diabetes mellitus group, we observed reduction of systolic blood pressure (up to -9 mmHg), heart rate (up to -5 bpm) and double product (up to -1206 bpm.mmHg).
Conclusion: The moderate aerobic exercise promoted reduction of hemodynamic parameters in individuals with isolated hypertension and hypertension plus type 2 diabetes mellitus. However, we verified that the magnitude of post-exercise hypotension was not altered with the coexistence of type 2 diabetes mellitus.
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