Acute resistance exercise with blood flow restriction in elderly hypertensive women: haemodynamic, rating of perceived exertion and blood lactate

• Published in: Clinical physiology and functional imaging Vol. 38; no. 1; pp. 17 - 24
• Main Authors: Pinto, Roberta R., Karabulut, Murat, Poton, Roberto, Polito, Marcos D.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.01.2018
• Subjects: Age Factors; Aged; Aging - blood; Biomarkers - blood; Blood flow; Blood pressure; Cardiac output; cardiovascular system; Cross-Over Studies; Female; Flow resistance; Geriatrics; haemodynamic; Heart diseases; Heart rate; Hemodynamics; Humans; Hypertension; Hypertension - blood; Hypertension - diagnosis; Hypertension - physiopathology; Hypertension - therapy; Intervals; Ischemia; Knee; Lactic acid; Lactic Acid - blood; muscle strength; Older people; Perception; Physical training; Regional Blood Flow; resistance training; Resistance Training - adverse effects; Resistance Training - methods; Sex Factors; Statistical analysis; Strength training; Stroke volume; Thigh - blood supply; Time Factors; Treatment Outcome; muscle strength; cardiovascular system; resistance training; hypertension; haemodynamic
• ISSN: 1475-0961; 1475-097X
• DOI: 10.1111/cpf.12376

Summary Purpose This study aimed to compare haemodynamic, rating of perceived exertion and blood lactate responses during resistance exercise with blood flow restriction (BFR) compared with traditional high‐intensity resistance exercise in hypertensive older women. Methods Eighteen hypertensive women (age = 67·0 ± 1·7 years.) undertook three random sessions: (i) three sets; 10 repetitions; 20% of one repetition maximum (1RM) with BFR; (ii) three sets; 10 repetitions; 65% of 1RM; without BFR; and (iii) no‐exercise with BFR. The exercise sessions were performed on knee extension equipment. Results Systolic (SBP) and diastolic blood pressure (DBP), heart rate (HR), stroke volume (SV) and cardiac output (CO) were significantly higher (P<0·05) in all sets of exercise sessions than the control. No statistically significant differences were detected between exercise sessions. However, SBP, DBP and systemic vascular resistance were higher (P<0·05) and SV and CO were lower (P<0·05) during the rest intervals in the session with BFR. The perceived exertion was significantly higher (P<0·01) in the 1st (4·8 ± 0·4 versus 3·1 ± 0·3), 2nd (7·3 ± 0·4 versus 5·7 ± 0·4) and 3rd sets (8·6 ± 0·5 versus 7·5 ± 0·4) of the traditional high‐intensity resistance exercise compared with the exercise with BFR. Blood lactate was higher (P<0·05) in the traditional high‐intensity resistance exercise (6·2 ± 0·7 mmol) than in the exercise with BFR (4·5 ± 0·4 mmol). Conclusion In comparison with high‐intensity resistance exercise, low‐intensity resistance exercise with BFR can elicit: (i) same haemodynamic values during exercise; (ii) lower rating of perceived exertion; (iii) lower blood lactate; (iv) higher haemodynamic demand during the rest intervals.