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Cardiac Behavior and Heart Rate Variability in Elderly Hypertensive Individuals during Aerobic Exercise: A Non-Randomized Controlled Study

Author

Listed:
  • Paulo Evaristo de Andrade

    (Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, São Paulo 09060-590, Brazil)

  • Juliana Zangirolami-Raimundo

    (Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, São Paulo 09060-590, Brazil
    Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 05508-060, Brazil)

  • Tassiane Cristina Morais

    (Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM), Vitoria 29045-402, Brazil)

  • Luiz Carlos De Abreu

    (Departamento de Educação Integrada em Saúde, Universidade Federal do Espírito Santo (UFES), Vitória 29040-090, Brazil)

  • Carlos Eduardo Siqueira

    (Department of Urban Planning and Community Development, School for the Environment, University of Massachusetts Boston, Boston, MA 02125, USA)

  • Isabel Cristina Esposito Sorpreso

    (Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 05508-060, Brazil)

  • José Maria Soares Júnior

    (Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 05508-060, Brazil)

  • Rodrigo Daminello Raimundo

    (Laboratório de Delineamento de Estudos e Escrita Científica, Centro Universitário FMABC, São Paulo 09060-590, Brazil
    Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo 05508-060, Brazil)

Abstract

Background: High blood pressure is an important public health problem due to its high prevalence, the difficulty to control it, and its high contribution to morbidity. A series of changes may be linked to the aging process, compromising cardiac conduction, and reducing cardiovascular baroreceptor function. Advancing age promotes a decline in heart rate variability and this decrease can increase the probability of cardiovascular disease. The aim of this study was to analyze the autonomic modulation of heart rate in hypertensive elderly individuals during and after a session of aerobic exercise, and to compare it with elderly individuals without cardiovascular or metabolic disease. Our study was a non-randomized controlled study with hypertensive elderly (HBP group) and elderly without cardiovascular and/or metabolic diseases (control group). Data on blood pressure and heart rate variability (HRV) were collected before, during, and after 30 min of aerobic physical exercise on a treadmill. There was a reduction in HF (ms 2 ) and SD1 (ms) in the 5 min of recovery for the elderly in the control group. The elderly in the control group also had greater RMSSD and SD1 30 min post-exercise when compared to the initial mins of recovery. We concluded that there was no difference in autonomic modulation and global heart rate variability between elderly individuals without cardiovascular and metabolic diseases and hypertensive individuals after a bout of aerobic exercise. Elderly individuals without metabolic diseases showed a decrease in parasympathetic modulation and global variability between the time of rest and 5 min of recovery. However, up to 30 min of post-exercise recovery, they restored parasympathetic activity.

Suggested Citation

  • Paulo Evaristo de Andrade & Juliana Zangirolami-Raimundo & Tassiane Cristina Morais & Luiz Carlos De Abreu & Carlos Eduardo Siqueira & Isabel Cristina Esposito Sorpreso & José Maria Soares Júnior & Ro, 2023. "Cardiac Behavior and Heart Rate Variability in Elderly Hypertensive Individuals during Aerobic Exercise: A Non-Randomized Controlled Study," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1292-:d:1031683
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    References listed on IDEAS

    as
    1. Rodrigo Daminello Raimundo & Juliana Zangirolami-Raimundo & Claudio Leone & Tatiana Dias de Carvalho & Talita Dias da Silva & Italla Maria Pinheiro Bezerra & Alvaro Dantas de Almeida & Vitor Engracia , 2021. "The Use of Cardiac Autonomic Responses to Aerobic Exercise in Elderly Stroke Patients: Functional Rehabilitation as a Public Health Policy," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
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