Issue №6-10, 2020
Original article
The Effects of Moderate and High-Intensity Interval Training in Cardiac Rehabilitation of Bodybuilders with Arterial Hypertension: a Randomized Controlled Trial
1 Miroshnikov A.B., 1 Formenov A.D., 1 Smolensky A.B.
1 Russian Statе Univеrsity of Physiсal Сulturе, Sports, Youth and Tourism, Mosсow, Russian Federation
ABSTRACT
Athletes of power sports, often appear to us as a model of a beautiful and healthy body, but the health of the cardiovascular system ofthese athletes has long falls under the gaze of cardiologists and sport physicians.Purposе of thе study. A comparative analysis of the influence of a uniform and high-intensity aerobic exercise on blood pressurelowering power sports athletes with hypertension.Rеsеarсh Mеthods. The study involved 83 representatives of power sports (bodybuilding) with arterial hypertension. The averageage of male athletes was 31.2 ± 4.5 years, and the body mass index was 32.4 ± 2.8 kg/m 2. To achieve this goal, the following methodswere used: examination, interrogation, triple measurement of blood pressure, ergospirometry and methods of mathematical statistics.Athletes were randomized into three groups: interval training group (n = 33), uniform training (n = 30) and control group (n = 20). For120 days (3 times a week), the athletes of the main groups performed various aerobic work programs, and the control group athletestrained according to their traditional strength protocol.Results. After 120 days of physical rehabilitation, a similar, significant decrease in systolic and diastolic blood pressure occurred in themain intervention groups. A decrease in blood pressure in the control group was not statistically significant.Conclusions. Despite the similar benefits in cardio-rehabilitation interval work required 38% less time, which can significantly affectadherence to a non-specific for this sport activity and screening of participant’s lengthy rehabilitation.
KEYWORDS: arterial hypertension, high-intensity interval training, bodybuilding, physiсal rеhabilitation
For citation: Miroshnikov A.B., Formenov A.D., Smolensky A.B. The Effects of Moderate and High-Intensity Interval Training in Cardiac Rehabilitation of Bodybuilders with Arterial Hypertension: a Randomized Controlled Trial. Bulletin of Rehabilitation Medicine. 2020; 6 (100): 108–113. https://doi.org/10.38025/2078-1962-2020-100-6-108-113
References:
- Aronov D. M., Ioseliani D. G., Bubnova M. G., Krasnickij V. B., Grinshtejn Ju. I., Guljaeva S. F., Efremushkin G. G., Ljamina N. P. Rezul’taty rossijskogo ran-domizirovannogo kontroliruemogo klinicheskogo issledovanija po ocenke klinicheskoj jeffektivnosti kompleksnoj godichnoj programmy reabilitacii s vkljucheniem fizicheskih trenirovok u trudosposobnyh bol’nyh, perenesshih ostryj infarkt miokarda na fone arterial’noj gipertonii [Results of a russian randomized controlled clinical trial evaluating the clinical effectiveness of a comprehensive annual rehabilitation program with the inclusion of physical training in able-bodied patients who underwent acute myocardial infarction in the presence of arterial hypertension]. Bulletin of Rehabilitation Medicine. 2017; 5 (81): 2-11 (In Russ.).
- Nambiar L., LeWinter M. M., VanBuren P. C., Dauerman H. L. Decade Long Temporal Trends in U. S. Hypertension Related Cardiovascular Mortality. Journal of the American College of Cardiology. 2020: 1-8. https://doi.org/10.1016/j.jacc.2020.03.009
- Davydov S. O., Stepanov A. V., Kuznik B. I., Guseva Е. S. Vlijanie kineziterapii na uroven’ adgezivnoj molekuly jam-a u bol’nyh gipertonicheskoj bolezn’ju [The effect of kinesitherapy on the level of the jam-a adhesive molecule in patients with hypertension]. Bulletin of Rehabilitation Medicine. 2017; 5 (81): 33-37 (In Russ.).
- Tarasevich A. F. Novye vozmozhnosti uvelichenija priverzhennosti pacientov k modifikacii obraza zhizni [New opportunities to increase patient commitment to lifestyle modification]. Bulletin of Rehabilitation Medicine. 2017; 1 (77): 63-71 (In Russ.).
- Bojcov S. A., Ivanova G. Е., Rogoza A. N., Gercik Ju. G., Gercik G.Ja. Analiz metodov i tehnicheskih reshenij dlja izmerenija arterial’nogo davlenija s primeneniem telemedicinskih tehnologij pri kardiologicheskih issledovanijah v processe medicinskoj reabilitacii [Analysis of methods and technical solutions for measuring blood pressure using telemedicine technologies in cardiology studies during medical rehabilitation]. Bulletin of Rehabilitation Medicine. 2018; 6 (88): 91-95 (In Russ.).
- Thakushinov R. A., Lysenkov S. P., Dautov Ju.Ju., Urakova T.Ju. Razgruzochno-dieticheskaja terapija v kompleksnom lechenii i profilaktike bol’nyh arterial’noj gipertoniej i ozhireniem [Unloading and dietary therapy in the complex treatment and prevention of patients with arterial hypertension and obesity]. Bulletin of Rehabilitation Medicine. 2017; 5 (81): 45-51 (In Russ.).
- Tso J., Kim J. H. Master Endurance Athletes and Cardiovascular Controversies. Current Sports Medicine Reports. 2020; 19 (3): 113-118. https://doi. org/10.1249/JSR.0000000000000695
- Stohr E. J., McDonnell B. J., Cockcroft J. R. Young athletes under pressure? Heart. 2019; 105 (16): 1217-1218. https://doi.org/10.1136/heartjnl-2019-315188
- Levine B. D., Baggish A. L., Kovacs R. J., Link M. S., Maron M. S., Mitchell J. H. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 1: Classification of Sports: Dynamic, Static, and Impact: A Scientific Statement From the American Heart Association and American College of Cardiology. Journal of the American College of Cardiology. 2015; 66 (21): 2350-2355. https://doi.org/10.1016/j. jacc.2015.09.033
- Hussain S. R., Macaluso A., Pearson S. J. High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in the Prevention/Management of Cardiovascular Disease. Cardiology in Review. 2016; 24 (6): 273-281. https://doi.org/10.1097/CRD.0000000000000124
- Thompson P. D., Arena R., Riebe D., Pescatello L. S. American College of Sports Medicine. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription, ninth edition. Current Sports Medicine Reports. 2013; 12 (4): 215-7. https://doi. org/10.1249/JSR.0b013e31829a68cf
- Su L., Fu J., Sun S., Zhao G., Cheng W., Dou C., Quan M. Effects of HIIT and MICT on cardiovascular risk factors in adults with overweight and/or obesity: A meta-analysis. PLoS One. 2019; 14 (1): e0210644. https://doi.org/10.1371/journal.pone.0210644
- Way K. L., Sultana R. N., Sabag A., Baker M. K., Johnson N. A. The effect of high Intensity interval training versus moderate intensity continuous training on arterial stiffness and 24h blood pressure responses: A systematic review and meta-analysis. Journal of Science and Medicine in Sport. 2019; 22 (4): 385-391. https://doi.org/10.1016/j.jsams.2018.09.228
- Pallares J. G., Moran-Navarro R., Ortega J. F., Fernandez-EKas V. E., Mora-Rodriguez R. Validity and Reliability of Ventilatory and Blood Lactate Thresholds in Well-Trained Cyclists. PLoS One. 2016; 11 (9): e0163389. https://doi.org/10.1371/journal.pone.0163389
- Pescatello L. S., Buchner D. M., Jakicic J. M., Powell K. E. et al. Physical Activity to Prevent and Treat Hypertension: A Systematic Review. Medicine & Science in Sports & Exercise. 2019; 51 (6):1314-1323. https://doi.org/10.1249/MSS.0000000000001943
- Martland R., Mondelli V., Gaughran F., Stubbs B. Can high-intensity interval training improve physical and mental health outcomes? A meta-review of 33 systematic reviews across the lifespan. Journal of Sports Sciences. 2020; 38 (4): 430-469. https://doi.org/10.1080/02640414.2019.1706829
- Costa E. C., Hay J. L., Kehler D. S., Boreskie K. F., Arora R. C., Umpierre D., Szwajcer A., Duhamel T. A. Effects of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training On Blood Pressure in Adults with Pre- to Established Hypertension: A Systematic Review and Meta-Analysis of Randomized Trials. Sports Medicine. 2018; 48 (9): 2127-2142. https://doi.org/10.1007/s40279-018-0944-y
- Way K. L., Sultana R. N., Sabag A., Baker M. K., Johnson N. A. The effect of high Intensity interval training versus moderate intensity continuous training on arterial stiffness and 24h blood pressure responses: A systematic review and meta-analysis. Journal of Science and Medicine in Sport. 2019; 22 (4): 385-391. https://doi.org/10.1016/j.jsams.2018.09.228
- Price K. J., Gordon B. A., Bird S. R., Benson A. C. Acute cardiovascular responses to interval exercise: A systematic review and meta-analysis. Journal of Sports Sciences. 2020: 1-15. https://doi.org/10.1080/02640414.2020.1737395
- Smart N. A., Way D., Carlson D., Millar P., McGowan C., Swaine I., Baross A., Howden R., Ritti-Dias R., Wiles J., Cornelissen V., Gordon B., Taylor R., Bleile B. Effects of isometric resistance training on resting blood pressure: individual participant data meta-analysis. Journal of Hypertension. 2019; 37 (10): 19271938. https://doi.org/10.1097/HJH.0000000000002105
- Chazova I. E., Zhernakova Ju. V. Diagnostika i lechenie arterial’noj gipertonii. Klinicheskie rekomendacii. [Diagnosis and treatment of arterial hypertension. Clinical guidelines] Sistemnye gipertenzii. 2019; 16 (1): 6-31. https://doi.org/10.26442/2075082X.2019.1.190179 (In Russ.)
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.