IMR Press / RCM / Volume 24 / Issue 2 / DOI: 10.31083/j.rcm2402060
Open Access Systematic Review
Acute Blood Pressure Response to Different Types of Isometric Exercise: A Systematic Review with Meta-Analysis
Show Less
1 Post-graduate Program in Physical Education, Federal University of Santa Catarina, 88040-001 Florianópolis (SC), Brazil
2 Sports Center, Federal University of Santa Catarina, 88040-001 Florianópolis (SC), Brazil
3 Post-graduate Program in Medicine, Universidade Nove de Julho, 01525-000 São Paulo (SP), Brazil
4 Post-graduate Program in Physical Education, Federal University of Pernambuco, 52171-900 Recife (PE), Brazil
5 Post-graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, 01525-000 São Paulo (SP), Brazil
*Correspondence: cleilson.nobre@gmail.com (Antonio Cleilson N. BANDEIRA)
These authors contributed equally.
Rev. Cardiovasc. Med. 2023, 24(2), 60; https://doi.org/10.31083/j.rcm2402060
Submitted: 14 October 2022 | Revised: 2 November 2022 | Accepted: 4 November 2022 | Published: 10 February 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: This study aimed to identify the blood pressure (BP) responses during different types of isometric exercises (IE) in adults and to evaluate whether BP responses according to IE is influenced by the characteristics of participants and exercise protocols. Methods: The search was conducted in PubMed, Cochrane Central, SPORTDiscus, and LILACS databases in June 2020. Random effects models with a 95% confidence interval and p < 0.05 were used in the analyses. Results: Initially, 3201 articles were found and, finally, 102 studies were included in this systematic review, seven of which were included in the meta-analysis comparing handgrip to other IE. Two-knee extension and deadlift promoted greater increases in systolic (+9.8 mmHg; p = 0.017; I2 = 74.5% and +26.8 mmHg; p 0.001; I2 = 0%, respectively) and diastolic (+7.9 mmHg; p = 0.022; I2 = 68.6% and +12.4 mmHg; p 0.001; I2 = 36.3%, respectively) BP compared to handgrip. Men, middle-aged/elderly adults, hypertensive individuals, and protocols with higher intensities potentiate the BP responses to handgrip exercise (p 0.001). Conclusions: IE involving larger muscle groups elicit greater BP responses than those involving smaller muscle masses, especially in men, middle-aged/elderly adults and hypertensive individuals. Future studies should directly compare BP responses during various types of IE in different populations.

Keywords
physical exercise
acute pressure response
cardiovascular safety
Figures
Fig. 1.
Share
Back to top