Post-exercise hypotension phenomenon in elderly after aerobic exercise

Agha Bhargah, Made Muliarta, I Putu Yuda Prabawa, Ida Bagus Amertha Putra Manuaba, Varennia Bhargah


Post-exercise hypotension (PEH) which means the occurrence of changes in blood pressure after a physical exercise to a lower blood pressure level after the start of physical exercise. The incidence of PEH can be concluded as a benefit when viewed regarding people who experience a state of hypertension, but if in people with normal blood pressure circumstances can cause the risk of a state of hypotension. The purpose of this study was to determine the magnitude of the decrease in post-exercise hypotension in elderly. Study model using a quasi-experimental model with pre-test and post-test group design involving 28 elderly as a research subject. Aerobic exercise in this study was performed through a healthy heart gymnastics exercise with a duration of 45 minutes. Blood pressure measurements were performed before exercise (baseline value), immediately after exercise, 15 minutes, 30 minutes, 45 minutes, and 60 minutes after exercise was done. Statistical analysis using normality and homogeneity test, ANOVA test, and paired sample t-test to compare differences in blood pressure parameter between period of measurement. There are differences in systolic, diastolic, and Mean Arterial Pressure (MAP) blood pressure between time measurements (p<0.001). The systolic blood pressure was significantly lower at 60 minutes post exercise (121.96±1.43 mmHg) compared with baseline (141.35 ± 8.76) (p<0.001). Diastolic blood pressure was significantly lower at 60 minutes post exercise (121.96 ±1.43 mmHg) compared with baseline (91.75 ± 1.48) (p<0.001). MAP was significantly lower at 60 minutes post exercise (93.89 ± 1.15 mmHg) compared with baseline (108.39±1.34) (p<0.001). Aerobic exercise through a healthy heart gymnastics session on elderly provides a post-exercise hypotension phenomenon. The lowest reduction of blood pressure was found at 60 minutes after aerobic exercise.

Keywords: Systolic, Blood Pressure, Hypotension, Diastolic.

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Gerage AM, Dias RPM, Nascimento MA, Pina FLC, Gonsalves CGS, Sardinha LB, et al. Chronic resistance training does not affect post-exercise blood pressure in normotensive older women: a randomized controlled trial. AGE Springer;37(2):1-10.

Carvalho RST, Pires CMR, junquierra GC, Frietas D, Marchi-Alves LM. Hypotensive response magnitude and Duration in hypertensives: continuous and interval exercise. Arq Bras Cardiol. 2015;104(3):234-241.

Graham MJ, Lucas SJE, Francois ME, Stavrianeas S, Parr EB, Thomas KN, et al. low volume intense exercise elicits post-exercise hypotension and subsequent hypervolemia, irrespective of which limbs are exercised. Frontiers in Physiology. 2016;7(100):1-11.

Guidry MA, Blanchard BE, Thompson PD, Maresh CM, Seip RL, Taylor AL, et al. The influence of short and long duration on the blood pressure response to an acute bout of dynamic exercise. Am Heart J. 2006;151(6):1322. e5-12

Sales MM, Sousa CV, Sampaio WB, Enrnesto C, Browne RA, Nova JFV, Santos DM, et al. Contact karate promotes post-exercise hypotension in young adult males. Asian J Sports Med. 2016;7(3):1-7.

Rogan A, McGregor G, Weston C, Khrisnan N, Higgins R, Zehnden D, et al. Exaggerated blood pressure response to dynamic exercise despite chronic refractory hypotension: result of a human case study. BMC Nephrology. 2015. 16(2):1-5.

Kenney MJ, Seals DR. Postexercise hypotension brief review. Hypertension. 1993;22(5):653-664.

Casonatto J, Polito MD. Post-exercise hypotension: a systematic review. Rev Bras Med Esporte. 2009;15(2):151–157.

Halliwill JR. Mechanisms and clinical implications of post-exercise hypotension in humans. Exerc Sports Sci Rev. 2001;29(2):65–70.

Calvante PAM, Rica RL, Evangelista AL, Serra AJ, Figuerra AJ, Pontes FJ, et al. Effect of exercise intensity on postexercise hypotension after resistance training session in overweight hypertensive patient. Clinical Intervention in Aging; 2015;10(3):487-495.

Moriggi JR, Mauro HS, Matos JM, Urtado MB, Camarco NF, Sousa NI, Mascimento DC, et al. Similar hypotensive response to resistance exercise with and without blood flow restriction. Biol. Sport. 2015;32(2):289-294.

MacDonald JR. Potential causes, mechanisms, and implications of postexercise hypotension. J Hum Hypertens. 2002;16(4):225–236.


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