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Post-Exercise Hypotension

MedGen UID:
424684
•Concept ID:
C2936233
•
Finding
Synonyms: Hypotension, Post Exercise; Hypotension, Post-Exercise; Hypotension, Postexercise; Hypotensions, Post Exercise; Hypotensions, Post-Exercise; Hypotensions, Postexercise; Post Exercise Hypotension; Post Exercise Hypotensions; Post-Exercise Hypotensions; Postexercise Hypotension; Postexercise Hypotensions

Definition

Transient reduction in blood pressure levels immediately after exercises that lasts 2-12 hours. The reduction varies but is typically 5-20 mm Hg when compared to pre-exercise levels. It exists both in normotensive and hypertensive individuals and may play a role in excercise related PHYSIOLOGIC ADAPTATION. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPost-Exercise Hypotension

Professional guidelines

PubMed

Recommendations in Post-exercise Hypotension: Concerns, Best Practices and Interpretation.
de Brito LC, Fecchio RY, Peçanha T, Lima A, Halliwill J, Forjaz CLM
Int J Sports Med 2019 Aug;40(8):487-497. Epub 2019 Jul 9 doi: 10.1055/a-0938-4415. PMID: 31288287

Recent clinical studies

Etiology

Histamine, mast cell tryptase and post-exercise hypotension in healthy and collapsed marathon runners.
Parsons IT, Stacey MJ, Faconti L, Hill N, O'Hara J, Walter E, Farukh B, McNally R, Sharp H, Patten A, Grimaldi R, Gall N, Chowienczyk P, Woods DR
Eur J Appl Physiol 2021 May;121(5):1451-1459. Epub 2021 Feb 24 doi: 10.1007/s00421-021-04645-0. PMID: 33629149Free PMC Article
Exercise and Hypertension.
Alpsoy Ş
Adv Exp Med Biol 2020;1228:153-167. doi: 10.1007/978-981-15-1792-1_10. PMID: 32342456
The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives.
Júnior FA, Gomes SG, da Silva FF, Souza PM, Oliveira EC, Coelho DB, Nascimento-Neto RM, Lima W, Becker LK
Cardiovasc J Afr 2020 May/Jun 23;31(3):116-122. Epub 2019 Oct 25 doi: 10.5830/CVJA-2019-051. PMID: 31651927Free PMC Article
Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial.
Nascimento LS, Santos AC, Lucena J, Silva L, Almeida A, Brasileiro-Santos MS
Trials 2017 Jun 2;18(1):250. doi: 10.1186/s13063-017-1985-5. PMID: 28578691Free PMC Article
Acute Effects of Exercise on Blood Pressure: A Meta-Analytic Investigation.
Carpio-Rivera E, Moncada-Jiménez J, Salazar-Rojas W, Solera-Herrera A
Arq Bras Cardiol 2016 May;106(5):422-33. Epub 2016 May 6 doi: 10.5935/abc.20160064. PMID: 27168471Free PMC Article

Diagnosis

Consistency of hemodynamic and autonomic mechanisms underlying post-exercise hypotension.
Fecchio RY, Brito LC, Peçanha T, Forjaz CLM
J Hum Hypertens 2021 Nov;35(11):1003-1011. Epub 2020 Dec 1 doi: 10.1038/s41371-020-00452-w. PMID: 33262435
The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives.
Júnior FA, Gomes SG, da Silva FF, Souza PM, Oliveira EC, Coelho DB, Nascimento-Neto RM, Lima W, Becker LK
Cardiovasc J Afr 2020 May/Jun 23;31(3):116-122. Epub 2019 Oct 25 doi: 10.5830/CVJA-2019-051. PMID: 31651927Free PMC Article
Recommendations in Post-exercise Hypotension: Concerns, Best Practices and Interpretation.
de Brito LC, Fecchio RY, Peçanha T, Lima A, Halliwill J, Forjaz CLM
Int J Sports Med 2019 Aug;40(8):487-497. Epub 2019 Jul 9 doi: 10.1055/a-0938-4415. PMID: 31288287
Reproducibility (Reliability and Agreement) of Post-exercise Hypotension.
Fecchio RY, Chehuen M, Brito LC, Peçanha T, Queiroz ACC, de Moraes Forjaz CL
Int J Sports Med 2017 Nov;38(13):1029-1034. Epub 2017 Sep 18 doi: 10.1055/s-0043-118009. PMID: 28922683
Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial.
Nascimento LS, Santos AC, Lucena J, Silva L, Almeida A, Brasileiro-Santos MS
Trials 2017 Jun 2;18(1):250. doi: 10.1186/s13063-017-1985-5. PMID: 28578691Free PMC Article

Therapy

Optimizing sprint interval exercise for post-exercise hypotension: A randomized crossover trial.
Ketelhut S, Möhle M, Gürlich T, Hottenrott L, Hottenrott K
Eur J Sport Sci 2023 Apr;23(4):571-579. Epub 2022 Mar 13 doi: 10.1080/17461391.2022.2046860. PMID: 35200094
Consistency of hemodynamic and autonomic mechanisms underlying post-exercise hypotension.
Fecchio RY, Brito LC, Peçanha T, Forjaz CLM
J Hum Hypertens 2021 Nov;35(11):1003-1011. Epub 2020 Dec 1 doi: 10.1038/s41371-020-00452-w. PMID: 33262435
Hydration Does Not Change Postexercise Hypotension and Its Mechanisms.
Lobo FS, Queiroz ACC, Silva Junior ND, Medina FL, Costa LAR, Tinucci T, Forjaz CLM
J Phys Act Health 2020 May 1;17(5):533-539. doi: 10.1123/jpah.2019-0476. [Epub ahead of print] PMID: 32294620
The effects of aquatic and land exercise on resting blood pressure and post-exercise hypotension response in elderly hypertensives.
Júnior FA, Gomes SG, da Silva FF, Souza PM, Oliveira EC, Coelho DB, Nascimento-Neto RM, Lima W, Becker LK
Cardiovasc J Afr 2020 May/Jun 23;31(3):116-122. Epub 2019 Oct 25 doi: 10.5830/CVJA-2019-051. PMID: 31651927Free PMC Article
Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial.
Nascimento LS, Santos AC, Lucena J, Silva L, Almeida A, Brasileiro-Santos MS
Trials 2017 Jun 2;18(1):250. doi: 10.1186/s13063-017-1985-5. PMID: 28578691Free PMC Article

Prognosis

Central and peripheral mechanisms underlying postexercise hypotension: a scoping review.
Brasil IA, Silva JCPL, Pescatello LS, Farinatti P
J Hypertens 2024 May 1;42(5):751-763. Epub 2024 Feb 26 doi: 10.1097/HJH.0000000000003702. PMID: 38525904
Can blood pressure decrease after maximal exercise test predict the blood pressure lowering effect of aerobic training in treated hypertensive men?
Azevêdo LM, Brito LC, Peçanha T, Fecchio RY, Rezende RA, da Silva GV, Pio-Abreu A, Mion Junior D, Halliwill JR, Forjaz CLM
J Hum Hypertens 2023 Dec;37(12):1070-1075. Epub 2023 Aug 16 doi: 10.1038/s41371-023-00853-7. PMID: 37587259
Post-exercise hypotension time-course is influenced by exercise intensity: a randomised trial comparing moderate-intensity, high-intensity, and sprint exercise.
Jones MD, Munir M, Wilkonski A, Ng K, Beynon G, Keech A
J Hum Hypertens 2021 Sep;35(9):776-784. Epub 2020 Sep 26 doi: 10.1038/s41371-020-00421-3. PMID: 32980866
Greater autonomic modulation during post-exercise hypotension following high-intensity interval exercise in endurance-trained men and women.
Cote AT, Bredin SS, Phillips AA, Koehle MS, Warburton DE
Eur J Appl Physiol 2015 Jan;115(1):81-9. Epub 2014 Sep 11 doi: 10.1007/s00421-014-2996-5. PMID: 25208772
Syncope is unrelated to supine and postural hypotension following prolonged exercise.
Murrell CJ, Cotter JD, George K, Shave R, Wilson L, Thomas K, Williams MJ, Ainslie PN
Eur J Appl Physiol 2011 Mar;111(3):469-76. Epub 2010 Oct 1 doi: 10.1007/s00421-010-1671-8. PMID: 20886226

Clinical prediction guides

Post-Exercise Hypotension and Reduced Cardiac Baroreflex after Half-Marathon Run: In Men, but Not in Women.
Mourot L, Fornasiero A, Rakobowchuk M, Isacco L, Brighenti A, Stella F, Zignoli A, Pellegrini B, Tarperi C, Schena F
Int J Environ Res Public Health 2020 Aug 31;17(17) doi: 10.3390/ijerph17176337. PMID: 32878130Free PMC Article
Hydration Does Not Change Postexercise Hypotension and Its Mechanisms.
Lobo FS, Queiroz ACC, Silva Junior ND, Medina FL, Costa LAR, Tinucci T, Forjaz CLM
J Phys Act Health 2020 May 1;17(5):533-539. doi: 10.1123/jpah.2019-0476. [Epub ahead of print] PMID: 32294620
Differential Post-Exercise Blood Pressure Responses between Blacks and Caucasians.
Yan H, Behun MA, Cook MD, Ranadive SM, Lane-Cordova AD, Kappus RM, Woods JA, Wilund KR, Baynard T, Halliwill JR, Fernhall B
PLoS One 2016;11(4):e0153445. Epub 2016 Apr 13 doi: 10.1371/journal.pone.0153445. PMID: 27074034Free PMC Article
Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension.
Brito LC, Queiroz AC, Forjaz CL
Braz J Med Biol Res 2014 Aug;47(8):626-36. doi: 10.1590/1414-431x20143832. PMID: 25098713Free PMC Article
A review on post-exercise hypotension in hypertensive individuals.
Gomes Anunciação P, Doederlein Polito M
Arq Bras Cardiol 2011 May;96(5):e100-109. Epub 2011 Mar 4 PMID: 21359479

Recent systematic reviews

Effects of dietary inorganic nitrate on blood pressure during and post-exercise recovery: A systematic review and meta-analysis of randomized placebo-controlled trials.
Benjamim CJR, Lopes da Silva LS, Valenti VE, Gonçalves LS, Porto AA, Tasinafo Júnior MF, Walhin JP, Garner DM, Gualano B, Bueno Júnior CR
Free Radic Biol Med 2024 Mar;215:25-36. Epub 2024 Feb 23 doi: 10.1016/j.freeradbiomed.2024.02.011. PMID: 38403254
Effect of exercise modalities on postexercise hypotension in pre- and postmenopausal women: a systematic review and meta-analysis.
Le Bourvellec M, Delpech N, Hervo J, Bosquet L, Enea C
J Appl Physiol (1985) 2024 Apr 1;136(4):864-876. Epub 2024 Feb 8 doi: 10.1152/japplphysiol.00684.2023. PMID: 38328822
Can postexercise hypotension also be observed in African and Asian populations: a systematic review and meta-analysis of randomized controlled trials.
Bersaoui M, Bisai A, Baldew SM, Toelsie J, Goessler K, Cornelissen VA
J Hum Hypertens 2023 Dec;37(12):1076-1085. Epub 2023 Jul 19 doi: 10.1038/s41371-023-00844-8. PMID: 37468543
Postexercise hypotension due to resistance exercise is not mediated by autonomic control: A systematic review and meta-analysis.
Farinatti P, Polito MD, Massaferri R, Monteiro WD, Vasconcelos D, Johnson BT, Pescatello LS
Auton Neurosci 2021 Sep;234:102825. Epub 2021 May 27 doi: 10.1016/j.autneu.2021.102825. PMID: 34118764
Blood pressure response between resistance exercise with and without blood flow restriction: A systematic review and meta-analysis.
Domingos E, Polito MD
Life Sci 2018 Sep 15;209:122-131. Epub 2018 Aug 4 doi: 10.1016/j.lfs.2018.08.006. PMID: 30086274

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