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Aerobic and resistance training, quality of life, functional capacity in hypertensive women

INTRODUCTION:

Hypertensive patients may have compromised quality of life (QoL) and health-related quality of life (HRQoL) because of arterial hypertension (AH) and for possible adverse effects of treatment. Physical, aerobic and resistance exercises, improve cardiorespiratory and neuromuscular performance, but there is little evidence about their effects on QoL, HRQoL and functional capacity (FC) in hypertensive women.

OBJECTIVE:

To evaluate and compare the effects of aerobic and resistance training on QoL, HRQoL and functional capacity in hypertensive.

METHODS:

A randomized, blinded clinical trial, with a total of 18 exercise sessions. Hypertensive women receiving drug treatment, non participant in exercise programs, with 50 years of age or more, which did not show arrhythmias and/or ischemic changes on ergometric testing (Bruce protocol) were included. The sample was randomized as follows: aerobic group (AG) (n=21) and resistance group (RG) (n=20). AG intensity: mild to moderate (Borg Scale adapted); RG: up to 50-65% of 1 MR. Two series of 12 to 15 repetitions. Before and after the intervention the WHOQOL-BREF and SF-36 (HEQOL) questionnaires were applied and the 6-minute walk test (6`MWT) was performed to evaluate the FC. Statistics: Shapiro-Wilk, Student t, Fisher, Mann-Whitney U and Wilcoxon tests. Level of significance: p<0.05.

RESULTS:

The groups were initially homogeneous in clinical, anthropometric, sociodemographic and functional aspects (p>0.05). After the intervention, there was significant improvement in all domains of WHOQOL-bref in AG, and in RG an improvement of the physical domain was found. In the SF-36, there was significant improvement in seven of eight domains in both AG and RG. Functional capacity: improvement was found in both groups (p<0.001).

CONCLUSION:

The two types of training improved QoL and functional capacity, and depending on the objectives established, both can be effective.

hypertension; aerobic exercise; resistance exercise; quality of life


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