Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Post exercise hypotension is sustained during subsequent bouts of mild exercise and simulated activities of daily living

Abstract

Our purpose was to examine whether the transient suppression of blood pressure that occurs during the hours following acute exercise (termed post exercise hypotension) persists throughout an active period of subsequent mild exercise and simulated activities of daily living (ADL) using direct measurements of arterial pressure. Eight recreationally active participants, with low borderline systolic hypertension completed 30 min of cycle ergometry at 70% VO2Peak and 30 min of quiet seated rest on separate days (randomised order). Following exercise and rest, subjects completed a 70-min protocol of mild exercise and simulated ADL. Blood pressure was monitored throughout by catheterisation of the radial artery. Exercise resulted in lower systolic (SBP), diastolic (DBP) and mean arterial pressure (MAP) throughout the post exercise ADL period compared to control measurements taken without prior exercise. The maximal difference in SBP, DBP and MAP between trials was 26, 7 and 13 mm Hg respectively. Average differences in SBP, DBP and MAP between trials were 16, 5 and 8 mm Hg respectively. This relative hypotension occurred in spite of higher heart rates during the ADL measurement period following the prior exercise. Furthermore, many of the blood pressure measurements during the post exercise period were significantly lower than the pre-exercise values during the same trial. We conclude that post exercise hypotension persists during mild exercise and simulated ADL. Although the duration of this relative hypotension needs to be determined, acute exercise may serve as a non-pharmacological aid in the treatment of hypertension.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Franklin PJ, Green DJ, Cable NT The influence of thermoregulatory mechanisms on post-exercise hypotension in humans J Physiol 1993 470 231–241

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Piepoli M et alPersistent peripheral vasodilation and sympathetic activity in hypotension after maximal exercise J Appl Physiol 1993 75 1807–1814

    Article  CAS  PubMed  Google Scholar 

  3. Boone JB, Jr, Probst MM, Rogers MW, Berger R Postexercise hypotension reduces cardiovascular responses to stress J Hypertens 1993 11 449–453

    Article  PubMed  Google Scholar 

  4. Floras JS et alPostexercise hypotension and sympathoinhibition in borderline hypertensive men Hypertension 1989 14 28–35

    Article  CAS  PubMed  Google Scholar 

  5. Cleroux J et alAftereffects of exercise on regional and systemic hemodynamics in hypertension Hypertension 1992 19 183–191

    Article  CAS  PubMed  Google Scholar 

  6. MacDonald JR et alHypotension following mild bouts of resistance exercise and submaximal dynamic exercise Eur J Appl Physiol 1999 79 148–154

    Article  CAS  Google Scholar 

  7. Pescatello LS, Fargo AE, Leach CN, Jr, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure Circulation 1991 83 1557–1561

    Article  CAS  PubMed  Google Scholar 

  8. Brownley K, West S, Hinderliter A, Light K Acute aerobic exercise reduces ambulatory blood pressure in borderline hypertensive men and women Am J Hypertens 1996 9 200–206

    Article  CAS  PubMed  Google Scholar 

  9. Reukert P, Slane P, Lillis P, Hanson P Hemodynamic patterns and duration of post-dynamic exercise hypotension in hypertensive humans Med Sci Sports and Exercise 1996 28 24–32

    Article  Google Scholar 

  10. Wallace JP et alThe magnitude and duration of ambulatory blood pressure reduction following acute exercise J Hum Hypertens 1999 13 361–366

    Article  CAS  PubMed  Google Scholar 

  11. Somers VK et alPostexercise hypotension is not sustained in normal and hypertensive humans Hypertension 1991 18 211–215

    Article  CAS  PubMed  Google Scholar 

  12. Hara K, Floras JS Influence of naloxone on muscle sympathetic nerve activity, systemic and calf haemodynamics and ambulatory blood pressure after exercise in mild essential hypertension J Hypertens 1995 13 147–461

    Google Scholar 

  13. Kamath MV, Fallen EL Power spectral analysis: a noninvasive signature of cardiac autonomic function Crit Rev Biomed Eng 1993 21 245–311

    CAS  PubMed  Google Scholar 

  14. Pagani M et alLow and high frequency components of blood pressure variability Ann NY Acad Sci 1996 783 10–23

    Article  CAS  PubMed  Google Scholar 

  15. Hannum SM, Kasch FW Acute postexercise blood pressure response of hypertensive and normotensive men Scand J Sport Sci 1981 3 11–15

    Google Scholar 

Download references

Acknowledgements

This study was supported by the Natural Sciences and Engineering Research Council, Canada.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to JR MacDonald.

Rights and permissions

Reprints and permissions

About this article

Cite this article

MacDonald, J., Hogben, C., Tarnopolsky, M. et al. Post exercise hypotension is sustained during subsequent bouts of mild exercise and simulated activities of daily living. J Hum Hypertens 15, 567–571 (2001). https://doi.org/10.1038/sj.jhh.1001223

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001223

Keywords

This article is cited by

Search

Quick links