[Physical training and blood pressure].
The effects of exercise training on blood pressure (BP) are reviewed. BP rises during exercise and lowers in the post-exercise period. Regular physical training result in a significant lowering of BP at rest as long as the training is continued. Moreover exercise training result in a BP lowering during exercise which is greater in hypertensive patients than in normotensive subjects. A favourable effect is observed also on ambulatory blood pressure, but the night-time blood pressure is not lowered. The mechanisms of training-induced changes of BP are not sufficiently known. The exercise training seems act on systemic vascular resistance, plasma catecholamine, PGE2 and taurine levels, renin-angiotensin-aldosterone system. As adequate physical training can reduce BP, we can consider it is a non pharmacological treatment of hypertension: mainly for border lines, labile and mild hypertensives patients. For certain hypertensive patients, some sports can be permitted when no target organ is involved.
Bertrand
E
E
Service de Médecine Interne, Hôpital Nord, Marseille.
Frances
Y
Y
Lafay
V
V
D000293:Adolescent; D000328:Adult; D000368:Aged; D001794:Blood Pressure; D015924:Blood Pressure Monitors; D002986:Clinical Trials as Topic; D015444:Exercise; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000503:physiopathology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010806:Physical Education and Training; D010807:Physical Endurance; D016032:Randomized Controlled Trials as Topic; D013997:Time Factors; D014655:Vascular Resistance
Entraînement physique et pression artérielle.