Effects of isometric handgrip training among people medicated for hypertension: a multilevel analysis.
OBJECTIVE
To examine the longitudinal effects of isometric handgrip (IHG) exercise training on blood pressure using hierarchical linear modeling.


METHODS
Data from 43 participants who were medicated for hypertension at the time of training were amalgamated from three previous investigations. In each study, IHG training was completed 3 days/week for 8 weeks at 30% of maximal voluntary contraction and resting blood pressure was assessed at twice-weekly intervals throughout.


RESULTS
Hierarchical linear modeling analysis revealed a linear pattern of blood pressure decline over time with estimated reductions of 5.7 and 3 mmHg reductions in systolic and diastolic pressure, respectively. Participants with higher initial systolic pressure showed greater rates of blood pressure decline (r=-0.67), inferring that individuals with higher blood pressure stand to achieve greater benefits from this method of training.


CONCLUSIONS
These results provide further evidence that IHG training lowers resting blood pressure among persons medicated for hypertension.
Millar
Philip J
PJ
Department of Kinesiology, McMaster University, Hamilton, Ontario, Canada. millarpj@mcmaster.ca
Bray
Steve R
SR
McGowan
Cheri L
CL
MacDonald
Maureen J
MJ
McCartney
Neil
N
D000328:Adult; D000368:Aged; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects / Q000502:physiology*; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D015444:Exercise / Q000502:physiology; D005081:Exercise Therapy; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology*; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers; D004232:Diuretics