Comparación entre los efectos de diferentes protocolos de tratamiento resistido sobre parámetros cardiovasculares clínicos y ambulatorios de idosos hipertensos

Autores/as

  • Diego Alves dos Santos Universidade Vale do Rio Doce (Brasil) e Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)
  • Ciro José Brito Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)
  • Danielle Lorentz Villaça Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)
  • Alex Sandro Seccato Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)
  • Susana América Ferreira Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)
  • Diego Ignacio Valenzuela Pérez Univerdad de Santo Tomás (Chile)
  • Cláudia Lúcia de Moraes Forjaz Escola de Educação Física e Esporte da Universidade de São Paulo (Brasil)
  • Andréia Cristiane Carrenho Queiroz Universidade Federal de Juiz de Fora campus Governador Valadares (Brasil)

DOI:

https://doi.org/10.47197/retos.v75.113245

Palabras clave:

Hipertensión arterial, restricción del flujo sanguíneo, presión arterial, entrenamiento de fuerza

Resumen

Introducción: El entrenamiento resistido (ER) proporciona numerosos beneficios musculoesqueléticos y funcionales, siendo recomendado para ancianos hipertensos. Los efectos del ER con restricción del flujo sanguíneo (RFS) han sido poco estudiados en esta población.

Objetivo: Comparar los efectos del ER recomendado por las Directrices Brasileñas de Hipertensión Arterial con los del ER con RFS sobre las variables cardiovasculares clínicas y ambulatorias en ancianos hipertensos.

Metodología: Ancianos hipertensos fueron asignados aleatoriamente a dos grupos experimentales: Sin RFS (N=14) y Con RFS (N=13). Los grupos participaron en un período de intervención (10 semanas de ER, con 2 sesiones/semana, realizando 4 ejercicios de forma unilateral, 3 series hasta la fatiga moderada, con un intervalo de 90 segundos entre series). El grupo Sin RFS realizó el ER con una intensidad del 50% de 1RM. El grupo Con RFS realizó el ER con una intensidad del 30% de 1RM, utilizando manguitos inflados al 70% de la presión total de oclusión del flujo sanguíneo. Antes y después del período de intervención, los voluntarios fueron sometidos a evaluaciones de presión arterial y frecuencia cardíaca en condiciones clínicas y ambulatorias.

Resultados: En comparación con los valores previos a la intervención, ninguno de los tipos de ER produjo cambios en las variables cardiovasculares clínicas y ambulatorias (P>0,05). No se observaron diferencias significativas entre los dos grupos experimentales (P>0,05).
Conclusiones: Ninguno de los tipos de intervención generó cambios en las variables cardiovasculares clínicas y ambulatorias, por lo que no se encontraron diferencias entre los efectos del ER recomendado por las Directrices Brasileñas de Hipertensión Arterial y el ER con RFS en ancianos hipertensos.

Referencias

American Diabetes Association. (2025). Summary of Revisions: Standards of Care in Diabetes — 2025. Diabetes Care, 48(1), 6–13. https://doi.org/10.2337/dc25-SREV

Bertani, R. F., Campos, G. O., Perseguin, D. M., Bonardi, J. M. T., Ferriolli, E., Moriguti, J. C., & Lima, N. K. C. (2018). Resistance Exercise Training Is More Effective than Interval Aerobic Training in Reduc-ing Blood Pressure During Sleep in Hypertensive Elderly Patients. Journal of Strength and Con-ditioning Research, 32 (7), 2085–2090. https://doi.org/10.1519/JSC.0000000000002354

Blumenthal, J. A., Siegel, W. C. & Appelbaum, M. (1991). Failure of exercise to reduce blood pressure in patients with mild hypertension: Results of a randomized controlled trial. JAMA, 266(15), 2098–2104. https://doi.org/10.1001/jama.1991.03470150070033

Brandão, A. A., Alessi, A., Feitosa, A. M., Machado, C. A., Figueiredo, C. E. P. D., Amodeo, C., ... & Oigman, W. (2018). 6ª Diretrizes de monitorização ambulatorial da pressão arterial e 4ª Diretrizes de moni-torização residencial da pressão arterial. Arquivos Brasileiros de Cardiologia, 110(5 suppl 1), 1-29. https://doi.org/10.5935/abc.20180074

Brandão, A. A., et al. (2025). Diretriz Brasileira de Hipertensão Arterial – 2025. Arquivos Brasileiros de Cardiologia, 122(9), e20250624i. https://doi.org/10.36660/abc.20250624i

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Departamento de Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis. (2023). Vigitel Brasil 2023: Vigi-lância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimati-vas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doen-ças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2023. (1ª edição). Ministério da Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2023.pdf

Cao, L., Li, X., Yan, P., Wang, X., Li, M., Li, R., Shi, X., Liu, X. & Yang, K. (2019). The effectiveness of aerobic exercise for hypertensive population: A systematic review and meta-analysis. Journal of Clini-cal Hypertension, 21(7), 868–876. https://doi.org/10.1111/jch.13583

Cardoso, R. K., Araujo, A. M., Freitas, M. P. de & Rombaldi, A. J. (2018). Effect of training with partial blood flow restriction in older adults: a systematic review. Brazilian Journal of Kinanthropom-etry and Human Performance, 20(2), 219–228. https://doi.org/10.5007/1980-0037.2018v20n2p219

Centner, C., Wiegel, P., Gollhofer, A. & König, D. (2019). Effects of blood flow restriction training on muscular strength and hypertrophy in older individuals: A Systematic Review and Meta-Analysis. Sports Medicine, 49(1), 95–108. https://doi.org/10.1007/s40279-018-0994-1

Coelho-Júnior, H. J., Gonçalves, I. de O., Câmara, N. O. S., Cenedeze, M. A., Bacurau, R. F., Asano, R. Y., San-tana, J., Caperuto, E., Uchida, M. C. & Rodrigues, B. (2018). Non-periodized and daily undulating periodized resistance training on blood pressure of older women. Frontiers in physiology, 9, 1–13. https://doi.org/10.3389/fphys.2018.01525

Collier, S. R., Kanaley, J. A., Carhart, R., Frechette, V., Tobin, M. M., Bennett, N., Luckenbaugh, A. N. & Fernhall, B. (2009). Cardiac autonomic function and baroreflex changes following 4 weeks of resistance versus aerobic training in individuals with pre-hypertension. Acta Physiologica, 195(3), 339–348. https://doi.org/10.1111/j.1748-1716.2008.01897.x

de Carvalho, C. J., Marins, J. C. B., de Lade, C. G., Castilho, P. de R., Reis, H. H. T., Amorim, P. R. dos S. & Li-ma, L. M. (2019). Aerobic and resistance exercise in patients with resistant hypertension. Revis-ta Brasileira de Medicina do Esporte, 25(2), 107–111. https://doi.org/10.1590/1517-869220192502175333

de Sousa Ferreira, B., Pereira, R. D., da Silva, D. P., Ferreira, A. C., Mostarda, C. & de Oliveira Brito-Monzani, J. (2022). Effects of resistance training in elderly women with cognitive decline. Fisio-terapia em Movimento, 35, 1–9. https://doi.org/10.1590/FM.2022.35121

Faludi, A. A., Izar, M. C. D. O., Saraiva, J. F. K., Chacra, A. P. M., Bianco, H. T., Afiune, A., ... & Salgado Filho, W. (2017). Atualização da diretriz brasileira de dislipidemias e prevenção da aterosclerose–2017. Arquivos brasileiros de cardiologia, 109(2 Supl 1), 1-76. https://doi.org/10.5935/abc.20170121

Fecchio, R. Y., de Sousa, J. C. S., Oliveira-Silva, L., da Silva Junior, N. D., Pio-Abreu, A., da Silva, G. V., Dra-ger, L. F., Low, D. A. & Forjaz, C. L. M. (2023). Effects of dynamic, isometric and combined re-sistance training on blood pressure and its mechanisms in hypertensive men. Hypertension Re-search, 46(4), 1031–1043. https://doi.org/10.1038/s41440-023-01202-4

Fleck, S. J., & Kraemer, W. J. (2014). Designing resistance training programs (4th ed.). Human Kinetics.

Gomides, R. S., Nery, S. S., Mion Júnior, D., Tinucci, T., & Forjaz, C. L. M. (2007). Pressão arterial durante o exercício resistido de diferentes intensidades em indivíduos hipertensos. Coleção Pesquisa em Educação Física, 6(1), 435-442. https://www.fontouraeditora.com.br/periodico/article/136

Kambic, T., Novakovic, M., Tomazin, K., Strojnik, V. & Jug, B. (2019). Blood flow restriction resistance exercise improves muscle strength and hemodynamics, but not vascular function in coronary artery disease patients: A pilot randomized controlled trial. Frontiers in Physiology, 10, 1–11. https://doi.org/10.3389/fphys.2019.00656

Kanegusuku, H., Queiroz, A. C. C., Silva, V. J. D., De Mello, M. T., Ugrinowitsch, C. & Forjaz, C. L. M. (2015). High-intensity progressive resistance training increases strength with no change in cardiovascu-lar function and autonomic neural regulation in older adults. Journal of Aging and Physical Ac-tivity, 23(3), 339–345. https://doi.org/10.1123/japa.2012-0324

Khan, S. S., Singer, B. D. & Vaughan, D. E. (2017). Molecular and physiological manifestations and meas-urement of aging in humans. Aging Cell, 16(4), 624–633. https://doi.org/10.1111/acel.12601.

Kraemer WJ, Fry AC (1995) Strength testing: Development and evaluation of methodology. In: Maud PJ, Foster C (eds) Physiological assessment of human fitness. Human Kinetics, Champaign, IL, pp 115–138

Laurentino, G. C., Ugrinowitsch, C., Roschel, H., Aoki, M. S., Soares, A. G., Neves, M., Aihara, A., da Rocha C. F. A. & Tricoli, V. (2012). Strength training with blood flow restriction diminishes myostatin gene expression. Medicine and Science in Sports and Exercise, 44(3), 406–412. https://doi.org/10.1249/MSS.0b013e318233b4bc

Lopes, K. G., Farinatti, P., Bottino, D. A., Souza, M. D. G. C., Maranhão, P. A., Bouskela, E., Lourenço, R. A., & Oliveira, R. B. (2021). Does Resistance Training with Blood Flow Restriction Affect Blood Pres-sure and Cardiac Autonomic Modulation in Older Adults?. International Journal of Exercise Sci-ence, 14(3), 410–422. https://doi.org/10.70252/OXXF4710

MacDonald, H. V., Johnson, B. T., Huedo-Medina, T. B., Livingston, J., Forsyth, K. C., Kraemer, W. J., Far-inatti, P. T. V. & Pescatello, L. S. (2016). Dynamic resistance training as stand-alone antihyper-tensive lifestyle therapy: A meta-analysis. Journal of the American Heart Association, 5(10), 1–34. https://doi.org/10.1161/JAHA.116.003231

Mancia Chairperson, G., Brunström, M., Burnier, M., Grassi, G., Januszewicz, A., Muiesan, M. L., ... & Kjeld-sen, S. (2023). 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension Endorsed by the European Renal Association (ERA) and the International Society of Hyperten-sion (ISH). Journal of hypertension, 41(12), 1874-2071. https://doi.org/10.1097/HJH.0000000000003480

Mattocks, K. T., Mouser, J. G., Jessee, M. B., Buckner, S. L., Dankel, S. J., Bell, Z. W., Abe, T., Bentley, J. P. & Loenneke, J. P. (2019). Perceptual changes to progressive resistance training with and without blood flow restriction. Journal of Sports Sciences, 37(16), 1857–1864. https://doi.org/10.1080/02640414.2019.1599315

Mota, M. R., De Oliveira, R. J., Dutra, M. T., Pardono, E., Terra, D. F., Lima, R. M., Simões, H. G. & Da Silva, F. M. (2013). Acute and chronic effects of resistive exercise on blood pressure in hypertensive elderly women. Journal of Strength and Conditioning Research, 27(12), 3475–3480. https://doi.org/10.1519/JSC.0b013e31828f2766

Patterson, S. D., Hughes, L., Warmington, S., Burr, J., Scott, B. R., Owens, J., Abe, T., Nielsen, J. L., Libardi, C. A., Laurentino, G., Neto, G. R., Brandner, C., Martin-Hernandez, J. & Loenneke, J. (2019). Blood flow restriction exercise position stand: Considerations of methodology, application, and safety. Frontiers in Physiology, 10, 1–15. https://doi.org/10.3389/fphys.2019.00533

Rodrigo-Mallorca, D., Loaiza-Betancur, A. F., Monteagudo, P., Blasco-Lafarga, C. & Chulvi-Medrano, I. (2021). Resistance training with blood flow restriction compared to traditional resistance train-ing on strength and muscle mass in non-active older adults: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(21), 1–20. https://doi.org/10.3390/ijerph182111441

Shimbo, D., Abdalla, M., Falzon, L., Townsend, R. R., Muntner, P. & Renal; (2015). Role of Ambulatory and Home Blood Pressure Monitoring in Clinical Practice: A Narrative Review Current Mailing Addresses for All Authors HHS Public Access. Ann Intern Med, 163(9), 691–700. https://doi.org/10.7326/M15-1270.Role

Silva de Sousa, J. C., Fecchio, R. Y., Oliveira-Silva, L., Pio-Abreu, A., da Silva, G. V., Drager, L. F., Low, D. A. & Forjaz, C. L. M. (2024). Effects of dynamic, isometric, and combined resistance training on ambulatory blood pressure in treated men with hypertension: a randomized controlled trial. Journal of Human Hypertension, 1–10. https://doi.org/10.1038/s41371-024-00954-x

Staessen, J. A., Thijs, L., Fagard, R., O’Brien, E. T., Clement, D., De Leeuw, P. W., Mancia, G., Nachev, C., Palatini, P., Parati, G., Tuomilehto, J. & Webster, J. (1999). Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension. Jama, 282(6), 539–546. https://doi.org/10.1001/jama.282.6.539

Taati, B., Arazi, H. & Kheirkhah, J. (2021). Interaction effect of green tea consumption and resistance training on office and ambulatory cardiovascular parameters in women with high-normal/stage 1 hypertension. Journal of Clinical Hypertension, 23, 978–986. https://doi.org/10.1111/jch.14198

Terra, D. F., Mota, M. R., Rabelo, H. T., Aguiar Bezerra, L. M., Lima, R. M., Ribeiro, A. G., Vinhal, P. H., Ritti Dias, R. M. & Da Silva, F. M. (2008). Redução da pressão arterial e do duplo produto de repouso após treinamento resistido em idosas hipertensas. Arquivos Brasileiros de Cardiologia, 91(5), 299–305. https://doi.org/10.1590/S0066-782X2008001700003

Trevizani, G. A., Seixas, M. B., Benchimol-Barbosa, P. R., Vianna, J. M., Silva, L. P. Da & Nadal, J. (2018). Effect of resistance training on blood pressure and autonomic responses in treated hyperten-sives. The Journal of Strength & Conditioning Research, 32(5), 1462–1470. https://doi.org/10.1519/JSC.0000000000001995

Vanwye, W. R., Weatherholt, A. M. & Mikesky, A. E. (2017). Blood Flow Restriction Training: Implemen-tation into Clinical Practice. International journal of exercise science, 10(5), 649–654. https://doi.org/10.70252/LYGQ7085

Wen, R. wei, Chen, X. qiu, Zhu, Y., Ke, J. ting, Du, Y., Wang, C. & Lou, T. qi. (2020). Ambulatory blood pres-sure is better associated with target organ damage than clinic blood pressure in patients with primary glomerular disease. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-020-02200-1

Wong, M. L., Formiga, M. F., Owens, J., Asken, T. & Cahalin, L. P. (2018). Safety of blood flow restricted exercise in hypertension: A meta-analysis and systematic review with potential applications in orthopedic care. Techniques in Orthopaedics, 33(2), 80–88. https://doi.org/10.1097/BTO.0000000000000288

World Health Organization. (2000). Obesity: Preventing and managing the global epidemic: report of a WHO consultation (WHO technical report series; 894). World Health Organization. https://apps.who.int/iris/handle/10665/42330

World Health Organization. (2023). World health statistics 2023: Monitoring health for the SDGs, sus-tainable development goals. World Health Organization. https://www.who.int/publications/i/item/9789240074323

Yasuda, T., Fukumura, K., Iida, H., & Nakajima, T. (2015). Effects of detraining after blood flow-restricted low-load elastic band training on muscle size and arterial stiffness in older women. SpringerPlus, 4(1), 1–7. https://doi.org/10.1186/s40064-015-1132-2

Yasuda, T., Fukumura, K., Uchida, Y., Koshi, H., Iida, H., Masamune, K., Yamasoba, T., Sato, Y. & Nakajima, T. (2015). Effects of low-load, elastic band resistance training combined with blood flow re-striction on muscle size and arterial stiffness in older adults. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 70(8), 950–958. https://doi.org/10.1093/gerona/glu084

Yasuda, T., Fukumura, K., Tomaru, T. & Nakajima, T. (2016). Thigh muscle size and vascular function after blood flowrestricted elastic band training in older women. Oncotarget, 7(23), 33595–33607. https://doi.org/10.18632/oncotarget.9564

Zhang, T., Tian, G. & Wang, X. (2022). Effects of Low-Load Blood Flow Restriction Training on Hemo-dynamic Responses and Vascular Function in Older Adults: A Meta-Analysis. International. Journal of Environmental Research and Public Health, 19, 1–19. https://doi.org/10.3390/ijerph19116750

Publicado

02-02-2026

Número

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Artículos de carácter científico: investigaciones básicas y/o aplicadas

Cómo citar

Alves dos Santos, D., José Brito, C., Lorentz Villaça, D., Sandro Seccato, A., América Ferreira, S., Valenzuela Pérez, D. I., de Moraes Forjaz, C. L., & Carrenho Queiroz, A. C. (2026). Comparación entre los efectos de diferentes protocolos de tratamiento resistido sobre parámetros cardiovasculares clínicos y ambulatorios de idosos hipertensos. Retos, 75, 691-705. https://doi.org/10.47197/retos.v75.113245