Abstract
Objective: To evaluate the effect of a multicomponent training program on hypertensive octogenarians in physical fitness and quality of life. Methods: In this two-arm, parallel-group trial approved by the Brazilian Registry of Clinical Trials (REBEC) hypertensive octogenarians were allocated into intervention group (IG, n=14, mean age of 82.6± 2.31) or control (CG, n=18, mean age of 84.1±3.06). The IG performed a 12-week multicomponent program. Both groups underwent biochemical and physical tests and answered the fragility and 36-Item Short Form Survey (SF-36) questionnaires at the beginning and the end of the intervention. Results: In the IG there was a reduction in blood pressure (p=0.050), improvements in strength (p<0.001) and balance (p<0.001). Enhancements in SF-36 were verified in functional capacity (p<0.040) and general health status (p=0.007) between groups. Conclusion: Findings suggest that the multicomponent training program applied to hypertensive octogenarians improved strength, functional capacity, quality of life and reduced blood pressure. These improvements could be effective for maintaining strength and improving the ability of the hypertensive octogenarians to perform activities of daily living with greater independence.
References
ACSM. Exercise Prescription. In: ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Rio de Janeiro: Guanabara Koogan. 2010; 104–67.
ARRIETA H, et al. A multicomponent exercise program improves physical function in long-term nursing home residents: A randomized controlled trial. Exp Gerontol. 2018; 103: 94–100.
BAPTISTA LC, et al. Exercise training improves functional status in hypertensive older adults under angiotensin converting enzymes inhibitors medication. Exp Gerontol. 2018; 109: 82–9.
BARBALHO MSM, et al. There are no no-responders to low or high resistance training volumes among older women. Exp Gerontol. 2017; 99: 18–26.
BÅRDSTU HB, et al. Effectiveness of a resistance training program on physical function, muscle strength, and body composition in community-dwelling older adults receiving home care: A cluster-randomized controlled trial. Eur Rev Aging Phys Act. 2020; 17: 11.
BERG KO, et al. Measuring balance in the elderly: validation of an instrument. Can J Public Heal. 1992; 83(Suppl 2): S7–11.
BRITO AF, et al. High-Intensity Resistance Exercise Promotes Postexercise Hypotension Greater than Moderate Intensity and Affects Cardiac Autonomic Responses in Women Who Are Hypertensive. J Strength Cond Res. 2015; 29(12): 3486–93.
CADORE EL, et al. Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age (Omaha). 2014; 36(2): 773–85.
CASAS-HERRERO A, et al. Functional capacity, muscle fat infiltration, power output, and cognitive impairment in institutionalized frail oldest old. Rejuvenation Res. 2013; 16(5): 396–403.
CICONELLI RM, et al., 1999. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev. bras. reumatol. 1999; 39(3): 143-50.
CHODZKO-ZAJKO WJ, et al. Exercise and Physical Activity for Older Adults. Med Sci Sports Exerc. 2009; 41(7): 1510–1530.
CHURCHWARD-VENNE TA, et al. There are no nonresponders to resistance-type exercise training in older men and women. J Am Med Dir Assoc. 2015; 16(5): 400–11.
CLEMSON L, et al. Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ. 2012; 345: e4547.
EL-KHOURY F, et al. Effectiveness of two-year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community: Osseo randomized controlled trial. BMJ. 2015; 351: h3830.
FISHER JP, et al. A minimal dose approach to resistance training for the older adult; the prophylactic for aging. Exp Gerontol. 2017; 99: 80-86.
GENTIL P, et al. Why intensity is not a bad word – Benefits and practical aspects of high effort resistance training to the older. Clin Nutr. 2017; 36(5): 1454-1455.
GUIZELINI PC, et al. Effect of resistance training on muscle strength and rate of force development in healthy older adults: A systematic review and meta-analysis. Exp Gerontol. 2018; 102: 51-58.
HHS. Part F. Chapter 9. Older Adults. In: 2018 Physical Activity Guidelines Advisory Committee. Washington, DC:US. 2018. Disponível em: https://health.gov/sites/default/files/2019-09/PAG_Advisory_Committee_Report.pdf. Acessado em 20/01/2019.
HUNTER GR, et al. Why intensity is not a bad word: Optimizing health status at any age. Clin Nutr. 2018; 37(1): 56-60.
IBGE, Diretoria de Pesquisas. Coordenação de População e Indicadores Sociais. Gerência de Estudos e Análises da Dinâmica Demográfica. Disponível em https://www.ibge.gov.br/estatisticas/sociais/populacao/9109-projecao-da-populacao.html. Acessado em 16/05/2023.
LUSARDI MM, et al. Determining Risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. J Geriatr Phys Ther. 2017; 40(1): 1-36.
MACHADO CLF, et al. Acute and chronic effects of muscle power training on blood pressure in elderly patients with type 2 diabetes mellitus. Clin Exp Hypertens. 2020; 42(2): 153–9.
MALACHIAS MVB, et al. 7a Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol. 2016; 107(Suppl 3): 1–103.
NAGAIA K, et al. Physical activity combined with resistance training reduces symptoms of frailty in older adults: A randomized controlled trial. Arch Gerontol Geriatr. 2018; 76: 41–7.
NUNES DP, et al. Screening for frailty in older adults using a self-reported instrument. Rev Saude Publica. 2015; 49: 2.
ORSANO VSM, et al. Comparison of the acute effects of traditional versus high velocity resistance training on metabolic, cardiovascular, and psychophysiological responses in elderly hypertensive women. Clin Interv Aging. 2018; 13: 1331–40.
PEDERSEN MT, et al. Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults. Scand J Med Sci Sport. 2017; 27(8): 852–64.
PEREIRA C, et al. Effects of a 10-week multimodal exercise program on physical and cognitive function of nursing home residents: A psychomotor intervention pilot study. Aging Clin Exp Res. 2018; 30(5): 471–9.
PETRELLA M, et al. The effect of a multicomponent exercise protocol (VIVIFRAIL©) on inflammatory profile and physical performance of older adults with different frailty status: study protocol for a randomized controlled trial. BMC Geriatr. 2021; 21(1): 83.
RODRIGUEZ-MAÑAS L e FRIED LP. Frailty in the clinical scenario. Lancet. 2015; 385(9968): e7-e9.
SAETERBAKKEN AH, et al. Effects of Strength Training on Muscle Properties, Physical Function, and Physical Activity among Frail Older People: A Pilot Study. J Aging Res. 2018; 2018: 8916274.
SCHIMITT RP, et al. Effects of a single bout of power exercise training on ambulatory blood pressure in older adults with hypertension: A randomized controlled crossover study. Complement Ther Med. 2020; 54: 102554.
SERRA-PRAT M, et al. Effectiveness of an intervention to prevent frailty in pre-frail community-dwelling older people consulting in primary care: A randomised controlled trial. Age Ageing. 2017; 46(3): 401–7.
SHERRINGTON C, et al. Exercise to prevent falls in older adults: An updated systematic review and meta-analysis. Br J Sports Med. 2017; 51(24): 1749–57.
STEELE J, et al. The effects of 6 months of progressive high effort resistance training methods upon strength, body composition, function, and wellbeing of elderly adults. Biomed Res Int. 2017; 2017: 2541090.
TAGUCHI N, et al. Effects of a 12-month multicomponent exercise program on physical performance, daily physical activity, and quality of life in very elderly people with minor disabilities: An intervention study. J Epidemiol. 2010; 20(1): 21–9.
TARAZONA-SANTABALBINA FJ, et al. A Multicomponent Exercise Intervention that Reverses Frailty and Improves Cognition, Emotion, and Social Networking in the Community-Dwelling Frail Elderly: A Randomized Clinical Trial. J Am Med Dir Assoc. 2016; 17(5): 426–33.
WHO. World report on Ageing and Health [Internet]. WT 104. WHO: Geneva, Switzerland: WHO. 2015: 1–260 p.
ZIDÉN L, et al. Physical function and fear of falling 2 years after the health-promoting randomized controlled trial: Elderly persons in the risk zone. Gerontologist. 2014; 54(3): 387–97.
