Int J Sports Med 2016; 37(13): 1038-1043
DOI: 10.1055/s-0042-112029
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Inter- and Intra-Individual Analysis of Post-Exercise Hypotension Following a Single Bout of High-Intensity Interval Exercise and Continuous Exercise: A Pilot Study

E. C. Costa
1   Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
T. C. B. Dantas
1   Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
L. F. de Farias Junior
1   Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
D. T. Frazão
1   Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
J. Prestes
3   Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, PE, Brazil;
S. R. Moreira
3   Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, PE, Brazil;
R. M Ritti-Dias
4   Hospital Israelita Albert Einstein, São Paulo, SP, Brazil
R. A. Tibana
6   Health Leisure and Human Performance Research Institute, Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, MB, Canada
T. A. Duhamel
5   Institute of Cardiovascular Sciences, St. Boniface Hospital Albrechtsen Research Centre, Winnipeg, MB, Canada
6   Health Leisure and Human Performance Research Institute, Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, MB, Canada
› Author Affiliations
Further Information

Publication History

accepted after revision 28 June 2016

Publication Date:
27 September 2016 (online)


Recently, post-exercise blood pressure (BP) has been considered a predictive tool to identify individuals who are responsive or not to BP reductions with exercise training (i. e., “high” and “low responders”). This study aimed to analyze the inter- and intra-individual BP responsiveness following a single bout of high-intensity interval exercise (HIIE) and continuous exercise (CE) in normotensive men (n=14; 24.5±4.2 years). Mean change in BP during the 60 min period post-exercise was analyzed and minimal detectable change (MDC) was calculated to classify the subjects as “low” (no post-exercise hypotension [PEH]) and “high responders” (PEH occurrence) following each exercise protocol (inter-individual analysis). The MDC for systolic and diastolic BP was 5.8 and 7.0 mmHg. In addition, a difference equal/higher than MDC between the exercise protocols was used to define an occurrence of intra-individual variability in BP responsiveness. There were “low” and “high” PEH responders following both exercise protocols (inter-individual variability) as well as subjects who presented higher PEH following a specific exercise protocol (intra-individual variability between exercise protocols). These results were observed mainly for systolic BP. In summary, PEH is a heterogeneous physiological phenomenon and, for some subjects, seems to be exercise-protocol dependent. Further investigations are necessary to confirm our preliminary findings.

  • References

  • 1 Angadi SS, Bhammar DM, Gaesser GA. Postexercise hypotension after continuous, aerobic interval, and sprint interval exercise. J Strength Cond Res 2015; 29: 2888-2893
  • 2 Bonsu B, Terblanche E. The training and detraining effect of high-intensity interval training on post-exercise hypotension in young overweight/obese women. Eur J Appl Physiol 2016; 116: 77-84
  • 3 Borg G. Borg’s Perceived Exertion and Pain Scales. Champaign, IL: Human Kinetics; 1998
  • 4 Brito LC, Queiroz AC, Forjaz CL. Influence of population and exercise protocol characteristics on hemodynamic determinants of post-aerobic exercise hypotension. Braz J Med Biol Res 2014; 47: 626-636
  • 5 Bruneau ML Jr, Johnson BT, Huedo-Medina TB, Larson KA, Ash GI, Pescatello LS. The blood pressure response to acute and chronic aerobic exercise: A meta-analysis of candidate gene association studies. J Sci Med Sport 2015 pii: S1440-2440(15)00123-1
  • 6 Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, Jones DW, Materson BJ, Oparil S, Wright Jr JT, Roccella EJ. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure: the JNC 7 report. Hypertension 2003; 42: 1206-1252
  • 7 Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sport Exerc 2003; 35: 1381-1395
  • 8 Darter BJ, Rodriguez KM, Wilken JM. Test-retest reliability and minimum detectable change using the K4b2: oxygen consumption, gait efficiency, and heart rate for healthy adults during submaximal walking. Res Q Exerc Sport 2013; 84: 223-231
  • 9 Daskalopoulou SS, Rabi DM, Zarnke KB, Dasgupta K, Nerenberg K, Cloutier L, Gelfer M, Lamarre-Cliche M, Milot A, Bolli P, McKay DW, Tremblay G, McLean D, Tobe SW, Ruzicka M, Burns KD, Vallée M, Ramesh Prasad GV, Lebel M, Feldman RD, Selby P, Pipe A, Schiffrin EL, McFarlane PA, Oh P, Hegele RA, Khara M, Wilson TW, Brian Penner S, Burgess E, Herman RJ, Bacon SL, Rabkin SW, Gilbert RE, Campbell TS, Grover S, Honos G, Lindsay P, Hill MD, Coutts SB, Gubitz G, Campbell NR, Moe GW, Howlett JG, Boulanger JM, Prebtani A, Larochelle P, Leiter LA, Jones C, Ogilvie RI, Woo V, Kaczorowski J, Trudeau L, Petrella RJ, Hiremath S, Stone JA, Drouin D, Lavoie KL, Hamet P, Fodor G, Grégoire JC, Fournier A, Lewanczuk R, Dresser GK, Sharma M, Reid D, Benoit G, Feber J, Harris KC, Poirier L, Padwal RS. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension. Can J Cardiol 2015; 31: 549-568
  • 10 Dujic Z, Ivancev V, Valic Z, Bakovic D, Marinović-Terzić I, Eterović D, Wisløff U. Postexercise hypotension in moderately trained athletes after maximal exercise. Med Sci Sports Exerc 2006; 38: 318-322
  • 11 Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP. American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43: 1334-1359
  • 12 Gibala MJ, Little JP, Macdonald MJ, Hawley JA. Physiological adaptations to low-volume, high-intensity interval training in health and disease. J Physiol 2012; 590: 1077-1084
  • 13 Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Phys Ther 2006; 86: 735-743
  • 14 Halliwill JR, Buck TM, Lacewell AN, Romero SA. Postexercise hypotension and sustained postexercise vasodilatation: what happens after we exercise?. Exp Physiol 2013; 98: 7-18
  • 15 Hamer M, Taylor A, Steptoe A. The effect of acute aerobic exercise on stress related blood pressure responses: a systematic review and meta-analysis. Biol Psychol 2006; 71: 183-190
  • 16 Hecksteden A, Grütters T, Meyer T. Association between postexercise hypotension and long-term training-induced blood pressure reduction: a pilot study. Clin J Sport Med 2013; 23: 58-63
  • 17 Harriss DJ, Atkinson G. Ethical standards in sports and exercise science research: 2016 update. Int J Sports Med 2015; 36: 1121-1124
  • 18 Hopkins WG, Marshall SW, Batterham AM, Hanin J. Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 2009; 41: 3-13
  • 19 Kiviniemi AM, Hautala AJ, Karjalainen JJ, Piira OP, Lepojärvi S, Ukkola O, Huikuri HV, Tulppo MP. Acute post-exercise change in blood pressure and exercise training response in patients with coronary artery disease. Front Physiol 2015; 5: 526
  • 20 Lacombe SP, Goodman JM, Spragg CM, Liu S, Thomas SG. Interval and continuous exercise elicit equivalent postexercise hypotension in prehypertensive men, despite differences in regulation. Appl Physiol Nutr Metab 2011; 36: 881-891
  • 21 Lima AH, Miranda AS, Correia MA, Soares AH, Cucato GG, Sobral Filho DC, Gomes SL, Ritti-Dias RM. Individual blood pressure responses to walking and resistance exercise in peripheral artery disease patients: Are the mean values describing what is happening?. J Vasc Nurs 2015; 33: 150-156
  • 22 Liu S, Goodman J, Nolan R, Lacombe S, Thomas SG. Blood pressure responses to acute and chronic exercise are related in prehypertension. Med Sci Sports Exerc 2012; 44: 1644-1652
  • 23 Luttrell MJ, Halliwill JR. Recovery from exercise: vulnerable state, window of opportunity, or crystal ball?. Front Physiol 2015; 6: 204
  • 24 Moreira SR, Cucato GG, Terra DF, Ritti-Dias RM. Acute blood pressure changes are related to chronic effects of resistance exercise in medicated hypertensives elderly women. Clin Physiol Funct Imaging 2016; 36: 242-248
  • 25 Moreira SR, Lima RM, Silva KE, Simões HG. Combined exercise circuit session acutely attenuates stress-induced blood pressure reactivity in healthy adults. Braz J Phys Ther 2014; 18: 38-46
  • 26 Ribeiro F, Campbell CS, Mendes G, Arsa G, Moreira SR, da Silva FM, Prestes J, da Costa Sotero R, Simões HG. Exercise lowers blood pressure in university professors during subsequent teaching and sleeping hours. Int J Gen Med 2011; 4: 711-716
  • 27 Rossow L, Yan H, Fahs CA, Ranadive SM, Agiovlasitis S, Wilund KR, Baynard T, Fernhall B. Postexercise hypotension in an endurance-trained population of men and women following high-intensity interval and steady-state cycling. Am J Hypertens 2010; 23: 358-367
  • 28 Scott JM, Esch BT, Lusina SJ, McKenzie DC, Koehle MS, Sheel AW, Warburton DE. Post-exercise hypotension and cardiovascular responses to moderate orthostatic stress in endurance-trained males. Appl Physiol Nutr Metab 2008; 33: 246-253
  • 29 Stanforth PR, Gagnon J, Rice T, Bouchard C, Leon AS, Rao DC, Skinner JS, Wilmore JH. Reproducibility of resting blood pressure and heart rate measurements. The HERITAGE family study. Ann Epidemiol 2000; 10: 271-277
  • 30 Teixeira L, Ritti-Dias RM, Tinucci T, Mion Júnior D, Forjaz CL. Post-concurrent exercise hemodynamics and cardiac autonomic modulation. Eur J Appl Physiol 2011; 111: 2069-2078
  • 31 Tibana RA, de Sousa NM, da Cunha Nascimento D, Pereira GB, Thomas SG, Balsamo S, Simões HG, Prestes J. Correlation between acute and chronic 24-hour blood pressure response to resistance training in adult women. Int J Sports Med 2015; 36: 82-89