Acute effect on ambulatory blood pressure from aerobic exercise: a randomised cross-over study among female cleaners

Eur J Appl Physiol. 2018 Feb;118(2):331-338. doi: 10.1007/s00421-017-3773-z. Epub 2017 Dec 5.

Abstract

Purpose: High occupational physical activity (OPA) is shown to increase the risk for elevated blood pressure, cardiovascular diseases and mortality. Conversely, aerobic exercise acutely lowers the blood pressure up to 25 h post exercise. However, it is unknown if this beneficial effect also apply for workers exposed to high levels of OPA. Cleaners constitute a relevant occupational group for this investigation because of a high prevalence of OPA and cardiovascular disease. Accordingly, the objective was to investigate the acute effects on ambulatory blood pressure from a single aerobic exercise session among female cleaners.

Methods: Twenty-two female cleaners were randomised to a cross-over study with a reference and an aerobic exercise session. Differences in 24-h, work hours, leisure time, and sleep ambulatory blood pressure (ABP) were evaluated using repeated measure 2 × 2 mixed-models.

Results: After the aerobic exercise session, the 24-h systolic ambulatory blood pressure was significantly lowered by 2.4 mmHg (p < 0.01) compared to the reference session. The 24-h diastolic ABP was unaltered. During work hours, a lowered systolic ABP of 2.2 mmHg (p = 0.02) and a higher diastolic ABP of 1.5 mmHg (p = 0.03) were found after the aerobic exercise session. During leisure time, the systolic ABP was lowered by 1.7 mmHg (p = 0.04) and the diastolic ABP was unaltered. During sleep, the systolic and diastolic ABP was unaltered.

Conclusion: A single aerobic exercise session lowered 24-h systolic ABP of 2.4 mmHg. Thus, an aerobic exercise session seems to be beneficial for lowering the risk of hypertension among cleaners.

Keywords: Aerobic exercise; Blood pressure; Objective measurements; Occupational health; Occupational physical activity; Worksite intervention.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Blood Pressure*
  • Exercise Therapy / methods*
  • Female
  • Heart Rate
  • Humans
  • Hypertension / prevention & control*
  • Hypertension / therapy
  • Middle Aged
  • Occupational Diseases / prevention & control*
  • Occupational Diseases / therapy