Aim. The present study compared the acute effects of aerobic (AER), resistance (RES), and combined (COM) exercises on blood pressure (BP) levels in people with resistant hypertension (RH) and nonresistant hypertension (NON-RH). Methods. Twenty patients (10 RH and 10 NON-RH) were recruited and randomly performed three exercise sessions and a control session. Ambulatory BP was monitored over 24 hours after each experimental session. Results. Significant reductions on ambulatory BP were found in people with RH after AER, RES, and COM sessions. Notably, ambulatory BP was reduced during awake-time and night-time periods after COM. On the other hand, the effects of AER were more prominent during awake periods, while RES caused greater reductions during the night-time period. In NON-RH, only RES acutely reduced systolic BP, while diastolic BP was reduced after all exercise sessions. However, the longest postexercise ambulatory hypotension was observed after AER (~11 h) in comparison to RES (~8 h) and COM (~4 h) exercises. Conclusion. Findings of the present study indicate that AER, RES, and COM exercises elicit systolic and diastolic postexercise ambulatory hypotension in RH patients. Notably, longer hypotension periods were observed after COM exercise. In addition, NON-RH and RH people showed different changes on BP after exercise sessions, suggesting that postexercise hypotension is influenced by the pathophysiological bases of hypertension.

中文翻译：

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有氧运动和抗阻运动相结合可以使顽固性高血压患者的动态血压降低更长时间：一项随机交叉试验。

瞄准。本研究比较了有氧运动 (AER)、阻力运动 (RES) 和联合运动 (COM) 对顽固性高血压 (RH) 和非顽固性高血压 (NON-RH) 患者血压 (BP) 水平的急性影响。方法。招募了 20 名患者（10 名 RH 和 10 名非 RH）并随机进行了 3 次锻炼和 1 次控制。在每次实验后 24 小时内监测动态血压。结果. 在 AER、RES 和 COM 会话后，RH 患者的动态血压显着降低。值得注意的是，COM 后清醒时间和夜间期间的动态血压降低。另一方面，AER 的影响在清醒期间更为突出，而 RES 在夜间期间导致更大的减少。在 NON-RH 中，只有 RES 急剧降低收缩压，而舒张压在所有运动后均降低。然而，与 RES（~8 小时）和 COM（~4 小时）运动相比，在 AER（~11 小时）后观察到最长的运动后动态低血压。结论. 本研究的结果表明，AER、RES 和 COM 运动会引起 RH 患者运动后的收缩压和舒张压动态低血压。值得注意的是，在 COM 运动后观察到较长的低血压期。此外，NON-RH 和 RH 人群在运动后血压变化不同，提示运动后低血压受高血压病理生理基础的影响。