阻力運動對高血壓族群之效益

10.29793/TYHHHK.201007.0007

張世錫；駱明瑤

心血管危險因子 ； 慢性疾病 ； 收縮壓 ； 平均動脈壓

體育學系(所)刊

10期（2010 / 07 / 01）

65 - 75

繁體中文

本文分析阻力運動對高血壓的影響，先前研究認為高血壓族群的血管管壁細胞無法分泌血管擴張因子使血流對管壁的衝擊降低，因此，阻力運動所引起的劇烈血壓上升，不利於高血壓族群進行此種運動。近期研究顯示有氧運動可降低血漿中血管內皮細胞內皮素－1的濃度，進而預防高血壓與粥樣動脈硬化的形成，相對地，阻力運動可增加肌肉質量、加強心血管系統的復健。目前建議的阻力運動模式為循環且動態式訓練，建議重量為40-80% 1 RM且每組間隔30秒至3分鐘。未來研究方向需同時記錄運動中血壓變化，瞭解不同阻力運動模式、強度、頻率、次數狀況下之血壓反應，目前已知運動中血壓上升起因於機械感壓受器，除此原因外，是否仍有其他機制控制血壓，也是未來研究者需探討的目標。

1. 衛生署（2009）。死因統計統計表。2009 年10 月7 日，取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=73104&s=1
2. Banz, W. J.,Maher, M. A.,Thompson, W. G.,Bassett, D. R.,Moore, W.,Ashraf, M.(2003).Effects of resistance versus aerobic training on coronary artery disease risk factors.Exp Blot Med (Maywood),228(4),434-440.
3. Carter, J. R.,Ray, C. A.,Downs, E. M.,Cooke, W. H.(2003).Strength training reduces arterial blood pressure but not sympathetic neural activity in young normotensive subjects.J Appl Physiol,94(6),2212-2216.
4. Castaneda, C.,Layne, J. E.,Munoz-Orians, L.,Gordon, P. L.,Walsmith, J.,Foldvari, M.(2002).A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes.Diabetes Care,25(12),2335-2341.
5. Chang, H. J.,Chung, J.,Choi, S. Y.,Yoon, M. H.,Hwang, G. S.,Shin, J. H.(2004).Endothelial dysfunction in patients with exaggerated blood pressure response during treadmill test.Clin Cardiol,27(7),421-425.
6. Chobanian, A. V.,Bakris, G. L.,Black, H. R.,Cushman, W. C.,Green, L. A.,Izzo, J. L.(2004).The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure.National Heart Lung and Blood Institute.
7. Cornelissen, V. A.,Arnout, J.,Holvoet, P.,Fagard, R. H.(2009).Influence of exercise at lower and higher intensity on blood pressure and cardiovascular risk factors at older age.J Hypertens,27(4),753-762.
8. DeVan, A. E.,Anton, M. M.,Cook, J. N.,Neidre, D. B.,Cortez-Cooper, M. Y.,Tanaka, H.(2005).Acute effects of resistance exercise on arterial compliance.J Appl Physiol,98(6),2287-2291.
9. Fagard, R. H.(2006).Exercise is good for your blood pressure: effects of endurance training and resistance training.Clin Exp Pharmacol Physiol,33(9),853-856.
10. Fagard, R. H.,Thijs, L. B.,Amery, A. K.(1995).The effect of gender on aerobic power and exercise hemodynamics in hypertensive adults.Med Sci Sports Exerc,27(1),29-34.
11. Gallagher, K. M.,Fadel, P. J.,Smith, S. A.,Norton, K. H.,Querry, R. G.,Olivencia-Yurvati, A.(2001).Increases in intramuscular pressure raise arterial blood pressure during dynamic exercise.J Appl Physiol,91(5),2351-2358.
12. Hegde, S. S.,Goldfarb, A. H.,Hegde, S.(2001).Clotting and fibrinolytic activity change during the 1 h after a submaximal run.Med Sci Sports Exerc,33(6),887-892.
13. Karlsdottir, A. E.,Foster, C.,Porcari, J. P.,Palmer-McLean, K.,White-Kube, R.,Backes, R. C.(2002).Hemodynamic responses during aerobic and resistance exercise.J Cardiopulm Rehabil,22,170-177.
14. Kelley, G.(1997).Dynamic resistance exercise and resting blood pressure in adults: a meta-analysis.J Appl Physiol,82(5),1559-1565.
15. Lamotte, M.,Niset, G.,van de Borne, P.(2005).The effect of different intensity modalities of resistance training on beat-to-beat blood pressure in cardiac patients.Eur J Cardiovasc Prev Rehabil,12(1),12-17.
16. Lentini, A. C.,MeKelvie, R. S.,McCartney, N.,Tomlinson, C. W.,MacDougall, J. D.(1993).Left ventricular response in healthy young men during heavy-intensity weight-lifting exercise.J Appl Physiol,75(6),2703-2710.
17. Lovell, D. I.,Cuneo, R.,Gass, G. C.(2009).Resistance training reduces the blood pressure response of older men during submaximum aerobic exercise.Blood Press Monit,14(4),137-144.
18. MacDougall, J. D.,Tuxen, D.,Sale, D. G.,Moroz, J. R.,Sutton, J. R.(1985).Arterial blood pressure response to heavy resistance exercise.J Appl Physiol,58(3),785-790.
19. Maeda, S.,Tanabe, T.,Miyauchi, T.,Otsuki, T.,Sugawara, J.,Iemitsu, M.(2003).Aerobic exercise training reduces plasma endothelin-I concentration in older women.J Appl Physiol,95(1),336-341.
20. Mayers, J. N.(2001).The physiology behind exercise testing.Prim Care,28(1),5-28.
21. Miyachi, M.,Kawano, H.,Sugawara, J.,Takahashi, K.,Hayashi, K.,Yamazaki, K.(2004).Unfavorable effects of resistance training on central arterial compliance: a randomized intervention study.Circulation,110(18),2858-2863.
22. Okamoto, T.,Masuhara, M.,Ikuta, K.(2009).Home-based resistance training improves arterial stiffness in healthy premenopausal women.Eur J Appl Physiol,107(1),113-117.
23. Rakobowchuk, M.,McGowan, C. L.,de Groot, P. C.,Bruinsma, D.,Hartman, J. W.,Phillips, S. M.(2005).Effect of whole body resistance training on arterial compliance in young men.Exp Physiol,90(4),645-651.
24. Roltsch, M. H.,Mendez, T.,Wilund, K. R.,Hagberg, J. M.(2001).Acute resistive exercise does not affect ambulatory blood pressure in young men and women.Med Sci Sports Exerc,33(6),881-886.
25. Tzemos, N.,Lim, P. O.,MacDonald, T. M.(2009).Exercise blood pressure and endothelial dysfunction in hypertension.Int J Clin Pract,63(2),202-206.
26. Wickwire, P. J.,McLester, J. R.,Green, J. M.,Crews, T. R.(2009).Acute heart rate, blood pressure, and RPE responses during super slow vs. traditional machine resistance training protocols using small muscle group exercises.J Strength Cond Res,23(1),72-79.
27. Wolthuis, R. A.,Froelicher, V. F., Jr.,Fischer, J.,Triebwasser, J. H.(1977).The response of healthy men to treadmill exercise.Circulation,55(1),153-157.
28. 國民健康局(2004)。高血壓防治手冊。

1. 鍾寶弘、張純嘉(2015)。阻力運動對於中風防治之應用。中華體育季刊，29(3)，247-254。