Immediate post-exercise blood pressure, health-related fitness and accelerometer-measured movement behaviors in older adults: A network analysis
Exercise blood pressure; aging; physical fitness
Objective: To determine and quantify the magnitude of the relationships between immediate post-exercise blood pressure with health-related fitness and movement behaviors in older adults.
Methods: Community-dwelling older adults aged 60-80 years without diagnosed cardiovascular diseases participated in this cross-sectional study. Blood pressure measurements were taken before and immediately after a 3-minute moderate walking test (stage 1 Bruce protocol). Proxies of health-related fitness: six-minute walk test (cardiorespiratory fitness), handgrip strength and 30-s chair stand test (muscle strength). Movement behaviors (sedentary time and moderate-to-vigorous physical activity; MVPA) were assessed by hip-worn accelerometer over seven consecutive days. A network analysis with “Partial Correlation” estimator was conducted to verify the interactions between immediate post-exercise systolic blood pressure with health-related fitness and accelerometer-measured movement behaviors.
Results: A total of 237 participants (mean age: 66 ± 5 years; 78% female) were included in the final analysis. Immediate post-exercise blood pressure was strongly associated with resting systolic blood pressure (0.581) followed by body mass index (0.181) and diagnosed hypertension (0.039). The relationship with health-related fitness was moderate (six-minute walk test 0.074; handgrip strength -0.136; 30-s chair stand test -0.106), while with movement behaviors was weak (sedentary time 0.038; MVPA -0.053). Conclusion: Our findings support the idea that blood pressure response to moderate efforts is moderately associated with features of health-related fitness (cardiorespiratory fitness and muscle strength) and weakly associated with movement behaviors (sedentary time and MVPA) in older adults.