Ejercicio físico combinado y rigidez arterial en personas hipertensas y prehipertensas. Revisión sistemática
Resumen
La rigidez arterial es un indicador importante del envejecimiento vascular y se asocia con el riesgo de enfermedad cardiovascular y mortalidad. Se han propuesto diversas intervenciones para reducirla, especialmente en personas hipertensas y prehipertensas. En los últimos años, se ha investigado el ejercicio físico combinado por su impacto en este marcador. El objetivo de este estudio fue evaluar los efectos del ejercicio físico combinado sobre la rigidez arterial en personas hipertensas y prehipertensas. Para ello, se realizó una revisión sistemática, de acuerdo con las directrices PRISMA, en las bases de datos PubMed, Scopus, Embase, Web of Science, LILACS y Google Scholar. Se identificaron 2675 artículos, de los cuales solo tres cumplieron los criterios de elegibilidad y se incluyeron en el análisis. La velocidad de la onda de pulso (VOP) fue la principal medida utilizada para evaluar la rigidez arterial, presente en el 66,7% de los estudios. Los resultados indicaron que, en dos de los tres estudios (66,7%), el ejercicio físico combinado no fue eficaz para reducir la rigidez arterial en personas hipertensas y prehipertensas. Por lo tanto, se concluye que se necesitan más estudios experimentales con intervenciones combinadas de ejercicio de resistencia y aeróbico, realizados con mayor rigor metodológico, para determinar si existe, de hecho, una reducción significativa de la rigidez arterial en estos grupos específicos.
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