Yıl: 2024 Cilt: 16 Sayı: 1 Sayfa Aralığı: 129 - 138 Metin Dili: Türkçe DOI: 10.5336/sportsci.2023-98722 İndeks Tarihi: 10-06-2024

Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme

Öz:
Hipertansiyon, dünya çapında kardiyovasküler hastalıkların ve erken ölümlerin önde gelen önemli bir risk faktörüdür. Dünya nüfusu- nun bir milyardan fazlasının hipertansiyonu olduğu tahmin edilmekte- dir. Ülkem izde ise er işkin nüfusun %31,2’s inde h ipertansiyon görülmektedir. Hipertansiyon tedavisindeki amaç, ilişkili morbiditele- rin ve mortalitenin azaltılması ve engellenmesidir. Hipertansiyon teda- visinde kullan ılabilecek b irçok ilaç bulunmas ına ra ğmen hastalar ın büyük çoğunluğunda önerilen kan bas ıncı hedeflerine ulaşılamadığı önemli bir gerçektir. Hipertansiyon tedavisinde tek başına veya ilaç te- davisi ile kombine edilen düzenli egzersizin önemli bir yeri vardır. Bu derlemenin amacı; hipertansiyon tedavisinde farklı egzersiz modelleri- nin kan basıncına etkisi, potansiyel fizyolojik mekanizmalarının açık- lanması ve hipertansiyonlu bireyler için egzersiz reçetesi önerilerinin sunulmasıdır. Sonuç olarak; hipertansiyonu olan bireylerde aerobik eg- zersiz genel sağlığı iyileştirir, kan basıncını düşürür ve olası kardiyo- vasküler olayları ve mortaliteyi azaltır. Egzersize başlamak isteyen hipertansif kişilerde kardiovasküler riski azaltmak için tarama öner i- leri, egzersiz reçeteleri ve özel hususlar bir kılavuz olarak sunulmakta- dır. Hipertansiyon tedavisi için aerobik egzersiz; haftada 3-5 gün, 20- 60 dk, %40-70 VO2 yoğunluğunda önerilmektedir. Kas dayanıklılığını artıran direnç egzersizleri güvenli sınırlar içinde kaldığı sürece hiper- tansif hastalarda haftada 2-3 gün egzers iz rejimine entegre ed ilebilir. Yüksek yoğunlukta aralıklı antrenman ve izometrik direnç egzersizleri kan basıncını düşürmedeki görünür faydalarına rağmen, antihipertansif tedavide yeterince kullanılmamaktadır. Bu egzersizlerinde hipertansif bireylerin egzersiz reçetesine dâhil edilmesi etkili tedavi için öneril- mektedir.
Anahtar Kelime: Egzersiz egzersiz testi hipertansiyon egzersiz sonrası hipotansiyon

The Role of Exercise in the Treatment of Hypertension: Traditional Review

Öz:
Hypertension is a leading major risk factor for cardiovas- cular disease and early death worldw ide. It is estimated that more than one billion of the world populat ion is hypertensive. In our country, hy- pertension is observed in 31.2% of the adult population. The aim of hy- pertension treatment is to reduce and prevent associated morbidities and mortality. Although there are many drugs that can be used in the treat- ment of hypertension, it is an important fact that the recommended blood pressure targets are not achieved in the majority of patients. Regular ex- ercise alone or in combination with medication has an important role in the treatment of hypertension. The aim of this review is to describe the effects of different exercise models on blood pressurein the treatment of hypertension, to explain their potential physiologic mechanisms, and to provide exercise prescription recommendations for individuals with hy- pertension. In conclusion, aerobic exercise in individuals with hyperten- sion improves general health, lowers blood pressure and reduces potential cardiovascular events and mortality. Screening recommendations, exer- cise prescriptions and special considerations to reduce cardiovascular risk in people with hypertension who want to start exercising are presented as a guide. Aerobic exercise for the treatment of hypertens ion is recom- mended 3-5 days a week for 20-60 minutes at a maximum VO2 intensity of 40-70%. Res istance exercises that increase muscular endurance can be integrated into the exercise regimen 2-3 days a week in hypertensive patients as long as they rema in within safe limits. Despite the apparent benefits of high-intensity interval training and isometric resistance exer- cises in lowering blood pressure, they are underut ilized in anti-hyper- tensive therapy. Inclusion of these exercises in the exercise prescription of hypertensive individuals is recommended for effective treatment.
Anahtar Kelime: Exercise exercise test hypertension post-exercise hypotension

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APA Bahar A (2024). Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. , 129 - 138. 10.5336/sportsci.2023-98722
Chicago Bahar Aslı Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. (2024): 129 - 138. 10.5336/sportsci.2023-98722
MLA Bahar Aslı Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. , 2024, ss.129 - 138. 10.5336/sportsci.2023-98722
AMA Bahar A Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. . 2024; 129 - 138. 10.5336/sportsci.2023-98722
Vancouver Bahar A Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. . 2024; 129 - 138. 10.5336/sportsci.2023-98722
IEEE Bahar A "Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme." , ss.129 - 138, 2024. 10.5336/sportsci.2023-98722
ISNAD Bahar, Aslı. "Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme". (2024), 129-138. https://doi.org/10.5336/sportsci.2023-98722
APA Bahar A (2024). Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. Türkiye Klinikleri Spor Bilimleri Dergisi, 16(1), 129 - 138. 10.5336/sportsci.2023-98722
Chicago Bahar Aslı Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. Türkiye Klinikleri Spor Bilimleri Dergisi 16, no.1 (2024): 129 - 138. 10.5336/sportsci.2023-98722
MLA Bahar Aslı Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. Türkiye Klinikleri Spor Bilimleri Dergisi, vol.16, no.1, 2024, ss.129 - 138. 10.5336/sportsci.2023-98722
AMA Bahar A Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. Türkiye Klinikleri Spor Bilimleri Dergisi. 2024; 16(1): 129 - 138. 10.5336/sportsci.2023-98722
Vancouver Bahar A Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme. Türkiye Klinikleri Spor Bilimleri Dergisi. 2024; 16(1): 129 - 138. 10.5336/sportsci.2023-98722
IEEE Bahar A "Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme." Türkiye Klinikleri Spor Bilimleri Dergisi, 16, ss.129 - 138, 2024. 10.5336/sportsci.2023-98722
ISNAD Bahar, Aslı. "Hipertansiyon Tedavisinde Egzersizin Rolü: Geleneksel Derleme". Türkiye Klinikleri Spor Bilimleri Dergisi 16/1 (2024), 129-138. https://doi.org/10.5336/sportsci.2023-98722