Efeitos da preensão manual na pressão arterial: uma revisão integrativa

Abstract

This integrative review utilized the PubMed database with the descriptors hand grip and hypertension and hand grip and post-exercise hypotension, initially yielding 315 articles. After applying inclusion and exclusion criteria, 19 studies were selected for full analysis. Among these, 12 reported a significant hypotensive effect following handgrip exercise, with volume standing out as a common variable — most protocols being chronic in nature. In contrast, five studies identified an increase in blood pressure, generally in acute interventions applied to normotensive individuals, who are less sensitive to exercise-induced hypotension. Two studies found no statistically significant differences in post-intervention blood pressure; however, one of them indicated evidence of safety in applying the protocol to individuals with coronary artery disease. These findings suggest that isometric handgrip exercises have a potential hypotensive effect, especially when performed chronically, and may be considered a safe and complementary strategy in the management of hypertension, although their effects may vary depending on the population profile and type of intervention.