Combined effect of autogenic relaxation and aerobic exercise on postmenopausal hypertension: A randomized clinical trial
Keywords:
Hypertension, Stress, Autogenic Training, Aerobic ExercisesAbstract
Background: Hypertension and stress are among the most common problems after menopause. Both aerobic exercises and autogenic relaxation are effective in reducing stress and hypertension. Purpose: The study aimed to ascertain whether autogenic relaxation training and aerobic exercise had a more significant impact on postmenopausal stress and hypertension than aerobic exercise alone. Methods: The study included 45 postmenopausal women who were randomly allocated from the Outpatient Clinic at Zagazig General Hospital, had a BMI of no more than 35 kg/m², and were diagnosed with moderate hypertension and moderate stress determined by a perceived stress scale. The participants were split into three equal-number groups. For six weeks, group (A) was given 25 mg of captopril twice a day; group (B) was given the same medication twice a day along with aerobic exercise three times weekly for 30 minutes each, and Group (C) was given the same medication twice a day along with 30 minutes of aerobic exercise per session, and 20 minutes of autogenic training three times a week. Evaluations were done by measuring blood pressure (BP), stress degree, and serum cortisol levels before and following the treatment.
Downloads
References
Awad M, Hasanin E, Taha M and Gabr A. (2019): Effect of stretching exercises versus autogenic training on preeclampsia. Journal of exercise rehabilitation, 15(1), 109. DOI: https://doi.org/10.12965/jer.1836524.262
Blocker J, Lazear J and Ridner S. (2020): Tobacco Cessation and Referral to the National Quitline. Workplace Health & Safety; 68(6):257-262. DOI: https://doi.org/10.1177/2165079920911551
Cao L, Li X, Yan P, Wang X, Li M, Li R and Yang K. (2019): The effectiveness of autogenic training and aerobic exercise for hypertensive population: A systematic review and meta‐analysis. The Journal of Clinical Hypertension, 21(7), 868-876. DOI: https://doi.org/10.1111/jch.13583
Da Palma R, Moraes-Silva C, da Silva Dias D et al. 2016: Resistance or aerobic training decreases blood pressure and improves cardiovascular autonomic control and oxidative stress in hypertensive menopausal rats. J. Appl. Physiol ;121:1032–1038. DOI: https://doi.org/10.1152/japplphysiol.00130.2016
Dantas F, Brasileiro-Santos M, Batista R, Nascimento L, Castellano C, Ritti-Dias M and SantosC. (2016): Effect of aerobic combined with relaxation training on oxidative stress and the correlation of the same with forearm vasodilatation and blood pressure of hypertensive elderly women: A randomized clinical trial. PloS one, 11(8), e0161178. DOI: https://doi.org/10.1371/journal.pone.0161178
Ferianto (2020): Differences of Effectiveness of Autogenic and Supportive Therapy on Post Traumatic Stress Disorder in Post Flood Elderly (Rengel Village, Rengel, Tuban District). Science Midwifery, 9(1, Oktober), 24-31.
Ferianto k (2020): Differences of Effectiveness of Autogenic and Supportive Therapy on Post Traumatic Stress Disorder in Post Flood Elderly (Rengel Village, Rengel, Tuban District). Science Midwifery, 9(1, Oktober), 24-31.
Grindler N and Santoro N. (2015):"Menopause and aerobic exercise affection on endorphin release ". Menopause; 22(12):1351–1358. DOI: https://doi.org/10.1097/GME.0000000000000536
Klein, E. M., Brähler, E., Dreier, M., Reinecke, L., Müller, K. W., Schmutzer, G., Wölfling, K., & Beutel, M. E.(2016). Perceived Stress Scale--German Version (PSS, PSS-10) [Database record]. APA PsycTests.https://doi.org/10.1037/t53160-000.
Klein, E. M., Brähler, E., Dreier, M., Reinecke, L., Müller, K. W., Schmutzer, G., Wölfling, K., & Beutel, M. E.(2016). Perceived Stress Scale--German Version (PSS, PSS-10) [Database record]. APA PsycTests. https://doi.org/10.1037/t53160-000 DOI: https://doi.org/10.1037/t53160-000
Li Y, Hanssen H, Cordes M, Rossmeissl A, Endes S and Schmidt-Trucksäss A. (2015): Aerobic, resistance and combined exercise training on arterial stiffness in normotensive and hypertensive adults: a review. European journal of sport science, 15(5), 443-457. DOI: https://doi.org/10.1080/17461391.2014.955129
Lin Y and Lee S. (2018): Cardiovascular benefits of exercise training in postmenopausal hypertension. International journal of molecular sciences, 19(9), 2523. DOI: https://doi.org/10.3390/ijms19092523
Mansour Z and Amini M. (2020): The effect of physical activity and training of progressive muscle relaxation on the level of anxiety and perceived stress in patients with covid-19. Sport Psychology Studies, 9(32), 227-248.
Pagonas N, Dimeo F, Bauer F, Seibert F, Kiziler F, Zidek W, and Westhoff H. (2014):The impact of aerobic exercise on blood pressure variability. Journal of human hypertension, 28(6), 367-371. DOI: https://doi.org/10.1038/jhh.2013.121
Richardson S, Shaffer, Falzon L et al., (2012): Meta-Analysis of Perceived Stress and Its Association With Incident Coronary Heart Disease. TheAmerican Journal of Cardiology.; 110(12):1711–1716. DOI: https://doi.org/10.1016/j.amjcard.2012.08.004
Rizal H, Hajar M, Kuan G, Savadelavar M and Kueh Y. (2019):The effects of progressive muscular relaxation on novice archers’ state anxiety, heart rate and performance scores. International Journal of Public Health and Clinical Sciences, 6(4), 96-112. DOI: https://doi.org/10.32827/ijphcs.6.4.96
Seo E and Kim S. (2019): Effect of autogenic training for stress response: a systematic review and meta- analysis. Journal of Korean Academy of Nursing, 49(4), 361-374. DOI: https://doi.org/10.4040/jkan.2019.49.4.361
Shaikh, Z and Nasreen M. (2019): Symptoms of menopause, hormone therapy and replacement in cancer and aging- related diseases, Leticia B. A. Rangel, Hephzibah Kirubamani, Ian Victor Silva and Paulo Cilas MoraisLyra J;35(6):445-461.
Singh A, Singh T and Singh H. (2018): Autogenic training and progressive muscle relaxation interventions: effects on mental skills of females. European Journal of physical education and sport science. 19(1), 48–68.
Sumantrie P and Limbong M. (2020): Effect of Autogenic Relaxation on Blood Pressure Reduction in Elderly Patients with Hypertension. Science Midwifery, 9(1, Oktober), 10- 14.
Takahashi T and Johnson K. (2015): "Menopause". The Medical Clinics of North America; 99 (3): 521–34. DOI: https://doi.org/10.1016/j.mcna.2015.01.006
Taylor J. (2014): Psychometric Analysis of the Ten-Item Perceived Stress Scale. Physical Review Materials J;2(5):051001.
Whelton S. (2002): Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med; 136:493–5. DOI: https://doi.org/10.7326/0003-4819-136-7-200204020-00006
Zilberman J, Cerezo G, Del Sueldo M, Fernandez‐Pérez C, Martell‐Claros N, & Vicario A. (2015): Association between hypertension, menopause, and cognition in women. The Journal of Clinical Hypertension, 17(12), 970- 976. DOI: https://doi.org/10.1111/jch.12643
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








