Decrease in Blood Pressure in PARQVE
Decrease in Blood Pressure in PARQVE
The tripod of OA clinical treatment is education, weight loss and exercise. A sedentary
 lifestyle has been characterized as an independent risk factor for cardiovascular disease.
 Studies have shown the inverse association between the level of physical activity and the
 incidence of cardiovascular disease. High Intensity Interval Training (HIIT), which consists
 of repeated high-intensity exercise sessions interspersed with passive recovery. Active, has
 been studied as a new therapeutic approach and has been shown to be effective in controlling
 blood pressure (BP) and arterial stiffness in treated hypertensive individuals. HIIT training
 has also been shown to be able to reverse the hemodynamic, metabolic and hormonal changes
 that are involved in the pathophysiology of essential hypertension, leading to improved
 arterial stiffness and BP response, endothelin-1 and nitrite / nitrate to exercise, increased
 cardiorespiratory fitness when compared to moderate-intensity continuous exercise in young
 women with a family history of essential hypertension. Six weeks of HIIT training (3 times /
 week) reduced body fat and waist circumference in young women. , while increasing fat-free
 mass, maximum running speed and aerobic fitness. Two recent studies evaluating body weight
 change in overweight patients have shown that HIIT training is comparable to
 moderate-intensity continuous exercise, but HIIT is more efficient compared to time spent
 training, which may facilitate the inclusion of daily routine training of patients. Previous
 work performed by the authors patients undergoing an education and physical activity program
 showed improvement in WOMAC. The investigators believe that the inclusion of an HIIT training
 protocol may lead to improved BP and hemodynamic variables in patients with knee
 osteoarthritis. To evaluate the effect of high intensity interval physical training
 associated with an educational program on BP, hemodynamic variables of individuals undergoing
 treatment for knee OA. 63 patients with knee OA will be randomized into 3 groups: interval
 exercise (21), continuous exercise (21) and control (21). Patients will be evaluated for BP
 using ABPM, arterial stiffness and endothelial reactivity by measuring carotid-femoral pulse
 wave velocity and quality of life using the Euroqol scale.
High Intensity Interval Training (HIIT), which consists of repeated high intensity exercise
 sessions interspersed with passive / active recovery, has been studied as a new approach to
 hypertension therapy and systemic arterial hypertension. HIIT training has also been shown to
 be able to reverse how the hemodynamic, metabolic and hormonal changes that are involved in
 the physiology of essential hypertension, leading to improved arterial stiffness and BP
 response, endothelin-1 and nitrite / nitrate to exercise, Increased cardiorespiratory
 capacity when moderate-intensity continuous exercise was performed in young women with a
 history of essential arterial hypertension.

 Six weeks of HIIT training (3 times / week) reduced body fat and waist circumference in young
 women while increasing fat-free mass, maximum running speed, and aerobic fitness. Two recent
 studies evaluating body constitution change in overweight patients have shown that HIIT
 training is comparable to moderate-intensity continuous exercise, but HIIT is more efficient
 compared to the time spent during training, and HIIT can deliver savings of approximately 40%
 of the training time, which can facilitate the inclusion of training in the daily routine of
 patients.

 In previous work by the investigators, patients undergoing an education and physical activity
 program showed improvement in WOMAC. Researchers believe that the inclusion of an HIIT
 training protocol may lead to improved BP and hemodynamic variables in patients with knee
 osteoarthritis.
Inclusion Criteria:

 -  Men and women diagnosed with OAJ and SAH using antihypertensive medications

 -  Classified as Kelgreen and Lawrence grades I to III (K-L), ie any degree of
 gonarthritis without obliteration of the joint space.

 -  Indication of clinical treatment of OA.

 -  Patients not submitted to previous lower limb arthroplasty.

 -  Patients not submitted to knee infiltration up to 6 months before study.

 -  Patients without personal history of cognitive, psychiatric and / or neurological
 disorders, whose symptoms presented at the time of the evaluation are related or
 significantly interfere with the functions of attention, memory, logical reasoning,
 understanding, in order to impair the assimilation of the given guidelines.

 -  Patients who have not been doing regular physical activity (more than once a week) for
 the past 6 months.

 -  Patients able to perform physical activity from a cardiological point of view

 -  Ability to read, understand and answer the questionnaires.

 Exclusion Criteria:

 - Missing interventions and not performing the tasks determined by professionals.