Rev Bras Oftalmol.2025;84:e0047

Ocular perfusion pressure response during resistance exercise in healthy individuals: systematic review and meta-analysis

Diana de Medeiros , Francisco Veríssimo Perrout , Tamiris Schaeffer , Rafael Vidal , Marta Halfeld Ferrari Alves , Mateus Camaroti , Daniel Godoy

DOI: 10.37039/1982.8551.20250047

ABSTRACT

Objective:

To identify the acute effect of resistance exercise on ocular perfusion pressure (OPP) in healthy individuals.

Methods:

The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used. Searches were conducted in the databases: Medline, Embase, Cochrane, CINAHL, Web of Science, and Scopus. Studies that assessed OPP before and after physical exercise were included. The risk of bias was analyzed by the Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group. Random effect meta-analyses were conducted to determine the effect of handgrip and squatting physical exercises on OPP.

Results:

A total of 1,414 studies were found, of which 14 were eligible. After resistance exercise, an increase in OPP was observed after handgrip exercise (11.94 mmHg; 95% CI = 5.54 −18.33; I2= 93.74%; p < 0.01) and after squatting exercise (36.66%; 95% CI = 29.04-44.08; I2= 80.48%; p < 0.01), however, without major changes in ocular blood flow.

Conclusion:

Moderate resistance exercise increases OPP in healthy individuals. However, resistance exercises performed until concentric muscular failure seems to decrease this variable.

Ocular perfusion pressure response during resistance exercise in healthy individuals: systematic review and meta-analysis

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