Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis

Wang, Cheng; Redgrave, Jessica; Shafizadeh, Mohsen; Majid, Arshad; Kilner, Karen; Ali, Ali N

doi:10.1136/bjsports-2017-098903

Cited by 50 publications

(62 citation statements)

References 61 publications

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“…While the novice did receive training and benefited from a pilot period, others who have used the CERT have reported no difficulties in using the Explanation and Elaboration Statement and Checklist. 54,55 Completeness of reporting has been investigated for the CONSORT Statement [56][57][58][59][60] and the TIDieR Checklist. 7,56 Inter-rater reliability has not been routinely evaluated for reporting guidelines.…”

Section: Discussionmentioning

confidence: 99%

The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting

Slade

Finnegan

Dionne

et al. 2018

Journal of Clinical Epidemiology

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Section: Discussionmentioning

confidence: 99%

The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting

Slade

Finnegan

Dionne

et al. 2018

Journal of Clinical Epidemiology

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“…23,55,56 Importantly, the behavior change platform is relevant in the context of evidence-based interventions designed to encourage the adoption of compensatory cognitive strategies 57,58 and other pro-cognitive behaviors such as aerobic exercise. 59…”

Section: Sar As a Model For Carmentioning

confidence: 99%

<p>Home-Based Cognitively Assistive Robots: Maximizing Cognitive Functioning and Maintaining Independence in Older Adults Without Dementia</p>

Patten¹,

Keller²,

Maye³

et al. 2020

CIA

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Promoting health and prolonging independence in the home is a priority for older adults, caregivers, clinicians, and society at large. Rapidly developing robotics technology provides a platform for interventions, with the fields of physically and socially assistive robots expanding in recent years. However, less attention has been paid to using robots to enhance the cognitive health of older adults. The goal of this review is to synthesize the current literature on home-based cognitively assistive robots (CAR) in older adults without dementia and to provide suggestions to improve the quality of the scientific evidence in this subfield. First, we set the stage for CAR by: a) introducing the field of robotics to improve health, b) summarizing evidence emphasizing the importance of home-based interventions for older adults, c) reviewing literature on robot acceptability in older adults, d) highlighting important ethical issues in healthcare robotics, and e) reviewing current findings on socially assistive robots, with a focus on translating findings to the CAR context. With this foundation in place, we then review the literature on CAR, identifying gaps and limitations of current evidence, and proposing future directions for research. We conclude that CAR is promising and feasible and that there is a need for more methodologically rigorous evaluations of CAR to promote prolonged home-based independence in older adults.

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“…Furthermore, they did not include any other vascular or metabolic risk factors besides SBP and DBP [13]. The review of Wang et al [12] reported a significant result of combined aerobic training and resistance exercises on both systolic blood pressure (À4.30 mmHg, 95% CI À6.77 to À1.83) and diastolic blood pressure (À2.58 mmHg, 95% CI À4.71 to À0.46). The review of D'Isabella et al did find significant effects of exercise training both with and without lifestyle coaching.…”

Section: Discussionmentioning

confidence: 99%

“…Several systematic reviews have addressed exercise as secondary prevention after stroke. These reviews all included studies in which the intervention existed of a combination of aerobic training with strength exercise and/or lifestyle interventions [12][13][14][15]. D'Isabella et al found that combined aerobic training and strength exercise has a risk reducing effect on several vascular risk factors after stroke [15].…”

Section: Introductionmentioning

confidence: 99%

Effect of aerobic training on vascular and metabolic risk factors for recurrent stroke: a meta-analysis

Brouwer

Wondergem

Otten

et al. 2019

Disability and Rehabilitation

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Aim: This meta-analysis aimed to determine the effect of aerobic training, compared to non-aerobic interventions, on vascular and metabolic risk factors for recurrent stroke. Method: This study was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines (PRISMA). Searches were performed in PubMed, Embase, Cochrane library and Cinahl up to May 8 th 2019. Randomized clinical trials evaluating the effect of solely aerobic training on vascular and metabolic risk factors for recurrent stroke were included in a meta-analysis if relevant outcomes were reported in at least two articles. Results: Our search resulted in a total of 7381 hits. Eleven outcomes out of nine articles were included in the meta-analysis. A significant positive effect of aerobic training was found on systolic blood pressure (À3.59 mmHg, 95% CI À6.14 to À1.05) and fasting glucose (À0.12 mmol/l, 95% CI À0.23 to À0.02). The effect on systolic blood pressure further improved when only high-quality studies were included (À4.95 mmHg, 95% CI À8.24 to À1.66). Conclusion: Aerobic training results in a significant positive effect on systolic blood pressure and fasting glucose after stroke when compared to non-aerobic usual care or non-aerobic exercise. ä IMPLICATIONS FOR REHABILITATION Aerobic training has a positive effect on two of the most important vascular risk factors for recurrent stroke (i.e., systolic blood pressure and fasting glucose). The effect of solely aerobic training seems to be comparable to the effect of combined strength exercise and aerobic training for systolic blood pressure and fasting glucose. Since aerobic training has a significant effect on risk factors for recurrent stroke, implementation of aerobic training in daily life is important to reduce long term stroke risk. Previous research has showed that other metabolic risk factors can be altered by other interventions (e.g., strength exercise or lifestyle coaching), therefore, post-stroke prevention programs should be tailored in order to target specific risk-factors for individual patients.

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Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis

Abstract: . (2018). Aerobic exercise interventions reduce blood pressure in patients after stroke or transient ischaemic attack: a systematic review and meta-analysis. British Journal of Sports Medicine. Copyright and re-use policy

Cited by 50 publications

References 61 publications

The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting

The Consensus on Exercise Reporting Template (CERT) applied to exercise interventions in musculoskeletal trials demonstrated good rater agreement and incomplete reporting

<p>Home-Based Cognitively Assistive Robots: Maximizing Cognitive Functioning and Maintaining Independence in Older Adults Without Dementia</p>

Effect of aerobic training on vascular and metabolic risk factors for recurrent stroke: a meta-analysis

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