Do baseline blood pressure and type of exercise influence level of reduction induced by training in hypertensive older adults? A meta-analysis of controlled trials

Sardeli, Amanda Veiga; Griffith, Garett; Santos, Marcus Vinícius Mattos Abreu dos; Ito, Mirta Tomie; Nadruz, Wilson; Chacon‐Mikahil, Mara Patrícia Traina

doi:10.1016/j.exger.2020.111052

Cited by 22 publications

(19 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the prevalence of hypertension is higher in older adults (McConnell, 2018 ), the results of the present study suggest that the practice of aerobic training is an important non-drug strategy for reducing BP in the elderly, which has been observed previously (Kelley and Kelley, 2018 ). However, our results were different from those evidenced by previous studies (Cornelissen and Smart, 2013 ; Thomopoulos et al, 2018 ; Sardeli et al, 2020 ). There is still disagreement in the literature regarding the influence of age on the effects of BP reduction in response to aerobic training, so that other factors must also be considered, like time of hypertension diagnostic, presence of comorbidities, complications due to hypertension and presence of target organ injury.…”

Section: Discussioncontrasting

confidence: 99%

“…However, different dosages and classes of antihypertensive drugs were used in the studies included in this review, which makes it difficult to understand the effects of these factors on the pressure responses observed. Similar to our results, meta-analysis by Sardeli et al ( 2020 ) also found that medication use did not affect BP reduction in response to training. However, this result was not specific to aerobic training and included few studies.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Barcelos

Heberle

Coneglian

et al. 2022

Front. Sports Act. Living

View full text Add to dashboard Cite

IntroductionAerobic training of moderate intensity is the primary modality recommended in the management of hypertension. The manipulation of training variables can be an important strategy for the continuity of health benefits; however, little is known about the effects of the progression of aerobic training variables in the adaptations of blood pressure in hypertensive adults.ObjectiveTo analyze, through a systematic review with meta-analysis, the effects of aerobic training with and without progression on systolic blood pressure (SBP) and diastolic blood pressure (DBP) in hypertensive adults.MethodThe search for the studies was carried out in the PubMed, Cochrane Central, SPORTDiscus and LILACS databases. Clinical trials that analyzed the effect of aerobic training, lasting at least six weeks, on blood pressure in hypertensive individuals comparing with a control group without intervention were selected. The selection of studies and data extraction were carried out independently by two pairs of researchers. The results are presented as mean difference and 95% confidence interval. Statistical significance was considered with p < 0.05.ResultsOf the 13,028 studies found, 24 were selected and included in this review, 12 with progression of training variables and 12 without progression, with a total of 1,207 participants analyzed. There was a reduction in SBP after aerobic training with progression (−10.67 mmHg; 95% CI −15.421, −5.926; p < 0.001) and without progression (−10.17 mmHg; CI −12.213, −8.120; p < 0.001). DBP also decreased after aerobic training with progression (−5.49 mmHg; 95% CI −8.663, −2.310; p < 0.001) and without progression (−6.51 mmHg; 95% CI −9.147, −3.868; p < 0.001). According to the results of the meta-regression analyses, only age showed an association with the reduction of SBP (β: −0.323; CI −0.339, −0.307; p < 0.001).ConclusionAerobic training promotes a reduction in the SBP and DBP levels of adults with hypertension, regardless of whether or not the training variables progression.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Barcelos

Heberle

Coneglian

et al. 2022

Front. Sports Act. Living

View full text Add to dashboard Cite

show abstract

“…Since the prevalence of hypertension is higher at older ages 60 , the results of the present study suggest that the practice of aerobic training is an important nondrug strategy for reducing BP in the elderly, which has been observed previously 61 . However, our results were different from those evidenced by previous studies 11,57,62 . There is still disagreement in the literature regarding the in uence of age on the effects of BP reduction in response to aerobic training, so that other factors must also be considered.…”

Section: Discussioncontrasting

confidence: 99%

“…However, different dosages and classes of antihypertensive drugs were used in the studies included in this review, which makes it di cult to understand the effects of these factors on the pressure responses observed. Similar to our results, meta-analysis by Sardeli et al 57 also found that medication use did not affect BP reduction in response to training. However, this result was not speci c to aerobic training and included few studies.…”

Section: Discussionsupporting

confidence: 92%

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Barcelos¹,

Heberle²,

Coneglian³

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective: To analyze, through a systematic review with meta-analysis, the effects of aerobic training with and without progression on systolic blood pressure (SBP) and diastolic blood pressure (DBP) in hypertensive adults.Method: The search for the studies was carried out in the PubMed, Cochrane Central, SPORTDiscus and LILACS databases. Clinical trials that analyzed the effect of aerobic training, lasting at least six weeks, on blood pressure in hypertensive individuals comparing with a control group without intervention were selected. The selection of studies and data extraction were carried out independently by two pairs of researchers. Results: Of the 13028 studies found, 24 were selected and included in this review. There was a reduction in SBP after aerobic training with progression (-10.67 mmHg; 95% CI -15.421, -5.926; p <0.001) and without progression (-10.17 mmHg; CI -12.213, -8.120; p <0.001). DBP also decreased after aerobic training with progression (-5.49 mmHg; 95% CI -8.663, -2.310; p <0.001) and without progression (-6.51 mmHg; 95% CI -9.147, -3.868; p < 0.001). Conclusion: Aerobic training promotes a reduction in the SBP and DBP levels of adults with hypertension, regardless of whether or not the training variables progression.

show abstract

“…10 A similar approach adopted by Costa et al 9 produced functional benefits in older women. Therefore, the use of such strategy might be useful as an adjunct in the treatment of hypertensive patients, especially considering that resistance training might reduce resting blood pressure, 11,12 and that muscle strength is associated with lower mortality in hypertensive patients. 13 Considering that gyms and fitness centers are not accessible for many people, the use of such strategy in a hospital setting, might be an interesting therapeutic strategy.…”

mentioning

confidence: 99%

Use of low volume, high effort resistance training to manage blood pressure in hypertensive patients inside a public hospital: a proof of concept study

et al. 2021

View full text Add to dashboard Cite

Physical exercise has been shown to have an important role in the prevention and treatment of arterial hypertension. However, the general exercise recommendations are time consuming, which might be detrimental to exercise adoption. Based on this, minimal doses of exercise have been suggested as an alternative approach and this report investigates the feasibility and effects of low volume and high effort resistance training for hypertensive patients in a hospital setting. This is a pilot non-randomized prospective study where 15 sedentary hypertensive patients (11 women and 4 men) performed 24 resistance training sessions over 12 weeks at a public hospital. The resistance training sessions consisted of two sets of four exercises, with a rest interval of two minutes between sets. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured 10 minutes before and 10 minutes after each training. No injuries or intercurrence were reported during the study. SBP decreased significantly when compared the first and last sessions, when the measures were performed at rest (152 ± 16 mmHg vs. 122 ± 9 mmHg vs, p<0.05), and after (137 ± 13 mmHg vs. 115 ± 5 mmHg, p<0.05) the resistance training session. Similarly, DBP also decreased significantly when the values from the last session were compared with the first session, when measured at rest (83 ± 14 mmHg vs 73 ± 9 mmHg, p<0.05). Low volume and high effort resistance training seems to be a feasible non-pharmacological strategy to help controlling blood pressure in hypertensive patients within a hospital.

show abstract

Do baseline blood pressure and type of exercise influence level of reduction induced by training in hypertensive older adults? A meta-analysis of controlled trials

Cited by 22 publications

References 7 publications

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Effects of Aerobic Training Progression on Blood Pressure in Individuals With Hypertension: A Systematic Review With Meta-Analysis and Meta-Regression

Use of low volume, high effort resistance training to manage blood pressure in hypertensive patients inside a public hospital: a proof of concept study

Contact Info

Product

Resources

About