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

Barcelos, Guilherme Tadeu de; Heberle, Isabel; Coneglian, Juliana Cavestré; Vieira, Bruno Allan; Delevatti, Rodrigo Sudatti; Gerage, Aline Mendes

doi:10.3389/fspor.2022.719063

Cited by 20 publications

(9 citation statements)

References 66 publications

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“…In the present research, lower but non-significant resting systolic blood pressure (7.7 mm Hg) was reported during post-season testing. This hypotensive effect was found previous as post-exercise acute effect ( Carpio-Rivera et al, 2016 ) and after regular training interventions de ( de Barcelos et al, 2022 ). It could be caused by changes of blood volume, cardiac output and decreased total peripheral resistance ( Joyner and Limberg, 2014 ).…”

Section: Discussionsupporting

confidence: 75%

Comparison of body composition components and anaerobic performance parameters of elite male motorcycle speedway riders between pre- and post-competitive season

Michalik

Szczepan²,

Markowski³

et al. 2023

Front. Physiol.

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The purpose of this study was to compare body composition components and anaerobic capacity indices in elite motorcycle speedway riders before and after the competitive season. This study included 12 volunteer male motorcycle speedway riders from the highest speedway league in Poland (PGE Speedway Ekstraliga) (age: 22.7 ± 6.0 years, body height: 171.3 ± 4.0 cm, body weight: 62.5 ± 3.1 kg). Before and after the competitive season, an assessment of body composition and Wingate test (WAnT) on a cycle ergometer with analysis of acute cardiorespiratory and biochemical responses was conducted. Sport level for all riders was defined by the number of heats won (WS), the total number of points scored in all heats including bonus points (PTS + B), and the percentage of heats won (%W). The motorcycle speedway riders participated in an average of 75.3 ± 15.0 total heats (HS) and obtained PTS + B equal 136.8 ± 48.2. The anaerobic performance, body composition, cardiorespiratory and biochemical responses did not changed after the competitive season. The significant statistical correlations were noted between the differences in the Fatigue Index during WAnT and total number of heats (r = −0.61) and with PTS + B (r = −0.58). Positively correlations were observed also between HS and differences: fat mass (FM) (r = 0.60) and percentage of fat mass (r = 0.61) (all p < 0.05). These findings reveal that the HS during the competitive season is related to the stabilization of anaerobic capacity in the WAnT. The HS is positively correlated with an increase in fat mass, and additional fat mass can adversely affect athletic performance in speedway.

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Section: Discussionsupporting

confidence: 75%

Comparison of body composition components and anaerobic performance parameters of elite male motorcycle speedway riders between pre- and post-competitive season

Michalik

Szczepan²,

Markowski³

et al. 2023

Front. Physiol.

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“…With regard to blood pressure, a recent meta-analysis of data from 1207 hypertensive patients showed a significant reduction in systolic (−10 mmHg) and diastolic (−5.5 mmHg) blood pressure in subjects following aerobic training programs [ 23 ], with High-Intensity Interval Training (HIIT) also showing a significant reduction in older patients [ 24 ]; in addition, it has recently been shown that physical activity and exercise added to the usual care may further reduce BP in patients with resistant hypertension [ 25 ]; similar results have been observed in T2DM patients [ 26 ]. Similarly, strength training, by resulting in skeletal muscle hypertrophy, can lead to increased tissue responsiveness to insulin in terms of glucose storage and utilization.…”

Section: Cardiovascular Benefits Of Exercisementioning

confidence: 99%

Effects of Exercise on Heart Failure with Preserved Ejection Fraction: An Updated Review of Literature

Crisci

Luca

D’Assante

et al. 2022

JCDD

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Heart failure with preserved ejection fraction (HFpEF) represents the most common HF phenotype of patients aged > 65 years, with an incidence and a prevalence that are constantly growing. The HFpEF cardinal symptom is exercise intolerance (EI), defined as the impaired ability to perform physical activity and to reach the predicted age-related level of exercise duration in the absence of symptoms—such as fatigue or dyspnea—and is associated with a poor quality of life, a higher number of hospitalizations, and poor outcomes. The evidence of the protective effect between exercise and adverse cardiovascular outcomes is numerous and long-established. Regular exercise is known to reduce cardiovascular events and overall mortality both in apparently healthy individuals and in patients with established cardiovascular disease, representing a cornerstone in the prevention and treatment of many cardio-metabolic conditions. Several studies have investigated the role of exercise in HFpEF patients. The present review aims to dwell upon the effects of exercise on HFpEF. For this purpose, the relevant data from a literature search (PubMed, EMBASE, and Medline) were reviewed. The analysis of these studies underlines the fact that exercise training programs improve the cardiorespiratory performance of HFpEF patients in terms of the increase in peak oxygen uptake, the 6 min walk test distance, and the ventilatory threshold; on the other hand, diastolic or systolic functions are generally unchanged or only partially modified by exercise, suggesting that multiple mechanisms contribute to the improvement of exercise tolerance in HFpEF patients. In conclusion, considering that exercise training programs are able to improve the cardiorespiratory performance of HFpEF patients, the prescription of exercise training programs should be encouraged in stable HFpEF patients, and further research is needed to better elucidate the pathophysiological mechanisms underpinning the beneficial effects described.

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“…The conclusion of this study is consistent with the published conclusion on the effect of aerobic training on blood pressure in patients with hypertension. The meta-analysis results of Cao et al [ 7 ], Igarashi et al [ 23 ], and de Barcelos et al [ 24 ] illustrated the reduction of SBP and DBP in the aerobic training group were about 8-12 mmHg and 5-6 mmHg, respectively. In this study, the WMD of the difference before and after the intervention was used as the effect quantity.…”

Section: Discussionmentioning

confidence: 99%

Meta-Analysis of the Effect of Aerobic Training on Blood Pressure in Hypertensive Patients

Fù

Feng²,

Wei

et al. 2022

Computational and Mathematical Methods in Medicine

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Background. We aimed to evaluate the effect of different aerobic training methods and exercise duration on blood pressure in hypertensive patients, including systolic blood pressure (SBP) and diastolic blood pressure (DBP). Methods. Using the literature review method, the English database PubMed was retrieved to obtain relevant research literature, and the selected studies were analyzed and evaluated. Results. 14 clinical studies were included in this study, with a total of 1027 patients, including 681 in the aerobic training group and 409 in the control group. Based on heterogeneity test results, the differences of SBP and DBP before and after the physical intervention were combined using a random effect model. The results indicated that the aerobic training group could significantly reduce SBP compared with the control group, WMD = − 9.91 , 95% CI (-14.21, -5.61), P < 0.0001 . The DBP was reduced significantly in the aerobic training group, WMD = − 4.32 , 95% CI (- 7.02, -1.62), P < 0.001 . The results of subgroup analysis showed that both progressive training and nonprogressive training could reduce blood pressure in patients, and training time less than 12 weeks and more than 12 weeks could reduce blood pressure in patients. Conclusion. Implementing aerobic training can effectively reduce blood pressure in hypertensive patients. Progressive training, nonprogressive training, and different training cycles can all benefit hypertensive patients.

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

Cited by 20 publications

References 66 publications

Comparison of body composition components and anaerobic performance parameters of elite male motorcycle speedway riders between pre- and post-competitive season

Comparison of body composition components and anaerobic performance parameters of elite male motorcycle speedway riders between pre- and post-competitive season

Effects of Exercise on Heart Failure with Preserved Ejection Fraction: An Updated Review of Literature

Meta-Analysis of the Effect of Aerobic Training on Blood Pressure in Hypertensive Patients

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