Reducing effect of aerobic exercise on blood pressure of essential hypertensive patients

Wen, Hao; Wang, Lijuan

doi:10.1097/md.0000000000006150

Cited by 76 publications

(57 citation statements)

References 44 publications

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“…Another comorbidity, hypertension was predicted by unhealthy sleeping behavior, alcohol consumption, and low exercise levels. It would be expected that hypertension was predicted by unhealthy exercise as aerobic exercise has significant favorable impacts on blood pressure ( Wen & Wang, 2017 ). While exercise has been espoused as a health promotion practice that appeals to many men, a recent review by Bottorff, Oliffe, et al (2015) revealed few programs that were explicitly designed for men, and/or formally evaluated ( Bottorff, Seaton, et al, 2015 ; Caperchione et al, 2017 ).…”

Section: Resultsmentioning

confidence: 99%

Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice

et al. 2018

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Men’s poor health behaviors are an increasingly prevalent issue with long-term consequences. This study broadly samples Canadian men to obtain information regarding health behaviors as a predictor of downstream medical comorbidities. A survey of Canadian men included questions regarding demographics, comorbidities, and health behaviors (smoking and alcohol consumption, sleep and exercise behaviors, and dietary habits). Health behaviors were classified as either healthy or unhealthy based upon previous studies and questionnaire thresholds. Multivariate regression was performed to determine predictors for medical comorbidities. The 2,000 participants were aged 19–94 (median 48, interquartile range 34–60). Approximately half (47.4%) were regular smokers, 38.7% overused alcohol, 53.9% reported unhealthy sleep, 48.9% had low levels of exercise, and 61.8% had unhealthy diets. On multivariate analysis, regular smoking predicted heart disease (OR 2.08, p < .01), elevated cholesterol (OR 1.35, p = .02), type 2 diabetes (OR 1.57, p = .02), osteoarthritis (OR 1.43, p = .04), and depression (OR 1.62, p < .01). Alcohol overuse predicted hypertension (OR 1.40, p < .01) and protected against type 2 diabetes (OR 0.61, p < .01). Unhealthy sleep predicted hypertension (OR 1.46, p < .01), erectile dysfunction (OR 1.50, p = .04), and depression (OR 1.87, p < .01). Low levels of exercise predicted hypertension (OR 1.30, p = .03) and elevated cholesterol (OR 1.27, p = .05). Finally, unhealthy diet predicted depression (OR 1.65, p < .01). This study confirms the association of poor health behaviors and comorbidities common to middle-aged and older men. The results emphasize the potential scope of targeted gender-sensitized public awareness campaigns and interventions to reduce common male disease, morbidity, and mortality.

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Section: Resultsmentioning

confidence: 99%

Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice

et al. 2018

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“…The existing exercise recommendations for hypertension advocate that with regards to frequency, aerobic exercise should be undertaken on most (preferably all) days of the week and resistance exercise on 2 to 3 days in that same week [20]. With regards to intensity, the recommendation is for moderate intensity aerobic exercise (i.e., 40 to <60% of maximal oxygen uptake or heart rate reserve; [11][12][13] rating of perceived exertion on the 6-20 Borg Scale and moderate intensity dynamic resistance exercise (60% to 80% one repetition maximum) [20]. In terms of time, the duration of exercise should total 150 min or more per week [20].…”

Section: Discussionmentioning

confidence: 99%

“…However, in the last decades alternative therapies such as physical exercise have been gaining notoriety for the important beneficial effects on blood pressure of patients with systemic arterial hypertension [8][9][10]. Indeed, a plethora of studies showed that physical exercise may be a potential nonpharmacological treatment for the improvement of blood pressure in patients with hypertension [11]. Because of these effects, some authors have suggested that exercise may reduce or even replace pharmacological treatment.…”

Section: Introductionmentioning

confidence: 99%

Effects of a community physical activity program on the number of antihypertensive drugs used by elderly women with arterial hypertension: a cross-sectional study

Lira¹,

Santos

Gomes

et al. 2019

Preprint

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Background Physical exercise is an important tool to manage systemic arterial hypertension. However, less is known about the effect of physical exercise on the number of antihypertensive drugs used by older adults. Objectives The aim was to compare the number of antihypertensive drugs used by older female adults with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants that presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results The number of ingested antihypertensive tablets was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets ingested (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusions The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive women.

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“…A potential explanation for the difference in ACE-inhibitors may relate to the physically active lifestyle of the ATH-MI group. Physical activity is related to a favourable blood pressure, 17 which may have enabled ATH-MI group members to reduce their medication. Interestingly, ATH þ MI group members reported an increase in activity levels after the MI compared to before, whereas the SED þ MI group members did not change their physical activity behaviour.…”

Section: Discussionmentioning

confidence: 99%

Benefits of lifelong exercise training on left ventricular function after myocardial infarction

Maessen¹,

Eijsvogels

Stevens³

et al. 2017

Eur J Prev Cardiolog

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Background Endurance exercise training induces cardio-protective effects, but athletes are not exempted from a myocardial infarction. Evidence from animal studies suggests that exercise training attenuates pathological left ventricular remodelling following myocardial infarction. We tested the hypothesis that lifelong exercise training is related to attenuated pathological left ventricular remodelling after myocardial infarction as evidenced by better left ventricular systolic function in veteran athletes compared to sedentary peers. Design This was a cross-sectional study. Methods Sixty-five males (60 ± 6 years) were included and allocated to four groups based on lifelong exercise training volumes: (a) athletes ( n = 18), (b) post-myocardial infarction athletes (athletes + myocardial infarction, n = 20), (c) sedentary controls ( n = 13), and (d) post-myocardial infarction controls (sedentary controls + myocardial infarction, n = 14). Athletes were lifelong (≥20 years) highly physically active (≥30 metabolic equivalent of task (MET)-h/week), whereas sedentary controls did not meet the exercise guidelines (<10 MET-h/week) for the past 20 years. left ventricular systolic function, diastolic function and wall strain were measured using echocardiography. Results Cardiac enzyme markers (creatine-kinase, creatinine, aspartate transaminase and lactate dehydrogenase) following myocardial infarction and infarct location did not differ between athletes + myocardial infarction and sedentary controls + myocardial infarction. Left ventricular ejection fraction was significantly higher in athletes (61% ± 4), athletes + myocardial infarction (58% ± 4) and sedentary controls (57% ± 6) compared to sedentary controls + myocardial infarction (51% ± 7; p < 0.01). Left ventricular circumferential strain was superior in athletes (-19% (-21% to -17%), athletes + myocardial infarction (-16% (-20% to -12%)), and sedentary controls (-15% (-18% to -14%) compared to sedentary controls + myocardial infarction (-13% (-15% to -8%), p < 0.01). Diastolic function parameters did not differ across groups. Conclusion These findings suggest that lifelong exercise training may preserve left ventricular systolic function and possibly attenuates or minimises the deleterious effects of pathological post-myocardial infarction left ventricular remodelling in veteran athletes.

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Reducing effect of aerobic exercise on blood pressure of essential hypertensive patients

Cited by 76 publications

References 44 publications

Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice

Unhealthy Behaviors Among Canadian Men Are Predictors of Comorbidities: Implications for Clinical Practice

Effects of a community physical activity program on the number of antihypertensive drugs used by elderly women with arterial hypertension: a cross-sectional study

Benefits of lifelong exercise training on left ventricular function after myocardial infarction

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