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Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials.
- Source :
-
British journal of sports medicine [Br J Sports Med] 2023 Oct; Vol. 57 (20), pp. 1317-1326. Date of Electronic Publication: 2023 Jul 25. - Publication Year :
- 2023
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Abstract
- Objective: To perform a large-scale pairwise and network meta-analysis on the effects of all relevant exercise training modes on resting blood pressure to establish optimal antihypertensive exercise prescription practices.<br />Design: Systematic review and network meta-analysis.<br />Data Sources: PubMed (Medline), the Cochrane library and Web of Science were systematically searched.<br />Eligibility Criteria: Randomised controlled trials published between 1990 and February 2023. All relevant work reporting reductions in systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) following an exercise intervention of ≥2 weeks, with an eligible non-intervention control group, were included.<br />Results: 270 randomised controlled trials were ultimately included in the final analysis, with a pooled sample size of 15 827 participants. Pairwise analyses demonstrated significant reductions in resting SBP and DBP following aerobic exercise training (-4.49/-2.53 mm Hg, p<0.001), dynamic resistance training (-4.55/-3.04 mm Hg, p<0.001), combined training (-6.04/-2.54 mm Hg, p<0.001), high-intensity interval training (-4.08/-2.50 mm Hg, p<0.001) and isometric exercise training (-8.24/-4.00 mm Hg, p<0.001). As shown in the network meta-analysis, the rank order of effectiveness based on the surface under the cumulative ranking curve (SUCRA) values for SBP were isometric exercise training (SUCRA: 98.3%), combined training (75.7%), dynamic resistance training (46.1%), aerobic exercise training (40.5%) and high-intensity interval training (39.4%). Secondary network meta-analyses revealed isometric wall squat and running as the most effective submodes for reducing SBP (90.4%) and DBP (91.3%), respectively.<br />Conclusion: Various exercise training modes improve resting blood pressure, particularly isometric exercise. The results of this analysis should inform future exercise guideline recommendations for the prevention and treatment of arterial hypertension.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Details
- Language :
- English
- ISSN :
- 1473-0480
- Volume :
- 57
- Issue :
- 20
- Database :
- MEDLINE
- Journal :
- British journal of sports medicine
- Publication Type :
- Academic Journal
- Accession number :
- 37491419
- Full Text :
- https://doi.org/10.1136/bjsports-2022-106503