It's not unusual for a first blood pressure reading to be high because a child. Because high blood pressure usually doesn't have. The American Heart Association in association with the American College of Sports Medicine recommend RT programs that feature lower weight and higher repetitions for people with high blood pressure. Cardiovascular exercise. A Systematic Review and Meta- analysis. Abstract. Background We conducted meta- analyses examining the effects of endurance, dynamic resistance, combined endurance and resistance training. BP) in adults. The aims were to quantify and compare BP changes. BP changes. Random effects models were used for analyses. We included 9. 3 trials, involving 1. Systolic. BP (SBP) was reduced after endurance (. Reductions in diastolic. BP (DBP) were observed after endurance (. BP reductions after endurance. Is strength training bad for blood pressure. Long term high blood pressure is. Strength training is not. Having high blood pressure and not getting enough exercise are closely. Weight training and high blood pressure. If you have high blood pressure and you'd like to include weight training in your fitness program. Your doctor can help you develop an exercise program tailored to your needs and medical conditions. If you have high blood pressure. Exercise training for blood pressure.
Training & Career Development; Division of Intramural Research; Research Resources; Research Meeting Summaries; Technology Transfer; Clinical. This type of high blood pressure tends to develop over years as a. Exercise Training for Blood Pressure., and isometric resistance training on resting blood pressure (BP) in adults. National High Blood Pressure Education Program Coordinating Committee. P< 0. 0. 00. 1) in 2. BP reductions after dynamic resistance training were largest for prehypertensive participants. Data from a small number of isometric resistance training studies suggest this form of training has the potential for. SBP. The effects of exercise training may vary with different exercise modalities (eg, endurance training or resistance. As such. the optimal exercise training prescription remains unclear. Dynamic aerobic endurance exercise involves large muscle groups. Resistance training. According to the type of muscle contraction, resistance training can. Dynamic resistance training. Current thinking varies with respect to the preferred type of physical activity for BP; historically. Isometric activity has previously been associated with exaggerated hypertensive responses. BP. 7–8 Previous meta- analyses have examined the effects of endurance training,9 dynamic resistance training,1. BP, although a meta- analytic comparison of all different exercise modalities, strictly limited to randomized. Potential new studies were identified by a systematic review librarian. A systematic. search was conducted of Medline (Ovid), Embase. Sport. Discus for the period November 1, 2. February 2. 8, 2. The search strategy included a mix of medical subject. HTN, and SBP/DBP. Reference lists of articles. The full search strategy for one of the databases (Pub. Med) is available on request. No language limits were imposed. Any studies not meeting these criteria were excluded. All identified articles were assessed independently. N. A. S. Discrepancies were resolved by consensus. Study quality. was evaluated according to the Physiotherapy Evidence Database (PEDro) scale. However, we regarded participant and therapist blinding and allocation concealment as practical, so the maximum number of. Further, BP measurements using an automated, semiautomated, or random- zero device were considered as. The primary outcome measures. SBP and DBP. Descriptive data of treatment groups and participants are reported as the mean. Effect sizes for each study group were calculated by subtracting the preexercise value from the postexercise. The net treatment effect was then obtained as . Variances were calculated from the pooled SDs of change scores in the intervention and control groups. If change score. SDs were not available, these were calculated from pre- SD and post- SD values for which a correlation coefficient of 0. Each effect size was then weighted by the inverse of its variance. Random- effects models that incorporate heterogeneity into. Four main comparisons were made with each. In addition, a fifth comparison between endurance training. If trials compared multiple exercise interventions with a single control group within one comparison, we split. Z tests were used to compare summary variables. Funnel plot asymmetry was evaluated by use of Begg. Egger tests, and a significant publication bias was considered if the P value was < 0. The trim and fill computation was used to estimate the effect of publication biases on the interpretation of the results. Cumulative meta- analyses, ranked by year, were used to examine results over time for each of the different training modalities. The electronic search yielded an additional 5. Of these 6. 25 publications, 9. Figure 1). Some of these trials involved several groups of individuals or applied different training regimens, so that a total of. A general description of each trial is shown in Table S1. The studies enrolled. Based on the average baseline BP. BP (2. 9 endurance training, 1. PRISMA indicates preferred reporting items for systematic reviews and meta- analyses. Collectively, exercise intervention length ranged from 4 to 5. For those studies that reported data, the between- study. The median Pe. Dro score was 6 of 8. Ninety (9. 7%) trials clearly stated eligibility. BP, although groups. Blinding of outcome assessment was performed in 5. Only 4. 4 (4. 7%) of studies clearly reported. Statistically significant reductions were found for SBP after endurance training. DDBP was significantly reduced after endurance training (. Overall, there were no significant differences between the effects of endurance training, dynamic resistance training. SBP and DBP (P> 0. Similar, the 1. 0 trials that included both an endurance training and a dynamic resistance training arm showed. SBP (P=0. 7. 6) and DBP (P=0. By contrast, reductions in SBP and DBP were larger after isometric resistance training compared with endurance. SBP (P< 0. 0. 01 for all). Data are reported. Data are reported. For dynamic resistance training, cumulative meta- analysis showed that results remained. SBP and since 1. 99. DBP. Finally, with regard to isometric resistance training, the results. SBP and DBP. The effect of dynamic resistance training on SBP and DBP tended to be greater in prehypertensive. P> 0. 1. 0). Subgroup analyses of endurance training suggested that male participants achieved greater than twice the reduction in SBP. P< 0. 0. 1) and DBP (P=0. Program duration of < 2. SBP (P< 0. 0. 00. DBP (P< 0. 0. 1) to a greater extent than programs of > 2. Lower training intensity is associated with the smallest. SBP (P=0. 0. 32) and DBP (P=0. Less than 2. 10 minutes of weekly endurance training showed significantly larger SBP (P< 0. DBP (P=0. 1. 98) reductions. Individual exercise session durations of 3. SBP and DBP, although. DBP (P< 0. 0. 01). The following subanalyses suggested no difference between subgroups: age > 5. Furthermore, we observed a tendency for larger reductions in SBP (. SBP and DBP reductions after dynamic resistance training were not significantly different with regard to sex, age category. Funnel plots including Egger regression tests. P> 0. 1. 0 for all) for the different analyses did not suggest publication bias, nor did Duval and Tweedie's trim and fill computation. Our results demonstrate. DBP and all except combined training reduce SBP. Furthermore, this meta- analysis demonstrates the largest effect sizes are. No significant differences in effect size were observed between endurance training and dynamic resistance. HTN, endurance training might be superior to dynamic resistance. Finally, larger BP reductions after endurance training were observed from shorter exercise. Collectively, these findings have implications. BP management. After dynamic endurance training. BP decreases were most pronounced in male participants and hypertensive participants, but significant reductions. BP and prehypertension. However, after dynamic resistance training, reductions. SBP and DBP were largest in the study groups of prehypertensive participants. Moreover, the effects of endurance training. SBP and DBP in the individual with normal BP or prehypertension were. BP in these. preclinical populations. Our results suggest endurance training might be superior to dynamic resistance training for hypertensive. Therefore. until clearer evidence emerges, it may be prudent to prescribe endurance training rather than dynamic resistance training. BP is desired. As stated earlier, there is no between- trial heterogeneity among the 5 isometric training. Indeed, subgroup analyses. BP reductions after low- intensity endurance training (< 4. BP responses were observed between low- , moderate- . This might be explained by the fact that most dynamic resistance training. Training frequency and exercise session duration did not significantly affect the BP response to endurance. BP, which appears counterintuitive as one. BP reductions follow a dose–response relationship. One possible explanation might. Given that multivariable analyses. Finally, after endurance training, we observed a tendency. BP associated with larger reductions in weight. Although this relation did not reach statistical significance. BP response to training because of the many differences between study. BP response. First, there are limitations inherent. The small number of studies that conducted an intent- to- treat analysis makes it impossible to quantify. With regard to the latter, it is recommended that future studies report both per- protocol. BP. However, the meta- analytical technique is probably the. Advantages are the greater precision of the estimates and the enhanced statistical power. Potential disadvantages included. Nevertheless, despite strict selection criteria, studies may. Furthermore, analyses of asymmetry of the funnel plot by Begg and Egger test did. A final potential limitation is the large number of statistical tests that were conducted. As a result, some of the significant findings could have been merely chance. However, as suggested. Furthermore, given that all of. P values < 0. 0. I error is low. Nevertheless, findings based on meta- analyses always need. The authors also thank librarian. Ms Lisa Gurney for her assistance with systematic literature searching.
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