“…training and control groups combined) for SBP and DBP were extracted. In case of missing data or graphical results, we initially contacted the authors (n ¼ 4) [24][25][26][27] to request the necessary information. Three corresponding authors [24,25,27] did not reply.…”
Section: Selection and Data Collection Processmentioning
Objective:The purpose of this systematic review with meta-analysis was to determine the efficacy of combined aerobic and strength training in adults with hypertension and the influence of exercise training characteristics on blood pressure (BP) reduction.Methods:Randomized clinical trials of interventions involving combined aerobic and strength training versus nonexercise control groups (Control) in adults with hypertension were included. The literature search was conducted on PubMed, Cochrane Central, EMBASE, Scopus, and LILACS until December 2021. A random effects meta-analysis was performed using the mean difference in BP changes from baseline, comparing combined aerobic and strength training vs. Control as the effective measure. A multivariate meta-regression analysis was also performed to evaluate the relationship between exercise training characteristics and magnitudes of BP reductions.Results:Thirty-seven studies with 41 exercise interventions (1942 participants) were analyzed. The pooled mean differences with a 95% confidence interval (95% CI) showed significant reductions in SBP (−6.4 mmHg; 95% CI, −9.1 to −3.6) and DBP (−3.7 mmHg; 95% CI, −4.9 to −2.4). Meta-regression analysis revealed that greater exercise intensity and a greater number of sets in resistance training were associated with greater reductions in SBP. Greater exercise intensity was also associated with greater decreases in DBP.Conclusion:Combined aerobic and resistance training is an effective intervention in reducing both SBP and DBP in adults with hypertension, with greater hypotensive effects expected with higher intensity and more volume.
“…training and control groups combined) for SBP and DBP were extracted. In case of missing data or graphical results, we initially contacted the authors (n ¼ 4) [24][25][26][27] to request the necessary information. Three corresponding authors [24,25,27] did not reply.…”
Section: Selection and Data Collection Processmentioning
Objective:The purpose of this systematic review with meta-analysis was to determine the efficacy of combined aerobic and strength training in adults with hypertension and the influence of exercise training characteristics on blood pressure (BP) reduction.Methods:Randomized clinical trials of interventions involving combined aerobic and strength training versus nonexercise control groups (Control) in adults with hypertension were included. The literature search was conducted on PubMed, Cochrane Central, EMBASE, Scopus, and LILACS until December 2021. A random effects meta-analysis was performed using the mean difference in BP changes from baseline, comparing combined aerobic and strength training vs. Control as the effective measure. A multivariate meta-regression analysis was also performed to evaluate the relationship between exercise training characteristics and magnitudes of BP reductions.Results:Thirty-seven studies with 41 exercise interventions (1942 participants) were analyzed. The pooled mean differences with a 95% confidence interval (95% CI) showed significant reductions in SBP (−6.4 mmHg; 95% CI, −9.1 to −3.6) and DBP (−3.7 mmHg; 95% CI, −4.9 to −2.4). Meta-regression analysis revealed that greater exercise intensity and a greater number of sets in resistance training were associated with greater reductions in SBP. Greater exercise intensity was also associated with greater decreases in DBP.Conclusion:Combined aerobic and resistance training is an effective intervention in reducing both SBP and DBP in adults with hypertension, with greater hypotensive effects expected with higher intensity and more volume.
“…All the included studies showed significant improvements in SBP and DBP levels [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 23 ] except for the study by Schroeder et al [ 22 ], which showed no improvements in peripheral and central systolic blood pressure levels; however, it did show improvements in peripheral and central diastolic blood pressure levels. Seven studies [ 16 , 17 , 18 , 19 , 20 , 21 , 23 ] showed significant reductions ( p < 0.05) in SBP and DBP levels in participants from the experimental group when compared to the control group; two of the studies [ 15 , 22 ] did not show much improvement when compared to the control group.…”
Section: Resultsmentioning
confidence: 99%
“…The results showed that a multicomponent training programme achieved significant reductions in SBP and DBP levels in adults with hypertension, with these changes being significantly different from a control group. Individually, the works by Masroor et al [ 21 ], dos Santos et al [ 17 ], de Oliveira et al [ 23 ], Guimaraes et al [ 18 ], Sousa et al [ 16 ], and Lima et al [ 20 ] showed significant reductions in both SBP and DBP values post intervention with multicomponent training programmes. The study by Dos Santos et al [ 17 ] showed the greatest effects on SBP and DBP levels, and the study by Schroeder et al [ 22 ] only showed improvements in peripheral and central SBP levels and not in peripheral and central DBP levels.…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, many differences have been observed between the dosage of the training protocols applied (time, frequency, duration, intensity, or order of components) [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ], and a good understanding of the optimal dosage of the multicomponent training according to the blood pressure levels of patients with hypertension would help optimise the prescription, control, and management of hypertension.…”
(1) Background: Non-pharmacological interventions have demonstrated efficacy in the prevention, management, and control of hypertension. Multicomponent training confers a host of benefits to the general populace. The aim of this research was to assess the impact of multicomponent training on the blood pressure of adults with hypertension and ascertain the nature of the dose–response relationship. (2) Methods: This systematic review adhered to the PRISMA guidelines and was registered in PROSPERO. Eight studies were included, following a literature search across PubMed, Web of Science, Cochrane, and EBSCO. Randomized controlled trials implementing multicomponent training interventions on adults with hypertension were considered for inclusion. A quality assessment was performed using the PEDro scale, with a random-effects model utilized for all analyses. (3) Results: Multicomponent training yielded a significant reduction in systolic (MD = −10.40, p < 0.001) and diastolic (MD = −5.97, p < 0.001) blood pressure relative to the control group. Interventions lasting over 14 weeks with a minimum frequency of three sessions per week, each lasting 60 min, were deemed most effective. (4) Conclusion: An optimal training intensity was achieved with 30 min of aerobic exercise at 75% of the heart rate reserve, whereas sets of 10 repetitions at 75% of one repetition maximum produced the best outcomes in strength training.
“…Insert Figure 2 about here One way to perform the resistance training program that may also provide some cardiovascular health benefit, which is also important with the potential for reduced opportunities for cardiovascular exercise such as walking, is to perform the resistance training exercises in a circuit training format (Fritz et al, 2018;Souza et al, 2019), The following recommendations for how the elastic resistance training exercises may be performed, progressed and incorporated into a circuit format for older adults are based on the literature (Colado et al, 2020;de Oliveira, Pereira Moro, Polito, Helena de Jesus, & de Souza Bezerra, 2020;Fritz et al, 2018;Krause et al, 2019;Osuka et al, 2019;Rieping et al, 2019;Silva et al, 2018;Souza et al, 2019). An older adult with little resistance training experience may initially perform 1- Where possible, we recommend older adults seek some supervision from an exercise specialist, with experience in working with older adults.…”
Section: Home Elastic Resistance Training Recommendationsmentioning
The coronavirus disease outbreak in China has become the world’s leading health headline and is causing major panic and public concerns. Public health guidelines in many countries are suggesting that people stay at home to avoid human-to-human transmission of the virus, which may lead to reduced physical activity and greater feelings of isolation. Such effects may be particularly problematic in older adults due to their reduced physical capacities and their potential for increased mental health issues, such as anxiety and depression. A potential way to minimize many of these side effects of stay-at-home guidelines may be progressive home-based resistance training. A simple way to provide progressive overload in home-based resistance training may involve elastic resistance, which has been demonstrated to provide similar benefits to traditional resistance training equipment typically found in gymnasiums. Recommendations on how older adults can safely and effectively perform elastic resistance training at home are provided.
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