Isometric exercise training lowers resting blood pressure

Wiley, R. L.; Dunn, Charles L.; Cox, Ray; Hueppchen, Nancy A.; Scott, Mary S.

doi:10.1249/00005768-199207000-00003

Cited by 132 publications

(187 citation statements)

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“…One of the five trials recruited hypertensive 11 subjects and one was not randomized. 13 For obvious reasons none were blinded. In three studies, 9,11,13 the variance of the treatment effect was not reported (and could not be calculated).…”

Section: Overview Of Trialsmentioning

confidence: 99%

“…Each trial individually reported a significant reduction in systolic blood pressure with isometric exercise with a mean reduction of 10.4 mm Hg from the meta-analysis. The only study 13 that did not use randomization has the largest treatment effect. Removal of this non-randomized study from the analysis did not meaningfully …”

Section: Overview Of Trialsmentioning

confidence: 99%

“…The only study 13 that did not use randomization has the largest treatment effect. The very high value of I 2 indicates that the vast majority of variance of the treatment effect arises as a result of heterogeneity between studies.…”

Section: Effect Of Isometric Exercise On Resting Bpmentioning

confidence: 99%

“…An alternative to analysing the change in blood pressure is to use the final blood pressure, which gives similar results, although with less precision, provided the trials are randomized. Unfortunately after excluding the non-randomized trial, 13 and another trial, 10 which did not provide the final blood pressure for the control group, only three trials remained to include in the analysis. For systolic blood pressure, the treatment effect was À6.1 mm Hg (95% confidence interval, À10.4, À1.7), P ¼ 0.006, which is consistent with the findings of the main analysis, but based on much less data (56 subjects).…”

Section: Sensitivity Analysismentioning

confidence: 99%

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Effect of isometric exercise on resting blood pressure: a meta analysis

2010

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Dynamic physical exercise (walking, swimming, and so on) is an important component of lifestyle changes to reduce blood pressure; however, many individuals are unwilling or unable to adopt this lifestyle change. Isometric exercise has not traditionally been recommended as an alternative to dynamic exercise and has not been well studied. A meta-analysis of controlled trials of isometric exercise on resting blood pressure was therefore undertaken. Five trials were identified including a total of 122 subjects. Isometric exercise for o1 h per week reduced systolic blood pressure by 10.4 mm Hg and diastolic blood pressure by 6.7 mm Hg. These changes are similar to those achieved with a single pharmacological agent. These results suggest that isometric exercise may be of value as part of lifestyle advice in maintaining a desirable blood pressure.

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Section: Overview Of Trialsmentioning

confidence: 99%

Section: Overview Of Trialsmentioning

confidence: 99%

Section: Effect Of Isometric Exercise On Resting Bpmentioning

confidence: 99%

Section: Sensitivity Analysismentioning

confidence: 99%

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Effect of isometric exercise on resting blood pressure: a meta analysis

2010

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“…However, studies have shown that this is not the case. Reductions in arterial pressure have been reported after isometric or resistive exercise training such as isometric handgrip exercise or weightlifting [25,27,33,48].…”

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confidence: 99%

Hypertension in aging: physical activity as primary prevention

Ben‐Sira

Oliveira

2007

Eur Rev Aging Phys Act

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In most physiologic systems, there is considerable evidence that the normal aging processes do not result in significant impairment or dysfunction in the absence of pathology and under resting conditions. However, in response to a stress, the age-related reduction in physiologic reserves causes a loss of regulatory or homeostatic balance. This happens before an individual notices that something is wrong. An additional consequence of age-related changes is an increased perception of effort associated with submaximal work. Thus, a vicious cycle is set up, leading to decreasing exercise capacity, resulting in an elevated perception of effort, subsequently causing avoidance of activity, and finally feeding back to exacerbation of the agerelated declines secondary to disuse. Sedentary behavior is an important risk factor for chronic disease morbidity and mortality in aging. However, there is a limited amount of information on the type and amount of activity needed to promote optimal health and function in older people [19]. The purpose of this review is to discuss the important role of exercise training as a primary prevention tool to hypertension. In addition, this review will address the topic of the recommended amount of physical activity required for health promotion along with the current exercise guidelines.Keywords Work capacity . Aerobic exercise . Isometric exercise . Sympathetic nerve activity Exercise training and blood pressureBy the year 2030, the number of individuals 65 years and over will reach 70 million in the USA alone; persons 85 years and older will be the fastest growing segment of the population. As more individuals live longer, it is imperative to determine the extent and mechanisms by which exercise and physical activity can improve health, functional capacity, quality of life, and independence in this population. Aging is a complex process involving many variables (e.g., genetics, lifestyle factors, chronic diseases) that interact with one another, significantly influencing the manner in which we age [1].Many studies provide evidence that in developed nations such as the USA, a sedentary lifestyle contributes significantly to development of the major risk factors for age-related disease, prominent among them being obesity, diabetes, and hypertension [44]. Conversely, there is increasing evidence that a high level of activity during old age and consequently an influence on the aging process can be achieved by regular training initiated as early as young adulthood. The focus of this training process should be on improving muscle strength, general flexibility, and cardiovascular exercise. Thus, it is appropriate to perceive physical activity as a medical prescription for the aging population [4,34].The high prevalence of hypertension in modern industrialized societies imposes a considerable public health problem [35], and therefore, prevention of hypertension is a major public health objective. Hypertension is a serious health problem that increases the risk of coronary heart disease, ...

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Is pelvic floor muscle training able to alter the response of cardiovascular autonomic modulation and provide a possible cardiovascular benefit to pregnant women?

Corrêa

Catai

Milan‐Mattos

et al. 2020

Neurourology and Urodynamics

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Aims: To evaluate the acute and chronic effect of an exercise protocol of pelvic floor muscles (PFMs) contraction on the heart period (HP) and systolic arterial pressure (SAP) variabilities and baroreflex sensitivity (BRS) at rest in pregnant women; and to evaluate if this progressive exercise protocol was well-tolerated by the pregnant women studied. Methods: We evaluated 48 women at 18 weeks of pregnancy by vaginal palpation, vaginal manometry, and cardiopulmonary exercise test. They were divided in control (CG; 31.75 ± 3.91 years) and training groups (TG; 30.71 ± 3.94 years). At 19 and 36 weeks of pregnancy, electrocardiogram and noninvasive peripheral SAP data were collected at rest before and after 10 PFM contractions. TG performed PFMT from the 20th to the 36th week. HP and SAP variabilities were analyzed by spectral and symbolic analysis. The baroreflex was evaluated by cross-spectral analysis between the HP and SAP series. Results: The groups did not differ in relation to VO 2 , HP and SAP variabilities, and BRS at the beginning of the protocol. TG increased the endurance of the PFM after training. PFM contraction did not change the HP and SAP variabilities, and BRS at the 18th week. After the training, the TG presented lower SAP mean, lower BF of SAP variability, and higher BRS than CG.

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Isometric exercise training lowers resting blood pressure

Cited by 132 publications

References 0 publications

Effect of isometric exercise on resting blood pressure: a meta analysis

Effect of isometric exercise on resting blood pressure: a meta analysis

Hypertension in aging: physical activity as primary prevention

Is pelvic floor muscle training able to alter the response of cardiovascular autonomic modulation and provide a possible cardiovascular benefit to pregnant women?

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