The effect of walking intervention on blood pressure control: A systematic review

Lee, Ling-Ling; Watson, Michael Craig; Mulvaney, Caroline; Tsai, Chin-chueh; Lo, Sherman

doi:10.1016/j.ijnurstu.2010.08.008

Cited by 94 publications

(74 citation statements)

References 63 publications

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“…119 Nine of 27 trials (34% of the total participants) reported significant reductions in systolic or diastolic BP. It was noted by the authors that the trials that demonstrated a significant effect tended to be larger and used more intense and frequent (36.5-minute sessions performed 4.4 d/wk) exercise regimens for longer durations (19 weeks).…”

Section: Meta-analyses or Reviewsmentioning

confidence: 99%

Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure

Brook¹,

Appel²,

Rubenfire³

et al. 2013

Hypertension

483

310

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Abstract-Many antihypertensive medications and lifestyle changes are proven to reduce blood pressure. Over the past few decades, numerous additional modalities have been evaluated in regard to their potential blood pressure-lowering abilities. However, these nondietary, nondrug treatments, collectively called alternative approaches, have generally undergone fewer and less rigorous trials. This American Heart Association scientific statement aims to summarize the blood pressure-lowering efficacy of several alternative approaches and to provide a class of recommendation for their implementation in clinical practice based on the available level of evidence from the published literature. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. Expert peer review of AHA Scientific Statements is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http://my.americanheart.org/statements and select the "Policies and Development" link.

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Section: Meta-analyses or Reviewsmentioning

confidence: 99%

Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure

Brook¹,

Appel²,

Rubenfire³

et al. 2013

Hypertension

483

310

View full text Add to dashboard Cite

show abstract

“…Several studies demonstrated that exercise is associated with a lower BP, and meta-analyses of RCTs have indicated that chronic dynamic aerobic endurance training can be effective to reduce BP levels both in normotensives and in hypertensive subjects (16,(80)(81)(82)(83). A recent meta-analysis (84) examines the effect of regular dynamic aerobic endurance exercise on resting and ambulatory BP, on BP-regulating mechanisms, and on concomitant cardiovascular risk factors, like body fatness, waist circumference, blood lipids, and glucose/ insulin dynamics, finding beneficial effects of exercise in all outcomes and concomitant risk factors.…”

Section: Arterial Hypertensionmentioning

confidence: 99%

New insights about the putative role of myokines in the context of cardiac rehabilitation and secondary cardiovascular prevention

et al. 2017

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Exercise training prevents the onset and the development of many chronic diseases, acting as an effective tool both for primary and for secondary prevention. Various mechanisms that may be the effectors of these beneficial effects have been proposed during the past decades: some of these are well recognized, others less. Muscular myokines, released during and after muscular contraction, have been proposed as key mediators of the systemic effects of the exercise. Nevertheless the availability of an impressive amount of evidence regarding the systemic effects of muscle-derived factors, few studies have examined key issues: (I) if skeletal muscle cells themselves are the main source of cytokine during exercise; (II) if the release of myokines into the systemic circulation reach an adequate concentration to provide significant effects in tissues far from skeletal muscle; (III) what may be the role carried out by muscular cytokine regarding the well-known benefits induced by regular exercise, first of all the anti-inflammatory effect of exercise. Furthermore, a greater part of our knowledge regarding myokines derives from the muscle of healthy subjects. This knowledge may not necessarily be transferred per se to subjects with chronic diseases implicating a direct or indirect muscular dysfunction and/or a chronic state of inflammation with persistent immune-inflammatory activation (and therefore increased circulating levels of some cytokines): cachexia, sarcopenia due to multiple factors, disability caused by neurological damage, chronic congestive heart failure (CHF) or coronary artery disease (CAD). A key point of future studies is to ascertain how is modified the muscular release of myokines in different categories of unhealthy subjects, both at baseline and after rehabilitation. The purpose of this review is to discuss the main findings on the role of myokines as putative mediators of the therapeutic benefits obtained through regular exercise in the context of secondary cardiovascular prevention.

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“…The lack of a theoretical basis in such interventions may lead to low commitment due to a lack of insight into the psychological difficulties of adopting the program (6). Theories that can identify the main factors that influence behavior and the relationships between these factors are useful in identifying the components upon which intervention should focus (7).…”

Section: Introductionmentioning

confidence: 99%

Influence of a Trans-Theoretical Model Based Intervention on Physical Activity in Hypertensive Patients: A Randomised Clinical Trial

et al. 2017

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Background: Although physical activity is necessary, but not performed by most hypertensive individuals. One of the most common theoretical frameworks used for understanding health behaviour change is the trans-theoretical model. Objectives: This study was conducted to evaluate the effect of a trans-theoretical model based intervention on physical activity in hypertensive patients. Methods: We conducted a randomized clinical trial among 60 hypertensive patients (31 experimental and 29 control). Participants in experimental group received a fast walking intervention based on a trans-theoretical model. Physical activity stages of change, processes of change, frequency, duration and intensity of walking were measured at the onset, 3 and 6 months post-intervention. The data was analyzed using SPSS 22 software. Results: At 3 and 6 months post-intervention a significant difference was observed between the experimental and control groups for physical activity stages of change, processes of change, duration and intensity of walking (P < 0.05). Also at 3 months postintervention a significant difference was observed between the experimental and control groups for frequency of walking (P < 0.05). Conclusions: This study suggests that trans-theoretical model based intervention in hypertensive patients play important roles in an individual's commitment to participate in physical activity.

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The effect of walking intervention on blood pressure control: A systematic review

Cited by 94 publications

References 63 publications

Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure

Beyond Medications and Diet: Alternative Approaches to Lowering Blood Pressure

New insights about the putative role of myokines in the context of cardiac rehabilitation and secondary cardiovascular prevention

Influence of a Trans-Theoretical Model Based Intervention on Physical Activity in Hypertensive Patients: A Randomised Clinical Trial

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