The Role of Physical Activity in Hypertension Management, a Short Review

Document Type : مقاله کوتاه

Authors

1 Assistant Professor, Department of Community and Family Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 General Practitioner, Islamic Azad University, Najafabad Branch, Najafabad, Iran

3 General Practitioner, Isfahan University of Medical Sciences, Isfahan, Iran

4 MSc, Provincial Health Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Hypertension is a common and potentially life-threatening disease that affects millions of people worldwide. The purpose of this article is to review the relationship between physical activity and hypertension, highlighting the underlying mechanisms, benefits, and recommendations for incorporating exercise into hypertension management strategies.
Methods: Texts were searched with the keywords "hypertension," "physical activity," "exercise," "blood pressure regulation," and "lifestyle modification" from 2019 to 2022 in PubMed, Scopus, and Google Scholar to find the most relevant articles.
Findings: Physical activity is recognized as a key lifestyle modification for the prevention and management of hypertension. Regular exercise can lower blood pressure, improve cardiovascular health, and reduce hypertension-related complications. Moderate-intensity aerobic exercise for at least 150 minutes per week or vigorous-intensity exercise for 75 minutes per week is recommended. Resistance training should be performed at least twice weekly, targeting major muscle groups.
Conclusion: Incorporating physical activity into daily routines should be encouraged as an influential non-pharmacological approach for people with hypertension or those at risk of developing it. Further research is necessary to investigate optimal exercise protocols and long-term adherence strategies for sustainable blood pressure control.

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Main Subjects


آناهیتا بابک: PubMed , Google Scholar

  1. Louca P, Menni C, Padmanabhan S. Genomic determinants of hypertension with a focus on metabolomics and the gut microbiome. Am J Hypertens 2020; 33(6): 473-81.
  2. Tian D, Meng J. Exercise for prevention and relief of cardiovascular disease: prognoses, mechanisms, and approaches. Oxid Med Cell Longev 2019; 2019(1): 3756750.
  3. Alpsoy Ş. Exercise and hypertension. Adv Exp Med Biol 2020; 1228: 153-67.
  4. Correia RR, Veras ASC, Tebar WR, Rufino JC, Batista VRG, Teixeira GR. Strength training for arterial hypertension treatment: a systematic review and meta-analysis of randomized clinical trials. Sci Rep 2023; 13: 201.
  5. Edwards JJ, Deenmamode AH, Griffiths M, Arnold O, Cooper NJ, Wiles JD, et al. Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials. Br J Sports Med 2023; 57(20): 1317-26.
  6. Edwards JJ, Wiles J, O’Driscoll J. Mechanisms for blood pressure reduction following isometric exercise training: a systematic review and meta-analysis. J Hypertens 2022; 40(11): 2299-306.
  7. Salmanpour M, Soori R, H’mida C, Halouani J, Clarck CT, Pournemati P, et al. The effect of 8 weeks of combined interval (resistance-interval training) and combined endurance (endurance-resistance training) on plasma levels of adropin and nitric oxide in males with high blood pressure. Ir J Med Sc 2022; 191(6): 2559-68.
  8. Sakamoto S. Prescription of exercise training for hypertensives. Hypertens Res 2020; 43(3): 155-61.
  9. Hanssen H, Boardman H, Deiseroth A, Moholdt T, Simonenko M, Kränkel N, et al. Personalized exercise prescription in the prevention and treatment of arterial hypertension: a Consensus Document from the European Association of Preventive Cardiology (EAPC) and the ESC Council on Hypertension. Eur J Prev Cardiol 2022; 29(1): 205-15.
  10. Elagizi A, Kachur S, Carbone S, Lavie CJ, Blair SN. A review of obesity, physical activity, and cardiovascular disease. Curr Obes Rep 2020; 9(4): 571-81.
  11. Morelli C, Avolio E, Galluccio A, Caparello G, Manes E, Ferraro S, et al. Impact of vigorous-intensity physical activity on body composition parameters, lipid profile markers, and irisin levels in adolescents: a cross-sectional study. Nutrients 2020; 12(3): 742.
  12. Myers J, Kokkinos P, Nyelin E. Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients 2019; 11(7): 1652.
  13. Belcher BR, Zink J, Azad A, Campbell CE, Chakravartti SP, Herting MM. The roles of physical activity, exercise, and fitness in promoting resilience during adolescence: effects on mental well-being and brain development. Biol Psychiatry Cogn Neurosci Neuroimaging 2021; 6(2): 225-37.
  14. Jeong S-W, Kim S-H, Kang S-H, Kim H-J, Yoon C-H, Youn T-J, et al. Mortality reduction with physical activity in patients with and without cardiovascular disease. Eur Heart J 2019; 40(43): 3547-55.
  15. Carvalho CJD, Marins JCB, Lade CGd, Castilho PdR, Reis HHT, Amorim PRdS, et al. Aerobic and resistance exercise in patients with resistant hypertension. Revista Brasileira de Medicina do Esporte 2019; 25(2): 107-11.