Physical Activity and Exercise

Exercise and Elevated Blood Pressure


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The evidence appears to be quite consistent regarding the ability of regular aerobic exercise to lower blood pressure (90-95). Exercise has been shown to reduce both systolic and diastolic blood pressure in lean (90, 95), obese (90, 95), hypertensive (90, 93, 94), and normotensive (90, 91, 93) subjects. Some have also suggested that exercise may have a greater anti-hypertensive effect in women than in men (94, 96). Also, any exercise-related reduction in blood pressure may be greater in Asian than in Caucasian subjects (90). Although modest weight loss (3 to 9%) has been shown to significantly reduce blood pressure (97), other studies have reported that exercise can significantly improve blood pressure independent of changes to weight (93, 95). With regard to ideal exercise training parameters, most reports have suggested that low- to moderate-intensity exercise is ideal for lowering blood pressure (90, 94) and that other exercise program parameters (duration, frequency) generally do not have any impact on the level of improvement (90, 95) (98).


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90. Whelton SP, Chin A, Xin X, et al. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med 2002; 136: 493-503.
91. Kelley GA. Effects of aerobic exercise in normotensive adults: a brief meta-analytic review of controlled clinical trials. South Med J 1995; 88: 42-6.
92. Kelley GA. Aerobic exercise and resting blood pressure among women: a meta-analysis. Prev Med 1999; 28: 264-75.
93. Arroll B and Beaglehole R. Does physical activity lower blood pressure: a critical review of the clinical trials. J Clin Epidemiol 1992; 45: 439-47.
94. Hagberg JM, Park JJ and Brown MD. The role of exercise training in the treatment of hypertension: an update. Sports Med 2000; 30: 193-206.
95. Fagard RH. Physical activity in the prevention and treatment of hypertension in the obese. Med Sci Sports Exerc 1999; 31: S624-30.
96. Eriksson J, Taimela S and Koivisto VA. Exercise and the metabolic syndrome. Diabetologia 1997; 40: 125-35.
97. Hermansen K. Diet, blood pressure and hypertension. Br J Nutr 2000; 83 Suppl 1: S113-9.
98. Church TS, Earnest CP, Skinner JS, et al. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA 2007; 297: 2081-91.

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