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Effects of exercise, diet and their combination on blood pressure

Abstract

Epidemiological studies suggest an inverse relationship between physical activity or fitness and blood pressure. In a meta-analysis of 44 randomized controlled intervention trials, the weighted net change in conventional systolic/diastolic blood pressure in response to dynamic aerobic training averaged −3.4/−2.4 mmHg (P<0.001). The effect on blood pressure was more pronounced in hypertensives than in normotensives. This type of training also lowered the blood pressure measured during ambulatory monitoring and during exercise. However, exercise appears to be less effective than diet in lowering blood pressure (P<0.02), and adding exercise to diet does not seem to further reduce blood pressure.

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References

  1. Fagard RH . Physical activity, fitness and blood pressure. In: Birkenhäger WH, Reid JL, Bulpitt CJ (eds), Handbook of Hypertension, Vol 20: Epidemiology of Hypertension. Elsevier: Amsterdam, 2000, pp 191–211.

    Google Scholar 

  2. Fagard RH . Exercise characteristics and the blood pressure response to dynamic physical training. Med Sci Sports Exerc 2001; 33(Suppl): S484–S492.

    Article  CAS  Google Scholar 

  3. Fagard RH . Physical activity in the prevention and treatment of hypertension in the obese. Med Sci Sports Exerc 1999; 31(Suppl): S624–S630.

    Article  CAS  Google Scholar 

  4. Halbert JA et al. The effectiveness of exercise training in lowering blood pressure: a meta-analysis of randomized controlled trials of 4 weeks or longer. J Hum Hypertens 1997; 11: 641–649.

    Article  CAS  Google Scholar 

  5. Whelton SP, Chin A, Xin X, He J . Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med 2002; 136: 493–503.

    Article  Google Scholar 

  6. Kelley GA . Aerobic exercise and resting blood pressure among women: a meta-analysis. Prev Med 1999; 28: 264–275.

    Article  CAS  Google Scholar 

  7. Kelley G, Tran ZV . Aerobic exercise and normotensive adults: a meta-analysis. Med Sci Sports Exerc 1995; 27: 1371–1377.

    Article  CAS  Google Scholar 

  8. Pescatello LS et al. American College of Sports Medicine Position Stand: Exercise and Hypertension. Med Sci Sports Exerc 2004; 46: 533–553.

    Article  Google Scholar 

  9. Fagard RH, Cornelissen VA . Physical activity, exercise, fitness and blood pressure. In: Battagay EJ, Lip GYH, Bakris GL (eds), Hypertension: Principles and Practice. Taylor & Francis Group: Boca Raton, USA, 2005, pp 195–206.

    Chapter  Google Scholar 

  10. Fagard R, Amery A . Physical exercise in hypertension. In: Laragh JH, Brenner BM, Hypertension: Pathophysiology, Diagnosis and Management, 2nd edn. Raven Press: New York, 1995, pp 2669–2681.

    Google Scholar 

  11. Arakawa K . Antihypertensive mechanisms of exercise. J Hypertens 1993; 11: 223–229.

    Article  CAS  Google Scholar 

  12. Kingwell BA, Sherrard D, Jennings GM, Dart AM . Four weeks of cycle training increases basal production of nitric oxide from the forearm. Am J Physiol 1997; 272: H1070–H1077.

    CAS  PubMed  Google Scholar 

  13. Higashi Y et al. Regular aerobic exercise augments endothelium-dependent vascular relaxation in normotensive as well as hypertensive subjects. Role of endothelium-derived nitric oxide. Circulation 1999; 100: 1194–1202.

    Article  CAS  Google Scholar 

  14. Higashi Y et al. Daily aerobic exercise improves reactive hyperemia in patients with essential hypertension. Hypertension 1999; 33(part II): 591–597.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was commissioned by the Factors Affecting Hypertension Task Force of the European branch of the International Life Sciences Institute (ILSI Europe). At the time of the workshop, industry members of this task force were Frito Lay, Kellog, RHM Technology, Unilever and Valio. Further infor-mation about ILSI Europe can be obtained through info@ilsieurope.be or tel. +32 (0) 2 771 0014.

The author gratefully acknowledge the secretarial assistance of N Ausseloos. R Fagard is holder of the Professor A Amery Chair in Hypertension Research, founded by Merck, Sharp & Dohme, Belgium.

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Fagard, R. Effects of exercise, diet and their combination on blood pressure. J Hum Hypertens 19 (Suppl 3), S20–S24 (2005). https://doi.org/10.1038/sj.jhh.1001956

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  • DOI: https://doi.org/10.1038/sj.jhh.1001956

Keywords

  • blood pressure
  • diet
  • exercise
  • hypertension
  • physical activity

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