Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/14108
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dc.contributor.authorCornelissen, Veroniqueen
dc.contributor.authorSmart, Neilen
dc.date.accessioned2014-03-05T16:55:00Z-
dc.date.issued2013-
dc.identifier.citationJournal of the American Heart Association, 2(1), p. 1-9en
dc.identifier.issn2047-9980en
dc.identifier.urihttps://hdl.handle.net/1959.11/14108-
dc.description.abstractBackground: We conducted meta-analyses examining the effects of endurance, dynamic resistance, combined endurance and resistance training, and isometric resistance training on resting blood pressure (BP) in adults. The aims were to quantify and compare BP changes for each training modality and identify patient subgroups exhibiting the largest BP changes. Methods and Results: Randomized controlled trials lasting ≥4 weeks investigating the effects of exercise on BP in healthy adults (age ≥18 years) and published in a peer-reviewed journal up to February 2012 were included. Random effects models were used for analyses, with data reported as weighted means and 95% confidence interval. We included 93 trials, involving 105 endurance, 29 dynamic resistance, 14 combined, and 5 isometric resistance groups, totaling 5223 participants (3401 exercise and 1822 control). Systolic BP (SBP) was reduced after endurance (-3.5 mm Hg [confidence limits -4.6 to -2.3]), dynamic resistance (-1.8 mm Hg [-3.7 to -0.011]), and isometric resistance (-10.9 mm Hg [-14.5 to -7.4]) but not after combined training. Reductions in diastolic BP (DBP) were observed after endurance (-2.5 mm Hg [-3.2 to -1.7]), dynamic resistance (-3.2 mm Hg [-4.5 to -2.0]), isometric resistance (-6.2 mm Hg [-10.3 to -2.0]), and combined (-2.2 mm Hg [-3.9 to -0.48]) training. BP reductions after endurance training were greater (P<0.0001) in 26 study groups of hypertensive subjects (-8.3 [-10.7 to -6.0]/-5.2 [-6.8 to -3.4] mm Hg) than in 50 groups of prehypertensive subjects (-2.1 [-3.3 to -0.83]/-1.7 [-2.7 to -0.68]) and 29 groups of subjects with normal BP levels (-0.75 [-2.2 to +0.69]/-1.1 [-2.2 to -0.068]). BP reductions after dynamic resistance training were largest for prehypertensive participants (-4.0 [-7.4 to -0.5]/-3.8 [-5.7 to -1.9] mm Hg) compared with patients with hypertension or normal BP. Conclusion: Endurance, dynamic resistance, and isometric resistance training lower SBP and DBP, whereas combined training lowers only DBP. Data from a small number of isometric resistance training studies suggest this form of training has the potential for the largest reductions in SBP.en
dc.languageenen
dc.publisherWiley-Blackwell Publishing, Incen
dc.relation.ispartofJournal of the American Heart Associationen
dc.titleExercise Training for Blood Pressure: A Systematic Review and Meta-analysisen
dc.typeJournal Articleen
dc.identifier.doi10.1161/JAHA.112.004473en
dcterms.accessRightsGolden
dc.subject.keywordsPhysiotherapyen
dc.subject.keywordsExercise Physiologyen
local.contributor.firstnameVeroniqueen
local.contributor.firstnameNeilen
local.subject.for2008110317 Physiotherapyen
local.subject.for2008110602 Exercise Physiologyen
local.subject.seo2008920103 Cardiovascular System and Diseasesen
local.profile.schoolSchool of Science and Technologyen
local.profile.emailvcorneli@une.edu.auen
local.profile.emailnsmart2@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.identifier.epublicationsrecordune-20140122-134436en
local.publisher.placeUnited States of Americaen
local.identifier.runningnumbere004473en
local.format.startpage1en
local.format.endpage9en
local.identifier.scopusid84883334705en
local.peerreviewedYesen
local.identifier.volume2en
local.identifier.issue1en
local.title.subtitleA Systematic Review and Meta-analysisen
local.access.fulltextYesen
local.contributor.lastnameCornelissenen
local.contributor.lastnameSmarten
dc.identifier.staffune-id:vcornelien
dc.identifier.staffune-id:nsmart2en
local.profile.orcid0000-0002-8290-6409en
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:14321en
dc.identifier.academiclevelAcademicen
dc.identifier.academiclevelAcademicen
local.title.maintitleExercise Training for Blood Pressureen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.search.authorCornelissen, Veroniqueen
local.search.authorSmart, Neilen
local.uneassociationUnknownen
local.year.published2013en
local.subject.for2020420106 Physiotherapyen
local.subject.for2020420702 Exercise physiologyen
local.subject.seo2020200101 Diagnosis of human diseases and conditionsen
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School of Science and Technology
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