Please use this identifier to cite or link to this item:
Title: An evidence-based guide to the efficacy and safety of isometric resistance training in hypertension and clinical implications
Contributor(s): Baffour-Awuah, Biggie  (author); Pearson, Melissa J  (author)orcid ; Dieberg, Gudrun  (author)orcid ; Wiles, Jonathan D (author); Smart, Neil A  (author)orcid 
Publication Date: 2023-03-05
Open Access: Yes
DOI: 10.1186/s40885-022-00232-3
Handle Link:

More than 30 randomized controlled trials, supported by individual patient-level and group-level meta-analyses and a Delphi analysis of expert opinion, unequivocally show isometric resistance training (IRT) elicits antihypertensive benefits in healthy people and those with chronic illness. We aim to provide efficacy and safety evidence, and a guide for IRT prescription and delivery. Recommendations are made for the use of IRT in specific patient populations and appropriate methods for IRT delivery. Published data suggest IRT consistently elicits mean blood pressure reductions of 7.4/3.3 mmHg systolic blood pressure/diastolic blood pressure, equivalent to antihypertensive medication monotherapy. Blood pressure reductions of this size are associated with an approximate 13% to 22% reduction in major cardiovascular events. Moreover, IRT is safe in a range of patient populations. We suggest that IRT has the greatest potential benefit when used as an antihypertensive therapy in individuals unwilling and/or unable to complete aerobic exercise, or who have had limited adherence or success with it; individuals with resistant or uncontrolled hypertension, already taking at least two pharmacological antihypertensive agents; and healthy or clinical populations, as an adjunct to aerobic exercise and dietary intervention in those who have not yet attained control of their hypertension. IRT is efficacious and produces clinically meaningful blood pressure reductions (systolic blood pressure, 7 mmHg; diastolic blood pressure, 3 mmHg). IRT is safe and typical program delivery requires only about 17 min weekly. IRT should be used as an adjunct to other exercise modalities, in people unable to complete other types of exercise, or in resistant hypertension.

Publication Type: Journal Article
Source of Publication: Clinical Hypertension, v.29, p. 1-12
Publisher: BioMed Central Ltd
Place of Publication: United Kingdom
ISSN: 2056-5909
Fields of Research (FoR) 2020: 320101 Cardiology (incl. cardiovascular diseases)
329999 Other biomedical and clinical sciences not elsewhere classified
420702 Exercise physiology
Socio-Economic Objective (SEO) 2020: 200104 Prevention of human diseases and conditions
200199 Clinical health not elsewhere classified
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Science and Technology

Files in This Item:
2 files
File Description SizeFormat 
openpublished/AnEvidenceBasedBaffourAwuahPearsonDiebergSmart2023JournalArticle.pdfPublished version1.24 MBAdobe PDF
Download Adobe
Show full item record
Google Media

Google ScholarTM



This item is licensed under a Creative Commons License Creative Commons