Effect of exercise training on the renin–angiotensin–aldosterone system: a meta–analysis

Title
Effect of exercise training on the renin–angiotensin–aldosterone system: a meta–analysis
Publication Date
2024
Author(s)
Baffour-Awuah, Biggie
Man, Melody
Goessler, Karla F
Cornelissen, Véronique A
Dieberg, Gudrun
( author )
OrcID: https://orcid.org/0000-0001-7191-182X
Email: gdieberg@une.edu.au
UNE Id une-id:gdieberg
Smart, Neil A
( author )
OrcID: https://orcid.org/0000-0002-8290-6409
Email: nsmart2@une.edu.au
UNE Id une-id:nsmart2
Pearson, Melissa J
( author )
OrcID: https://orcid.org/0000-0003-2639-2615
Email: mpears28@une.edu.au
UNE Id une-id:mpears28
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Nature Publishing Group
Place of publication
United Kingdom
DOI
10.1038/s41371-023-00872-4
UNE publication id
une:1959.11/58632
Abstract

Blood pressure (BP) management reduces the risk of cardiovascular disease (CVD). The renin–angiotensin–aldosterone system (RAAS) plays an important role in regulating and maintaining blood volume and pressure. This analysis aimed to investigate the effect of exercise training on plasma renin, angiotensin-II and aldosterone, epinephrine, norepinephrine, urinary sodium and potassium, BP and heart rate (HR). We systematically searched PubMed, Web of Science, and the Cochrane Library of Controlled Trials until 30 November 2022. The search strategy included RAAS key words in combination with exercise training terms and medical subject headings. Manual searching of reference lists from systematic reviews and eligible studies completed the search. A random effects meta-analysis model was used. Eighteen trials with a total of 803 participants were included. After exercise training, plasma angiotensin-II (SMD −0.71" 95% CI −1.24, −0.19" p = 0.008" n = 9 trials), aldosterone (SMD −0.37" 95% CI −0.65, −0.09" p = 0.009" n = 8 trials) and norepinephrine (SMD −0.82" 95% CI −1.18, −0.46" p < 0.001" n = 8 trials) were reduced. However, plasma renin activity, epinephrine, and 24-h urinary sodium and potassium excretion remained unchanged with exercise training. Systolic BP was reduced (MD −6.2 mmHg" 95% CI −9.9, −2.6" p = 0.001) as was diastolic BP (MD −4.5 mmHg" 95% CI −6.9, −2.1" p < 0.001) but not HR (MD −3.0 bpm" 95% CI −6.0, 0.4" p = 0.053). Exercise training may reduce some aspects of RAAS and sympathetic nervous system activity, and this explains some of the anti-hypertensive response.

Link
Citation
Journal of Human Hypertension, v.38, p. 89-101
ISSN
1476-5527
0950-9240
Start page
89
End page
101
Rights
Attribution 4.0 International

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