The ambulatory hypotensive effect of aerobic training: a reappraisal through a meta‐analysis of selected moderators

The effectiveness of regular exercise in decreasing both systolic and diastolic blood pressure (BP) is well‐established. Our purpose was to assess the impact of both subject and physical activity program characteristics on ambulatory BP through a meta‐analysis of the existing literature. Three datab...

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Published in:Scandinavian journal of medicine & science in sports 2017-03, Vol.27 (3), p.327-341
Main Authors: Sosner, P., Guiraud, T., Gremeaux, V., Arvisais, D., Herpin, D., Bosquet, L.
Format: Article
Language:English
Subjects:
Aerobics
Age Factors
Blood Pressure
Blood Pressure Determination
Blood Pressure Monitoring, Ambulatory
Cardiology and cardiovascular system
Diet
Exercise
Exercise Therapy - methods
Human health and pathology
Humans
Hypertension
Hypertension - therapy
hypotensive
Life Sciences
Physical fitness
pre‐hypertension
Sex Factors
training
Weight Loss
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container_title Scandinavian journal of medicine & science in sports
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creator Sosner, P.
Guiraud, T.
Gremeaux, V.
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description The effectiveness of regular exercise in decreasing both systolic and diastolic blood pressure (BP) is well‐established. Our purpose was to assess the impact of both subject and physical activity program characteristics on ambulatory BP through a meta‐analysis of the existing literature. Three databases (PubMed, Embase, Web of Science) were searched using relevant terms and strategies. From 637 identified records, 37 studies met inclusion criteria: details about training intervention and participant characteristics, pre‐ and post‐training ambulatory BP measurements, at home (HBPM) or during 24‐h (ABPM). The weighted mean difference was for 24‐h systolic/diastolic ABPM (n = 847 participants): −4.06/−2.77 mmHg (95%CI: −5.19 to −2.93/−3.58 to −1.97; P 
doi_str_mv 10.1111/sms.12661
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Our purpose was to assess the impact of both subject and physical activity program characteristics on ambulatory BP through a meta‐analysis of the existing literature. Three databases (PubMed, Embase, Web of Science) were searched using relevant terms and strategies. From 637 identified records, 37 studies met inclusion criteria: details about training intervention and participant characteristics, pre‐ and post‐training ambulatory BP measurements, at home (HBPM) or during 24‐h (ABPM). The weighted mean difference was for 24‐h systolic/diastolic ABPM (n = 847 participants): −4.06/−2.77 mmHg (95%CI: −5.19 to −2.93/−3.58 to −1.97; P &lt; 0.001), for daytime (ABPM or HBPM, n = 983): −3.78/−2.73 mmHg (95%CI: −5.09 to −2.47/−3.57 to −1.89; P &lt; 0.001) and nighttime ABPM periods (n = 796): −2.35/−1.70 mmHg (95%CI: −3.26 to −1.44/−2.45 to −0.95; P &lt; 0.001). Characteristics significantly influencing BP improvement were: an initial office BP ≥130/85 mmHg and diet‐induced weight‐loss. We found no differences according to sex, age, or training characteristics (intensity, number of sessions, training duration). 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subjects Aerobics
Age Factors
Blood Pressure
Blood Pressure Determination
Blood Pressure Monitoring, Ambulatory
Cardiology and cardiovascular system
Diet
Exercise
Exercise Therapy - methods
Human health and pathology
Humans
Hypertension
Hypertension - therapy
hypotensive
Life Sciences
Physical fitness
pre‐hypertension
Sex Factors
training
Weight Loss
title The ambulatory hypotensive effect of aerobic training: a reappraisal through a meta‐analysis of selected moderators
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