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The ambulatory hypotensive effect of aerobic training: a reappraisal through a meta‐analysis of selected moderators
Author(s) -
Sosner P.,
Guiraud T.,
Gremeaux V.,
Arvisais D.,
Herpin D.,
Bosquet L.
Publication year - 2017
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.12661
Subject(s) - medicine , ambulatory , ambulatory blood pressure , aerobic exercise , blood pressure , meta analysis , diastole , physical therapy , cardiology
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 < 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 < 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 < 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). Antihypertensive effects of aerobic training assessed by ambulatory BP measurements appear significant and clinically relevant for both daytime and nighttime periods, in particular for participants with an office BP ≥130/85 mmHg.