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Background  Aerobic exercise ( AE ) is recommended as first‐line antihypertensive lifestyle therapy based on strong evidence showing that it lowers blood pressure ( BP ) 5 to 7 mm Hg among adults with hypertension. Because of weaker evidence showing that dynamic resistance training ( RT ) reduces  BP  2 to 3 mm Hg among adults with hypertension, it is recommended as adjuvant lifestyle therapy to  AE  training. Yet, existing evidence suggests that dynamic  RT  can lower  BP  as much or more than  AE .    Methods and Results  We meta‐analyzed 64 controlled studies (71 interventions) to determine the efficacy of dynamic  RT  as stand‐alone antihypertensive therapy. Participants (N=2344) were white (57%), middle‐aged (47.2±19.0 years), and overweight (26.8±3.4 kg/m 2 ) adults with prehypertension (126.7±10.3/76.8±8.7 mm Hg); 15% were on antihypertensive medication. Overall, moderate‐intensity dynamic  RT  was performed 2.8±0.6 days/week for 14.4±7.9 weeks and elicited small‐to‐moderate reductions in systolic  BP  ( SBP ; d + =−0.31; 95%  CI s, −0.43, −0.19; −3.0 mm Hg) and diastolic  BP  ( DBP ; d + =−0.30; 95%  CI s, −0.38, −0.18; −2.1 mm Hg) compared to controls ( P s<0.001). Greater  BP  reductions occurred among samples with higher resting  SBP / DBP : ≈6/5 mm Hg for hypertension, ≈3/3 mm Hg for prehypertension, and ≈0/1 mm Hg for normal  BP  ( P s<0.023). Furthermore, nonwhite samples with hypertension experienced  BP  reductions that were approximately twice the magnitude of those previously reported following  AE  training (−14.3 mm Hg [95%  CI s, −19.0, −9.4]/−10.3 mm Hg [95%  CI s, −14.5, −6.2]).    Conclusions  Our results indicate that for nonwhite adult samples with hypertension, dynamic  RT  may elicit  BP  reductions that are comparable to or greater than those reportedly achieved with  AE  training. Dynamic  RT  should be further investigated as a viable stand‐alone therapeutic exercise option for adult populations with high  BP .

Dynamic Resistance Training as Stand‐Alone Antihypertensive Lifestyle Therapy: A Meta‐Analysis