Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis.
Purpose: The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis. Methods: The related researches were selected from PubMed, EMBASE, Cochrane...
| Published in: | Journal of Korean Academy of Nursing Vol. 50; no. 6; pp. 740 - 757 |
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| Main Authors: | , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Korean Society of Nursing Science
Dec2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148040730&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148040730 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Dec2020 vid: 50 iid: 6 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 148040730 148040730 148040730 10.4040/jkan.20169 148040730 ppf: 740 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Characteristics of Aerobic Exercise as Determinants of Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-Analysis. aug: au: Sun Hee Lee Young Ran Chae affil: Department of Nursing, Saekyung University, Yeongwol, Korea sug: subj: Aerobic Exercises Hypertension Prevention and Control Blood Pressure Heart Rate Human Meta Analysis Systematic Review Adult PubMed Embase Cochrane Library CINAHL Database Psycinfo SportDiscus Confidence Intervals Systolic Pressure Diastolic Pressure Analysis of Variance Regression Adult: 19-44 years ab: Purpose: The purpose of this study was to evaluate the effect on blood pressure (BP) and heart rate (HR) according to aerobic exercise characteristics in adults with hypertension using a systematic review and meta-analysis. Methods: The related researches were selected from PubMed, EMBASE, Cochrane library, CINAHL, PsyclNFO, SPORTDiscus and 5 domestic databases up to September 4, 2019. To estimate the effect size, random effect models were used to derive weighted mean differences (WMD) and their 95% confidence intervals (Cl) of aerobic exercise on BP and HR. Results: A total of 37 RCTs with 1,813 samples were included. Aerobic exercise was found to significantly reduce systolic BP (WMD, - 8.29 mmHg; 95% Cl, - 10.12 to - 6.46), diastolic BP (WMD, - 5.19 mmHg; 95% Cl, - 6.24 to - 4.14) and HR (WMD, - 4.22 beats/min; 95% Cl, - 5.36 to -3.09). In detail, systolic BP and diastolic BP were significantly decreased in all groups of exercise types, frequency and duration. Systolic BP and diastolic BP were significantly decreased in the moderate and vigorous-intensity group. Exercise characteristics with the most dramatical change in systolic BP were water-based training, moderate-intensity, 3 times a week and 8 to 11 weeks of duration. In diastolic BP, the greatest effect size was over 24 weeks of exercise. Conclusion: Moderate aerobic exercise, especially water-based exercise can be an important part of lifestyle modification for hypertensive patients. Also, it can be recommended in a variety of clinical settings for lowering BP and HR. However, there is insufficient evidence that low-intensity exercise is effective in lowering BP. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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