Review Article
Year: 2019 | Month: December | Volume: 9 | Issue: 12 | Pages: 238-245
Exercise Interventions for Subjects with Hypertension: A Systematic Review of Systematic Reviews
Ravi B Solanki1, Sweety Shah2
1I/C Lecturer, PhD Scholar (Gujarat University), Govt. Spine Institute and Physiotherapy College, Ahmedabad
2Lecturer, S.B.B Physiotherapy College, Sheth V.S general hospital, Ahmedabad.
Corresponding Author: Ravi B Solanki
ABSTRACT
Background: Physical activity has been advocated as a first line intervention for prevention and treatment of Hypertension. Effects of exercise training may vary with different exercise modalities. We aimed to summarize systematic reviews on various types of exercise interventions for subjects with Hypertension.
Objective: To provide an overview on various types of exercise interventions for reduction of blood pressure in subjects with Hypertension.
Methods: The electronic databases of Pub Med and the Cochrane library were searched up to August 2019 for systematic reviews on exercise training for Hypertension using index term combinations of the keywords Hypertension, systematic review, exercise training and blood pressure. Methodological quality of included systematic reviews was assessed with the assessment of multiple systematic reviews (AMSTAR). Narrative synthesis of review findings was used to present the results.
Results: Total 8 systematic reviews were identified comprising of following exercise interventions. 1. Aerobic exercise. (3 reviews and 132 trials) 2. Resistance exercise. (3 reviews and 97 trials) 3. Isometric hand grip exercise (4 reviews and 27 trials) 4. Combined training (1 review). Overall methodological quality of reviews was moderate. Most reviews tend to support potential benefit of aerobic, resistance and isometric resistance training for subjects with Hypertension.
Conclusion: There is moderate quality evidence about effectiveness of aerobic exercise for blood pressure management in subjects with Hypertension. There is emerging evidence about efficacy of dynamic resistance training in subjects with hypertension. There is low quality evidence for isometric resistance training.
Key words: Hypertension, Systematic review, Exercise training