@misc{10498/26975,
year = {2021},
month = {12},
url = {http://hdl.handle.net/10498/26975},
abstract = {Chronic exercise reduces clinic and ambulatory blood pressure (BP), but the short-term effects of an acute exercise bout on ambulatory BP have not been studied widely. We reviewed the literature regarding the short-term effects of acute exercise on ambulatory BP in patients with hypertension and considered moderating factors (medication status and exercise modality/intensity) on ambulatory BP outcomes. A systematic search was conducted (PubMed, Cochrane Library, and Scopus; since inception to January 1, 2021) for crossover randomized controlled trials assessing the short-term effects of acute exercise on ambulatory BP in hypertensive individuals versus nonexercise control conditions. A meta-analysis was conducted for 24-hour, daytime, and nighttime systolic and diastolic BP. Subanalyses also were performed attending to medication status and exercise modality/intensity. Thirty-seven studies (N=822) met the inclusion criteria. A single acute exercise bout reduces 24-hour (systolic BP, -1.6 mm Hg [95% CI, -2.4 to -0.8] for all exercise modalities combined; diastolic BP, -1.0 mm Hg [95% CI, -1.5 to -0.5]), daytime (-3.1 mm Hg [95% CI, -4.1 to -2.2]; -2.0 mm Hg [95% CI, -2.8 to -1.2]), and nighttime ambulatory BP (-1.8 mm Hg [95% CI, -3.0 to -0.6]; -1.5 mm Hg [95% CI, -2.3 to -0.6]), respectively. The magnitude of the effect appears similar in medicated and nonmedicated patients. In separate analyses for exercise modalities, aerobic exercises reduce all ambulatory BP measures (P<0.001) yet with no significant effects for resistance or combined (aerobic and resistance) exercise for any ambulatory BP measure. Vigorous aerobic exercise tends to produce the largest effects. A single bout of acute aerobic exercise, reduces ambulatory BP over 24 hours in medicated and nonmedicated hypertensive adults.},
organization = {Research by L.M. Ruilope is funded by FEDER/Ministerio de Ciencia e Innovacion Agencia Estatal de Investigacion (reference #AEI/10.13039/501100011033). Research by A. Lucia is funded by the Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III, Fondo de Investigaciones Sanitarias and Fondos FEDER, grant number PI18/00139.},
publisher = {LIPPINCOTT WILLIAMS & WILKINS},
keywords = {adults},
keywords = {cardiovascular diseases},
keywords = {blood pressure},
keywords = {exercise},
keywords = {hypertension},
title = {Acute Aerobic Exercise Induces Short-Term Reductions in Ambulatory Blood Pressure in Patients With Hypertension: A Systematic Review and Meta-Analysis},
doi = {10.1161/HYPERTENSIONAHA.121.18099},
author = {Saco-Ledo, Gonzalo and Valenzuela, Pedro L. and Ramírez-Jiménez, Miguel and Morales Rojas, JavierSalvador and Castillo-García, Adrián and Blumenthal, James A. and Ruilope, Luis M. and Lucia, Alejandro},
}