Association between Exercise and Blood Pressure in Hypertensive Residents: A Meta-Analysis

Zhu Zhu; Wu Yan; Qiurun Yu; Peihao Wu; Francis Manyori Bigambo; Jiaying Chen

doi:10.1155/2022/2453805

Association between Exercise and Blood Pressure in Hypertensive Residents: A Meta-Analysis

Evid Based Complement Alternat Med. 2022 Jan 11:2022:2453805. doi: 10.1155/2022/2453805. eCollection 2022.

Authors

Zhu Zhu^{1

2}, Wu Yan³, Qiurun Yu⁴, Peihao Wu⁴, Francis Manyori Bigambo⁴, Jiaying Chen^{2

5}

Affiliations

¹ Jiangsu Vocational Institute of Commerce, Nanjing 211168, China.
² School of Health Policy and Management, Institute of Healthy Jiangsu Development, Nanjing Medical University, Nanjing 211166, China.
³ Department of Children Health Care, Nanjing Key Laboratory of Pediatrics, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.
⁴ School of Public Health, Nanjing Medical University, Nanjing 211166, China.
⁵ Kangda College, Nanjing Medical University, 88 Chunhui Road, Lianyungang 222000, Jiangsu, China.

Abstract

Background: Exercise is recommended as an effective lifestyle behaviour for adults to prevent and treat hypertension. In this study, a randomized-effect meta-analysis was used to analyse the influence of exercise interventions on blood pressure in patients with hypertension.

Methods: Candidate papers were retrieved from PubMed, Web of Science, Embase, and Cochrane Library electronic databases, and 46 studies were finally included and analysed.

Results: It was shown that preplanned walking (systolic blood pressure (SBP): WMD (weighted mean difference) = -5.94, 95% CI: -8.57, -3.30; diastolic blood pressure (DBP): WMD = -2.66, 95% CI: -3.66, -1.67), yoga (SBP: WMD = -5.09, 95% CI: -9.28, -0.89; DBP: WMD = -3.06, 95% CI: -5.16, -0.96), aquatic sports (SBP WMD = -7.53, 95% CI: -11.40, -3.65; DBP: WMD = -5.35, 95% CI: -9.00, -1.69), and football (SBP: WMD = -6.06, 95% CI: -9.30, -2.82; DBP: WMD = -5.55, 95% CI: -8.98, -2.13) had significant effects on blood pressure reduction. However, Tai Chi (SBP: WMD = -8.31, 95% CI: -20.39, 3.77; DBP: WMD = -3.05, 95% CI: -6.96, 0.87) and Qigong (SBP: WMD = -4.34, 95% CI: -13.5, 4.82; DBP: WMD = -3.44, 95% CI: -7.89, 1.01) did not significantly reduce blood pressure. The heterogeneity of the meta-analysis was high.

Conclusion: Walking, yoga, aquatic sports, and football were feasible and independent lifestyle interventions, and they were effective options for treating hypertension. More scientifically designed randomized controlled trials are needed in the future to further compare different forms of exercise for the treatment of hypertension.