The effectiveness of exercise training in lowering blood pressure: a meta-analysis of randomised controlled trials of 4 weeks or longer
The effectiveness of exercise training in lowering blood pressure: a meta-analysis of randomised controlled trials of 4 weeks or longer
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DOI：
10.1038/sj.jhh.1000509
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发表时间：
1997-10-01
影响因子：
2.7
通讯作者：
Andrews, GR
中科院分区：
文献类型：
--
作者：
Halbert, JA;Silagy, CA;Andrews, GR
目的：从运动类型、强度和频率方面确定最佳运动计划的特征，以最大程度地降低训练引起的血压 (BP) 下降。数据识别：通过系统检索 Medline、Embase 和科学引文索引 (SCI)、以前的综述文章以及 1980 年至 1996 年相关试验的参考文献来确定试验，仅包括英语语言研究。研究选择：纳入标准仅限于有氧或阻力运动训练超过最低限度的随机对照试验。为期 4 周的收缩压和舒张压测量。 结果：总共纳入 29 项研究（1533 名高血压和正常血压参与者），其中 26 项使用有氧运动训练，两项试验使用阻力训练，一项研究同时包含阻力训练组和有氧训练组。与非运动对照组相比，有氧运动训练使收缩压降低 4.7 mm Hg (95% Cl: 4.4, 5.0)，舒张压降低 3.1 mm Hg (95% Cl: 3.0, 3.3)，然而，分析中的试验之间观察到显着的异质性。有氧运动训练的血压降低与运动强度和每周运动次数无关。阻力运动训练效果的证据尚无定论。结论：有氧运动训练在降低收缩压和舒张压方面效果虽小，但具有临床意义。将运动强度增加到最大摄氧量 70% 以上或将运动频率增加到每周 3 次以上，对于降低血压没有任何额外影响。
Objective: To identify the features of an optimal exercise programme in terms of type of exercise, intensity and frequency that would maximise the training induced decrease in blood pressure (BP).Data identification: Trials were identified by a systematic search of Medline, Embase and Science Citation Index (SCI), previous review articles and the references of relevant trials, from 1980 until 1996, including only English language studies.Study selection: The inclusion criteria were limited to randomised controlled trials of aerobic or resistance exercise training conducted over a minimum of 4 weeks where systolic and diastolic BP was measured.Results: A total of 29 studies (1533 hypertensive and normotensive participants) were included, 26 used aerobic exercise training, two trials used resistance training and one study had both resistance and aerobic training groups. Aerobic exercise training reduced systolic BP by 4.7 mm Hg (95% Cl: 4.4, 5.0) and diastolic BP by 3.1 mm Hg (95% Cl: 3.0, 3.3) as compared to a non-exercising control group, however, significant heterogeneity was observed between trials in the analysis. The BP reduction seen with aerobic exercise training was independent of the intensity of exercise and the number of exercise sessions per week. The evidence for the effect of resistance exercise training was inconclusive.Conclusions: Aerobic exercise training had a small but clinically significant effect in reducing systolic and diastolic BP. Increasing exercise intensity above 70% VO2 max or increasing exercise frequency to more than three sessions per week did not have any additional impact on reducing BP.