Linda S Pescatello1, David M Buchner2, John M Jakicic3, Kenneth E Powell4, William E Kraus5, Bonny Bloodgood6, Wayne W Campbell7, Sondra Dietz6, Loretta Dipietro8, Stephanie M George9, Richard F Macko10, Anne McTiernan11, Russell R Pate12, Katrina L Piercy9. 1. Department of Kinesiology, University of Connecticut, Storrs, CT. 2. Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL. 3. Department of Health and Physical Activity, University of Pittsburgh, Pittsburgh, PA. 4. Centers for Disease Control and Prevention, Atlanta, GA. 5. Department and School of Medicine, Duke University, Durham, NC. 6. ICF, Fairfax, VA. 7. Departments of Nutrition Science and Health and Kinesiology, Purdue University, West Lafayette, IN. 8. Department of Exercise and Nutrition Sciences and Milken Institute of Public Health, The George Washington University, Washington, DC. 9. Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, Rockville, MD. 10. Departments of Neurology and Medicine, Geriatrics and School of Medicine, University of Maryland, Baltimore, MD. 11. Fred Hutchinson Cancer Research Center, Schools of Medicine and Public Health, University of Washington, Seattle, WA. 12. Department of Exercise Science and School of Public Health, University of South Carolina, Columbia, SC.
Abstract
PURPOSE: This systematic umbrella review examines and updates the evidence on the relationship between physical activity (PA) and blood pressure (BP) presented in the 2008 Physical Activity Guidelines Advisory Committee Scientific Report. METHODS: We performed a systematic review to identify systematic reviews and meta-analyses involving adults with normal BP, prehypertension, and hypertension published from 2006 to February 2018. RESULTS: In total, 17 meta-analyses and one systematic review with 594,129 adults ≥18 yr qualified. Strong evidence demonstrates: 1) an inverse dose-response relationship between PA and incident hypertension among adults with normal BP; 2) PA reduces the risk of cardiovascular disease (CVD) progression among adults with hypertension; 3) PA reduces BP among adults with normal BP, prehypertension, and hypertension; and 4) the magnitude of the BP response to PA varies by resting BP, with greater benefits among adults with prehypertension than normal BP. Moderate evidence indicates the relationship between resting BP and the magnitude of benefit does not vary by PA type among adults with normal BP, prehypertension, and hypertension. Limited evidence suggests the magnitude of the BP response to PA varies by resting BP among adults with hypertension. Insufficient evidence is available to determine if factors such as sex, age, race/ethnicity, socioeconomic status, and weight status or the frequency, intensity, time, and duration of PA influence the associations between PA and BP. CONCLUSIONS: Future research is needed that adheres to standard BP measurement protocols and classification schemes to better understand the influence of PA on the risk of comorbid conditions, health-related quality of life, and CVD progression and mortality; the interactive effects between PA and antihypertensive medication use; and the immediate BP-lowering benefits of PA.
PURPOSE: This systematic umbrella review examines and updates the evidence on the relationship between physical activity (PA) and blood pressure (BP) presented in the 2008 Physical Activity Guidelines Advisory Committee Scientific Report. METHODS: We performed a systematic review to identify systematic reviews and meta-analyses involving adults with normal BP, prehypertension, and hypertension published from 2006 to February 2018. RESULTS: In total, 17 meta-analyses and one systematic review with 594,129 adults ≥18 yr qualified. Strong evidence demonstrates: 1) an inverse dose-response relationship between PA and incident hypertension among adults with normal BP; 2) PA reduces the risk of cardiovascular disease (CVD) progression among adults with hypertension; 3) PA reduces BP among adults with normal BP, prehypertension, and hypertension; and 4) the magnitude of the BP response to PA varies by resting BP, with greater benefits among adults with prehypertension than normal BP. Moderate evidence indicates the relationship between resting BP and the magnitude of benefit does not vary by PA type among adults with normal BP, prehypertension, and hypertension. Limited evidence suggests the magnitude of the BP response to PA varies by resting BP among adults with hypertension. Insufficient evidence is available to determine if factors such as sex, age, race/ethnicity, socioeconomic status, and weight status or the frequency, intensity, time, and duration of PA influence the associations between PA and BP. CONCLUSIONS: Future research is needed that adheres to standard BP measurement protocols and classification schemes to better understand the influence of PA on the risk of comorbid conditions, health-related quality of life, and CVD progression and mortality; the interactive effects between PA and antihypertensive medication use; and the immediate BP-lowering benefits of PA.
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Authors: Linda S Pescatello; David M Buchner; John M Jakicic; Ken E Powell; William E Kraus; Bonny Bloodgood Sheppard; Wayne W Campbell; Sondra Dietz; Loretta Dipietro; Stephanie M George; Anne Mctiernan; Russell R Pate; Katrina L Piercy Journal: Med Sci Sports Exerc Date: 2020-04