Objective:

To evaluate the effects of various exercise modalities on 24-hour ambulatory blood pressure in adults with hypertension.

Approach:

Key Findings:

• Combined training and high-intensity interval training were associated with a 6-mmHg reduction in 24-hour systolic blood pressure.
• Aerobic training was associated with a 5-mmHg reduction in 24-hour systolic blood pressure.
• High-intensity interval training was associated with a 5-mmHg reduction in 24-hour diastolic blood pressure.
• No exercise modality demonstrated clear superiority over another for reducing blood pressure.

Interpretation:

Limitations:

• Treatment rankings should not be interpreted as definitive evidence of clinical superiority.
• All comparisons for 24-hour systolic blood pressure were rated as very low confidence.
• Antihypertensive medication use was incompletely reported in several trials.
• Adverse events and adherence were underreported.
• Adults younger than 40 years and older than 75 years were underrepresented.

Conclusion:

Sources:

• British Journal of Sports Medicine
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