Which Exercise Best Lowers Ambulatory BP?
‘Combined training and high-intensity interval training were also associated with reductions in 24-hour ambulatory blood pressure’
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By
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Kathryn Wighton
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June 15, 2026
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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:
