Effects of resistance exercises on hemodynamic responses: a systematic review with meta-analysis
Review - e235573 - Published 2024 March 17
DOI:
https://doi.org/10.33233/rbfex.v23i1.5573Keywords:
resistance training, blood pressure, hypertensionAbstract
Objectives: To analyze the effects of Resistance Exercise (RE) on hemodynamic responses related to blood pressure. Methods: Systematic review, Prospero CRD42023422584, carried out on the following databases: PubMed/Medline, PEDro, Cochrane and VHL Regional Portal, between June and December 2023. Descriptors: "Resistance Training", "Blood Pressure" and, "Systematic Reviews. Included: Systematic reviews, composed of randomized clinical trials and/or controlled intervention studies, which tested static or dynamic resistance exercise interventions, in adult individuals, for outcomes associated with hemodynamic responses such as: blood pressure, heart rate and VO2max. There were no restrictions on the time of publication of the studies. The risk of bias was assessed using the AMSTAR-2 scale. Results: 174 articles were identified, but after analysis 7 were included. These were published between 2005 and 2020, totaling a sample of 7,818 individuals of both sexes. The main results indicate that RE promotes a statistically significant and clinically relevant improvement in systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP). There were improvements in VO2max and VO2peak. Conclusion: We concluded that RE was statistically significant and clinically relevant for reducing SBP, DBP and MAP. An improvement in VO2max and VO2peak was also observed. Furthermore, Isometric Resistance Exercise promoted a greater blood pressure reduction when compared to Aerobic Resistance Exercise and Dynamic Resistance Exercise. These results are supported by the high/moderate methodological quality of the included reviews.
References
Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update from the GBD 2019 Study. J Am Coll Cardiol. 2020 Dec 22;76(25):2982-3021. doi: 10.1016/j.jacc.2020.11.010
World Health Organization. Global Status Report on Noncommunicable Diseases 2014. Geneva, Switzerland: World Health Organization; 2014.
Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020 Apr;16(4):223-37. doi: 10.1038/s41581-019-0244-2
Sarki AM, Nduka CU, Stranges S, Kandala NB, Uthman OA. Prevalence of hypertension in low- and middle-income countries: a systematic review and meta-analysis. Medicine (Baltimore). 2015 Dec;94(50):e1959. doi: 10.1097/MD.0000000000001959
World Health Organization. A Global brief on hypertension: silent killer, global public health crisis. Geneva, Switzerland: World Health Organization; 2013.
Ng R, Sutradhar R, Yao Z, Wodchis WP, Rosella LC. Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease. Int J Epidemiol. 2020 Feb 1;49(1):113-30. doi: 10.1093/ije/dyz078
Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003 Jul 9;290(2):199-206. doi: 10.1001/jama.290.2.199
Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006 Mar 14;174(6):801-9. doi: 10.1503/cmaj.051351
Kelley GA, Kelley KA, Tran ZV. Aerobic exercise and resting blood pressure: a meta-analytic review of randomized, controlled trials. Prev Cardiol. 2001 Spring;4(2):73-80. doi: 10.1111/j.1520-037x.2001.00529.x
Igarashi Y, Akazawa N, Maeda S. Regular aerobic exercise and blood pressure in East Asians: A meta-analysis of randomized controlled trials. Clin Exp Hypertens. 2018;40(4):378-89. doi: 10.1080/10641963.2017.1384483
Inder JD, Carlson DJ, Dieberg G, McFarlane JR, Hess NC, Smart NA. Isometric exercise training for blood pressure management: a systematic review and meta-analysis to optimize benefit. Hypertens Res. 2016 Feb;39(2):88-94. doi: 10.1038/hr.2015.111
Baffour-Awuah B, Pearson MJ, Dieberg G, Smart NA. Isometric resistance training to manage hypertension: systematic review and meta-analysis. Curr Hypertens Rep. 2023 Apr;25(4):35-49. doi: 10.1007/s11906-023-01232-w
Smart NA, Way D, Carlson D, Millar P, McGowan C, Swaine I, Baross A, Howden R, Ritti-Dias R, Wiles J, Cornelissen V, Gordon B, Taylor R, Bleile B. Effects of isometric resistance training on resting blood pressure: individual participant data meta-analysis. J Hypertens. 2019 Oct;37(10):1927-38. doi: 10.1097/HJH.0000000000002105
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. doi:10.1371/journal. pmed.1000097
Smith V, Devane D, Begley CM, Clarke M. Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Med Res Methodol. 2011;11(1):1–6. doi:10.1186/1471-2288-11-15
Cornelissen VA, Fagard RH. Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials. J Hypertens. 2005 Feb;23(2):251-9. doi: 10.1097/00004872-200502000-00003
Cornelissen VA, Fagard RH, Coeckelberghs E, Vanhees L. Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension. 2011 Nov;58(5):950-8. doi: 10.1161/HYPERTENSIONAHA.111.177071
Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc. 2013 Feb 1;2(1):e004473. doi: 10.1161/JAHA.112.004473
Carlson DJ, Dieberg G, Hess NC, Millar PJ, Smart NA. Isometric exercise training for blood pressure management: a systematic review and meta-analysis. Mayo Clin Proc. 2014 Mar;89(3):327-34. doi: 10.1016/j.mayocp.2013.10.030
López-Valenciano A, Ruiz-Pérez I, Ayala F, Sánchez-Meca J, Vera-Garcia FJ. Updated systematic review and meta-analysis on the role of isometric resistance training for resting blood pressure management in adults. J Hypertens. 2019 Jul;37(7):1320-1333. doi: 10.1097/HJH.0000000000002022
Loaiza-Betancur AF, Pérez Bedoya E, Montoya Dávila J, Chulvi-Medrano I. Effect of isometric resistance training on blood pressure values in a group of normotensive participants: a systematic review and meta-analysis. Sports Health. 2020 May/Jun;12(3):256-262. doi: 10.1177/1941738120908070
Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018 Jun;71(6):1269-324. Erratum in: Hypertension. 2018 Jun;71(6):e136-e139. Erratum in: Hypertension. 2018 Sep;72(3):e33. doi: 10.1161/HYP.0000000000000066
Tian D, Meng J. Exercise for prevention and relief of cardiovascular disease: prognoses, mechanisms, and approaches. Oxid Med Cell Longev. 2019 Apr 9;2019:3756750. doi: 10.1155/2019/3756750
Green DJ, Maiorana A, O'Driscoll G, Taylor R. Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol. 2004:15;561(Pt 1):1-25. doi: 10.1113/jphysiol.2004.068197
Lawrence MM, Cooley ID, Huet YM, Arthur ST, Howden R. Factors influencing isometric exercise training-induced reductions in resting blood pressure. Scand J Med Sci Sports. 2015 Apr;25(2):131-42. doi: 10.1111/sms.12225
Taylor AC, McCartney N, Kamath MV, Wiley RL. Isometric training lowers resting blood pressure and modulates autonomic control. Med Sci Sports Exerc. 2003;35(2):251-6. doi: 10.1249/01.MSS.0000048725.15026.B5
Smart TFF, Doleman B, Hatt J, Paul M, Toft S, Lund JN, Phillips BE. The role of resistance exercise training for improving cardiorespiratory fitness in healthy older adults: a systematic review and meta-analysis. Age Ageing. 2022 Jun 1;51(6):afac143. doi: 10.1093/ageing/afac143
Gonzalez-Gil AM, Elizondo-Montemayor L. The Role of exercise in the interplay between myokines, hepatokines, osteokines, adipokines, and modulation of inflammation for energy substrate redistribution and fat mass loss: a review. Nutrients. 2020 Jun 26;12(6):1899. doi: 10.3390/nu12061899
Kokkinos P, Faselis C, Samuel IBH, Pittaras A, Doumas M, Murphy R, Heimall MS, Sui X, Zhang J, Myers J. Cardiorespiratory fitness and mortality risk across the spectra of age, race, and sex. J Am Coll Cardiol. 2022 Aug 9;80(6):598-609. doi: 10.1016/j.jacc.2022.05.031
Badrov MB, Bartol CL, DiBartolomeo MA, Millar PJ, McNevin NH, McGowan CL. Effects of isometric handgrip training dose on resting blood pressure and resistance vessel endothelial function in normotensive women. Eur J Appl Physiol. 2013;113(8):2091-100. doi: 10.1007/s00421-013-2644-5
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