Exercise training reduces arterial stiffness in women with high blood pressure: a systematic review and meta-analysis

Article

Zaman, Shadman, Selva Raj, Isaac, Yang, Angela Wei Hong, Lindner, Robert and Denham, Joshua. 2024. "Exercise training reduces arterial stiffness in women with high blood pressure: a systematic review and meta-analysis." Journal of Hypertension. 42 (2), pp. 197-204. https://doi.org/10.1097/HJH.0000000000003594
Article Title

Exercise training reduces arterial stiffness in women with high blood pressure: a systematic review and meta-analysis

ERA Journal ID16401
Article CategoryArticle
AuthorsZaman, Shadman, Selva Raj, Isaac, Yang, Angela Wei Hong, Lindner, Robert and Denham, Joshua
Journal TitleJournal of Hypertension
Journal Citation42 (2), pp. 197-204
Number of Pages8
Year2024
PublisherLippincott Williams & Wilkins
Place of PublicationUnited States
ISSN0263-6352
1473-5598
Digital Object Identifier (DOI)https://doi.org/10.1097/HJH.0000000000003594
Web Address (URL)https://journals.lww.com/jhypertension/abstract/9900/exercise_training_reduces_arterial_stiffness_in.341.aspx
Abstract

The acute and long-term benefits of exercise on cardiovascular health are well established, yet the optimal mode of exercise training that improves arterial stiffness in women with high blood pressure remains unclear. The aim of this systematic review and meta-analysis was to assess the influence of aerobic and resistance training on arterial stiffness in women with high blood pressure. After an extensive search of four online databases, six randomized controlled trials met the inclusion criteria and were included in meta-analyses. Data were extracted from six studies examining the influence of exercise on arterial stiffness assessed by pulse wave velocity (PWV) and were expressed as standardized mean difference (SMD). Whereas aerobic exercise significantly reduced arterial PWV in women with high blood pressure after long-term training [SMD −1.87, 95% confidence interval (CI) −2.34 to −1.40], resistance training had a more modest effect that was borderline statistically significant (SMD −0.31, 95% CI −0.65 to 0.03). These findings suggest regular long-term aerobic exercise training (i.e. 12–20 week interventions) reduces arterial stiffness in women with high blood pressure. Although not statistically significant, the modest number of included trials and lack of publication bias encourages further assessments on the efficacy of resistance exercise for improving arterial stiffness in women with high blood pressure. Given the unique benefits of aerobic and resistance training, particularly for postmenopausal women (e.g. bone health and muscular strength), both modes of training should be encouraged for women with high blood pressure to enhance arterial function and support favorable cardiovascular outcomes.

Keywordsstrength training; sport; pulse wave velocity; female athlete; endurance training
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320225. Sports medicine
320101. Cardiology (incl. cardiovascular diseases)
420702. Exercise physiology
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Byline AffiliationsRoyal Melbourne Institute of Technology (RMIT)
Edith Cowan University
School of Health and Medical Sciences
Centre for Health Research
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