October 2, 2023

Personalized Advice: How To Prevent and Treat High Blood Pressure With Exercise

While it is commonly accepted that exercise reduces blood pressure, up until now recommendations have focused on the quantity of workout per week, without thinking about an individuals beginning blood pressure level.

The very first tailored guidance on the most effective workout to lower blood pressure was published in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC). The ESC agreement document suggests particular activities according to an individuals present blood pressure level.
One in 4 cardiovascular disease are brought on by high blood pressure. It is approximated that by 2025, around 60% of the worlds population will have hypertension. While it is commonly accepted that workout decreases blood pressure, previously suggestions have actually concentrated on the quantity of exercise each week, without considering an individuals beginning high blood pressure level.

For individuals with hypertension (blood pressure of at least 140/90 mmHg), aerobic exercise is the most efficient method. “In people with hypertension, the blood pressure reduction that can be achieved with aerobic workout is the very same, or even a little more, than taking a single antihypertensive medication,” said Professor Hanssen.
“People with typical blood pressure, but who are at raised danger of developing high blood pressure, might be especially encouraged to keep their levels down,” stated Professor Hanssen.
Healthy people with a hypertensive parent are also at risk of developing high blood pressure, as are females who had high blood pressure during pregnancy (gestational hypertension).

This agreement document, for the very first time, utilized an analysis of the greatest quality evidence to produce comprehensive guidance on how to decrease blood pressure in individuals with high blood pressure, high-normal blood pressure, and normal blood pressure.
” The goal of the recommendations for all 3 groups is mainly to lower blood pressure,” stated very first author Professor Henner Hanssen of the University of Basel, Switzerland. “Ultimately, through blood pressure decrease, we can minimize the danger of cardiovascular disease, stroke and death from heart disease– thereby spending more years of life in good health.”
For each of the three groups, the paper outlines the first exercise priority for lowering high blood pressure, followed by alternatives that still achieve decrease however to a lesser level.
For people with high blood pressure (high blood pressure of a minimum of 140/90 mmHg), aerobic workout is the most effective approach. This includes activities such as strolling, running, cycling or swimming. “In individuals with high blood pressure, the blood pressure decrease that can be accomplished with aerobic exercise is the very same, or even somewhat more, than taking a single antihypertensive medication,” stated Professor Hanssen.
In those with high-normal blood pressure (130-139/85 -89 mmHg), vibrant resistance training is the first concern. This describes strength training generally involving a minimum of 6 big muscle groups where muscle contraction results in movement– for example, raising weights, crouches, and push-ups.
Individuals with regular high blood pressure (less than 130/84 mmHg) benefit most from isometric resistance training. This involves static contraction of the muscles– for instance, the handgrip exercise. “People with typical high blood pressure, but who are at raised danger of establishing high blood pressure, may be especially encouraged to keep their levels down,” stated Professor Hanssen.
He continued: “Obese individuals are most likely to establish high blood pressure if obesity persists for many years. Healthy individuals with a hypertensive parent are likewise at threat of establishing high blood pressure, as are ladies who had hypertension during pregnancy (gestational high blood pressure). Individuals in these groups can delay or perhaps prevent hypertension by working out.”
Professor Hanssen kept in mind that physical activity needs to be done frequently to sustain the advantages. He said: “For many workouts, the blood pressure lowering impact lasts for about 24 hours, similar to medication, so its finest to be active every day if possible.”
Reference: “Personalized exercise prescription in the prevention and treatment of arterial hypertension: a Consensus Document from the European Association of Preventive Cardiology (EAPC) and the ESC Council on Hypertension” by Henner Hanssen, Henry Boardman, Arne Deiseroth, Trine Moholdt, Maria Simonenko, Nicolle Kränkel, Josef Niebauer, Monica Tiberi, Ana Abreu, Erik Ekker Solberg, Linda Pescatello, Jana Brguljan, Antonio Coca and Paul Leeson, 24 March 2021, European Journal of Preventive Cardiology.DOI: 10.1093/ eurjpc/zwaa141.
Disclosures: A.C. received honoraria for lectures in seminar and instructional activities sponsored by unrestricted grants from Abbott, Berlin-Chemie, Biolab, Boehringer-Ingelheim, Ferrer, Menarini, Merck and Sanofi-Aventis. M.S. reports individual costs from Novartis and Sanofi-Aventis. L.P. is lead author of the American College of Sports Medicine current Pronouncement. All other authors have nothing to divulge.