Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials

被引:102
作者
Cornelissen, WA [1 ]
Fagard, RH [1 ]
机构
[1] Catholic Univ Louvain, Hypertens & Cardiovasc Rehabil Unit, Dept Mol & Cardiovasc Res, Fac Med, Louvain, Belgium
关键词
resistance; training; exercise; blood pressure;
D O I
10.1097/00004872-200502000-00003
中图分类号
R6 [外科学];
学科分类号
1002 [临床医学]; 100210 [外科学];
摘要
Objective To assess the influence of resistance training on resting blood pressure in healthy sedentary adults. Methods A comprehensive literature search with the MEDLINE computerized database was conducted and reference lists of published articles and reviews on the topic were checked. Inclusion criteria were as follows: the study involved a randomized, controlled trial; resistance training was the sole intervention; participants were sedentary normotensive and/or hypertensive adults with no other concomitant disease; the article was published in a peer-reviewed journal up to December 2003. We identified nine randomized controlled trials, involving 12 study groups and 341 participants. A standard protocol was used to extract information on sample size, participant characteristics, study design, training method and duration, and study outcomes. Pooled blood pressure estimates were obtained weighted by either the number of participants in the training group or the inverse of the variance for blood pressure change. Results The weighted net changes of blood pressure, after adjustment for control observations, averaged -3.2[95% confidence limits (CL) -7.1 to +0.7]/-3.5(95% CL -6.1 to -0.9) mmHg when weighted for the number of trained participants, and -6.0(95% CL -10.4 to -1.6)/-4.7(95% CL -8.1 to -1.4) mmHg, when weighted by the reciprocal of the variance for the blood pressure change. Conclusions Our results suggest that moderate intensity resistance training is not contraindicated and could become part of the non-pharmacological intervention strategy to prevent and combat high blood pressure. However, additional studies are needed, especially in the hypertensive population. (C) 2005 Lippincott Williams Wilkins.
引用
收藏
页码:251 / 259
页数:9
相关论文
共 32 条
[1]
[Anonymous], 2002 WHO
[2]
FAILURE OF EXERCISE TO REDUCE BLOOD-PRESSURE IN PATIENTS WITH MILD HYPERTENSION - RESULTS OF A RANDOMIZED CONTROLLED TRIAL [J].
BLUMENTHAL, JA ;
SIEGEL, WC ;
APPELBAUM, M .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 266 (15) :2098-2104
[3]
Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure [J].
Chobanian, AV ;
Bakris, GL ;
Black, HR ;
Cushman, WC ;
Green, LA ;
Izzo, JL ;
Jones, DW ;
Materson, BJ ;
Oparil, S ;
Wright, JT ;
Roccella, EJ .
HYPERTENSION, 2003, 42 (06) :1206-1252
[4]
COCONIE CC, 1991, MED SCI SPORTS EXERC, V23, P505
[5]
COLLIANDER EB, 1988, CAN J SPORT SCI, V13, P31
[6]
CONEY KE, 2000, J PHYSIOL-LONDON, V626, P211
[7]
IMPLICATIONS OF SMALL REDUCTIONS IN DIASTOLIC BLOOD-PRESSURE FOR PRIMARY PREVENTION [J].
COOK, NR ;
COHEN, J ;
HEBERT, PR ;
TAYLOR, JO ;
HENNEKENS, CH .
ARCHIVES OF INTERNAL MEDICINE, 1995, 155 (07) :701-709
[8]
METAANALYSIS IN CLINICAL-TRIALS [J].
DERSIMONIAN, R ;
LAIRD, N .
CONTROLLED CLINICAL TRIALS, 1986, 7 (03) :177-188
[9]
FAGARD R H, 1992, Cardiology Clinics, V10, P241
[10]
FERGARD RH, 2001, MED SCI SPORT EXER S, V33, pS484