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Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review

Sedentarism and chronic non-communicable diseases have been a worldwide health problem that is drastically exacerbated by the COVID-19 pandemic social impacts. Home-based exercises are widely encouraged during social isolation to counterbalance the physical inactive impacts. Although, in the context...

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Autores principales: Rodrigues, Gabriel Dias, Lima, Ligia Soares, da Silva, Nicole Cristine Simões, Telles, Paula Gomes Lopes, da Mota Silva Rocha, Teresa Mell, de Aragão Porto, Victor Quintella, Cardoso, Viviane Veloso, da Silva Soares, Pedro Paulo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474275/
https://www.ncbi.nlm.nih.gov/pubmed/36104807
http://dx.doi.org/10.1186/s40885-022-00211-8
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author Rodrigues, Gabriel Dias
Lima, Ligia Soares
da Silva, Nicole Cristine Simões
Telles, Paula Gomes Lopes
da Mota Silva Rocha, Teresa Mell
de Aragão Porto, Victor Quintella
Cardoso, Viviane Veloso
da Silva Soares, Pedro Paulo
author_facet Rodrigues, Gabriel Dias
Lima, Ligia Soares
da Silva, Nicole Cristine Simões
Telles, Paula Gomes Lopes
da Mota Silva Rocha, Teresa Mell
de Aragão Porto, Victor Quintella
Cardoso, Viviane Veloso
da Silva Soares, Pedro Paulo
author_sort Rodrigues, Gabriel Dias
collection PubMed
description Sedentarism and chronic non-communicable diseases have been a worldwide health problem that is drastically exacerbated by the COVID-19 pandemic social impacts. Home-based exercises are widely encouraged during social isolation to counterbalance the physical inactive impacts. Although, in the context of hypertension, are home-based exercises effective in blood pressure controlling? Our objective is to conduct a systematic review of high-quality controlled trials comparing the possible effects of different types of home-based exercises in hypertensive patients. The literature search was carried out in three scientific databases: Medline, Europe PMC, and Lilacs. Articles were included following three criteria: analyzing the effect of home-based exercise programs on blood pressure in treated and untreated hypertensive patients; exercises must perform at home and on the frequency, intensity, time, and type (FITT) principle, and the articles were published in English. From the qualitative analysis of 27 original trials screened through 451 identified studies, the main results are the following: 1) both endurance, isometric strength, and respiratory home-based exercise programs were efficient to decrease blood pressure in hypertensive patients; 2) differences in methodological approaches regarding FITT components, distinct blood pressure values at baseline and specific underlying mechanisms must be considered as a potential bias of each home-based interventions. In conclusion, endurance, isometric strength, and breathing home-based programs seems to be effective to reduce blood pressure in hypertensive patients. However, further randomized controlled trials and mechanistic studies must be performing to guide evidence-based recommendations of home-based exercises as antihypertensive therapy.
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spelling pubmed-94742752022-09-15 Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review Rodrigues, Gabriel Dias Lima, Ligia Soares da Silva, Nicole Cristine Simões Telles, Paula Gomes Lopes da Mota Silva Rocha, Teresa Mell de Aragão Porto, Victor Quintella Cardoso, Viviane Veloso da Silva Soares, Pedro Paulo Clin Hypertens Review Sedentarism and chronic non-communicable diseases have been a worldwide health problem that is drastically exacerbated by the COVID-19 pandemic social impacts. Home-based exercises are widely encouraged during social isolation to counterbalance the physical inactive impacts. Although, in the context of hypertension, are home-based exercises effective in blood pressure controlling? Our objective is to conduct a systematic review of high-quality controlled trials comparing the possible effects of different types of home-based exercises in hypertensive patients. The literature search was carried out in three scientific databases: Medline, Europe PMC, and Lilacs. Articles were included following three criteria: analyzing the effect of home-based exercise programs on blood pressure in treated and untreated hypertensive patients; exercises must perform at home and on the frequency, intensity, time, and type (FITT) principle, and the articles were published in English. From the qualitative analysis of 27 original trials screened through 451 identified studies, the main results are the following: 1) both endurance, isometric strength, and respiratory home-based exercise programs were efficient to decrease blood pressure in hypertensive patients; 2) differences in methodological approaches regarding FITT components, distinct blood pressure values at baseline and specific underlying mechanisms must be considered as a potential bias of each home-based interventions. In conclusion, endurance, isometric strength, and breathing home-based programs seems to be effective to reduce blood pressure in hypertensive patients. However, further randomized controlled trials and mechanistic studies must be performing to guide evidence-based recommendations of home-based exercises as antihypertensive therapy. BioMed Central 2022-09-15 /pmc/articles/PMC9474275/ /pubmed/36104807 http://dx.doi.org/10.1186/s40885-022-00211-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Rodrigues, Gabriel Dias
Lima, Ligia Soares
da Silva, Nicole Cristine Simões
Telles, Paula Gomes Lopes
da Mota Silva Rocha, Teresa Mell
de Aragão Porto, Victor Quintella
Cardoso, Viviane Veloso
da Silva Soares, Pedro Paulo
Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title_full Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title_fullStr Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title_full_unstemmed Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title_short Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review
title_sort are home-based exercises effective to reduce blood pressure in hypertensive adults? a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474275/
https://www.ncbi.nlm.nih.gov/pubmed/36104807
http://dx.doi.org/10.1186/s40885-022-00211-8
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