TY - JOUR
T1 - The form of exercise to decrease resting blood pressure in older adults
T2 - A systematic review and meta-analysis
AU - Igarashi, Yutaka
AU - Akazawa, Nobuhiko
AU - Maeda, Seiji
N1 - Funding Information:
The authors wish to sincerely thank the staff of Osaka University of Health and Sports Sciences Library and Osaka City University Media Center Library Service for collecting the articles used in this analysis and to thank the staff of International Studies Library in Osaka University, Chukyo University Library, Toin University of Yokohama Library, National Museum of Ethnology, and National Institute of Public Health for facilitating a search of the literature in electronic databases.
Publisher Copyright:
© 2021 Elsevier B.V.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - Background/objectives: The current systematic review and meta-analysis evaluated the relationship between the form of exercise and changes in resting blood pressure (RBP) in older adults and the overall level of evidence. Methods: The inclusion criteria were studies involving intervention with only regular exercise limited to subjects ≥65 years old. The combined changes in RBP in each study were calculated and the relationship between the form of exercise and changes in the RBP were evaluated. The overall evidence was assessed using the GRADE approach. Results: Nineteen studies (1081 subjects) were analyzed. The combined changes in the RBP decreased as a result of aerobic exercise or resistance exercise. The intensity of resistance exercise (METs) was related to the change in the RBP of systolic (meta-regression coefficient, –2.5 [95% confidence interval, –4.7 to –0.4]; R2=35.4%). When excluding studies with high overall risk of bias, the overall duration of aerobic exercise (weeks) was related to the change in the RBP of systolic (meta-regression coefficient, –0.6 [95% confidence interval, –1.0 to –0.2]; R2=93.2%). In addition, there was a low level of evidence overall for a decrease in RBP as a result of aerobic exercise, but there was a moderate level of evidence for a decrease in RBP as a results of resistance exercise. Conclusion: A decrease in the RBP of systolic may be associated with active exercise in older adults. However, there may be insufficient evidence for the decrease in RBP as a result of aerobic exercise.
AB - Background/objectives: The current systematic review and meta-analysis evaluated the relationship between the form of exercise and changes in resting blood pressure (RBP) in older adults and the overall level of evidence. Methods: The inclusion criteria were studies involving intervention with only regular exercise limited to subjects ≥65 years old. The combined changes in RBP in each study were calculated and the relationship between the form of exercise and changes in the RBP were evaluated. The overall evidence was assessed using the GRADE approach. Results: Nineteen studies (1081 subjects) were analyzed. The combined changes in the RBP decreased as a result of aerobic exercise or resistance exercise. The intensity of resistance exercise (METs) was related to the change in the RBP of systolic (meta-regression coefficient, –2.5 [95% confidence interval, –4.7 to –0.4]; R2=35.4%). When excluding studies with high overall risk of bias, the overall duration of aerobic exercise (weeks) was related to the change in the RBP of systolic (meta-regression coefficient, –0.6 [95% confidence interval, –1.0 to –0.2]; R2=93.2%). In addition, there was a low level of evidence overall for a decrease in RBP as a result of aerobic exercise, but there was a moderate level of evidence for a decrease in RBP as a results of resistance exercise. Conclusion: A decrease in the RBP of systolic may be associated with active exercise in older adults. However, there may be insufficient evidence for the decrease in RBP as a result of aerobic exercise.
KW - 65 Years old
KW - Frequency of exercise
KW - GRADE approach
KW - Intensity of exercise
KW - Randomized controlled trial
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U2 - 10.1016/j.archger.2021.104431
DO - 10.1016/j.archger.2021.104431
M3 - Article
C2 - 34082273
AN - SCOPUS:85107138776
SN - 0167-4943
VL - 96
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
M1 - 104431
ER -