Exercise Training and Blood Pressure Control in Patients With Hypertension

Several randomized, well controlled exercise intervention studies have shown that regularly performed aerobic exercise significantly lowers blood pressure in patients with essential hypertension. Mild to moderate intensity exercise may be more effective in lowering blood pressure than higher intensity exercises. Three or more sessions per week of 30-60 minutes per session are required to achieve optimal results. Such exercise is also safe and effective in lowering blood pressure in treated patients with severe hypertension and left ventricular hypertrophy (LVH). A significant reduction in blood pressure and LVH regression may be achieved in these patients even with substantial reduction in antihypertensive medication. The safety and efficacy of mild to moderate exercise has positive clinical implications for all hypertensive patients. Exercise induced reductions in resting blood pressure and the prevention of an abnormal rise in blood pressure during physical exertion can lead to fewer cardiovascular events. It may also reduce antihypertensive medication requirements, cost, medication related side effects, and improve quality of life. (c)1999 by Le Jacq Communications, Inc.