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Published on: June 20, 2025
Physical activity and fitness for the prevention of hypertension
Esmée A Bakker1,2, Xuemei Sui3, Angelique G Brellenthin4
1Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Purpose Of Review:
The aim of this review is to evaluate the most recent literature about the role of physical activity, exercise, and fitness in hypertension prevention.
Recent Findings:
Strong evidence indicates that performing moderate-to-vigorous physical activity, particularly aerobic exercise, and improving cardiorespiratory fitness (CRF) reduce blood pressure (BP) levels and lower hypertension incidence. Although evidence is limited, performing resistance exercise or improving muscular strength appears to be associated with a lower incidence of hypertension. Furthermore, reducing sedentary time or replacing sedentary time with physical activity might lower BP.
Summary:
To lower the risk of hypertension, promoting physical activity and improving fitness, especially CRF, should be encouraged. More research is needed to determine the effects of sedentary behavior, resistance exercise, and muscle strength on the development of hypertension across diverse populations and settings. Future studies should focus on dose-response relationships of exercise and physical activity with the development of hypertension to determine the minimal and optimal amount of exercise and physical activity for hypertension prevention.
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