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Do Exercise Trials for Hypertension Adequately Report Interventions? A Reporting Quality Study.

Claudia Hacke¹, David Nunan², Burkhard Weisser³

¹Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

International Journal of Sports Medicine

|August 22, 2018

Summary

Exercise interventions for hypertension lack sufficient reporting detail for clinical practice replication. Key details on adherence, dosage, and adverse events are frequently missing, hindering evidence translation.

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Area of Science:

Exercise Physiology
Clinical Hypertension Management
Evidence-Based Practice

Background:

Non-pharmacological treatments, particularly exercise, are crucial for managing hypertension.
Effective translation of exercise intervention findings into clinical practice requires high-quality reporting.
Previous meta-analyses have assessed the blood pressure-lowering effects of endurance training in hypertensive patients.

Purpose of the Study:

To evaluate the reporting quality of exercise-based interventions within a recent meta-analysis on hypertension.
To assess the transferability of findings from exercise interventions for hypertension into clinical practice.
To examine associations between reporting quality, publication year, and journal impact factor.

Main Methods:

Evaluation of 24 randomized controlled trials (RCTs) from a meta-analysis on endurance training for hypertension.
Utilized the Template for Intervention Description and Replication (TIDieR) and Consensus on Exercise Reporting Template (CERT) guidelines.
Analyzed reporting completeness, focusing on core items for replication, and examined correlations with publication metrics.

Main Results:

No studies fully described all intervention components.
Average reporting completeness was 61% for TIDieR and 57% for CERT.
Common omissions included adherence, intervention provider, adverse events, and exercise dosage details. Reporting quality improved with publication year for TIDieR but not CERT; no link to journal impact factor was found.

Conclusions:

The reporting quality of exercise-based interventions for hypertension is inadequate for replication and limits clinical practice translation.
Adherence to reporting guidelines like TIDieR and CERT is insufficient.
Researchers, reviewers, and editors must enforce adherence to reporting guidelines to improve the utility of exercise intervention research in hypertension.