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Guided walking reduces blood pressure in hypertensive sedentary subjects including those with resistant hypertension

Simona Mandini1, Francesco Conconi2, Elisa Mori2

  • 1Center for Exercise Science and Sport, University of Ferrara, Ferrara, Italy. mndsmn@unife.it.

Journal of Human Hypertension
|March 11, 2020
PubMed

Insights

Guided walking significantly reduces systolic blood pressure in hypertensive individuals, including those with resistant hypertension. This 1-year program demonstrated clinically relevant blood pressure lowering effects through habitual walking.

Area of Science:

  • Cardiology
  • Exercise Physiology
  • Public Health

Background:

  • Hypertension is a global health concern, often requiring multiple medications.
  • Resistant hypertension is defined as hypertension poorly responsive to medications.
  • Previous research indicated guided walking reduces systolic blood pressure in hypertensive subjects.

Purpose of the Study:

  • To assess the impact of a 1-year guided walking program on blood pressure.
  • To evaluate effects in sedentary hypertensive subjects, including those with resistant hypertension.
  • To compare outcomes between subjects with and without blood pressure medication therapy.

Main Methods:

  • 259 sedentary hypertensive subjects (systolic pressure ≥130 mmHg) were enrolled.
  • Subjects were divided into groups with and without antihypertensive medication (≥3 drugs including diuretics).
  • Measurements included blood pressure, weight, BMI, waist circumference, and walking speed over 1 year.

Main Results:

  • A significant decrease in systolic blood pressure (P < 0.0001) was observed in both groups after 1 year.
  • The reduction in systolic pressure was significantly greater in subjects on medication therapy (P < 0.0001).
  • Systolic blood pressure decrease was directly proportional to baseline values; diastolic pressure also decreased significantly.

Conclusions:

  • Habitual walking can lead to clinically significant blood pressure reductions.
  • Guided walking is effective for sedentary hypertensive individuals, including those with resistant hypertension.
  • Exercise interventions like walking offer a viable strategy for managing hypertension.

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