High versus Low-Moderate Intensity Exercise Training Program as an Adjunct to Antihypertensive Medication: A Pilot
Vicente Ávila-Gandía1, Maravillas Sánchez-Macarro1, Antonio Luque-Rubia1
1Department of Exercise Physiology, Universidad Católica de Murcia, 30107 Murcia, Spain.
Journal of Personalized Medicine
|April 30, 2021
Summary
High-intensity training (HIT) and low-to-moderate intensity exercise (LMIT) both lowered blood pressure in hypertensive patients. HIT showed greater BP reduction but lower compliance compared to LMIT.
Area of Science:
- Cardiology
- Exercise Physiology
- Hypertension Management
Background:
- Hypertension is a major risk factor for cardiovascular disease.
- Community-based exercise programs are encouraged for managing hypertension.
- The comparative effects of different exercise intensities on blood pressure are not fully elucidated.
Purpose of the Study:
- To investigate the impact of high-intensity interval training (HIT) versus low-to-moderate intensity exercise (LMIT) on blood pressure in hypertensive individuals.
- To compare the compliance rates between HIT and LMIT programs.
Main Methods:
- Pilot clinical study with two exercise phases (12 and 16 weeks) separated by a rest period.
- Participants randomized to HIT (80-90% max heart rate), LMIT (50-70% max heart rate), or control.
- Ambulatory blood pressure monitoring used to assess blood pressure changes.
Main Results:
- Both HIT and LMIT significantly reduced systolic and diastolic blood pressure after the second phase.
- HIT demonstrated a greater reduction in blood pressure (SBP -10.8 mmHg, DBP -8.3 mmHg) compared to LMIT (SBP -3.1 mmHg, DBP -2.4 mmHg).
- Compliance rates were similar between HIT and LMIT, with a statistically significant difference observed in attendance (p=0.047).
Conclusions:
- Both HIT and LMIT are effective in reducing blood pressure in hypertensive patients.
- HIT may offer superior blood pressure-lowering effects but requires careful consideration of individual tolerance and compliance.
- Individualized prescription of exercise intensity is recommended for optimal adherence and outcomes in hypertension management.
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