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Comparative Dose-Response Effects of Exercise Modalities on Blood Pressure in Post-Menopausal Women: A Systematic
Jiaqi Zhang1, Angus Pak-Hung Yu1, Eric Tsz-Chun Poon1
1Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Multi-component exercise at 900 METs-min/week best lowers blood pressure in post-menopausal women. This dose-response analysis of 79 studies provides comprehensive evidence for managing hypertension through tailored exercise regimens.
Area of Science:
- Cardiovascular Health
- Exercise Physiology
- Gerontology
Background:
- Physical exercise is a key lifestyle intervention for hypertension management.
- Post-menopausal women face elevated hypertension risk due to aging and hormonal shifts.
- Limited data exists on comparative dose-response effects of different exercise types on blood pressure in this demographic.
Purpose of the Study:
- To comprehensively evaluate the dose-response effects of various exercise modalities on blood pressure in post-menopausal women.
- To identify optimal exercise types and weekly doses for blood pressure reduction.
- To synthesize current evidence through a network meta-analysis.
Main Methods:
- Systematic search of randomized controlled trials across seven databases up to December 2024.
- Dose-response network meta-analyses comparing exercise modalities at different weekly doses.
- Primary outcomes: within-group changes in systolic (SBP) and diastolic (DBP) blood pressure (mmHg).
- Certainty of evidence assessed using the CINeMA tool.
Main Results:
- Analysis included 79 studies with 3,628 post-menopausal women.
- Multi-component exercises at 900 METs-min/week showed the most consistent benefits.
- Significant reductions observed in SBP (MD=-11.94 mmHg) and DBP (MD=-8.60 mmHg) at this dose.
Conclusions:
- Multi-component exercise at 900 METs-min/week is the most effective modality for lowering blood pressure in post-menopausal women.
- This review offers the most comprehensive evidence to date on exercise dose-response for hypertension in this population.
- Findings support tailored exercise prescriptions for cardiovascular health in post-menopausal women.
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