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[Experiences with running therapy in essential hypertension]

H J Winterfeld1, H Siewert, D Strangfeld

  • 1Universitätsklinikum Charité, Medizinische Fakultät der Humboldt-Universität zu Berlin.

Praxis
|March 21, 1995
PubMed
Summary

Running offers significant benefits for hypertensive patients, improving blood pressure and circulation without cardiac risk. This three-month study demonstrates positive effects of regular running on cardiovascular health in individuals with hypertension.

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Area of Science:

  • Cardiology
  • Sports Medicine
  • Physiology

Background:

  • Hypertension poses significant cardiovascular risks.
  • Exercise, specifically running, is often recommended for managing hypertension.
  • Long-term effects of running on hemodynamics in hypertensive patients require further investigation.

Purpose of the Study:

  • To investigate the long-term effects of a running program on blood pressure and hemodynamics in hypertensive patients.
  • To assess the impact of running on peripheral microcirculation and cardiac output.
  • To determine the cardial safety of running in hypertensive individuals.

Main Methods:

  • A three-month study involving 24 hypertensive patients (WHO Stage I and II) and 15 healthy controls, all participating in a twice-weekly running program.

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  • Measurements included resting and exercise (50 W) blood pressure and heart rate.
  • Peripheral microcirculation assessed using Xenon-133 muscle clearance, and cardiac output measured via radiocardiography (Indium 113m).
  • Main Results:

    • Running led to a significant decrease in both systolic and diastolic blood pressure in hypertensive patients.
    • Peripheral microcirculation showed significant improvement.
    • Cardiac output and heart rate measurements indicated no cardial risk associated with running at 2-2.5 m/s.

    Conclusions:

    • Regular running is beneficial for managing hypertension and improving central hemodynamics.
    • The study supports running as a safe and effective exercise modality for hypertensive patients.
    • Running positively influences peripheral microcirculation and reduces blood pressure without adverse cardiac effects.