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Exercise for Hypertension: A Prescription Update Integrating Existing Recommendations with Emerging Research.

Pescatello LS, MacDonald HV, Lamberti L, Johnson BT - Curr. Hypertens. Rep. (2015)

Bottom Line: Hypertension is the most common, costly, and preventable cardiovascular disease risk factor.Yet, these recommendations differ in the components of the Frequency, Intensity, Time, and Type (FITT) principle of exercise prescription (Ex Rx); the evidence upon which they are based is only of fair methodological quality; and the individual studies upon which they are based generally do not include people with hypertension, which are some of the limitations in this literature.The purposes of this review are to (1) overview the professional exercise recommendations for hypertension in terms of the FITT principle of Ex Rx; (2) discuss new and emerging research related to Ex Rx for hypertension; and (3) present an updated FITT Ex Rx for adults with hypertension that integrates the existing recommendations with this new and emerging research.

View Article: PubMed Central - PubMed

Affiliation: Department of Kinesiology, College of Agriculture, Health, and Natural Resources, University of Connecticut, 2095 Hillside Rd, U-1110, Storrs, CT, 06269-1110, USA. Linda.Pescatello@uconn.edu.

ABSTRACT
Hypertension is the most common, costly, and preventable cardiovascular disease risk factor. Numerous professional organizations and committees recommend exercise as initial lifestyle therapy to prevent, treat, and control hypertension. Yet, these recommendations differ in the components of the Frequency, Intensity, Time, and Type (FITT) principle of exercise prescription (Ex Rx); the evidence upon which they are based is only of fair methodological quality; and the individual studies upon which they are based generally do not include people with hypertension, which are some of the limitations in this literature. The purposes of this review are to (1) overview the professional exercise recommendations for hypertension in terms of the FITT principle of Ex Rx; (2) discuss new and emerging research related to Ex Rx for hypertension; and (3) present an updated FITT Ex Rx for adults with hypertension that integrates the existing recommendations with this new and emerging research.

No MeSH data available.


Related in: MedlinePlus

Flow diagram detailing the systematic search for potentially relevant reports (k) and the selection process of included meta-analyses (l) and exercise trials (n). CINAHL cumulative index to nursing and allied health literature. EMBASE–Excerpta Medica dataBASE. PEDro physiotherapy evidence database. RCTs—Randomized controlled trials. RE—Resistance exercise. a Indicates the databases that were searched in our previous systematic review to locate relevant meta-analyses; the complete search strategy is available from reference [4••]. b Indicates the databases that were searched to locate potentially relevant exercise studies published since the ACSM position stand [6]; PubMed also includes the electronic database MEDLINE. Adapted from references [4••, 5••, 43••]
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Fig1: Flow diagram detailing the systematic search for potentially relevant reports (k) and the selection process of included meta-analyses (l) and exercise trials (n). CINAHL cumulative index to nursing and allied health literature. EMBASE–Excerpta Medica dataBASE. PEDro physiotherapy evidence database. RCTs—Randomized controlled trials. RE—Resistance exercise. a Indicates the databases that were searched in our previous systematic review to locate relevant meta-analyses; the complete search strategy is available from reference [4••]. b Indicates the databases that were searched to locate potentially relevant exercise studies published since the ACSM position stand [6]; PubMed also includes the electronic database MEDLINE. Adapted from references [4••, 5••, 43••]

Mentions: In this review, we have combined and updated the comprehensive search strategies used in our recently published systematic reviews [4••, 5••] to include the potentially relevant literature on the BP response to the acute and chronic aerobic, dynamic resistance, and concurrent exercise since the publication of the ACSM position on exercise and hypertension [6]. The full search details for our systematic reviews have been published elsewhere [4••]. For our updated literature search, studies involving human adults (≥19 years) that were published in English between January 1, 2004 and July 1, 2015, and had a control/comparison group were identified using the electronic database PubMed (including Medline). After omitting duplicates, our combined search yielded 5,412 potential reports, of which 560 were meta-analyses. Overall, 33 meta-analyses and 283 exercise trials were eligible for inclusion. Of those, the authors selected the most relevant meta-analyses (l = 7) and exercise studies (n = 63) for this review. Figure 1 details the search and selection process of the included meta-analyses and exercise trials.Fig. 1


Exercise for Hypertension: A Prescription Update Integrating Existing Recommendations with Emerging Research.

Pescatello LS, MacDonald HV, Lamberti L, Johnson BT - Curr. Hypertens. Rep. (2015)

Flow diagram detailing the systematic search for potentially relevant reports (k) and the selection process of included meta-analyses (l) and exercise trials (n). CINAHL cumulative index to nursing and allied health literature. EMBASE–Excerpta Medica dataBASE. PEDro physiotherapy evidence database. RCTs—Randomized controlled trials. RE—Resistance exercise. a Indicates the databases that were searched in our previous systematic review to locate relevant meta-analyses; the complete search strategy is available from reference [4••]. b Indicates the databases that were searched to locate potentially relevant exercise studies published since the ACSM position stand [6]; PubMed also includes the electronic database MEDLINE. Adapted from references [4••, 5••, 43••]
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4589552&req=5

Fig1: Flow diagram detailing the systematic search for potentially relevant reports (k) and the selection process of included meta-analyses (l) and exercise trials (n). CINAHL cumulative index to nursing and allied health literature. EMBASE–Excerpta Medica dataBASE. PEDro physiotherapy evidence database. RCTs—Randomized controlled trials. RE—Resistance exercise. a Indicates the databases that were searched in our previous systematic review to locate relevant meta-analyses; the complete search strategy is available from reference [4••]. b Indicates the databases that were searched to locate potentially relevant exercise studies published since the ACSM position stand [6]; PubMed also includes the electronic database MEDLINE. Adapted from references [4••, 5••, 43••]
Mentions: In this review, we have combined and updated the comprehensive search strategies used in our recently published systematic reviews [4••, 5••] to include the potentially relevant literature on the BP response to the acute and chronic aerobic, dynamic resistance, and concurrent exercise since the publication of the ACSM position on exercise and hypertension [6]. The full search details for our systematic reviews have been published elsewhere [4••]. For our updated literature search, studies involving human adults (≥19 years) that were published in English between January 1, 2004 and July 1, 2015, and had a control/comparison group were identified using the electronic database PubMed (including Medline). After omitting duplicates, our combined search yielded 5,412 potential reports, of which 560 were meta-analyses. Overall, 33 meta-analyses and 283 exercise trials were eligible for inclusion. Of those, the authors selected the most relevant meta-analyses (l = 7) and exercise studies (n = 63) for this review. Figure 1 details the search and selection process of the included meta-analyses and exercise trials.Fig. 1

Bottom Line: Hypertension is the most common, costly, and preventable cardiovascular disease risk factor.Yet, these recommendations differ in the components of the Frequency, Intensity, Time, and Type (FITT) principle of exercise prescription (Ex Rx); the evidence upon which they are based is only of fair methodological quality; and the individual studies upon which they are based generally do not include people with hypertension, which are some of the limitations in this literature.The purposes of this review are to (1) overview the professional exercise recommendations for hypertension in terms of the FITT principle of Ex Rx; (2) discuss new and emerging research related to Ex Rx for hypertension; and (3) present an updated FITT Ex Rx for adults with hypertension that integrates the existing recommendations with this new and emerging research.

View Article: PubMed Central - PubMed

Affiliation: Department of Kinesiology, College of Agriculture, Health, and Natural Resources, University of Connecticut, 2095 Hillside Rd, U-1110, Storrs, CT, 06269-1110, USA. Linda.Pescatello@uconn.edu.

ABSTRACT
Hypertension is the most common, costly, and preventable cardiovascular disease risk factor. Numerous professional organizations and committees recommend exercise as initial lifestyle therapy to prevent, treat, and control hypertension. Yet, these recommendations differ in the components of the Frequency, Intensity, Time, and Type (FITT) principle of exercise prescription (Ex Rx); the evidence upon which they are based is only of fair methodological quality; and the individual studies upon which they are based generally do not include people with hypertension, which are some of the limitations in this literature. The purposes of this review are to (1) overview the professional exercise recommendations for hypertension in terms of the FITT principle of Ex Rx; (2) discuss new and emerging research related to Ex Rx for hypertension; and (3) present an updated FITT Ex Rx for adults with hypertension that integrates the existing recommendations with this new and emerging research.

No MeSH data available.


Related in: MedlinePlus