Department of Internal Medicine-Cardiovascular, Sanya Central Hospital (Hainan Third People's Hospital), Sanya, 572000 Hainan, China.
Department of Emergency, Dongfang People's Hospital, Dongfang, 572600 Hainan, China.
Comput Math Methods Med. 2022 May 25;2022:9281661. doi: 10.1155/2022/9281661. eCollection 2022.
We aimed to evaluate the effect of different aerobic training methods and exercise duration on blood pressure in hypertensive patients, including systolic blood pressure (SBP) and diastolic blood pressure (DBP).
Using the literature review method, the English database PubMed was retrieved to obtain relevant research literature, and the selected studies were analyzed and evaluated.
14 clinical studies were included in this study, with a total of 1027 patients, including 681 in the aerobic training group and 409 in the control group. Based on heterogeneity test results, the differences of SBP and DBP before and after the physical intervention were combined using a random effect model. The results indicated that the aerobic training group could significantly reduce SBP compared with the control group, WMD = -9.91, 95% CI (-14.21, -5.61), < 0.0001. The DBP was reduced significantly in the aerobic training group, WMD = -4.32, 95% CI (- 7.02, -1.62), < 0.001. The results of subgroup analysis showed that both progressive training and nonprogressive training could reduce blood pressure in patients, and training time less than 12 weeks and more than 12 weeks could reduce blood pressure in patients.
Implementing aerobic training can effectively reduce blood pressure in hypertensive patients. Progressive training, nonprogressive training, and different training cycles can all benefit hypertensive patients.
本研究旨在评估不同有氧运动方法和运动持续时间对高血压患者血压（包括收缩压和舒张压）的影响。
采用文献回顾法，检索英文数据库 PubMed 以获取相关研究文献，并对入选研究进行分析和评价。
共纳入 14 项临床研究，总计 1027 例患者，其中有氧运动组 681 例，对照组 409 例。基于异质性检验结果，采用随机效应模型对物理干预前后的 SBP 和 DBP 差值进行合并。结果表明，与对照组相比，有氧运动组可显著降低 SBP，WMD=-9.91，95%CI（-14.21，-5.61），<0.0001。有氧运动组 DBP 显著降低，WMD=-4.32，95%CI（-7.02，-1.62），<0.001。亚组分析结果显示，渐进式训练和非渐进式训练均可降低患者血压，且训练时间小于 12 周和大于 12 周均可降低患者血压。
实施有氧运动可以有效降低高血压患者的血压。渐进式训练、非渐进式训练和不同的训练周期都对高血压患者有益。
