Malem Rehmaita, Ristiani Ristiani, Ali Puteh Muhibbullah
Department of Nursing, Faculty of Science, Technology and Health, Bina Bangsa Getsempena University, Banda Aceh, Indonesia.
Department of Midwifery, Nusantara Midwifery Academy 2000, Jakarta, Indonesia.
Iran J Public Health. 2024 Apr;53(4):774-784. doi: 10.18502/ijph.v53i4.15554.
Brisk walking exercise is an aerobic exercise with the moderate intensity that can reduce the risk in people with hypertension. This systematic review and meta-analysis aimed to investigate the effects of interventions related to brisk walking and blood pressure reduction in hypertensive patients.
Search strategy through the PubMed, Science Direct, ProQuest, and Google Scholar databases limited from 2018 to 2023. The components measured are systolic blood pressure and diastolic blood pressure. This study uses the Black and Downs checklist to measure the quality of the study, which consists of 3, namely high quality, medium quality, and low quality. Effect size analysis of the study used the standard mean difference between brisk walking exercise and not doing brisk walking exercise.
The results of the identification of the database obtained 1700 articles, then limited by title, year, abstract (n = 381), and full-text article feasibility (n = 76) to obtain nine articles included. Nine articles were included in the systematic review and meta-analysis by study quality: six studies of high quality, 2 of medium quality, and 1 of low quality. Systolic blood pressure had a substantial effect size in all studies (<0.05; SMD: -0.55) while diastolic blood pressure had an effect medium size (=0.05; SMD: 0.13).
Brisk walking exercise can significantly reduce blood pressure in people with hypertension-recommendations for the future to carry out community-based physical activity in improving physical health, including heart health.
快走运动是一种中等强度的有氧运动,可降低高血压患者的患病风险。本系统评价和荟萃分析旨在研究与快走及降低高血压患者血压相关的干预措施的效果。
通过PubMed、Science Direct、ProQuest和谷歌学术数据库进行检索,检索时间范围限制在2018年至2023年。测量的指标为收缩压和舒张压。本研究使用Black和Downs清单来评估研究质量,该清单包括高质量、中等质量和低质量三个等级。研究的效应量分析采用快走运动组与非快走运动组之间的标准均数差。
数据库检索结果共获得1700篇文章,然后通过标题、年份、摘要(n = 381)和全文文章可行性筛选(n = 76),最终纳入9篇文章。根据研究质量,9篇文章被纳入系统评价和荟萃分析:6篇高质量研究、2篇中等质量研究和1篇低质量研究。在所有研究中,收缩压的效应量显著(<0.05;标准化均数差:-0.55),而舒张压的效应量中等(=0.05;标准化均数差:0.13)。
快走运动可显著降低高血压患者的血压——未来建议开展以社区为基础的体育活动,以改善身体健康,包括心脏健康。