Bünzen Claudia, Oberbeck Kaija, Ketelhut Sascha, Weisser Burkhard
Institute of Sport Science, Kiel University, Kiel, Germany.
Institute of Sports Science, University of Bern, Bern, Switzerland.
Sports Med Int Open. 2025 Feb 12;9:a24939466. doi: 10.1055/a-2493-9466. eCollection 2025.
The benefits of exercise have been well described for the treatment of hypertension. Poor reporting quality impairs quality appraisal and replicability. High intensity interval training (HIIT) has been shown to be an effective alternative to traditional aerobic exercise in patients with hypertension. We evaluated the completeness of reporting of randomized controlled trials (RCTs) with HIIT for hypertension and to compare both exercise modes in reporting quality. RCTs of HIIT with a minimum duration of 6 weeks in adults with at least high normal blood pressure (≥130 mmHg/≥85 mmHg) were evaluated using the Consensus on Exercise Reporting Template (CERT). Nine RCTs conducting HIIT in hypertensive patients (N=718; 51.8 years) were evaluated. A mean of 62.6% of items were sufficiently described, compared with 49.2% in moderate intensity training interventions. Exercise dose was adequately reported in 8 out of 9 studies. Only one study reported information on adverse events. In a small sample of RCTs with HIIT in patients with hypertension we found a better reporting quality than in moderate intensity training interventions. However, reporting completeness is not optimal for a good replicability in clinical practice. The lack of reporting of adverse events in interventions using high intensities is particularly unfavourable.
运动对高血压治疗的益处已得到充分描述。报告质量不佳会影响质量评估和可重复性。高强度间歇训练（HIIT）已被证明是高血压患者传统有氧运动的有效替代方法。我们评估了高血压患者HIIT随机对照试验（RCT）的报告完整性，并比较了两种运动模式的报告质量。使用运动报告模板共识（CERT）对至少血压高正常（≥130mmHg/≥85mmHg）的成年人进行的持续时间至少6周的HIIT随机对照试验进行评估。对9项在高血压患者中进行HIIT的随机对照试验（N = 718；51.8岁）进行了评估。平均62.6%的项目得到了充分描述，而中等强度训练干预中这一比例为49.2%。9项研究中有8项充分报告了运动剂量。只有1项研究报告了不良事件信息。在一小部分高血压患者HIIT随机对照试验中，我们发现其报告质量优于中等强度训练干预。然而，报告完整性对于临床实践中的良好可重复性而言并非最佳。高强度干预中缺乏不良事件报告尤其不利。
