Wang Xiaocui, Wang Qiuchen, Zhao Wenwen, Wang Jingjing, Chen Lu, Wang Lichun
Department of Cardiology, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, China.
Postepy Kardiol Interwencyjnej. 2025 May 27;21(2):163-170. doi: 10.5114/aic.2025.151598. eCollection 2025 Jun.
Hypertension is a common cardiovascular disease, which can lead to severe outcomes without sufficient treatment. Lifestyle modification and exercise have been recommended in the management of hypertension.
In this meta-analysis, we aimed to determine to what extent resistance training can alter blood pressure and identify factors modulating the potential benefits of resistance training.
We systematically searched PubMed, the Cochrane Library, Scopus, and Web of Science from inception to December 18, 2024, to identify randomized controlled trials comparing the effect of resistance exercise with control intervention on systolic and diastolic blood pressure. A random-effects model (DerSimonian-Laird) was employed to pool data.
Fourteen randomized controlled trials with 676 patients with hypertension were included in this meta-analysis. We found that compared to the control intervention, resistance training significantly decreased both systolic blood pressure (weighted mean difference (WMD) -8.61 mm Hg, 95% confidence interval (CI) (-13.95, -3.27), = 98.74%) and diastolic blood pressure (WMD = -4.57 mm Hg, 95% CI (-7.26, -1.89), = 97.37%). In subgroup analysis, the beneficial effects of resistance training remained statistically significant in all subgroups of age, gender, length of training, and body mass index (BMI). In addition, the beneficial effects of resistance training on blood pressure were much greater in men, those aged more than 60 years, those with BMI > 28 kg/m, and those undergoing more than 10 weeks of exercise.
These findings support the beneficial effects of resistance training for the management of hypertension, particularly in a selected subgroup of patients.
高血压是一种常见的心血管疾病，若未得到充分治疗可导致严重后果。生活方式的改变和运动已被推荐用于高血压的管理。
在这项荟萃分析中，我们旨在确定抗阻训练在多大程度上可以改变血压，并确定调节抗阻训练潜在益处的因素。
我们系统检索了从创刊至2024年12月18日的PubMed、Cochrane图书馆、Scopus和科学网，以识别比较抗阻运动与对照干预对收缩压和舒张压影响的随机对照试验。采用随机效应模型（DerSimonian-Laird）合并数据。
本荟萃分析纳入了14项随机对照试验，共676例高血压患者。我们发现，与对照干预相比，抗阻训练显著降低了收缩压（加权平均差（WMD）-8.61 mmHg，95%置信区间（CI）（-13.95，-3.27），I² = 98.74%）和舒张压（WMD = -4.57 mmHg，95% CI（-7.26，-1.89），I² = 97.37%）。在亚组分析中，抗阻训练的有益效果在年龄、性别、训练时长和体重指数（BMI）的所有亚组中均具有统计学意义。此外，抗阻训练对血压的有益效果在男性、年龄超过60岁的人、BMI>28 kg/m²的人以及运动超过10周的人中更为显著。
这些发现支持抗阻训练对高血压管理的有益效果，尤其是在特定的患者亚组中。
