Key result
Isometric hand grip, resistance, and aerobic training significantly reduced blood pressure compared to control, with no significant difference between the exercise regimens (P>0.05).
Why the study?
Although literature exists for isometric hand grip, resistance, and aerobic training in hypertension, these exercise regimens had not been directly compared in a single trial.
Do different types of exercise training (isometric hand grip, resistance, or aerobic) reduce resting blood pressure in 30-45 year old adults with pre-hypertension and stage 1 hypertension compared to control?
RCT (n=126)
Randomly assigned
No
Do different types of exercise training (isometric hand grip, resistance, or aerobic) reduce resting blood pressure in 30-45 year old adults with pre-hypertension and stage 1 hypertension compared to control?
p-value: p=>0.05
Different exercise regimens (isometric hand grip, resistance, and aerobic training) are equally effective in lowering blood pressure among pre-hypertensive and stage 1 hypertensive adults.
Any exercise modality can be recommended for BP reduction in this population; confirms comparable efficacy of isometric, resistance, and aerobic training.
Hypertension is the most metastasizing non-communicable disease, which has affected more than 1.4 billion people, worldwide. Exercise is the core management strategy for hypertensive individuals. Extensive literature is available for each kind of exercise that is isometric hand grip training (IHGT), resistance training (RT), and aerobic training (AT). However, the comparison between these exercise regimens has not been done in a single trial. The trial was conducted on 126 subjects in Hisar, an urban area of Haryana (INDIA), from July 2017 to December 2018. Subjects were randomly assigned to four groups: control (n=33), IHGT (n=32), RT (n=31), and AT (n=30). Study variables were measured at baseline, 2 nd week, 4 th week, 6 th week, and also after the 8 th week of intervention. Experimental groups showed significant reduction in all the components of blood pressure in comparison to control group. The RT group showed maximum reduction in blood pressure in comparison to other regimens (systolic blood pressure: RT > IHGT > AT; diastolic blood pressure: RT > AT > IHGT). However, the difference between the groups is not statistically significant ( P >0.05). The study findings reveal that different kind of exercise regimens are equally effective in lowering blood pressure among pre hypertensive and stage 1 hypertension adults.
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Punia et al. (2021) conducted an RCT in Pre-hypertension and stage 1 hypertension (n=126). Exercise training (isometric hand grip, resistance, or aerobic) vs. Control was evaluated on Resting blood pressure (p=>0.05). Isometric hand grip, resistance, and aerobic training significantly reduced blood pressure compared to control, with no significant difference between the exercise regimens (P>0.05).
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