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October 1, 1993Journal of Hypertension

Disparate effects of exercise training on glucose tolerance and insulin levels and on ambulatory blood pressure in hypertensive patients

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Key result

Supervised exercise training significantly reduced clinic blood pressure (from 166/103 to 157/99 mmHg, P<0.03) and glucose/insulin levels, but did not affect 24-hour ambulatory blood pressure.

Why the study?

Does 14 weeks of exercise training reduce ambulatory blood pressure and improve glucose tolerance in sedentary, untreated hypertensive patients?

Population

20 sedentary, untreated, non-obese, normoglycaemic individuals of both sexes with uncomplicated essential…

Design

Cohort, open

Follow-up

14 weeks

Authors

MBMichael BursztynGeneral / Preventive / LipidsDBDrori Ben-lshayHadassah Medical CenterMSMara ShochinaHebrew University of Jerusalem

Discussion

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Implication

Clinic BP reductions with supervised exercise warrant ambulatory confirmation before guiding care; hypothesis-generating and requires RCTs.

Structured PICO

Does 14 weeks of exercise training reduce ambulatory blood pressure and improve glucose tolerance in sedentary, untreated hypertensive patients?

P
Population
20 sedentary, untreated, non-obese, normoglycaemic individuals with uncomplicated essential hypertension who underwent a 14-week exercise training programme.
I
Intervention
14 weeks of supervised, low-intensity, group exercise of three 1-h sessions per week
O
Outcome
Ambulatory and clinic blood pressure, and glucose and insulin responses to an intravenous glucose tolerance testsurrogate

Mild exercise training improves clinic blood pressure and insulin sensitivity but does not alter 24-hour ambulatory blood pressure in untreated hypertensive patients.

Cite This Study

Bursztyn et al. (1993) studied uncomplicated essential hypertension (n=20). Supervised, low-intensity, group exercise vs. Baseline was evaluated on Ambulatory and clinic blood pressure, and glucose and insulin responses to an intravenous glucose tolerance test. Supervised exercise training significantly reduced clinic blood pressure (from 166/103 to 157/99 mmHg, P<0.03) and glucose/insulin levels, but did not affect 24-hour ambulatory blood pressure.

synapsesocial.com/papers/6aa03ffec1a0c0e1e32d28achttps://doi.org/10.1097/00004872-199310000-00017

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improvements in Insulin Sensitivity and Muscle Blood Flow in Aerobic‐Trained Overweight‐Obese Hypertensive Patients Are Not Associated With Ambulatory Blood Pressure2010 · 14 citations
  2. 2Effects of Mild Exercise on Insulin Sensitivity in Hypertensive Subjects2002 · 21 citations
  3. 3Depressor Effect by Exercise Training Is Associated with Amelioration of Hyperinsulinemia and Sympathetic Overactivity.2000 · 43 citations
  4. 4Effect of Exercise Training on Ambulatory Blood Pressure1994 · 47 citations
  5. 5Normalization effect of sports training on blood pressure in hypertensives2010 · 19 citations