Cited by 224Cardiovascular and exercise physiologyPhysical Activity and HealthBlood Pressure and Hypertension Studies

Exercise and cardiovascular risk in patients with hypertension

Open access
Sharman, J. E., La Gerche, A., Coombes, J. S.·2015·American Journal of Hypertension

Abstract

Evidence for the benefits of regular exercise is irrefutable and increasing physical activity levels should be a major goal at all levels of health care. People with hypertension are less physically active than those without hypertension and there is strong evidence supporting the blood pressure-lowering ability of regular exercise, especially in hypertensive individuals. This narrative review discusses evidence relating to exercise and cardiovascular (CV) risk in people with hypertension. Comparisons between aerobic, dynamic resistance, and static resistance exercise have been made along with the merit of different exercise volumes. High-intensity interval training and isometric resistance training appear to have strong CV protective effects, but with limited data in hypertensive people, more work is needed in this area. Screening recommendations, exercise prescriptions, and special considerations are provided as a guide to decrease CV risk among hypertensive people who exercise or wish to begin. It is recommended that hypertensive individuals should aim to perform moderate intensity aerobic exercise activity for at least 30 minutes on most (preferably all) days of the week in addition to resistance exercises on 2-3 days/week. Professionals with expertise in exercise prescription may provide additional benefit to patients with high CV risk or in whom more intense exercise training is planned. Despite lay and media perceptions, CV events associated with exercise are rare and the benefits of regular exercise far outweigh the risks. In summary, current evidence supports the assertion of exercise being a cornerstone therapy in reducing CV risk and in the prevention, treatment, and control of hypertension.

Integrity signals

Registry

Crossref · 10.1093/ajh/hpu191

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118 of 118 references verified0 citation errors · 0 not checkable

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Authors
Sharman, J. E., La Gerche, A., & Coombes, J. S.
Affiliations
  • University of Tasmania (AU)
  • The University of Queensland (AU)
Venue
American Journal of Hypertension
Published
2014-10-10
Volume
28
Issue
2
Pages
147-158
ISSN
  • 0895-7061 (ISSN-L)
  • 1941-7225
OpenAlex
W2146955069
Cited by
224
References
118
Citations by year
2026: 12 · 2025: 21 · 2024: 28 · 2023: 22 · 2022: 33 · 2021: 31 · 2020: 23 · 2019: 13 · 2018: 20 · 2017: 7 · 2016: 10 · 2015: 3 · 2014: 1
FWCI
1.93
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • American Journal of Hypertension (publishedVersion)
  • PubMed (publishedVersion)
  • eCite Digital Repository (University of Tasmania) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
Keywords
hypertension, physical activity, cardiovascular risk, aerobic exercise, resistance training, high-intensity interval training, isometric resistance training, exercise prescription, blood pressure reduction, exercise safety
MeSH terms
Cardiovascular Diseases, Exercise Therapy, Humans, Hypertension, Exercise, Risk Reduction Behavior, Resistance Training

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