背景:心血管疾病每年导致全世界1700万人死亡,其中高血压造成940万和7%的疾病负担。高血压导致45%的心脏病死亡和51%的中风死亡。
目的:本系统综述和荟萃分析的目的是量化等距抗阻训练对收缩压,舒张压,和平均动脉血压(SBP,DBP,还有MAP,分别)在血压正常的成人参与者中的值。
方法:本研究在PROSPERO数据库注册。在以下数据库中进行系统搜索后,确定了合格的研究:PubMed,Scielo,BioMedCentral,临床试验,EMBASE,Cochrane中央控制试验登记册,和EBSCO。
方法:纳入了根据美国心脏协会和美国心脏病学会指南将参与者分类为血压正常的随机对照试验。
方法:系统评价与荟萃分析。
方法:1级。
方法:与参与者特征相关的数据,锻炼计划,证据水平,偏见的风险,关于演习报告模板的共识,感兴趣的结局由2位作者独立进行系统评价.
结果:共纳入6项随机对照试验。通过等距抗阻训练可产生以下血压降低(与对照组相比):SBP(平均差[MD],-2.83mmHg;95%CI,-3.95至-1.72;P<0.00001),DBP(MD,-2.73;95%CI,-4.23至-1.24;P=0.0003),和MAP(MD,-3.07;95%CI,-5.24至-0.90;P=0.005)。
结论:等距阻力训练似乎可以降低SBP,DBP,和MAP在血压正常的年轻人中具有统计学意义和临床相关的方式。这种类型的运动可以被认为是预防动脉高血压的有效方法。
BACKGROUND: Cardiovascular diseases cause 17 million deaths annually worldwide, of which hypertension is responsible for 9.4 million and a 7% burden of disease. High blood pressure is responsible for 45% of deaths from heart disease and 51% of deaths from stroke.
OBJECTIVE: The aim of this systematic
review and meta-analysis was to quantify the effect of isometric resistance training on systolic, diastolic, and mean arterial blood pressure (SBP, DBP, and MAP, respectively) values in normotensive adult participants.
METHODS: This study was registered with the PROSPERO database. Eligible studies were identified after performing a systematic search within the following databases: PubMed, Scielo, BioMed Central, Clinical Trials, EMBASE, Cochrane Central Register of Controlled Trials, and EBSCO.
METHODS: Randomized controlled trials that categorized participants as normotensive according to the guidelines of the American Heart Association and the American College of Cardiology were included.
METHODS: Systematic
review with meta-analysis.
METHODS: Level 1.
METHODS: Data related to participant characteristics, exercise programs, level of evidence, risk of bias, Consensus on Exercise Reporting Template, and outcomes of interest were systematically reviewed independently by 2 authors.
RESULTS: A total of 6 randomized controlled trials were included. The following reductions in blood pressure (compared with the control group) were generated by isometric resistance training: SBP (mean difference [MD], -2.83 mm Hg; 95% CI, -3.95 to -1.72; P < 0.00001), DBP (MD, -2.73; 95% CI, -4.23 to -1.24; P = 0.0003), and MAP (MD, -3.07; 95% CI, -5.24 to -0.90; P = 0.005).
CONCLUSIONS: It appears that isometric resistance training reduces SBP, DBP, and MAP in normotensive young adults in a statistically significant and clinically relevant manner. This type of exercise could be considered effective in preventing arterial hypertension.