Effectiveness of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Hypertensive Patients: a Systematic Review and Meta-Analysis

Purpose of Review The purpose of this meta-analysis is to compare the effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on blood pressure of hypertensive individuals. Recent Findings Continuous aerobic training programs are successful in health prom...

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Veröffentlicht in:Current hypertension reports 2020-03, Vol.22 (3), p.26-26, Article 26
Hauptverfasser: Leal, Juliana Moraes, Galliano, Leony Morgana, Del Vecchio, Fabrício Boscolo
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Del Vecchio, Fabrício Boscolo
description Purpose of Review The purpose of this meta-analysis is to compare the effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on blood pressure of hypertensive individuals. Recent Findings Continuous aerobic training programs are successful in health promotion and are effective in systolic blood pressure (SBP) and diastolic blood pressure (DBP) modulation. However, HIIT seems to be superior to MICT to improvement of cardiorespiratory fitness. Summary PubMed, ScienceDirect, and Google Scholar were searched for randomized clinical trials that compared chronic effects of HIIT and MICT on BP in hypertensive subjects. Pre- and post-intervention changes in maximal oxygen uptake (VO 2 max) between MICT and HIIT were analyzed. Both interventions presented significant differences in SBP (MICT: mean difference (MD), 3.7 mmHg [95% CI = 2.57, 4.82], p  
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Recent Findings Continuous aerobic training programs are successful in health promotion and are effective in systolic blood pressure (SBP) and diastolic blood pressure (DBP) modulation. However, HIIT seems to be superior to MICT to improvement of cardiorespiratory fitness. Summary PubMed, ScienceDirect, and Google Scholar were searched for randomized clinical trials that compared chronic effects of HIIT and MICT on BP in hypertensive subjects. Pre- and post-intervention changes in maximal oxygen uptake (VO 2 max) between MICT and HIIT were analyzed. Both interventions presented significant differences in SBP (MICT: mean difference (MD), 3.7 mmHg [95% CI = 2.57, 4.82], p  &lt; 0.00001; and HIIT: MD, 5.64 mmHg [95% CI = 1.69, 9.52], p  = 0.005) and in DBP (MICT: MD, 2.41 mmHg [95% CI = 1.09, 3.72], p  = 0.0003; and HIIT: MD, 4.8 mmHg [95% CI = 2.9, 6.7], p  &lt; 0.00001) compared with the control group. No differences were found in the SBP values (MD, 1.13 mmHg [95% CI = − 0.01, 2.27], p  = 0.05); however, differences were found between groups in DBP (MD, 1.63 mmHg [95% CI = 0.83, 2.44], p  = 0.0001). In the secondary outcome, both interventions increased VO 2 max in comparison with control groups (MICT: MD, 1.30 ml/kg/min [95% CI = 0.92, 1.68], p  &lt; 0.00001; and HIIT: MD, 4.90 ml/kg/min [95% CI = 3.77, 6.04], p  &lt; 0.00001), and HIIT promoted greater improvement than MICT (MD, 2.52 ml/kg/min [95% CI = 1.90, 3.13], p  &lt; 0.0001). In conclusion, HIIT and MICT promote reduction in SBP in adults with hypertension, and HIIT showed a greater magnitude in DBP reduction. 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Recent Findings Continuous aerobic training programs are successful in health promotion and are effective in systolic blood pressure (SBP) and diastolic blood pressure (DBP) modulation. However, HIIT seems to be superior to MICT to improvement of cardiorespiratory fitness. Summary PubMed, ScienceDirect, and Google Scholar were searched for randomized clinical trials that compared chronic effects of HIIT and MICT on BP in hypertensive subjects. Pre- and post-intervention changes in maximal oxygen uptake (VO 2 max) between MICT and HIIT were analyzed. Both interventions presented significant differences in SBP (MICT: mean difference (MD), 3.7 mmHg [95% CI = 2.57, 4.82], p  &lt; 0.00001; and HIIT: MD, 5.64 mmHg [95% CI = 1.69, 9.52], p  = 0.005) and in DBP (MICT: MD, 2.41 mmHg [95% CI = 1.09, 3.72], p  = 0.0003; and HIIT: MD, 4.8 mmHg [95% CI = 2.9, 6.7], p  &lt; 0.00001) compared with the control group. No differences were found in the SBP values (MD, 1.13 mmHg [95% CI = − 0.01, 2.27], p  = 0.05); however, differences were found between groups in DBP (MD, 1.63 mmHg [95% CI = 0.83, 2.44], p  = 0.0001). In the secondary outcome, both interventions increased VO 2 max in comparison with control groups (MICT: MD, 1.30 ml/kg/min [95% CI = 0.92, 1.68], p  &lt; 0.00001; and HIIT: MD, 4.90 ml/kg/min [95% CI = 3.77, 6.04], p  &lt; 0.00001), and HIIT promoted greater improvement than MICT (MD, 2.52 ml/kg/min [95% CI = 1.90, 3.13], p  &lt; 0.0001). In conclusion, HIIT and MICT promote reduction in SBP in adults with hypertension, and HIIT showed a greater magnitude in DBP reduction. 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Recent Findings Continuous aerobic training programs are successful in health promotion and are effective in systolic blood pressure (SBP) and diastolic blood pressure (DBP) modulation. However, HIIT seems to be superior to MICT to improvement of cardiorespiratory fitness. Summary PubMed, ScienceDirect, and Google Scholar were searched for randomized clinical trials that compared chronic effects of HIIT and MICT on BP in hypertensive subjects. Pre- and post-intervention changes in maximal oxygen uptake (VO 2 max) between MICT and HIIT were analyzed. Both interventions presented significant differences in SBP (MICT: mean difference (MD), 3.7 mmHg [95% CI = 2.57, 4.82], p  &lt; 0.00001; and HIIT: MD, 5.64 mmHg [95% CI = 1.69, 9.52], p  = 0.005) and in DBP (MICT: MD, 2.41 mmHg [95% CI = 1.09, 3.72], p  = 0.0003; and HIIT: MD, 4.8 mmHg [95% CI = 2.9, 6.7], p  &lt; 0.00001) compared with the control group. No differences were found in the SBP values (MD, 1.13 mmHg [95% CI = − 0.01, 2.27], p  = 0.05); however, differences were found between groups in DBP (MD, 1.63 mmHg [95% CI = 0.83, 2.44], p  = 0.0001). In the secondary outcome, both interventions increased VO 2 max in comparison with control groups (MICT: MD, 1.30 ml/kg/min [95% CI = 0.92, 1.68], p  &lt; 0.00001; and HIIT: MD, 4.90 ml/kg/min [95% CI = 3.77, 6.04], p  &lt; 0.00001), and HIIT promoted greater improvement than MICT (MD, 2.52 ml/kg/min [95% CI = 1.90, 3.13], p  &lt; 0.0001). In conclusion, HIIT and MICT promote reduction in SBP in adults with hypertension, and HIIT showed a greater magnitude in DBP reduction. For hypertensive patients, HIIT may be associated with a greater improvement in VO 2 max than MICT might.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32125550</pmid><doi>10.1007/s11906-020-1030-z</doi><tpages>1</tpages></addata></record>
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subjects Aerobics
Blood pressure
Cardiology
Clinical trials
Clinical Trials/Meta-Analysis (WJ Kostis
Exercise
Family Medicine
Fitness training programs
General Practice
Guidelines
Health promotion
Hypertension
Internal Medicine
Interval training
Intervention
Medicine
Medicine & Public Health
Meta-analysis
Metabolic Diseases
Mortality
Nephrology
Physical fitness
Primary Care Medicine
Risk factors
Section Editor
Standard deviation
Studies
Systematic review
Topical Collection on Guidelines/Clinical Trials/Meta-Analysis
title Effectiveness of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Hypertensive Patients: a Systematic Review and Meta-Analysis
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