Hypertensive men who exercise regularly have lower rate of cardiovascular mortality. Community-based Randomized Controlled Trial of Non-pharmacological Interventions in Prevention and Control of Hypertension among Young Adults Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial The effect of baseline physical activity on cardiovascular outcomes and new-onset diabetes in patients treated for hypertension and left ventricular hypertrophy: the LIFE study. Effects of exercise and weight loss on blood pressure during daily life. The accumulative effects of physical activity in hypertensive post-menopausal women. Low physical activity as a predictor for antihypertensive drug treatment in 25-64-year-old populations in Eastern and south-western Finland Association between physical activity and blood pressure in prepubertal children [Lack of influence of body mass on blood pressure reduction after exercising]. Effectiveness of multidisciplinary lifestyle intervention for hypertension: a randomised controlled trial Health Promotion Through Primary Care: Enhancing Self-Management With Activity Prescription and mHealth Activity behaviors in schoolchildren and subsequent 5-yr change in blood pressure. Too Old to Benefit from Sports? The Cardiovascular Effects of Exercise Training in Elderly Subjects Treated for Isolated Systolic Hypertension Usefulness of exercise-induced hypertension as predictor of chronic hypertension in adults after operative therapy for aortic isthmic coarctation in childhood. Comparative study of physical activity of hypertensives and normotensives: A cross-sectional study of adults in Saudi Arabia The Beneficial Effect of Regular Endurance Exercise Training on Blood Pressure and Quality of Life in Patients with Hypertension EFFECT OF CHANGING LEVELS OF PHYSICAL ACTIVITY ON BLOOD-PRESSURE AND HAEMODYNAMICS IN ESSENTIAL HYPERTENSION
BACKGROUND Regular exercise has been associated in prospect i ve studies with reduced incidence of  cardiovascular disease ( CVD ) and death  . OBJECTIVE To assess in a cohort study whether there is a similar protective effect of regular exercise among hypertensive individuals . DESIGN Population -based prospect i ve cohort study . Spare time physical activity was assessed by structured interview . SETTING Malmo , Sweden . PARTICIPANTS Healthy men ( n = 642 ) born in 1914 . A baseline examination took place in 1969 - 1970 . MAIN OUTCOME MEASURES All-cause and cardiovascular mortality rates during 25 years of follow-up in relation to blood pressure and other risk factors for atherosclerosis . RESULTS One-hundred ( 16 % ) men reported vigorous spare time physical activity . In this group , 31 had hypertension ( blood pressure > 160/95 mm Hg or treatment for hypertension ) , 47 were smokers and 39 had hyperlipidaemia . Among the 173 men with hypertension , vigorous physical activity was associated with markedly reduced rates of all-cause ( 17.3 versus 40.0 deaths per 1000 person-years ) and cardiovascular mortality ( 6.3 versus 21.0 deaths per 1000 person-years ) . The risk reductions associated with exercise remained statistically significant after adjustment for smoking , systolic blood pressure and antihypertensive therapy . The relative risk was 0.43 ( confidence interval 0.22 - 0.82 ) for total mortality and 0.33 ( confidence interval 0.11 -0.94 ) for CVD mortality . CONCLUSION People who regularly perform physical activity constitute a heterogeneous group with regard to their exposure to known cardiovascular risk factors . Our results support the view that regular physical activity is associated with a reduced incidence of cardiovascular disease and death and suggest that this protective effect may be enhanced among hypertensive individuals Context : Hypertension is a major chronic lifestyle disease . Several non-pharmacological interventions are effective in bringing down the blood pressure ( BP ) . This study focuses on the effectiveness of such interventions among young adults . Aims : To measure the efficacy of physical exercise , reduction in salt intake , and yoga , in lowering BP among young ( 20 - 25 ) pre-hypertensives and hypertensives , and to compare their relative efficacies . Setting s and Design : The study was done in the urban service area of JIPMER . Pre-hypertensives and hypertensives , identified from previous studies , constituted the universe . The participants were r and omized into one control and three interventional groups . Material s and Methods : A total of 113 subjects : 30 , 28 , 28 and 27 in four groups respectively participated for eight weeks : control ( I ) , physical exercise ( II ) - brisk walking for 50 - 60 minutes , four days/week , salt intake reduction ( III ) - to at least half of their previous intake , and practice of yoga ( IV ) - for 30 - 45 minutes/day on at least five days/week . Statistical Analysis Used : Efficacy was assessed using paired t test and ANOVA with Games Howell post hoc test . An intention to treat analysis was also performed . Results : A total of 102 participants ( 29 , 27 , 25 and 21 in groups I , II , III and IV ) completed the study . All three intervention groups showed a significant reduction in BP ( SBP/DBP : 5.3/6.0 in group II , 2.6/3.7 in III , and 2.0/2.6 mm Hg in IV respectively ) . There was no significant change ( SBP/DBP : 0.2/0.5 mmHg ) of BP in control group ( I ) . Physical exercise was most effective ( considered individually ) ; salt intake reduction and yoga were also effective . Conclusions : Physical exercise , salt intake reduction , and yoga are effective non-pharmacological interventions in significantly reducing BP among young hypertensives and pre-hypertensives . These can therefore be positively recommended for hypertensives . There is also a case to deploy these interventions in the general population Background Physical activity ( PA ) promotes cardiovascular health and health related quality of life ( HRQoL ) , although the effect of that on blood pressure ( BP ) control has rarely been studied in hypertensive subjects . Our aim was to evaluate the effectiveness of a PA intervention programme on cardiovascular disease ( CVD ) risk , HRQoL and BP control  in hypertensive subjects . Methods A r and omized clinical trial , with a PA intervention programme of 9 months duration , comprising a walking group of 120 min/week , supervised , and with socio-cultural activities .  Participants were 207 hypertensive subjects ( 68.2 years , 76.8 % women ) .  PA ( IPAQ-s ) , diet , CVD risk , BP , BMI , smoking , and HRQoL ( SF-36 ) were assessed at baseline and at the end of the intervention . Changes in CVD risk and in HRQoL during the intervention was calculated ( end-baseline score ) . Multivariate models were applied . Results In multivariate models , the PA intervention programme , with no modification of the diet , decreased CVD risk ( − 1.19 points ) and the systolic BP ( − 8.68 mmHg ) , and increased some areas of HRQoL ( 4.45 to 14.62 points ) . An increase in the percentage of subjects with controlled BP was observed by the PA programme itself ( OR 5.395 to 5.785 according to multivariate models ) , and by the changes during the intervention in the decrease in CVD risk ( OR 0.609 ) and in the increase in the HRQoL in physical component summary ( OR 1.041 ) , role physical ( OR 1.010 ) , and bodily pain ( OR 1.014 ) , independently of controlled BP at baseline . Conclusions This PA intervention programme  improved cardiovascular health and HRQoL , and favoured BP control in primary care users with hypertension . Trial registration Clinical trials.gov ID NCT02767739 ; Trial registered on May 5th , 2016 . Retrospectively registered OBJECTIVES Physical activity ( PA ) is a preventive strategy for cardiovascular disease and for managing cardiovascular risk factors . There is little information on the effectiveness of PA for the prevention of cardiovascular outcomes once cardiovascular disease is present . Thus , we studied the relationship between PA at baseline and cardiovascular events in a high-risk population . DESIGN A prespecified analyses of observational data in a prospect i ve , r and omized hypertension study . SETTING Losartan Intervention For Endpoint reduction in hypertension ( LIFE ) study . SUBJECTS Hypertension and left ventricular hypertrophy ( LVH ) ( n = 9,193 ) . INTERVENTIONS Losartan versus atenolol . MAIN OUTCOME MEASURES Reported level of PA : never exercise , exercise < or=30 min twice per week , or exercise > 30 min twice per week at baseline and after a mean of 4.8 years of treatment with losartan- versus atenolol-based therapy . Risk reductions were calculated by level of PA for the primary composite end-point and its components cardiovascular death , stroke and myocardial infa rct ion , and also all-cause mortality and new-onset diabetes . RESULTS A modest level of PA ( > 30 min twice per week ) was associated with significant reductions in risk for the primary composite end-point [ adjusted hazard ratio ( aHR ) 0.70 , P < 0.001 ) and its components , all-cause mortality ( aHR 0.65 , P < 0.001 ) , and new-onset diabetes ( aHR 0.66 , P < 0.001 ) . CONCLUSION A modest level of self-reported PA ( > 30 min twice per week ) in patients with hypertension and LVH in the LIFE study was associated with significant reductions in risk for the primary composite end-point and its components of cardiovascular death , stroke , and myocardial infa rct ion , all-cause mortality , and new-onset diabetes PURPOSE The objective of this study was to investigate the effects of exercise training and weight loss on blood pressure ( BP ) associated with physical activity and emotional stress during daily life . METHODS One hundred twelve participants with unmedicated high normal or stage 1 to stage 2 hypertension were r and omized to one of three conditions : a combined exercise and behavioral weight management group ( WM ) , an exercise-only group ( EX ) , or a wait list control group ( CON ) .  BP was assessed in the clinic and during 15 h of daytime ambulatory BP monitoring at baseline and after 6 months of treatment . RESULTS Increased levels of physical activity and emotional distress measured during daily life were associated with increases in systolic blood pressure ( SBP ) , diastolic blood pressure ( DBP ) , heart rate ( HR ) , and rate pressure product ( RPP ) . After treatment , the WM group had significantly lower DBP , HR , and RPP responses during both high and low levels of physical activity and emotional distress compared with the CON group . The EX group had similar BP levels as the WM group , although the EX group had significantly lower BP than the CON group during low but not high levels of physical activity and emotional distress . CONCLUSION These findings indicate that exercise , especially when combined with weight loss , reduces BP levels at rest and in situations that typically elevate BP such as intense physical activity and emotional distress BACKGROUND Lifestyle modifications , such as physical activity , are recommended as first-line or adjunctive therapy for hypertension . However , controversy exists regarding the type , amount , and intensity of physical activity for optimal blood pressure lowering . DESIGN AND METHODS This study evaluated the blood pressure changes in 18 post-menopausal , sedentary , untreated hypertensive women r and omized to an individualized 8-week programme of intermittent moderate-intensity physical activity versus no change in physical activity . The physical activity group was asked to select activities ( such as walking ) to engage in physical activity for 10 min , three times a day , 5 days per week at an intensity of 50 - 60 % heart rate reserve . RESULTS Independent T-tests were used to compare the difference in resting blood pressure between groups . After 8 weeks , resting blood pressure was 8/5 mmHg lower in the physical activity group ( systolic blood pressure , P= 0.006 and diastolic blood pressure , P = 0.059 ) . The between group differences remained significant after adjustment for age , baseline blood pressure and previous use of antihypertensive drug therapy . CONCLUSION These data show that hypertensive , post-menopausal women who engage in intermittent , moderate-intensity physical activity experience a reduction in blood pressure Objective To determine whether low leisure-time physical activity , occupational physical activity and commuting activity independently increase the risk of hypertension when adjusted for most risk factors for hypertension and for different forms of physical activity . Design Population -based prospect i ve cohort study . Setting Eastern and south-western Finl and . Participants Men ( n = 5935 ) and women ( n = 6227 ) aged 25 - 64 years . Main outcome measure Initiation of free-of-charge medication for hypertension during a mean follow-up time of 11.3 years . Results Men with high  leisure-time physical activity had a reduced risk of hypertension when adjustment had been made for age , area and year of survey , education , smoking , alcohol intake , baseline systolic blood pressure ( SBP ) , body mass index ( BMI ) , commuting activity and occupational physical activity [ hazard ratio ( HR ) 0.79 ; 95 % confidence interval ( CI ) 0.63 to 0.99 ] . Women with high leisure-time physical activity had a reduced risk of hypertension when adjusted for age , area and time of survey ( HR 0.65 ; 95 % CI 0.46 to 0.91 ) . This association was no longer significant when further adjustments were made for other covariates ( HR 0.73 ; 95 % CI 0.52 to 1.03 ) . High  occupational physical activity  reduced the risk of hypertension only among men and women combined when adjustment was made for age , area and time of survey , education , smoking and alcohol intake , in addition to baseline SBP , BMI , commuting activity and leisure-time physical activity ( HR 0.83 ; 95 % CI 0.72 to 0.96 ) . Commuting activity was not associated with risk of hypertension in multivariate models . Conclusion High levels of leisure-time physical activity are associated with a reduced risk of hypertension , independently of most common risk factors for hypertension , occupational physical activity and commuting activity . Promoting leisure-time physical activity is essential to prevent hypertension Elevated blood pressure ( BP ) during childhood and adolescence increases the risk of hypertension in later life . Although physical activity is known to positively moderate BP , data regarding this relationship are limited in prepubertal children . We aim ed to assess the association between a range of physical activities ( including indoor and outdoor activity ) and BP in a large community-based sample of prepubertal schoolchildren . Eligible year-1 schoolchildren ( n=1765 ; mean age 6.7±0.4 years ) from a r and om cluster sample of 34 schools in Sydney , Australia , were examined .  Parents completed detailed question naires about their child 's activity . Height and weight were measured , and body mass index  ( BMI ) was calculated . BP was measured using a st and ard protocol , and elevated BP was defined using published guidelines . Physical activity was classified as low , medium or high ( that is , as tertiles ) . After adjusting for age , sex , ethnicity , height , BMI , parental qualifications and family history of hypertension and /or cardiovascular disease , children in the highest tertile of outdoor and indoor activities had significantly lower diastolic BP ( ∼1.5 mm Hg ; Ptrend=0.01 ) and systolic BP ( ∼1.3 mm Hg ; Ptrend=0.03 ) , respectively , compared with those in the lowest tertile ( reference ) . Linearly , time spent in indoor activities ( each hour per day ) was associated with ∼2.4 mm Hg decrease in diastolic BP ( P=0.001 ) . Physical activity was independently associated with lower BP in this sample of prepubertal children . The findings emphasize the importance of ensuring regular physical activity programs in primary schools to potentially reduce the risk of elevated BP in childhood and in later life BACKGROUND Hypertension ( H ) is associated with a large number of co-morbidities , including obesity . The correlation between two variables has been investigated . OBJECTIVE To analyze the correlation between the loss of body mass and blood pressure reduction in hypertensive patients undergoing exercising programs ( EP ) .  METHODS One hundred eleven hypertensive patients with overweight or obesity were r and omly divided into an experimental group ( EG ) . Out of these , 57 ( 58 + /- 8.9 years old ) participated in a three-month EP conducted three times a week in aerobic exercise sessions from 50 % to 70 % of VO2 peak for 30 to 60 minutes and resistance exercises ; and a control group ( CG ) with 54 ( 60 + /- 7.7 years old ) who did not participate in the EP . In the EG , blood pressure ( BP ) was measured before each session and the measurement of anthropometric variables ( AV ) at the beginning of the program and after three months . In the CG the BP and the VA were evaluated in the doctor 's office at the beginning and at the end of the study . Data were expressed as mean + /- st and ard deviation ( SD ) . Pearson correlation and t test were used . A value of p < 0.05 was considered significant . RESULTS In the CG there was no significant difference in AV and BP at the beginning and at the end of the study . In the EG , there was no significant alteration in the AV , however , there was blood pressure reduction of 12 % in systolic BP ( -17.5 mmHg , p = 0.001 ) and 9 % in Diastolic BP ( -8.1 mmHg , p = 0 . 01 ) at the end of the study . There was no correlation between the AV and decrease in BP ( r = 0.1 ) . CONCLUSION The blood pressure reduction was not correlated with reduction of anthropometric measures after the exercising period Lifestyle factors like weight , alcohol consumption , salt intake and physical activity have shown to be important in treating hypertension . There have been made some r and omised trials about the effects of lifestyle interventions , but the numbers of patients have been relatively small and the duration s of follow-ups have been short . No controlled trials assessing the effects of lifestyle intervention in a rehabilitation setting have been reported . In this study , the effects of multidisciplinary lifestyle intervention in rehabilitation centres among middle-aged hypertensive employees were described . A total of 731 hypertensives from 45 worksites were r and omised to lifestyle intervention in a rehabilitation centre or to usual care in an occupational or primary health-care centre for 12 months . St and ard measurements were conducted before the intervention and 1-year later . Blood pressure ( BP ) levels were clearly reduced in the intervention group , while only minor changes were observed in the control group . The net changes between the two groups both for systolic and diastolic BPs were −2.1 mmHg ( 95 % confidence intervals ( CI ) −4.0 to −0.1 ) and −1.5 mmHg ( 95 % CI −2.6 to −0.4 ) , respectively . The net changes were greater among men than women . The multidisciplinary lifestyle intervention in a rehabilitation centre setting produced significant reductions in BP among middle-aged employees with hypertension Abstract Background : It is well established in the literature that regular participation in physical activity is effective for chronic disease management and prevention . Remote monitoring technologies ( ie , mHealth ) hold promise for engaging patients in self-management of many chronic diseases . The purpose of this study was to test the effectiveness of an mHealth study with tailored physical activity prescription targeting changes in various intensities of physical activity ( eg , exercise , sedentary behavior , or both ) for improving physiological and behavioral markers of lifestyle-related disease risk . Methods : Forty-five older adults ( aged 55–75 years ; mean age 63 ± 5 years ) were r and omly assigned to receive a personal activity program targeting changes to either daily exercise , sedentary behavior , or both . All participants received an mHealth technology kit including smartphone , blood pressure monitor , glucometer , and pedometer . Participants engaged in physical activity programming at home during the 12-week intervention period and su bmi tted physical activity ( steps/day ) , blood pressure ( mm Hg ) , body weight ( kg ) , and blood glucose ( mmol/L ) measures remotely using study -provided devices . Results : There were no differences between groups at baseline ( P > 0.05 ) . The intervention had a significant effect ( F(10 488 ) = 2.947 , P = 0.001 , ηP2 = 0.057 ) , with similar changes across all groups for physical activity , body weight , and blood pressure ( P > 0.05 ) . Changes in blood glucose were significantly different between groups , with groups prescribed high-intensity activity ( ie , exercise ) demonstrating greater reductions in blood glucose than the group prescribed changes to sedentary behavior alone ( P < 0.05 ) . Conclusions : Findings demonstrate the utility of pairing mHealth technologies with activity prescription for prevention of lifestyle-related chronic diseases among an at-risk group of older men and women . Results support the novel approach of prescribing changes to sedentary behaviors ( alone , and in conjunction with exercise ) to reduce risk of developing lifestyle-related chronic conditions PURPOSE This study aim ed to establish whether time spent in sport-related physical activities and sedentary behaviors ( e.g. , TV viewing , videogame usage , and homework ) was prospect ively associated with change in blood pressure ( BP ) for 5 yr . METHODS Eight hundred and twenty-one students age 6 yr at baseline ( 397 girls and 424 boys ) were examined from 2003 - 2004 to 2009 - 2011 . Children completed detailed activity question naires . BP was measured using a st and ardized protocol . RESULTS After adjusting for age , ethnicity , parental education , parental history of hypertension , baseline height , BP , body mass index ( BMI ) , baseline time spent in corresponding activity behavior , and change in BMI , each hour per day spent in total screen time was associated with a 0.69 and 0.59 mm Hg increase in diastolic BP ( P = 0.01 ) and mean arterial BP ( P = 0.01 ) , respectively . In boys , each hour per day spent in TV viewing was associated with a concurrent 1.42-mm Hg increase in diastolic BP ( P = 0.04 ) during the 5 yr . Children engaging in low sport-related physical activities at baseline but who engaged in high levels of physical activity ( ≥ 60 min · d(-1 ) ) at follow-up ( n = 154 ) compared with those engaging in low sport-related physical activities at both examinations ( n = 305 ) demonstrated significantly lower mean arterial BP , 7.26 versus 9.61 mm Hg ( P = 0.04 ) . CONCLUSIONS Time spent in physical activity and screen time could influence BP measures during childhood Background : Hypertension in the elderly is commonly characterized by an elevation of pulse pressure . With regard to advanced arteriosclerosis and limited physical fitness , doubt was casted whether elderly patients still achieve relevant cardiovascular benefits by physical exercise . The present work examines the impact of pulse pressure as a footprint of vascular ageing on cardiovascular benefits of endurance training in elderly hypertensives . Methods : 54 patients ≧60 years with systolic 24-hour ambulatory blood pressure ( ABP ) > 140 mm Hg and /or antihypertensive treatment and diastolic ABP ≤90 mm Hg were r and omly assigned  to sedentary activity or a 12-week treadmill exercise program ( target lactate 2.5 ± 0.5 mmol/l ) . Results : Exercise significantly decreased systolic and diastolic ABP by 8.5 ± 8.2 and 5.1 ± 3.7 mm Hg ( p < 0.001 each ) and increased physical performance . Arterial compliance remained unchanged , whereas endothelium-dependent vasodilation – measured by flow-mediated dilation – significantly increased from 5.6 ± 1.7 to 7.9 ± 3.0 % ( p < 0.007 ) . After adjustment for initial systolic ABP , pulse pressure did not affect the change of BP . Conclusion :  The exercise-induced reduction of BP , which is mediated by improved endothelial function , is independent of pulse pressure . Thus , physical exercise is a helpful adjunct to control BP even in old hypertensives with markedly increased arterial stiffness Chronic hypertension is a major concern in adults who have undergone resection of coa rct ation of the aorta ( CoA ) in childhood . In otherwise healthy subjects , exercise-induced hypertension is prognostic for chronic hypertension ; however , the prognostic value in patients with CoA remains unknown . The aim of the present study was to evaluate the predictive value of exercise-induced hypertension for chronic hypertension in these patients . In the present prospect i ve follow-up study , 74 patients with CoA ( 58 % men , age 30.9 ± 9.5 years ) underwent  ambulatory blood pressure ( BP ) monitoring and exercise testing twice  from 2001 to 2009 with a follow-up period of 6.3 ± 0.8 years . Hypertension was defined as a mean systolic BP ≥140 mm Hg and /or mean diastolic BP ≥90 mm Hg or the need for antihypertensive treatment . Exercise-induced hypertension was defined as a mean systolic BP of < 140 mm Hg and peak exercise systolic BP of ≥200 mm Hg . At baseline , 27 patients ( 36 % ) were hypertensive , 11 ( 15 % ) had exercise-induced hypertension , and 36 ( 49 % ) were normotensive . At follow-up , all 27 hypertensive patients remained hypertensive . Of the 11 with exercise-induced hypertension , 7 ( 64 % ) had developed chronic hypertension , and 4 ( 36 % ) continued to have exercise-induced hypertension . Of the 36 normotensive patients , 7 ( 19 % ) had developed hypertension , 12 ( 33 % ) had developed exercise-induced hypertension , and 17 ( 47 % ) remained normotensive . On multivariate analysis , baseline maximum exercise systolic BP was independently associated with the mean systolic BP at follow-up ( β = 0.13 , p = 0.005 ) . In conclusion , the maximum exercise systolic BP was a predictor for chronic hypertension in patients with CoA. These findings demonstrate the clinical importance of exercise-induced hypertension and warrant additional study into the long-term consequences of exercise-induced hypertension and the potential beneficial role of early antihypertensive treatment in adult patients after CoA repair with  exercise-induced hypertension Background : To formulate all intervention strategies for hypertension in the community , it is essential to quantify the magnitude of the disease and its risk factors . The patterns of physical activity have not been studied in terms of their being a risk factor or a predictor of hypertension in Saudi Arabia . Material s and Methods : This was a community-based cross-sectional study using the STEP-wise approach of adults and a multistage , stratified , cluster r and om sample . Data were collected using a question naire which included  sociodemographics , blood pressure , patterns , levels and duration of physical activity .  Results : Of a total of 4758 , 1213 ( 25.5 % ) were hypertensives . Hypertension was significantly negatively associated with total levels and duration of physical activity in leisure , transport , and work . Significant predictors of hypertension included lower levels of work involving a moderate physical activity for 10 min , walking/cycling for 10 min continuously , and vigorous activity during leisure time . Conclusions : Hypertension is prevalent among adults ; physical inactivity is a significant risk factor and predictor . Targeting this modifiable risk factor can help in prevention , early diagnosis , and control Regular aerobic exercise can reduce blood pressure and is recommended as part of the lifestyle modification to reduce high blood pressure and cardiovascular risk . Hypertension itself , or/ and pharmacological treatment for hypertension is associated with adverse effects on some aspects of quality of life . This study was performed to evaluate the effects of regular endurance exercise training on quality of life and blood pressure .  Patients with mild to moderate hypertension ( systolic blood pressure 140–180 or diastolic blood pressure 90–110 mm Hg ) were r and omized to a moderate‐intensity aerobic exercise group training for 3 sessions/week over 10 weeks or to a non‐exercising control group . Health‐related quality of life was assessed with the Short Form 36‐item Health Survey ( SF‐36 ) at baseline and after 6 and 10 weeks . In the 102 subjects ( 47 male , mean age 47 years ) who completed the study , reductions in blood pressure in the exercise group at 10 weeks ( − 13.1/− 6.3 mm Hg ) were significant ( P < 0.001 ) compared to baseline and to the control group ( − 1.5/+ 6.0 mm Hg ) . Unlike the control group , the exercise group showed an increase in exercise capacity from 8.2 ± 1.6 to 10.8 ± 2.2 METS ( P < 0.01 ) and showed higher scores on 7 out of 8 subscales ( P < 0.05 ) of the SF‐36 . Improvement in bodily pain and general health sub‐scores correlated with reduction in systolic blood pressure  . Regular endurance training  improves both blood pressure and quality of life in hypertensive patients and should be encouraged more widely The long-term effect of exercise on blood-pressure ( BP ) was assessed in 13 untreated patients with essential hypertension . After a 6-week run-in period the levels of activity studied were sedentary , 45 min bicycling at 60 - 70 % of maximum work capacity ( Wmax ) three times per week ( 3/week ) , and 45 min bicycling seven times per week ( 7/week ) , each for 4 weeks . The order differed between subjects in accordance with a Latin square . Supine BP , 48 h after each phase , averaged 148/99 mm Hg in the run-in and 143/96 mm Hg in the sedentary phase ; it fell below values in the sedentary phase by 11/9 mm Hg with 3/week exercise , and by 16/11 mm Hg with 7/week exercise ( both p less than 0.01 ) . With increasing activity total peripheral resistance fell and the cardiac index rose . Plasma noradrenaline concentration fell below values in the sedentary phase by 21 % and 33 % after 3/week and 7/week exercise .  Bodyweight and 24 h sodium excretion remained constant . Moderate regular exercise lowers BP and seems to be an important non-pharmacological method of treating hypertension
Regular physical activity is beneficial for reducing mortality in patients with high BP .
BACKGROUND Physical activity has been shown to be beneficial for the prevention and management of hypertension .
In the general population , physical activity has been shown to decrease mortality .
PURPOSE The purpose of this systematic review was to identify and synthesize the literature examining the impact of physical activity on mortality in patients with high blood pressure ( BP ) .