Hypertension decreases the functional capacity of the cardiovascular system, and this necessitates the need for management so as to improve the quality and length of life. Hypertension is treated using pharmacology, though diet changes are also advised. The drugs used to manage hypertension do have their own unique side effects. Even so, hypertension is a medical condition which requires medical management. The clinical question for the picot is:In patient with hypertension, is exercise more effective than medication in regulating blood pressure?
Rankinen, T. (2015). Genetics and the Blood Pressure Response to Exercise Training. In Effects of Exercise on Hypertension (pp. 227-237). Springer International Publishing.
This study explores how genes contribute to the different responses of the cardiovascular system to physical exercises. The study shows that the genetic make-up of a person determines the response of the cardiovascular system to physical exercises; and thus the blood pressure changes that occur after physical exercises are partly determined by the genotype of the individual. Therefore, the utility of exercises in the management of hypertension is determined by the genotype of the affected individual.
Inder, J. D., Carlson, D. J., Dieberg, G., McFarlane, J. R., Hess, N. C., & Smart, N. A. (2015). Isometric exercise training for blood pressure management: a systematic review and meta-analysis to optimize benefit.Hypertension Research.
This study explores how isometric exercises affect the medical management of hypertension. The results of the study showed that isometric exercises cause a significant reduction in blood pressure among hypertensive patients of all age groups. Therefore, it proves the utility of exercises in the management of hypertension; and it also indicates that blood pressure management can be optimized by combining isometric exercises with medical management.
Queiroz, A. C. C., Sousa, J. C. S., Cavalli, A. A. P., Silva, N. D., Costa, L. A. R., Tobaldini, E., ... & Tinucci, T. (2015).
Post‐resistance exercise hemodynamic and autonomic responses: Comparison between normotensive and hypertensive men. Scandinavian Journal of Medicine & Science In Sports, 25(4), 486-494.
This study explores if physical exercises confers a degree of resistance to hypertension. The results of the study showed that exercises confer a significant degree of resistance to hypertension as evidenced by minimal rise in blood pressure among hypertensive patients of all age groups. Therefore, it proves the utility of exercises in the management of hypertension.
Oliveira, J., Mesquita-Bastos, J., de Melo, C. A., & Ribeiro, F. (2016). Postaerobic Exercise Blood Pressure Reduction in Very Old Persons With Hypertension. Journal of Geriatric Physical Therapy, 39(1), 8-13.
This study explores the effects of post-aerobic physical exercises on the level of blood pressure in old patients affected by hypertension. The results of the study showed that post-aerobic exercises reduce the blood pressure in hypertensive older adults. It thus proves the utility of exercises in the management of hypertension.
Wang, M. Y., Chang, N. C., Hsieh, M. H., Su, C. T., Liu, J. C., Shyu, Y. K., & Tsai, P. S. (2015). Effect of Feedback Signal on Blood Pressure Self-regulation Capability in Individuals with Prehypertension or Stage I Hypertension: A Randomized Controlled …