Isometric Exercise Training and Arterial Hypertension: An Updated Review

Hypertension is recognised as a leading attributable risk factor for cardiovascular disease and premature mortality. Global initiatives towards the prevention and treatment of arterial hypertension are centred around non-pharmacological lifestyle modification. Exercise recommendations differ between...

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Main Authors: Edwards, JJ, Coleman, DA, Ritti-Dias, RM, Farah, BQ, Stensel, DJ, Lucas, SJE, Millar, PJ, Gordon, BDH, Cornelissen, V, Smart, NA, Carlson, DJ, McGowan, C, Swaine, I, Pescatello, LS, Howden, R, Bruce-Low, S, Farmer, CKT, Leeson, P, Sharma, R, O’Driscoll, JM
Format: Journal article
Language:English
Published: Springer 2024
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author Edwards, JJ
Coleman, DA
Ritti-Dias, RM
Farah, BQ
Stensel, DJ
Lucas, SJE
Millar, PJ
Gordon, BDH
Cornelissen, V
Smart, NA
Carlson, DJ
McGowan, C
Swaine, I
Pescatello, LS
Howden, R
Bruce-Low, S
Farmer, CKT
Leeson, P
Sharma, R
O’Driscoll, JM
author_facet Edwards, JJ
Coleman, DA
Ritti-Dias, RM
Farah, BQ
Stensel, DJ
Lucas, SJE
Millar, PJ
Gordon, BDH
Cornelissen, V
Smart, NA
Carlson, DJ
McGowan, C
Swaine, I
Pescatello, LS
Howden, R
Bruce-Low, S
Farmer, CKT
Leeson, P
Sharma, R
O’Driscoll, JM
author_sort Edwards, JJ
collection OXFORD
description Hypertension is recognised as a leading attributable risk factor for cardiovascular disease and premature mortality. Global initiatives towards the prevention and treatment of arterial hypertension are centred around non-pharmacological lifestyle modification. Exercise recommendations differ between professional and scientific organisations, but are generally unanimous on the primary role of traditional aerobic and dynamic resistance exercise. In recent years, isometric exercise training (IET) has emerged as an effective novel exercise intervention with consistent evidence of reductions in blood pressure (BP) superior to that reported from traditional guideline-recommended exercise modes. Despite a wealth of emerging new data and endorsement by select governing bodies, IET remains underutilised and is not widely prescribed in clinical practice. This expert-informed review critically examines the role of IET as a potential adjuvant tool in the future clinical management of BP. We explore the efficacy, prescription protocols, evidence quality and certainty, acute cardiovascular stimulus, and physiological mechanisms underpinning its anti-hypertensive effects. We end the review with take-home suggestions regarding the direction of future IET research.
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spelling oxford-uuid:3fd18dd0-d241-470c-a029-9ac4f3b6e9a42024-07-11T20:10:53ZIsometric Exercise Training and Arterial Hypertension: An Updated ReviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3fd18dd0-d241-470c-a029-9ac4f3b6e9a4EnglishJisc Publications RouterSpringer2024Edwards, JJColeman, DARitti-Dias, RMFarah, BQStensel, DJLucas, SJEMillar, PJGordon, BDHCornelissen, VSmart, NACarlson, DJMcGowan, CSwaine, IPescatello, LSHowden, RBruce-Low, SFarmer, CKTLeeson, PSharma, RO’Driscoll, JMHypertension is recognised as a leading attributable risk factor for cardiovascular disease and premature mortality. Global initiatives towards the prevention and treatment of arterial hypertension are centred around non-pharmacological lifestyle modification. Exercise recommendations differ between professional and scientific organisations, but are generally unanimous on the primary role of traditional aerobic and dynamic resistance exercise. In recent years, isometric exercise training (IET) has emerged as an effective novel exercise intervention with consistent evidence of reductions in blood pressure (BP) superior to that reported from traditional guideline-recommended exercise modes. Despite a wealth of emerging new data and endorsement by select governing bodies, IET remains underutilised and is not widely prescribed in clinical practice. This expert-informed review critically examines the role of IET as a potential adjuvant tool in the future clinical management of BP. We explore the efficacy, prescription protocols, evidence quality and certainty, acute cardiovascular stimulus, and physiological mechanisms underpinning its anti-hypertensive effects. We end the review with take-home suggestions regarding the direction of future IET research.
spellingShingle Edwards, JJ
Coleman, DA
Ritti-Dias, RM
Farah, BQ
Stensel, DJ
Lucas, SJE
Millar, PJ
Gordon, BDH
Cornelissen, V
Smart, NA
Carlson, DJ
McGowan, C
Swaine, I
Pescatello, LS
Howden, R
Bruce-Low, S
Farmer, CKT
Leeson, P
Sharma, R
O’Driscoll, JM
Isometric Exercise Training and Arterial Hypertension: An Updated Review
title Isometric Exercise Training and Arterial Hypertension: An Updated Review
title_full Isometric Exercise Training and Arterial Hypertension: An Updated Review
title_fullStr Isometric Exercise Training and Arterial Hypertension: An Updated Review
title_full_unstemmed Isometric Exercise Training and Arterial Hypertension: An Updated Review
title_short Isometric Exercise Training and Arterial Hypertension: An Updated Review
title_sort isometric exercise training and arterial hypertension an updated review
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