HUR Medical Concepts 2018 | Page 28

The role of strength training in treatment of hypertension Both regular endurance and strength training are important determinants of the treatment of hypertension. Endurance training is recommended as first-line antihypertensive lifestyle therapy based on convincing evidence showing that it lowers BP at average level of –5 to –7 mmHg among adults with hypertension. Because of weaker evidence showing that dynamic strength training reduces BP –2 to –3 mm Hg among adults with hypertension, it is recommended as adjuvant lifestyle therapy to endurance training. However, latest meta-analysis shows that for nonwhite adult samples with hypertension, dynamic strength training elicits BP reductions that are comparable to or greater than those reportedly achieved with endurance training. Therefore, strength training should be further investigated as a viable stand-alone therapeutic exercise option for adult populations with high BP. 28