Authors: Veronique A. Cornelissen and Neil A. Smart Exercise Training for Blood Pressure: A Systematic Review and Meta-analysis Authors: Veronique A. Cornelissen and Neil A. Smart Exercise Training for Blood Pressure: A Systematic Review and Meta-analysis. (n.d.). Retrieved November 15, 2016, from http://jaha.ahajournals.org/content/2/1/e004473.full Taylor Price

Background Examine the effects of endurance, dynamic resistance, combined endurance and resistance training, and isometric resistance on Resting Blood Pressure in Adults. Compare Blood Pressure changes for each mode of exercise.

Methods Randomized controlled trials lasted anywhere from 4-52 weeks to investigate the effects of exercise on Blood Pressure in Healthy Adults. Participants must be at least 18 years of age without cardiovascular disease or other diseases.

Methods 93 Total Trials Involving: 105 endurance 29 dynamic resistance 14 combined 5 isometric resistance total= 5223 participants (3401 exercise and 1822 control.

Groups 47 study groups- normal BP 73 Groups- Prehypertensive 33 Groups- Hypertensive

Exercise Plans 1-7x/week Endurance- 35%-95% Peak Oxygen Consumption Dynamic Resistance- 30%-100% 1RM Isometric Resistance- 10%-40% 1RM

Results Systolic Blood Pressure Endurance -3.5 mm Hg Dynamic Resistance -1.8 mm HG Isometric Resistance -10.9 mm Hg No difference after combined training

Results Diastolic Blood Pressure Endurance -2.5 mm Hg Dynamic Resistance -3.2 mm Hg Isometric Resistance -6.2 mm Hg Combined -2.2 mm Hg

Overall Blood Pressure Change 26 study groups of hypertensive subjects saw greater BP reductions after endurance training than in 50 groups of prehypertensive subjects and 29 groups of subjects with normal BP levels.

Overall Blood Pressure Change After Dynamic Resistance training, prehypertensive participants saw the greatest BP reductions compared to patients that are hypertensive and have normal BP.

Conclusion Endurance, dynamic resistance, and isometric resistance training lower Systolic Blood Pressure. Combined training only lowers Diastolic Blood Pressure This study suggests isometric resistance has the potential for largest reductions in Systolic Blood Pressure.

Relevance This study shows that as long as these clients are exercising, there will be a decrease in their Blood Pressure. It would be more beneficial to focus on isometric resistance exercises.

Opinion Not specific enough as far as the frequency, intensity, or time. Only thing the study focuses on was type of exercise Not specific with nutrition either Too broad of a subject base without enough detail in inclusion.