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    Resistance exercise lowers blood pressure and improves vascular endothelial function in individuals with elevated blood pressure or stage-1 hypertension


    Banks, Nile, Rogers, Emily M., Stanhewicz, Anna E., Whitaker, Kara M. and Jenkins, Nathaniel D. M. (2024) Resistance exercise lowers blood pressure and improves vascular endothelial function in individuals with elevated blood pressure or stage-1 hypertension. American Journal of Physiology-Heart and Circulatory Physiology, 326 (1). pp. 1-41. ISSN 0363-6135

    Abstract

    Lifestyle modifications are the first-line treatment recommendation for elevated blood pressure (BP) or stage-1 hypertension (E/S1H) and include resistance exercise training (RET). The purpose of the current study was to examine the effect of a 9-wk RET intervention in line with the current exercise guidelines for individuals with E/S1H on resting peripheral and central BP, vascular endothelial function, central arterial stiffness, autonomic function, and inflammation in middle-aged and older adults (MA/O) with untreated E/S1H. Twenty-six MA/O adults (54 ± 6 yr; 16 females/10 males) with E/S1H engaged in either 9 wk of 3 days/wk RET ( n = 13) or a nonexercise control (Con; n = 13). Pre- and postintervention measures included peripheral and central systolic (SBP and cSBP) and diastolic BP (DBP and cDBP), flow-mediated dilation (FMD), carotid-femoral pulse wave velocity (cfPWV), cardiovagal baroreflex sensitivity (BRS), cardiac output (CO), total peripheral resistance (TPR), heart rate variability (HRV), and C-reactive protein (CRP). RET caused significant reductions in SBP {mean change ± 95% CI = [−7.9 (−12.1, −3.6) mmHg; P < 0.001]}, cSBP [6.8 (−10.8, −2.7) mmHg; P < 0.001)], DBP [4.8 (−10.3, −1.2) mmHg; P < 0.001], and cDBP [−5.1 (−8.9, −1.3) mmHg; P < 0.001]; increases in FMD [+2.37 (0.61, 4.14)%; P = 0.004] and CO [+1.21 (0.26, 2.15) L/min; P = 0.006]; and a reduction in TPR [−398 (−778, −19) mmHg·s/L; P = 0.028]. RET had no effect on cfPWV, BRS, HRV, or CRP relative to Con ( P ≥ 0.20). These data suggest that RET reduces BP in MA/O adults with E/S1H alongside increased peripheral vascular function and decreased TPR without affecting cardiovagal function or central arterial stiffness. NEW & NOTEWORTHY This is among the first studies to investigate the effects of chronic resistance exercise training on blood pressure (BP) and putative BP regulating mechanisms in middle-aged and older adults with untreated elevated BP or stage-1 hypertension in a randomized, nonexercise-controlled trial. Nine weeks of resistance exercise training elicits 4- to 8-mmHg improvements in systolic and diastolic BP alongside improvements in vascular endothelial function and total peripheral resistance without influencing central arterial stiffness or cardiovagal function.
    Item Type: Article
    Keywords: aging; blood pressure; cardiovascular health; resistance exercise; vascular function;
    Academic Unit: Faculty of Science and Engineering > Sports Science and Nutrition
    Item ID: 20722
    Identification Number: 10.1152/ajpheart.00386.2023
    Depositing User: Nile Banks
    Date Deposited: 20 Oct 2025 14:35
    Journal or Publication Title: American Journal of Physiology-Heart and Circulatory Physiology
    Publisher: American Physiological Society
    Refereed: Yes
    Related URLs:
    Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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