Exercise for patients with hypertension: an evidence mapping

Article type
Authors
Ma M1, Yang K1
1Centre For Evidence-based Medicine, School Of Basic Medical Science,lanzhou University, Lanzhou City, Gansu Province, China
Abstract
Background: Hypertension is a common noncommunicable disease. The effect of exercise on hypertensive patients has always been a research hotspot, but the best prescription for different types of physical activity is still unknown. Objective: To systematically evaluate, and present exercise research in hypertensive patients through the evidence mapping. Methods: Eight databases (PubMed, Embase, Cochrane Library, Web of Science, CBM, Wan-Fang Data, CNKI, and CQVIP) were searched for hypertension-related exercise research from inception until August 2022. Two reviewers independently conducted literature screening and data extraction. Based on the World Health Organization Family International Classifications framework, the International Classification of Diseases, and International Classification of Functioning, Disability and Health, Disability and Health, we used bubble charts to comprehensively present the research population, intervention, systematic review (SR)/ randomized controlled trials (RCTs) sample size, conclusion classification and other information. The methodological quality of the included SRs/RCTs was assessed AMSTAR 2/Cochrane’s Risk of Bias 1. Results: A total of 107 RCTs and 45 SRs were included. Most studies were of “low quality”, mainly focused on combined diastolic and systolic hypertension. The main research outcome was cardiovascular, hematological, immune and respiratory functions. In 107 RCTs, aerobic exercise (89, 83.2%) comprised the majority, involving 18 different interventions, such as yoga (22, 22.9%). Among 45 SRs, aerobic exercise (29, 64.4%) was the predominant type, involving 10 different interventions, such as yoga (6, 20.7%). The main research outcome was b4. Cardiovascular, hematological, immune and respiratory functions (46, 97.9%). Conclusion: The evidence mapping indicates exercise may be beneficial for patients with hypertension, especially in cardiovascular, hematological, immune and respiratory functions. The main intervention studied was aerobic exercise, however, the effectiveness of yoga, cycling, walking, qigong, and adverse effects still need to be further explored by high-quality study in the future.