Hypertension and exercise: the basis for prescription

Bibliographic Details
Main Author: Marques, José Pedro
Publication Date: 2015
Other Authors: Pinheiro, João Páscoa, Veríssimo, Manuel Teixeira, Ramos, Domingos
Format: Article
Language: por
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://doi.org/10.32385/rpmgf.v31i1.11431
Summary: Physical activity is associated with health benefits including a reduction in blood pressure (BP). A recent meta-analysis shows that exercise may reduce BP to a degree comparable to first-line BP-lowering drugs. It was originally thought that the BP-lowering effect of exercise was limited to endurance exercise and that resistance or isometric exercise was harmful. Recent evidence contests this idea. The evidence is scarce but suggests a role for exercise in the primary prevention of hypertensive disease. The favourable influence of exercise on important risk factors such as hypertriglyceridemia and overweight has already been demonstrated. Exercise is important in the primary and secondary prevention of hypertension. For most patients, the benefits of exercise largely exceed the risks. For individuals at risk, medical evaluation is indicated in order to allow safe and patient-oriented prescription of exercise.
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spelling Hypertension and exercise: the basis for prescriptionA hipertensão arterial e o exercício físico: elementos para uma prescrição médicaHypertensionExercisePhysical ActivityHipertensão ArterialExercício FísicoAtividade FísicaPhysical activity is associated with health benefits including a reduction in blood pressure (BP). A recent meta-analysis shows that exercise may reduce BP to a degree comparable to first-line BP-lowering drugs. It was originally thought that the BP-lowering effect of exercise was limited to endurance exercise and that resistance or isometric exercise was harmful. Recent evidence contests this idea. The evidence is scarce but suggests a role for exercise in the primary prevention of hypertensive disease. The favourable influence of exercise on important risk factors such as hypertriglyceridemia and overweight has already been demonstrated. Exercise is important in the primary and secondary prevention of hypertension. For most patients, the benefits of exercise largely exceed the risks. For individuals at risk, medical evaluation is indicated in order to allow safe and patient-oriented prescription of exercise.O aumento dos níveis de atividade física está associado a benefícios globais na saúde do indivíduo e meta-análises recentes mostram que o exercício físico pode ter uma eficácia na redução da pressão arterial comparável à terapêutica anti-hipertensora de primeira linha. Tradicionalmente considerava-se que o efeito anti-hipertensor do exercício físico era exclusivo do exercício de endurance e que o exercício de resistência, nomeadamente na sua vertente isométrica, seria prejudicial. Trabalhos publicados nos últimos anos parecem contrariar esta suposição. A evidência disponível é escassa mas aponta para que possa vir a desempenhar um papel na prevenção primária da hipertensão. Está também demonstrada a sua capacidade de influenciar positivamente outros fatores de risco cardiovascular como são a hipertrigliceridémia e o excesso de peso. O exercício físico assume um papel na prevenção primária e secundária da hipertensão. Na generalidade dos doentes, os benefícios associados à sua prática ultrapassam os potenciais riscos. Nos indivíduos em que estes riscos não sejam desprezáveis deve haver lugar a uma avaliação médica que permita a prescrição de um programa de exercício seguro e orientado para o paciente.Associação Portuguesa de Medicina Geral e Familiar2015-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.32385/rpmgf.v31i1.11431https://doi.org/10.32385/rpmgf.v31i1.11431Portuguese Journal of Family Medicine and General Practice; Vol. 31 No. 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-50Revista Portuguesa de Medicina Geral e Familiar; Vol. 31 Núm. 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-50Revista Portuguesa de Medicina Geral e Familiar; Vol. 31 N.º 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-502182-51812182-517310.32385/rpmgf.v31i1reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporhttps://rpmgf.pt/ojs/index.php/rpmgf/article/view/11431https://rpmgf.pt/ojs/index.php/rpmgf/article/view/11431/11151Marques, José PedroPinheiro, João PáscoaVeríssimo, Manuel TeixeiraRamos, Domingosinfo:eu-repo/semantics/openAccess2024-09-17T11:59:51Zoai:ojs.rpmgf.pt:article/11431Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T18:51:56.671546Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Hypertension and exercise: the basis for prescription
A hipertensão arterial e o exercício físico: elementos para uma prescrição médica
title Hypertension and exercise: the basis for prescription
spellingShingle Hypertension and exercise: the basis for prescription
Marques, José Pedro
Hypertension
Exercise
Physical Activity
Hipertensão Arterial
Exercício Físico
Atividade Física
title_short Hypertension and exercise: the basis for prescription
title_full Hypertension and exercise: the basis for prescription
title_fullStr Hypertension and exercise: the basis for prescription
title_full_unstemmed Hypertension and exercise: the basis for prescription
title_sort Hypertension and exercise: the basis for prescription
author Marques, José Pedro
author_facet Marques, José Pedro
Pinheiro, João Páscoa
Veríssimo, Manuel Teixeira
Ramos, Domingos
author_role author
author2 Pinheiro, João Páscoa
Veríssimo, Manuel Teixeira
Ramos, Domingos
author2_role author
author
author
dc.contributor.author.fl_str_mv Marques, José Pedro
Pinheiro, João Páscoa
Veríssimo, Manuel Teixeira
Ramos, Domingos
dc.subject.por.fl_str_mv Hypertension
Exercise
Physical Activity
Hipertensão Arterial
Exercício Físico
Atividade Física
topic Hypertension
Exercise
Physical Activity
Hipertensão Arterial
Exercício Físico
Atividade Física
description Physical activity is associated with health benefits including a reduction in blood pressure (BP). A recent meta-analysis shows that exercise may reduce BP to a degree comparable to first-line BP-lowering drugs. It was originally thought that the BP-lowering effect of exercise was limited to endurance exercise and that resistance or isometric exercise was harmful. Recent evidence contests this idea. The evidence is scarce but suggests a role for exercise in the primary prevention of hypertensive disease. The favourable influence of exercise on important risk factors such as hypertriglyceridemia and overweight has already been demonstrated. Exercise is important in the primary and secondary prevention of hypertension. For most patients, the benefits of exercise largely exceed the risks. For individuals at risk, medical evaluation is indicated in order to allow safe and patient-oriented prescription of exercise.
publishDate 2015
dc.date.none.fl_str_mv 2015-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.32385/rpmgf.v31i1.11431
https://doi.org/10.32385/rpmgf.v31i1.11431
url https://doi.org/10.32385/rpmgf.v31i1.11431
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rpmgf.pt/ojs/index.php/rpmgf/article/view/11431
https://rpmgf.pt/ojs/index.php/rpmgf/article/view/11431/11151
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
dc.source.none.fl_str_mv Portuguese Journal of Family Medicine and General Practice; Vol. 31 No. 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-50
Revista Portuguesa de Medicina Geral e Familiar; Vol. 31 Núm. 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-50
Revista Portuguesa de Medicina Geral e Familiar; Vol. 31 N.º 1 (2015): Revista Portuguesa de Medicina Geral e Familiar; 46-50
2182-5181
2182-5173
10.32385/rpmgf.v31i1
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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