Isometric exercise training and arterial hypertension: an updated review

Edwards, Jamie J, Coleman, Damian A, Ritti-Dias, Raphael M, Farah, Breno Q, Stensel, David J, Lucas, Sam J E, Millar, Philip J, Gordon, Ben D H, Cornelissen, Véronique, Smart, Neil A, and others. (2024) Isometric exercise training and arterial hypertension: an updated review. Sports medicine, 54 (6). pp. 1459-1497. ISSN 0112-1642. E-ISSN 1179-2035. (doi:10.1007/s40279-024-02036-x) (KAR id:106148)

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Official URL: https://doi.org/10.1007/s40279-024-02036-x

Abstract

Hypertension is recognised as a leading attributable risk factor for cardiovascular disease and premature mortality. Global initiatives towards the prevention and treatment of arterial hypertension are centred around non-pharmacological lifestyle modification. Exercise recommendations differ between professional and scientific organisations, but are generally unanimous on the primary role of traditional aerobic and dynamic resistance exercise. In recent years, isometric exercise training (IET) has emerged as an effective novel exercise intervention with consistent evidence of reductions in blood pressure (BP) superior to that reported from traditional guideline-recommended exercise modes. Despite a wealth of emerging new data and endorsement by select governing bodies, IET remains underutilised and is not widely prescribed in clinical practice. This expert-informed review critically examines the role of IET as a potential adjuvant tool in the future clinical management of BP. We explore the efficacy, prescription protocols, evidence quality and certainty, acute cardiovascular stimulus, and physiological mechanisms underpinning its anti-hypertensive effects. We end the review with take-home suggestions regarding the direction of future IET research.

Item Type:	Article
DOI/Identification number:	10.1007/s40279-024-02036-x
Uncontrolled keywords:	cardiovascular disease; premature mortality; IET
Subjects:	H Social Sciences
Divisions:	Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Funders:	University of Kent (https://ror.org/00xkeyj56)
SWORD Depositor:	JISC Publications Router
Depositing User:	JISC Publications Router
Date Deposited:	10 Jun 2024 14:46 UTC
Last Modified:	05 Nov 2024 13:11 UTC
Resource URI:	https://kar.kent.ac.uk/id/eprint/106148 (The current URI for this page, for reference purposes)

University of Kent Author Information

Farmer, Christopher K..

Creator's ORCID:	https://orcid.org/0000-0003-1736-8242
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