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., Carlson, Debra J., McGowan, Cheri, Swaine, Ian ORCID: https://orcid.org/0000-0002-3747-1370, Pescatello, Linda S., Howden, Reuben, Bruce-Low, Stewart, Farmer, Christopher K. T., Leeson, Paul, Sharma, Rajan and O’Driscoll, Jamie M. ORCID: https://orcid.org/0000-0002-5923-4798 (2024) Isometric exercise training and arterial hypertension: an updated review. Sports Medicine. ISSN 0112-1642 (Print), 1179-2035 (Online) (doi:10.1007/s40279-024-02036-x)

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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
Uncontrolled Keywords:	isometric exercise; arterial hypertension; review
Subjects:	Q Science > Q Science (General) R Medicine > R Medicine (General) R Medicine > RC Internal medicine > RC1200 Sports Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Exercise Activity and Rehabilitation Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Related URLs:	Publisher
Last Modified:	21 May 2024 09:25
URI:	http://gala.gre.ac.uk/id/eprint/47231

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