Evidence map›Paper›PMID 39609644›Full record

SynthesisHypertension research : official journal of the Japanese Society of Hypertension2025

Resistance exercise has an antihypertensive effect comparable to that of aerobic exercise in hypertensive patients: a meta-analysis of randomized controlled trials.

Hidetaka Morita, Makiko Abe, Yasunori Suematsu, Yoshinari Uehara, Rie Koyoshi, Kanta Fujimi, Akihito Ideishi, Kohei Takata, Yuta Kato, Tetsuo Hirata and 34 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Hypertension research : official journal of the Japanese Society of Hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Exercise for prevention and treatment of hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  2. Review
  3. What is "Implementation Hypertension"? Uniting individuals, healthcare, and society around blood pressure.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Effect of exercise and physical activity on blood pressure reduction.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  9. Global guidelines recommendations for lifestyle modifications in patients with hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  10. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  11. Article
  12. Review
  13. The JSH Morning Hypertension Eradication Program Project.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

44 authors.

Hidetaka Morita *Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, Japan.
Makiko Abe *Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Yasunori SuematsuDepartment of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
Yoshinari UeharaDepartment of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
Rie KoyoshiDivision of Medical Safety Management, Fukuoka University Hospital, Fukuoka, Japan.
Kanta FujimiDepartment of Rehabilitation, Fukuoka University Hospital, Fukuoka, Japan.
Akihito IdeishiDepartment of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
Kohei TakataDepartment of Clinical Laboratory Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Yuta KatoDepartment of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
Tetsuo HirataDepartment of Cardiology, Fukuoka University Hospital, Fukuoka, Japan.
Eiji YahiroPostgraduate Clinical Training Center, Fukuoka University Hospital, Fukuoka, Japan.
Natsumi MoritoDepartment of Clinical Laboratory Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Ken KitajimaMedical Education Center, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
Atsushi SatohLaboratory of Epidemiology and Prevention, Kobe Pharmaceutical University, Kobe, Japan.
Chikara YoshimuraDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Shintaro IshidaDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Shota OkutsuDepartment of General Medicine, Faculty of Medicine, Fukuoka University School of Medicine, Fukuoka, Japan.
Koji TakahashiDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Yukiko ShinoharaDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Takashi SakaguchiDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Shiori KatsukiDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Kazuhiro TadaDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Takako FujiiDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Shunsuke FunakoshiDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Yaopeng HuDepartment of Physiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Tomonori SatohResearch Center for the Promotion of Health and Employment Support, Tohoku Rosai Hospital, Miyagi, Japan.
Hirofumi OhnishiDepartment of Public Health, Sapporo Medical University School of Medicine, Hokkaido, Japan.
Keisuke OkamuraDepartment of Cardiology and Cardiovascular Center, Imamura Hospital, Saga, Japan.
Hiroyuki MizunoDivision of Cardiovascular Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
Kimika ArakawaNational Hospital Organization, Kyushu Medical Center, Department of Clinical Laboratory, Fukuoka, Japan.
Kei AsayamaDepartment of Hygiene and Public Health, Teikyo University School of Medicine, Itabashi City, Tokyo, Japan.
Toshio OhtsuboDepartment of Hypertension internal medicine, Fukuoka Red Cross Hospital, Fukuoka, Japan.
Tomoaki IshigamiDepartment of Cardiology, Yokohama City University Hospital, Yokohama, Japan.
Shigeru ShibataDivision of Nephrology, Department of Internal Medicine, Teikyo University School of Medicine, Tokyo, Japan.
Takayuki FujitaDepartment of Physiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Masanori MunakataResearch Center for Promotion of Health and Employment Support, Tohoku Rosai Hospital, Miyagi, Japan.
Mitsuru OhishiDepartment of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Atsuhiro IchiharaDepartment of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Tomohiro KatsuyaKatsuya Clinic, Shinjuku City, Tokyo, Japan.
Masashi MukoyamaDepartment of Nephrology, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan.
Hiromi RakugiOsaka Rosai Hospital, Osaka, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Hisatomi ArimaDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan. harima@fukuoka-u.ac.jp.
Shin-Ichiro MiuraDepartment of Cardiology, Fukuoka University Faculty of Medicine, Fukuoka, Japan. miuras@cis.fukuoka-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertension increases the risk of cerebrovascular disease and death. In addition to aerobic exercise, which is currently recommended for its antihypertensive effects, recent studies have suggested that dynamic and isometric resistance exercises also have antihypertensive effects. However, the magnitude of the antihypertensive effect of such resistance exercises is not well known. To clarify the differences in these effects, we conducted an umbrella review of a meta-analysis of randomized controlled trials (RCTs). A systematic search was performed on the Ovid MEDLINE and Cochrane Library, covering the period from inception to August 1, 2023. Eligible studies were RCTs comparing the effects of exercise and non-exercise on office, home, or ambulatory blood pressure (BP) in hypertensive patients aged 18 years or older. A random effects model meta-analysis was performed to estimate the effect size across multiple studies. A sub-analysis determined outcomes by the type of exercise (aerobic exercise, dynamic resistance exercise, isometric resistance exercise, and combined exercise). Eighty-four RCTs with 5065 hypertensive patients were included in the study. All exercise significantly reduced systolic BP (SBP) and diastolic BP (DBP) compared to non-exercise (SBP:-7.52 mmHg, 95% confidence interval [CI] -8.77 to -6.27, p < 0.001; DBP: -4.36 mmHg, 95% CI - 5.15 to -3.57, p < 0.001). There were no significant differences in the magnitude of the reduction in BP between the types of exercise (p for interaction = 0.815 for SBP, p = 0.417 for DBP). These data from 84 RCTs showed that exercise intervention significantly reduced BP and that resistance exercise has a similar antihypertensive effect to aerobic exercise in hypertensive patients. This meta-analysis showed that exercise significantly reduced blood pressure in hypertensive patients. There were no significant differences in the magnitude of this reduction in BP between the types of exercise.

Indexed as

ExerciseExercise TherapyHypertensionResistance TrainingBlood PressureHumansRandomized Controlled Trials as TopicAerobic exerciseHypertensionMeta-analysisResistance exercise

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.