Evidence mapPaperPMID 41188657Full record

ArticleInternal and emergency medicine2026

Effect of exercise on ambulatory supine blood pressure in patients with resistant hypertension and peripheral artery disease with claudication.

Nicola Lamberti, Elisabetta Pettenuzzo, Mario Tavani, Giovanni Piva, Lorenzo Caruso, Andrea Baroni, Sofia Straudi, Aaron Thomas Fargion, Roberto Manfredini, Fabio Manfredini

Abstract read
In one paragraph

Article in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicola LambertiDepartment of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-5763-3069
Elisabetta PettenuzzoPhD program in Environmental Sustainability and Wellbeing, University of Ferrara, Ferrara, Italy.ORCID 0009-0006-0708-3461
Mario TavaniSchool of Medicine and Surgery, University of Ferrara, Ferrara, Italy.
Giovanni PivaDepartment of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-6341-0555
Lorenzo CarusoDepartment of Environmental Sciences and Prevention, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-9895-3990
Andrea BaroniDepartment of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-8681-3090
Sofia StraudiDepartment of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-2061-9922
Aaron Thomas FargionUnit of Vascular and Endovascular Surgery, University Hospital of Ferrara, Ferrara, Italy.ORCID 0000-0002-2269-6833
Roberto ManfrediniClinica Medica Unit, University Hospital of Ferrara, Ferrara, Italy. roberto.manfredini@unife.it.ORCID 0000-0002-8364-2601
Fabio ManfrediniDepartment of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-9476-6434

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective study examines the effects of a 6-month home-based walking low-intensity interval training (LIIT) program on systolic blood pressure (SBP) in a cohort of patients with peripheral artery disease (PAD) and controlled (HT) or resistant hypertension (RH). From a cohort of 1011 PAD patients who completed the 6-month LIIT program, the data of those with hypertension without intercurrent therapy changes were analyzed. LIIT included eight bouts of in-home interval walking (walk:rest ratio of 1:1) at slow speed, progressively increased speed, and was maintained by a metronome. Office blood pressure was measured at baseline and after 5, 12, and 26 weeks by the same operator, with the patient lying in supine position. The ankle‒brachial index (ABI) and performance of the 6-min walking test (6MWD) were also assessed. Program updates were performed during visits, and adherence to exercise was verified and classified into tertiles according to the sessions executed. Among the 793 patients studied, 597 had HT, and 196 had RH. All patients safely completed the LIIT sessions (84 ± 11%). Both subgroups had significantly decreased SBP (RH: - 13 ± 15 mmHg; HT: - 10 ± 14 mmHg; between-group p = 0.052). Significant group-per-factor interactions (p < 0.001) for the decrease in the SBP were obtained according to adherence to exercise in both the RH and HT groups. The ABI of the worst limb significantly increased (RH: + 0.10 ± 0.13; HT: + 0.09 ± 0.12), as did the 6MWD (RH: + 35 ± 44 m; HT: + 39 ± 45 m). In PAD patients with claudication and hypertension, structured low-intensity in-home exercise, in addition to improving mobility, significantly reduced SBP values in RH patients, reinforcing the effect of medical therapy.

Indexed as

Blood PressureExercise TherapyHypertensionIntermittent ClaudicationPeripheral Arterial DiseaseAgedBlood Pressure Monitoring, AmbulatoryFemaleHumansMaleMiddle AgedRetrospective StudiesWalkingExerciseHypertensionLow-intensity interval trainingPeripheral artery diseaseResistant hypertension

Identifiers

PMID41188657
PMCPMC12948921

What Socratic holds

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Registered trials

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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.