High intensity interval training for patients with hypertension: A scoping review

Authors

  • Erika Miftahurrizqia Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta
  • Farid Rahman Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.33024/hjk.v18i6.280

Keywords:

High Intensity Interval Training, Hipertensi, Tekanan Darah

Abstract

Background: Hypertension is a major risk factor worldwide for cardiovascular disease (CVD), stroke, disability, and death. Lack of physical activity is one of the main factors causing the increasing prevalence of hypertension. High-intensity interval training (HIIT) has been shown to be effective in reducing blood pressure levels in people with hypertension.

Purpose: To evaluate high intensity interval training for patients with hypertension.

Method: Scoping review using PRISMA guidelines in identifying 7,654 articles. Article collection was conducted by systematic search on Google Scholar, PubMed, ScienceDirect, Taylor & Francis Online, Nature, and Wiley Online Library databases published from 2013-2024.

Results: Thirty articles used in the inclusion selection showed the effect of high intensity interval training on hypertension sufferers, and was proven to cause a decrease in blood pressure levels in hypertension sufferers.

Conclusion: Shows that HIIT is effective in reducing blood pressure in various types of hypertension, from types I and II to arterial at the age of 16-70 years.

 

Keywords: Blood Pressure; High Intensity Interval Training; Hypertension.

 

Pendahuluan: Hipertensi merupakan faktor risiko utama di dunia untuk cardiovascular disease (CVD), stroke, kecacatan, dan kematian. Kurangnya aktivitas fisik menjadi salah satu faktor utama penyebab meningkatnya prevalensi hipertensi. High intensity interval training (HIIT) terbukti efektif dalam mengurangi kadar tekanan darah pada penderita hipertensi.

Tujuan: Untuk mengevaluasi latihan interval intensitas tinggi untuk pasien hipertensi.

Metode: Scoping review menggunakan panduan PRISMA  dalam mengidentifikasi 7.654 artikel. Pengumpulan artikel dilakukan dengan pencarian sistematis pada database Google Scholar, PubMed, ScienceDirect, Taylor & Francis Online, Nature, dan Wiley Online Library yang diterbitkan dari tahun 2013-2024.

Hasil: Tiga puluh artikel yang digunakan dalam seleksi inklusi menunjukkan pengaruh high intensity interval training pada penderita hipertensi dan terbukti dapat menyebabkan turunnya kadar tekanan darah pada penderita hipertensi.

Simpulan: Menunjukkan bahwa HIIT efektif menurunkan tekanan darah pada berbagai jenis hipertensi, dari tipe I dan II hingga arteri pada usia 16-70 tahun.

 

Kata Kunci: High Intensity Interval Training; Hipertensi; Tekanan Darah.

 

References

Al-Makki, A., DiPette, D., Whelton, P. K., Murad, M. H., Mustafa, R. A., Acharya, S., & Khan, T. (2022). Hypertension pharmacological treatment in adults: a World Health Organization guideline executive summary. Hypertension, 79(1), 293-301.

Anduaga, I. G., Corres, P., Betolaza, A. A. M., Asenjo, J. P., Aispuru, G. R., Fryer, S. M., & Martin, S. M., (2018). Effects of different aerobic exercise programmes with nutritional intervention in sedentary adults with overweight/obesity and hypertension: EXERDIET-HTA study. European journal of preventive cardiology, 25(4), 343-353.

Bahmanbeglou, N. A., Ebrahim, K., Maleki, M., Nikpajouh, A., & Ahmadizad, S. (2019). Short-duration high-intensity interval exercise training is more effective than long duration for blood pressure and arterial stiffness but not for inflammatory markers and lipid profiles in patients with stage 1 hypertension. Journal of cardiopulmonary rehabilitation and prevention, 39(1), 50-55.

Bairapareddy, K. C., Kamcheh, M. M. S., Itani, R. J., Mohamed, M., Zahran, H. A. E. A., Alaparthi, G. K., & Chandrashekaran, B. (2021, September). Low physical activity levels are linked to early hypertension risk in college-going young adults. In Healthcare 9(10) p1258.

Carey, R. M., Calhoun, D. A., Bakris, G. L., Brook, R. D., Daugherty, S. L., Himmelfarb, C. R. D., & White, W. B. (2018). Resistant hypertension: detection, evaluation, and management: a scientific statement from the American Heart Association. Hypertension, 72(5), e53-e90.

Carvalho, R. S. T. D., Pires, C. M. R., Junqueira, G. C., Freitas, D., & Alves, L. M. M., (2014). Magnitude e duração da resposta hipotensora em hipertensos: exercício contínuo e intervalado. Arquivos Brasileiros de Cardiologia, 104, 234-241.

Chang, Y. H., Chou, Y. C., Chang, Y. C., Tan, K. H., & Wu, M. H. (2022). The Effects of High-Intensity Power Training versus Traditional Resistance Training on Exercise Performance. International Journal of Environmental Research and Public Health, 19(15), 9400.

Clark, T., Morey, R., Jones, M. D., Marcos, L., Ristov, M., Ram, A., & Keech, A. (2020). High-intensity interval training for reducing blood pressure: a randomized trial vs. moderate-intensity continuous training in males with overweight or obesity. Hypertension Research, 43(5), 396-403.

Costa, E. C., Kent, D. E., Boreskie, K. F., Hay, J. L., Kehler, D. S., Mazowita, A. E., & Duhamel, T. A. (2020). Acute effect of high-intensity interval versus moderate-intensity continuous exercise on blood pressure and arterial compliance in middle-aged and older hypertensive women with increased arterial stiffness. The Journal of Strength & Conditioning Research, 34(5), 1307-1316.

Dempsey, P. C., Larsen, R. N., Dunstan, D. W., Owen, N., & Kingwell, B. A. (2018). Sitting less and moving more: implications for hypertension. Hypertension, 72(5), 1037-1046.

Díaz-Martínez, X., Petermann, F., Leiva, A. M., Garrido-Méndez, A., Salas-Bravo, C., Martínez, M. A., & Celis-Morales, C. (2018). No cumplir con las recomendaciones de actividad física se asocia a mayores niveles de obesidad, diabetes, hipertensión y síndrome metabólico en población chilena. Revista médica de Chile, 146(5), 585-595.

Eghbali, M., Khosravi, A., Feizi, A., Mansouri, A., Mahaki, B., & Sarrafzadegan, N. (2018). Prevalence, awareness, treatment, control, and risk factors of hypertension among adults: a cross-sectional study in Iran. Epidemiology and health, 40.

Ehlers, T. S., Sverrisdottir, Y., Bangsbo, J., & Gunnarsson, T. P. (2020). High-intensity interval training decreases muscle sympathetic nerve activity in men with essential hypertension and in normotensive controls. Frontiers in neuroscience, 14, 841.

Fernandez, S. B., Sánchez, E. M. S., Vivas, J. C., Bermejo, L. M., Martín, J. M., Arenas, M. D. A., & Muñoz, F. J. D., (2022, January). Intrasession Reliability Analysis for Oscillometric Blood Pressure Method Using a Digital Blood Pressure Monitor in Peruvian Population. In Healthcare, 10(2) p. 209.

Filho, O. L. L., Dias, R. M. R., Santos, T. M., Silva, J. F., Leite, G. F., Gusmao, L. S., & Ferreira, D. K. (2020). Affective responses to different prescriptions of high-intensity interval exercise in hypertensive patients. The Journal of Sports Medicine and Physical Fitness, 60(2), 308-313.

Floody, P. D., Izquierdo, M., Velez, R. R., Navarrete, F. C., Moris, R., Mayorga, D. J., & Alvarez, C. (2020). Effect of high-intensity interval training on body composition, cardiorespiratory fitness, blood pressure, and substrate utilization during exercise among prehypertensive and hypertensive patients with excessive adiposity. Frontiers in Physiology, 11, 558910.

Ghuge, T. (2021). Effect of high intensity interval training on cardio-respiratory fitness among hypertension stage 1 patient.

Gunjal, S., Shinde, N., Kazi, A., & Khatri, S. (2013). Effect of aerobic interval training on blood pressure and myocardial function in hypertensive patients. International Journal of Pharmaceutical Science Invention, 2(6), 27-31.

Gunnarsson, T. P., Ehlers, T. S., Skytte, T. B., Lund, A. P., Ellemann, A. T., Gliemann, L., & Bangsbo, J. (2020). Hypertension is associated with blunted NO-mediated leg vasodilator responsiveness that is reversed by high-intensity training in postmenopausal women. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 319(6), R712-R723.

Hadgraft, N. T., Winkler, E., Climie, R. E., Grace, M. S., Romero, L., Owen, N., & Dempsey, P. C. (2021). Effects of sedentary behaviour interventions on biomarkers of cardiometabolic risk in adults: systematic review with meta-analyses. British journal of sports medicine, 55(3), 144-154.

Iellamo, F., Caminiti, G., Montano, M., Manzi, V., Franchini, A., Mancuso, A., & Volterrani, M. (2021). Prolonged post-exercise hypotension: effects of different exercise modalities and training statuses in elderly patients with hypertension. International Journal of Environmental Research and Public Health, 18(6), 3229.

Iriarte, B. J., & Martín, S. M., (2019). Effects of different exercise training programs on cardiorespiratory fitness in overweight/obese adults with hypertension: a pilot study. Health Promotion Practice, 20(3), 390-400.

Iriarte, B. J., Brubaker, P. H., Anduaga, I. G., Corres, P., Betolaza, A. A. M., & Martin, S. M., (2019). Validity of the modified shuttle walk test to assess cardiorespiratory fitness after exercise intervention in overweight/obese adults with primary hypertension. Clinical and Experimental Hypertension, 41(4), 336-341.

Iván, C., José, S., Juan, T., & Manuel, C. J. (2016). Exercise for hypertension. Fitness Medicine, 26, 91-106.

Izadi, M. R., Afousi, A. G., Fard, M. A., & Bigi, M. A. B., (2018). High-intensity interval training lowers blood pressure and improves apelin and NOx plasma levels in older treated hypertensive individuals. Journal of physiology and biochemistry, 74, 47-55.

Joukar, F., Naghipour, M. R., Yeganeh, S., Sepehrimanesh, M., Keshtkar, A., Ashoobi, M. T., & Mansour-Ghanaei, F. (2020). Validity and inter-observers reliability of blood pressure measurements using mercury sphygmomanometer in the PERSIAN Guilan cohort study. Blood pressure monitoring, 25(2), 100-104.

Kementerian Kesehatan Republik Indonesia. (2018). Laporan Riskesdas 2018 Nasional. Diakses dari: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf

Kumanan, T., Guruparan, M., & Sreeharan, N. (2018). Hypertension “the silent killer” a guide for primary care physicians and healthcare professionals. Colombo-Chennai: Kumaran Book House.

Mesquita, F. O.S. D., da Silva, P. B. P., Neto, H. R. S. D., Moreira, S. R., Filho, D. C. S., Catai, A. M., & Schwingel, P. A. (2021). Acute effects of high-intensity interval training and moderate-intensity continuous training on linear and nonlinear heart rate variability measures in arterial hypertension. Research, Society and Development, 10(7), e47110712106-e47110712106.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223-237.

Mohr, M., Nordsborg, N. B., Lindenskov, A., Steinholm, H., Nielsen, H. P., Mortensen, J., & Krustrup, P. (2014). High‐intensity intermittent swimming improves cardiovascular health status for women with mild hypertension. BioMed research international, 2014(1), 728289.

Müller, C., Hauser, C., Carrard, J., Gugleta, K., Hinrichs, T., Trucksäss, A. S., & Streese, L. (2024). Effects of high-intensity interval training on retinal vessel diameters and oxygen saturation in patients with hypertension: A cross-sectional and randomized controlled trial. Microvascular Research, 151, 104616.

Ngasa, K., Kusuayi, G., Gustave, M., Claude, N., Celestın, M., Monıque, N., & Willy, K. L. (2021). Effects of interval training on the morpho-physiological parameters of hypertensive soldiers. Turkish Journal of Kinesiology, 7(1), 17-21.

Peres, D., Mourot, L., Ménétrier, A., Bouhaddi, M., Degano, B., Regnard, J., & Tordi, N. (2018). Intermittent versus constant aerobic exercise in middle-aged males: acute effects on arterial stiffness and factors influencing the changes. European Journal of Applied Physiology, 118, 1625-1633.

Pimenta, F. C., Montrezol, F. T., Dourado, V. Z., da Silva, L. F. M., Borba, G. A., Vieira, W. D. O., & Medeiros, A. (2019). High-intensity interval exercise promotes post-exercise hypotension of greater magnitude compared to moderate-intensity continuous exercise. European journal of applied physiology, 119, 1235-1243.

Ram, C. V. S. (2014). Hypertension: A Clinical Guide. London New York: CRC Press.

Reljic, D., Lampe, D., Wolf, F., Zopf, Y., Herrmann, H. J., & Fischer, J. (2019). Prevalence and predictors of dropout from high‐intensity interval training in sedentary individuals: A meta‐analysis. Scandinavian journal of medicine & science in sports, 29(9), 1288-1304.

Santos, J. M. D., Gouveia, M. C., Júnior, F. A. D. S., Rodrigues, C. E. D. S., dos Santos, J. M., de Oliveira, A. J. S., & Suassuna, J. A. S. (2018). Effect of a high-intensity interval training session on post-exercise hypotension and autonomic cardiac activity in hypertensive elderly subjects. Journal of Exercise Physiology Online, 21(3).

Shakoor, E., Salesi, M., Daryanoosh, F., & Izadpanah, P. (2020). Effect of acute high-intensity interval training and isometric handgrip exercise on hemodynamic responses in hypertensive women. Women’s Health Bulletin, 7(3), 60-69.

Sikiru, L., & Okoye, G. C. (2013). Effect of interval training programme on pulse pressure in the management of hypertension: a randomized controlled trial. African health sciences, 13(3), 571-578.

Silva, N. C. S. B., Petrella, A. F., Christopher, N., Marriott, C. F., Gill, D. P., Owen, A. M., & Petrella, R. J. (2021). The benefits of high-intensity interval training on cognition and blood pressure in older adults with hypertension and subjective cognitive decline: Results from the heart & mind study. Frontiers in aging neuroscience, 13, 643809.

Siqueira, A. L. F., Faria, G. S., & de Oliveira Neto, P. (2021). Clinical Case Reports. Brazilian Journal of Case Reports, 1(4), 50-56.

Soltani, M., Bahmanbeglou, N. A., & Ahmadizad, S. (2020). High-intensity interval training irrespective of its intensity improves markers of blood fluidity in hypertensive patients. Clinical and Experimental Hypertension, 42(4), 309-314.

Sosner, P., Gayda, M., Dupuy, O., Garzon, M., Gremeaux, V., Lalongé, J., & Bosquet, L. (2019). Ambulatory blood pressure reduction following 2 weeks of high-intensity interval training on an immersed ergocycle. Archives of cardiovascular diseases, 112(11), 680-690.

Souza, L. M. V., Aidar, F. J., Mota, M. G., Reis, G. C., Lima, C. M. A., Silva, F. J. A. D., & Santos, J. L. D. (2022). High-intensity interval training poses no risk to hypertensive women. Revista Brasileira de Medicina do Esporte, 29, e2021_0321.

Taha, M. M., Aneis, Y. M., Hasanin, M. E., Felaya, E. E., Aldhahi, M. I., & Abdeen, H. A. A. (2023). Effect of high intensity interval training on arterial stiffness in obese hypertensive women: a randomized controlled trial. European Review for Medical & Pharmacological Sciences, 27(9).

Taha, M. M., Mohamed, M. A. E. R., & Hasanin, M. E. (2016). Effect of high intensity interval training on endothelial function in postmenopausal hypertensive patients: randomized controlled trial. International Journal of Physiotherapy, 3(1), 39-44.

Twerenbold, S., Hauser, C., Gander, J., Carrard, J., Gugleta, K., Hinrichs, T., & Streese, L. (2023). Short‐term high‐intensity interval training improves micro‐but not macrovascular function in hypertensive patients. Scandinavian Journal of Medicine & Science in Sports, 33(7), 1231-1241.

Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., ... & Schutte, A. E. (2020). 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension, 75(6), 1334-1357.

World Health Organization, (2023). Hypertension. Diakses dari: https://www.who.int/news-room/fact-sheets/detail/hypertension

Published

2024-08-19

How to Cite

Miftahurrizqia, E., & Rahman, F. (2024). High intensity interval training for patients with hypertension: A scoping review. Holistik Jurnal Kesehatan, 18(6), 711–723. https://doi.org/10.33024/hjk.v18i6.280