This systematic umbrella review examines and updates the evidence on the relationship between physical activity (PA) and blood pressure (BP) presented in the 2008 Physical Activity Guidelines Advisory Committee Scientific Report.We performed a systematic review to identify systematic reviews and meta-analyses involving adults with normal BP, prehypertension, and hypertension published from 2006 to February 2018.In total, 17 meta-analyses and one systematic review with 594,129 adults ≥18 yr qualified. Strong evidence demonstrates: 1) an inverse dose-response relationship between PA and incident hypertension among adults with normal BP; 2) PA reduces the risk of cardiovascular disease (CVD) progression among adults with hypertension; 3) PA reduces BP among adults with normal BP, prehypertension, and hypertension; and 4) the magnitude of the BP response to PA varies by resting BP, with greater benefits among adults with prehypertension than normal BP. Moderate evidence indicates the relationship between resting BP and the magnitude of benefit does not vary by PA type among adults with normal BP, prehypertension, and hypertension. Limited evidence suggests the magnitude of the BP response to PA varies by resting BP among adults with hypertension. Insufficient evidence is available to determine if factors such as sex, age, race/ethnicity, socioeconomic status, and weight status or the frequency, intensity, time, and duration of PA influence the associations between PA and BP.Future research is needed that adheres to standard BP measurement protocols and classification schemes to better understand the influence of PA on the risk of comorbid conditions, health-related quality of life, and CVD progression and mortality; the interactive effects between PA and antihypertensive medication use; and the immediate BP-lowering benefits of PA.

LINDA S. PESCATELLO

DAVID M. BUCHNER

JOHN M. JAKICIC

KENNETH E. POWELL

WILLIAM E. KRAUS

BONNY BLOODGOOD

WAYNE W. CAMPBELL

SONDRA DIETZ

LORETTA DIPIETRO

STEPHANIE M. GEORGE

RICHARD F. MACKO

ANNE MCTIERNAN

RUSSELL R. PATE

KATRINA L. PIERCY

Medicine & Science in Sports & Exercise

Medicine & Science in Sports & Exercise® features original investigations, clinical studies, and comprehensive reviews on current topics in sports medicine and exercise science. With this leading multidisciplinary journal, exercise physiologists, physiatrists, physical therapists, team physicians, and athletic trainers get a vital exchange of information from basic and applied science, medicine, education, and allied health fields.

Medicine & Science in Sports & Exercise® is a leading multidisciplinary journal that publishes original investigations, clinical studies, and comprehensive reviews on current topics in sports medicine and exercise science. This journal serves as a vital platform for exercise physiologists, physiatrists, physical therapists, team physicians, and athletic trainers to exchange information across basic and applied sciences, medicine, education, and allied health fields.

《Medicine and Science in Sports and Exercise》是一本涵盖运动医学和运动科学领域的多学科领先期刊，发表原创研究、临床研究和关于当前主题的综合评述。该期刊为运动生理学家、康复医学专家、物理治疗师、团队医生和运动训练师提供了一个重要的信息交流平台，涉及基础与应用科学、医学、教育及相关健康领域。

Medicine and Science in Sports and Exercise

Physical Activity to Prevent and Treat Hypertension: A Systematic Review

Future research is needed that adheres to standard BP measurement protocols and classification schemes to better understand the influence of PA on the risk of comorbid conditions, health-related quality of life, and CVD progression and mortality; the interactive effects between PA and antihypertensive medication use; and the immediate BP-lowering benefits of PA.

Category	Quartile
医学	2
医学, 运动科学	2

Physical Activity to Prevent and Treat Hypertension: A Systematic Review

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Journal Info

Category	Quartile
SPORT SCIENCES	1