Associations between duration and volume of muscle-strengthening exercise and clinically assessed hypertension among 10 519 UK adults: a cross-sectional study

Shakespear-Druery, Jane ORCID: and De Cocker, Katrien and Biddle, Stuart J.H. ORCID: and Bennie, Jason ORCID: (2022) Associations between duration and volume of muscle-strengthening exercise and clinically assessed hypertension among 10 519 UK adults: a cross-sectional study. Journal of Hypertension, 40 (5). pp. 947-955. ISSN 0263-6352

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BACKGROUND: Clinical evidence shows that muscle-strengthening exercise (MSE) is important for the treatment and management of hypertension. However, the links between MSE and hypertension in epidemiological research are currently poorly understood. This study examines the association between MSE duration and volume with clinically assessed hypertension. METHODS: Cross-sectional data (n = 10519, adults ≥ 16 years) were pooled from the Health Survey for England (2012, 2016). Self-reported MSE mode (own bodyweight; gym-based), duration, and volume were tested for associations with sphygmomanometer measured hypertension (SBP ≥ 130 mmHg or DBP ≥ 80 mmHg). Poisson regressions with robust error variance were used to calculate the prevalence ratios of hypertension (outcome variable) across MSE (exposure variables: duration (minutes [0 (reference); 10-20; 21 -59; ≥60/session]); and volume [0 (reference); low <mean; high ≥mean/week]) for each mode and the modes combined. RESULTS: Most adults (81.1%) did no MSE. However, in those who did (n = 1984), undertaking any MSE, regardless of mode, duration, or volume, was associated with a reduced likelihood of hypertension (adjusted prevalence ratios 0.61-0.90). When compared with the reference groups (no MSE), some modes had more favourable associations (e.g. ≥60 min/session of own bodyweight MSE; ≥mean min/week of gym-based MSE). CONCLUSION: Irrespective of duration or volume, MSE was associated with a lower prevalence of clinically assessed hypertension. Public-health campaigns and other interventions that successfully promote small-to-moderate increases in MSE participation may reduce the prevalence of hypertension.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Health and Medical Sciences (1 Jan 2022 -)
Date Deposited: 19 Jul 2022 02:15
Last Modified: 14 Oct 2022 02:27
Uncontrolled Keywords: blood pressure, duration, physical activity, prevalence, resistance exercise
Fields of Research (2020): 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health
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