A Network Meta-analysis Of The Effects Of Different Types Aerobic Exercises On Patients With Hypertension

Objective: To compare the effects of 6 kinds of aerobic exercise therapy(brisk walking,aerobic exercise running,tai chi,yoga,aerobic dance and Ba Duan jin)on blood pressure,heart rate and lipid metabolism in the treatment of essential hypertension.Find out which aerobic exercise therapy works best when it’s safe to do so.Thus,the system of exercise intervention for hypertension can be improved to provide evidence-based medicine basis for the rehabilitation of patients with hypertension.Methods: system retrieval Embase,Pubmed,the Cochrane Library,Web of science,the Chinese biomedical database(CBM),tsinghua tongfang hownet database(CNKI),ten thousand data knowledge service platform,weipu database on the aerobic exercise therapy to treat high blood pressure of randomized controlled trials,retrieval time range for a Library to October 2020,retrieval strategy by using the combined method of subject headings and free word.The Cochrane manual was used to evaluate the risk bias of the included literature,and STATA14.0 and GEMTC0.14.3 were used for statistical analysis after the extraction of relevant data.Results: A total of 73 RCTs were included in the reticulation meta-analysis,involving a total of 6416 patients with hypertension.The rank probability of network meta analysis showed that,in terms of SBP,the best intervention methods are as follows: Aerobic dance>Yoga>Baduanjin>Tai Chi> Walking>Fitness running>Routine treatment;in terms of DBP,the best intervention methods are as follows: Yoga> Baduanjin> Tai Chi >Walking >Aerobic dance> Fitness running>Routine treatment;in terms of HR,the best intervention methods are as follows: Yoga> Walking > Fitness running> Routine treatment>Baduanjin> Aerobic dance> Tai Chi;in terms of HDL,the best intervention methods are as follows: Fitness running> Yoga> Tai Chi > Baduanjin> Routine treatment>Aerobic dance> Walking;in terms of LDL,the best intervention methods are as follows: Fitness running > Tai Chi > Baduanjin> Walking> Routine treatment>Aerobic dance> Yoga;in terms of TG,the best intervention methods are as follows:Fitness running > Tai Chi > Baduanjin> Walking> Routine treatment> Aerobic dance> Yoga;in terms of TC,the best intervention methods are as follows:Baduanjin> Walking> Fitness running > Tai Chi > Routine treatment> Aerobic dance> Yoga.Conclusion: Based on the existing evidence,among the six kinds of aerobic exercise,yoga exercise of more than 30 to 90 minutes three times a week can be the first choice in clinical treatment of hypertension to improve patients’ abnormal blood pressure and heart rate.Fitness running of more than 30 to 60 minutes three times a week can be given priority to improve the condition of abnormal lipid metabolism in patients with hypertension.