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Failure of Exercise to Reduce Hypertension
Neil F. Gordon, MD, PhD;
John J. Duncan, PhD;
Christopher B. Scott, MS, MSS
Institute for Aerobics Research Dallas, Tex
JAMA. 1992;267(13):1776-1777.
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To the Editor.
—The article by Blumenthal et al1 represents an important contribution to the existing literature on the efficacy of exercise training in controlling hypertension. However, we disagree with the authors' interpretation of some of their data.
First, the title of their article implies that resting blood pressure was not significantly reduced with exercise training, when in fact it was (by -8/-6 mm Hg). Indeed, after 4 months of aerobic exercise training, their subjects' mean blood pressure had fallen to what most clinicians would consider a normal value (133/89 mm Hg).
Second, when making a comparison with previous randomized controlled studies, Blumenthal et al failed to point out that exercise training in their study lowered resting blood pressure to a similar degree as in these previous studies. Where their study differed was the unusual finding of a significant (-9/-5 mm Hg) reduction in the blood pressure of the
. . . [Full Text PDF of this Article]
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