Evidence map›Paper›PMID 36965163›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2023

Reductions in systolic blood pressure achieved by hypertensives with three isometric training sessions per week are maintained with a single session per week.

Daniel D Cohen, Gustavo Aroca-Martinez, Javier Carreño-Robayo, Alvaro Castañeda-Hernández, Yaneth Herazo-Beltran, Paul A Camacho, Johanna Otero, Daniel Martinez-Bello, Jose P Lopez-Lopez, Patricio Lopez-Jaramillo

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daniel D CohenInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0002-0899-4623
Gustavo Aroca-MartinezUniversidad Simon Bolivar, Barranquilla, Colombia.ORCID 0000-0002-9222-3257
Javier Carreño-RobayoInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0001-5460-6946
Alvaro Castañeda-HernándezInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0001-7994-1839
Yaneth Herazo-BeltranInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0003-3752-4353
Paul A CamachoFundación Oftalmológica de Santander, Floridablanca, Colombia.ORCID 0000-0002-6233-9582
Johanna OteroInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0002-2044-2071
Daniel Martinez-BelloInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0003-3219-0753
Jose P Lopez-LopezInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0001-8865-0929
Patricio Lopez-JaramilloInstituto MASIRA. Universidad de Santander (UDES), Bucaramanga, Colombia.ORCID 0000-0002-9122-8742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isometric handgrip or (wall) squat exercise performed three times per week produces reductions in systolic blood pressure (SBP) in adults with hypertension. We aimed to compare these interventions and the potential to retain benefits with one exercise session per week. We compared blood pressure changes following handgrip and squat isometric training interventions with controls in a randomized controlled multicentre trial in 77 unmedicated hypertensive (SBP ≥ 130 mmHg) adults. Exercise sessions were performed in the workplace and consisted of four repetitions-three sessions per week for the first 12 weeks (phase 1), and one session per week for the subsequent 12 weeks (phase 2). Office blood pressure (BP) was measured at baseline, post-phase 1 and post-phase 2. Post-phase 1, mean reductions in SBP were significantly greater in handgrip (-11.2 mmHg, n = 28) and squat (-12.9 mmHg, n = 27) groups than in controls (-.4 mmHg; n = 22) but changes in DBP were not. There were no significant within-group changes during phase 2 but SBP was 3.8 mmHg lower in the wall squat than the handgrip group-a small magnitude but clinically important difference. While both interventions produced significant SBP reductions, the wall squat appears to be more effective in maintaining benefits with a minimal training dose. The low time investment to achieve and retain clinically significant SBP reductions-42 and 12 min, respectively-and minimal cost, particularly of the wall squat, make it a promising intervention for delivery in public health settings.

Indexed as

HypertensionAdultBlood PressureExerciseHand StrengthHumansIsometric Contractionexercise/hypertensionhandgripisometricwall squat

Identifiers

PMID36965163
PMCPMC10085809

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.