Evidence map›Paper›PMID 39085963›Full record

ArticleClinical hypertension2024

The effect of physical activity intervention on blood pressure in 18 low and middle-income countries: a systematic review and meta-analysis of randomized controlled trials.

Vahid Monfared, Mohtaram Hashemi, Fatemeh Kiani, Reyhane Javid, Mahsa Yousefi, Mahdis Hasani, Ali Jafari, Mohammad Ali Vakili, Motahareh Hasani

Abstract read
In one paragraph

Article in Clinical hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

9 authors.

Vahid MonfaredSkeletal Biology Laboratory, College of Health, Oregon State University, Corvallis, OR, 97331, USA.
Mohtaram HashemiStudent Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Fatemeh KianiStudent Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Reyhane JavidStudent Research Committee, Semnan University of Medical Sciences, Semnan, Iran.
Mahsa YousefiStudent Research Committee, Golestan University of Medical Sciences, Gorgan, Iran.
Mahdis HasaniDepartment of Physical Education, Farhangian University, Tehran, Iran.
Ali JafariStudent Research Committee, Department of Nutrition, School of Health, Golestan University of Medical Sciences, Gorgan, Iran.
Mohammad Ali VakiliDepartment of Biostatistics and Epidemiology, Health Management and Social Development Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.
Motahareh HasaniHealth Management and Social Development Research Center, Golestan University of Medical Sciences and Health Services, Hirkan Boulevard, Gorgan, 4918936316, Iran. dr.hasani@goums.ac.ir.ORCID http://orcid.org/0000-0002-9002-1192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn especially, low and middle-income nations (LMICs), where healthcare access may be restricted, high blood pressure (BP) is a major risk factor for cardiovascular disease and stroke, both of which can even lead to death. Altering one's lifestyle, in conjunction with medical therapy, has been demonstrated to be effective in lowering BP. Recent research has shown that physical activity (PA), in a variety of guises and to varying degrees, can be an effective means of lowering BP.

objectiveThe purpose of this meta-analysis and systematic review was to evaluate the impact that PA plays in the development of hypertension in LMICs nations.

methodsAn exhaustive search of the available research was carried out in order to locate studies that were pertinent. We searched a number of online databases, such as SCOPUS, Medline, and Web of Science, looking for clinical trials that were published before March of 2023. Studies were only considered for inclusion if they were randomized controlled trials (RCTs), reported on the association between PA and BP, and were carried out in LMICs countries.

resultsThis meta-analysis incorporated a comprehensive collection of 60 studies, encompassing a total of 11,002 people, consisting of 5,630 cases and 5372 controls. The findings indicate that engaging in PA had a notable impact on decreasing systolic blood pressure (SBP), as seen by a weighted mean difference (WMD) of -7.70 mmHg, with a 95% confidence interval (CI) ranging from -9.50 to -5.91 (p < 0.001). Additionally, PA was found to have a significant influence on reducing diastolic blood pressure (DBP), as indicated by a WMD of -3.60 mmHg, with a 95% CI ranging from -4.48to -2.73(p < 0.001). The findings from subgroup analysis indicate that the observed results remained statistically significant when considering individuals with baseline SBP of 120 mmHg or lower and DBP of 80 mmHg or lower.

conclusionThe incorporation of PA can significantly contribute to the mitigation of high BP within LMICs nations. Additional investigation is required to ascertain the most effective form and amount of PA in order to mitigate BP levels within these specific individuals.

Indexed as

Blood pressureMiddle- and low-income nationsPhysical activity

Identifiers

PMID39085963
PMCPMC11293006

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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.