Exercise as a Therapy to Control Hypertension in Children

Hypertension is not uncommon in childhood and adolescence; vascular and renal causes predominate. Non-pharmacologic therapy, including exercise, may lower blood pressure (BP). There are several articles relating to the use of exercise as a therapy for high BP. Most of these show a beneficial effect. The (dose) of exercise remains undetermined. There are no known data stating that dynamic exercise is of significant risk in childhood or adolescence. A multicenter trial of exercise is proposed to define the intensity, duration, and frequency of sessions needed to obtain optimal BP control.

Key words:

Hypertension, dynamic exercise, static exercise, non-pharmacologic therapy.

References

• 1 Alpert B S, Wilmore J H. Physical activity and blood pressure in adolescents.  Pediatr Exer Sci. 1994;  6 361-380
• 2 Danforth J S, Allen K D, Filtering J M, Danforth J A, Farrar D, Brown M, Drabman R S. Exercise as a treatment for hypertension in lowsocioeconomic-status black children.  J Consulting Clin Psych. 1990;  58 237-239
• 3 Fixier D E, Laird W P, Browne R, Fitzgerald V, Wilson S, Vance R. Response of hypertensive adolescents to dynamic and isometric exercise stress.  Pediatrics. 1979;  64 579-583
• 4 Frank G C, Farris R P, Ditmarsen P, Voors A W, Berenson G S. An approach to primary prevention treatment for children with high blood pressure in a total community.  J Am Coll Nutr. 1982;  1 357-374
• 5 Hagberg J M, Ehsani A A, Goldring D, Hernandez A, Sinacore D R, Holloszy J O. Effect of weight training on blood pressure and hemodynamics in hypertensive adolescents.  J Pediatr. 1984;  104 147-151
• 6 Hagberg J M, Goldring D, Ehsani A A, Health G W, Hernandez A, Schechtman K, Holloszy J O. Effect of exercise training on the blood pressure and hemodynamic features of hypertensive adolescente.  Am J Cardiol. 1983;  52 763-768
• 7 Hagberg J M, Goldring D, Heath G W, Ehsani A A, Hernandez A, Holloszy J O. Effect of exercise training on plasma catecholamines and hemodynamics of adolescent hypertensives during rest, submaximal exercise and orthostatic stress.  Clin Physiol. 1984;  4 117-124
• 8 Hansen H S, Froberg K, Hyldebrandt N, Nielsen J R. A controlled study of eight months of physical training and reduction of blood pressure in children: The Odense Schoolchild Study.  Brit Med J. 1991;  303 682-685
• 9 Hansen H S, Hyldebrandt N, Nielsen J R, Froberg K. Exercise testing in children as a diagnostic tool of future hypertension: The Odense Schoolchild Study.  J Hypertens. 1989;  7 S41-S42
• 10 Hohn A R. Guidebook for Pediatric Hypertension. Mount Kisco, NY; Futura Publishing Company 1994: 53-74
• 11 Klein A A, McCrory W W, Engle M A, Rosenthal R, Ehlers K H. Sympathetic nervous system and exercise tolerance response in normotensive and hypertensive adolescents.  J Am Coll Cardiol. 1984;  3 381-386
• 12 Laird W P, Fixler D E, Swanborn C D. Cardiovascular effects of weight training in hypertensive adolescents.  Med Sci Sports Exerc. 1979;  11 78
• 13 Nudel D B, Gootman N, Brunson S C, Stenzler A, Shenker R I, Gauther B G. Exercise performance of hypertension adolescents.  Pediatrics. 1980;  65 1073-1078
• 14 Schieken R M, Clarke W R, Lauer R M. The cardiovascular responses to exercise in children across the blood pressure distribution.  Hypertension. 1983;  5 71-78