Effects of inspiratory muscle training in patients with hypertension: a meta-analysis

被引:2
|
作者
Zheng, ShuQi [1 ,2 ]
Zhang, Qi [1 ,2 ]
Li, ShuiYan [1 ,2 ]
Li, Shilin [1 ,2 ]
Yao, Qiuru [1 ,3 ]
Zheng, Xiaoyan [1 ]
Li, Gege [1 ,2 ]
Zeng, Yuting [2 ]
Chen, Ling [2 ]
Chen, Shuping [1 ,2 ]
He, Longlong [1 ,2 ]
Zou, Jihua [1 ,2 ,4 ]
Zeng, Qing [1 ,2 ]
机构
[1] Southern Med Univ, Sch Rehabil Sci, Guangzhou, Peoples R China
[2] Southern Med Univ, Zhujiang Hosp, Dept Rehabil Med, Guangzhou, Peoples R China
[3] Southern Med Univ, Sch Nursing, Guangzhou, Peoples R China
[4] Hong Kong Polytech Univ, Fac Hlth & Social Sci, Hong Kong, Peoples R China
来源
FRONTIERS IN CARDIOVASCULAR MEDICINE | 2023年 / 10卷
关键词
hypertension; blood pressure; inspiratory muscle training; IMT; meta-analysis; RESTING HEART-RATE; BLOOD-PRESSURE; QUALITY; STROKE; RISK; FAILURE; TRIALS;
D O I
10.3389/fcvm.2023.1113509
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To explore the effects of inspiratory muscle training (IMT) on hypertension and provide guidance for its clinical application as an auxiliary approach. Methods: Articles published prior to July 2022 were searched in Cochrane Library, Web of Science, PubMed, Embase, CNKI, and Wanfang databases. Included were randomized controlled studies that used IMT to treat individuals with hypertension. The mean difference (MD) was computed using the Revman 5.4 software. In individuals with hypertension, the effects of IMT on systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and pulse pressure (PP) were compared and studied. Results: There were found to be eight randomized controlled trials totaling 215 patients. According to a meta-analysis, the IMT reduced the SBP (MD: -12.55 mmHg, 95% CI: -15.78, -9.33), DBP (MD: -4.77 mmHg, 95% CI: -6.00, -3.54), HR (MD: -5.92 bpm, 95% CI: -8.72, -3.12), and PP (MD: -8.92 mmHg, 95% CI: -12.08, -5.76) in patients with hypertension. In subgroup analyses, lowintensity IMT showed a better reduction in SBP (MD: -14.47 mmHg, 95% CI: -17.60, -11.34), DBP (MD: -7.70 mmHg, 95% CI: -10.21, -5.18). Conclusion: IMT may become an auxiliary means to improve the four hemodynamic indexes (SBP, DBP, HR and PP) in patients with hypertension. In subgroup analyses, low-intensity IMT was more effective in regulating blood pressure than medium-high-intensity IMT.
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页数:12
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