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Diabetes T2 – Improves blood pressure

Improves blood pressure

Evidence summary

Meta-analysis of 30 RCTs have shown that exercise in people with type 2 diabetes can reduce systolic blood pressure by up to 4mmHg and diastolic blood pressure by 2mmHg. Greater reductions are seen with increasing duration and intensity of exercise. Combined aerobic and resistance exercise is less effective in reducing blood pressure than aerobic or resistance exercise alone (Figueira et al., 2014; Wing et al., 2010).

Quality of evidence

High quality

Strength of recommendation

Strong

References

Figueira FR, Umpierre D, Cureau FV, Zucatti AT, Dalzochio MB, Leitão CB, Schaan BD. Association between physical activity advice only or structured exercise training with blood pressure levels in patients with type 2 diabetes: a systematic review and meta-analysis.  Sports Med. 2014 Nov;44(11):1557-72.

Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010 Sep 27;170(17):1566-75.