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Working Out With High Blood Pressure

Normal Pulse Pressure Range

What is High Blood Pressure? (HealthSketch)

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What Happens When Blood Pressure Is High

Your blood pressure measures the resistance blood encounters as it moves through your vessels. Its not always clear why blood pressure becomes chronically elevated in some people. Diet can play a role. And we know that in many cases, aging, disease, and genetics can inhibit our blood vessels ability to relax. This adds resistance and elevates blood pressure, which makes the heart work harder to pump blood through the circulatory system, says Dr. Jacobs. Left untreated, systemic hypertension can damage your blood vessels and lead to stroke, heart attack, and left-sided heart failure.

What Is Inspiratory Muscle Strength Training

For the study, 18 participants between the ages of 50 and 79 with high blood pressure did the IMST training for six weeks. Another group of 18 people did a placebo exercise. At the end of the six weeks, the researchers found that the participants who did IMST experienced a blood pressure drop of an average of nine points, which is about the same as what someone who exercises for 30 minutes a day or takes blood pressure medication would experience.

So, what is IMST? Dr. Howard Weintraub, MD, the clinical director of the Center for the Prevention of Cardiovascular Disease at NYU Langone Health, explains that IMST is done by breathing through a scaled tube that uses resistance to strengthen the muscles used to breathe. Think of it as strength training for your diaphragm. Similar to how lifting weights in the gym can make your arms stronger, IMST uses resistance to make the diaphragm stronger.

While we know through scientific studies that aerobic exercise helps lower blood pressure because it makes the heart stronger, which allows it to pump more blood with less effort and decrease the force put on the arteries, the researchers of the study were not able to explain why IMST effectively lowered blood pressure they just observed that it did.

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Is It Safe To Exercise With High Blood Pressure

Physical activity plays an important role in preventing and managing high blood pressure. Research from theAmerican Heart Association found that people who worked out for four hours a week were 19% less likely to have high blood pressure than people who were less active. But, there are some special considerations if you already have elevated numbers.

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Caveats To Exercising With High Blood Pressure

Although exercise can lower blood pressure, it’s worth noting that not all forms of physical activity are suitable for clients with high blood pressure.

So, how can you circumvent this? Answer: by controlling their exercise intensity.

In general, you should avoid having a client with high blood pressure do any high-intensity exercise. This is because high-intensity exercise can rapidly raise your client’s blood pressure and put too much strain on their heart and blood vessels. Examples of high-intensity activity include sprinting, powerlifting, plyometrics, and all forms of HIIT training .

Instead, you should have your client do moderate activity. A good way to gauge your clients exertion level is something called the talk test.

If your client is doing a moderate-intensity activity, they can talk but not sing during the activity. Cross into the vigorous-intensity activity territory, on the other hand, and your client wont be able to say more than a few words without pausing for breath.

You should also have your client seek clearance from their primary healthcare providers before starting on an exercise program.

Some medicationsincluding high blood pressure drugscan affect heart rate and the body’s response to exercise. So, it’s always better to play it safe.

How To Make Low Blood Pressure Go Up

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Ten Minutes Of Brisk Or Moderate Walking Three Times A Day

Exercise lowers blood pressure by reducing blood vessel stiffness so blood can flow more easily. The effects of exercise are most noticeable during and immediately after a workout. Lowered blood pressure can be most significant right after you work out.

So, health professionals theorize, the ideal way to combat high blood pressure might be to break up your workout into several sessions throughout the day. In fact, one study found that three 10-minute walks a day more effectively prevented future blood pressure spikes than one 30-minute trek per day.

Remember Pacing Is Important

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Its important to pace yourself properly when exercising. If youre just starting a program, aim at the lowest part of your target zone during the first few weeks. Gradually build up to the higher part of your target zone . After six months or more of regular exercise, you may be able to exercise comfortably at up to 85 percent of your maximum heart rate. However, you dont have to exercise that hard to stay in shape.

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Is It Safe To Exercise If You Have High Blood Pressure

For most people, the answer is yes. If you have , you should be able to be more active quite safely. But to be on the safe side, its always a good idea to speak to your doctor or nurse before you start any new physical activity.

Physical activity will cause your blood pressure to rise for a short time. For most people, this is nothing to worry about, and when you stop the activity it should quickly return to normal.

If your blood pressure is relatively high, your doctor or nurse may prefer to lower it with before you start exercising. If its very high, avoid any new activity without talking to your doctor first.

Use the table below to get an idea of whether its safe to exercise, but speak to your doctor or nurse about whats safe for you.

Dont start any new activity visit your doctor or nurse as soon as possible

Be Smart About Strength Training

Strength training can be good for your blood pressure, too. But don’t lift heavy weights. Learn from a pro what you need to do, and don’t hold your breath.

âAlways use lower resistances and higher repetitions, and always exhale on muscle exertion,â Bryant says.

Here’s why: Blood pressure naturally goes up while you’re exercising, but holding your breath and doing more intense resistance training tend to raise blood pressure even further, Beckerman says. If you have high blood pressure readings to begin with, it makes sense to avoid activities that cause big increases in blood pressure.

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Anything That Involves Your Head Being Lower Than Your Heart

You might need to give those downward dogs a miss, Weston advises. Its a good idea to avoid exercises that involve your head being level with, or below, your heart. This includes crunches, reverse fliers and lots of yoga positions basically, anything that involves sudden changes in posture can make you feel dizzy or nauseous.

So, while crunches are out, theres no reason to avoid getting your sweat on altogether, as exercise helps to boost blood circulation, which is crucial for anyone with sluggish blood pressure.

Ace Inhibitors Open Things Up

Working Out With High Blood Pressure

These meds lower your body’s supply of angiotensin II — a substance that makes blood vessels contract and narrow. The result is more relaxed, open arteries, as well as lower blood pressure and less effort for your heart. Side effects can include a dry cough, skin rash, dizziness, and high potassium levels. Donât get pregnant while taking one of these drugs.

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Work And Blood Pressure

The Japanese have a word for it: Karoshi, or death from overwork. For many of us, our jobs are a major source of stress, and there is a perception that those of us who are lucky enough to have jobs are working harder and harder. This raises the issue of the effects of work on health. When 24-hour blood pressure monitoring first came into use nearly 30 years ago, we observed that for most persons blood pressure tends to be highest during hours of work and that blood pressure tends to be higher on a workday than a day away from work. We also found that the correlation between left ventricular mass and blood pressure was closer for the blood pressure measured at work than for blood pressure taken at home or during sleep. This led us to look at the effects of occupational stress, but the question was how to measure it.

Overtime may also affect blood pressure. A Japanese study classified employees according to the amount of overtime they worked and found that while there were no significant differences in the conventionally measured blood pressures, persons who worked an average of 60 hours or more per month of overtime had slightly higher 24-hour blood pressure levels. Both 24-hour blood pressure and heart rates were higher during periods when the workers were accumulating more overtime.

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Cite this: Work and Blood Pressure – Medscape – Jul 01, 2004.

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Dont Be Afraid To Get Active

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If you have not been active for quite some time or if you are beginning a new activity or exercise program, take it gradually. Consult your healthcare professional if you have cardiovascular disease or any other preexisting condition. It’s best to start slowly with something you enjoy, like taking walks or riding a bicycle. Scientific evidence strongly shows that physical activity is safe for almost everyone. Moreover, the health benefits of physical activity far outweigh the risks.

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Exercise Is Great If You Have No Symptoms

Exercise is a great way to keep your blood pressure healthy, but perhaps counterintuitively, it can be tricky for those with really low blood pressure to work up a sweat without feeling dizzy or shaky.

Whether its safe to work out depends on why you have low blood pressure, Weston explains. If you naturally have low blood pressure and have no symptoms, youll generally be fine. However, before starting or changing an exercise regime, its always worth checking with a health practitioner.

In addition, its wise to check any dramatic increases or drop in pressure during or after your workout, as these could be signs of hypertension and require urgent medical attention.

Exercise Training For Exercise

Even in people with apparently normal resting BP, exercise-induced hypertension is probably indicative of underlying hypertension that has failed detection using resting BP screening methods. Evidence to support this comes firstly from the high prevalence of masked hypertension among people with EIH., Secondly, EIH is associated with hypertensive-related end-organ damage and thirdly, EIH predicts CV events and mortality independent from resting BP, with the strongest signal for increased risk manifest at light-to-moderate intensity aerobic exercise. Although submaximal exercise BP cut points denoting elevated risk from EIH are yet to be determined, it may be in the region of SBP 150mm Hg at the equivalent intensity of stage 2 of the Bruce treadmill protocol , as this threshold has been shown as the strongest predictor of left ventricular hypertrophy in a large sample of people with prehypertension. Interpretation of BP during more intense exercise is difficult. In normotensive athletes, BP increases substantially during exercise of high intensity but in a manner proportional to workload such that the P/Q ratio remains normal and left ventricular wall stress increases are modest. Furthermore, in hypertensive athletes, BP during high-intensity exercise does not correlate well with resting BP.

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