Physical activity plays a crucial role in managing hypertension (high blood pressure) and reducing the risk of associated complications. However, it’s essential for hypertensive patients to engage in safe and effective exercise routines tailored to their condition. Here are some exercise recommendations for hypertensive individuals:

Consultation with Healthcare Provider:

Before starting any exercise regimen, hypertensive patients should consult their healthcare provider for personalized recommendations and clearance.
Individuals with uncontrolled hypertension or other cardiovascular complications may require specific guidelines or restrictions.

Types of Exercise:

Aerobic Exercise: Incorporate moderate-intensity aerobic activities such as brisk walking, cycling, swimming, or dancing.
Resistance Training: Include strength training exercises using resistance bands, free weights, or weight machines to improve muscle strength and endurance.
Flexibility and Balance Exercises: Perform stretching exercises and activities that improve flexibility, balance, and coordination, such as yoga or tai chi.

Intensity and Duration:

Aim for moderate-intensity exercise most days of the week.
Start with 30 minutes of aerobic activity on most days, gradually increasing duration to 150 minutes per week.
Resistance training should be performed 2-3 times per week, targeting major muscle groups with 1-3 sets of 8-12 repetitions.
Begin with lighter weights and fewer repetitions, gradually progressing as strength improves.

Monitoring Intensity:

Use the perceived exertion scale (e.g., Borg Rating of Perceived Exertion) to monitor exercise intensity, aiming for a level of 12-14 (somewhat hard) on a scale of 6 to 20.
Avoid exercising at maximal intensity, which can elevate blood pressure to unsafe levels.

Safety Measures:

Monitor blood pressure regularly before, during, and after exercise sessions.
Avoid exercising in extreme temperatures and high humidity.
Stay hydrated by drinking water before, during, and after exercise.
Incorporate a proper warm-up and cool-down routine to prevent injury and promote recovery.

Lifestyle Modifications:

Combine regular exercise with a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.
Limit sodium intake, processed foods, and alcohol consumption.
Drink H20 – daily target is your body weight in Kilograms multiplied by 0.033. This is your H20 intake in litres. For example, for a person weighing 70Kg this is a daily intake spaced over the day of 2.3 litres. Adding a pinch of quality rock salt aids taste and where possible/realistic drink filtered water and/or quality brands like Evian, Vittel or Volvic. Learn to chew your water and drink your food (i.e. take time to break down the food in your mouth)
Maintain a healthy weight through regular physical activity and portion control.
Manage stress through relaxation techniques such as deep breathing, meditation, or mindfulness.

Gradual Progression and Adaptation:

Progress exercise intensity, duration, and frequency gradually to avoid sudden spikes in blood pressure.
Listen to your body and adjust exercise intensity or duration as needed.
Be mindful of warning signs such as dizziness, chest pain, or severe shortness of breath, and stop exercising if they occur.

Long-term Commitment:

Consistency is key to reaping the benefits of exercise for hypertension management.
Incorporate physical activity into daily routines and make it a lifelong commitment to maintaining overall health and well-being.
Remember, the goal of exercise for hypertensive individuals is to improve cardiovascular health, lower blood pressure, and reduce the risk of complications. By following these exercise recommendations and working closely with healthcare providers, hypertensive patients can lead active and healthy lifestyles while effectively managing their condition.

References
Pescatello LS, MacDonald HV, Lamberti L, Johnson BT. Exercise for hypertension: a prescription update integrating existing recommendations with emerging research. Current hypertension reports. 2015;17(11):1-10.