Exercise: A drug-free approach to lowering high blood pressure
Having high blood pressure and not getting enough exercise are closely related. Discover how small changes in your daily routine can make a big difference.By Mayo Clinic Staff
Your risk of high blood pressure (hypertension) increases with age, but getting some exercise can make a big difference. And if your blood pressure is already high, exercise can help you control it. Don't think you've got to run a marathon or join a gym. Instead, start slow and work more physical activity into your daily routine.
How exercise can lower your blood pressure
How are high blood pressure and exercise connected? Regular physical activity makes your heart stronger. A stronger heart can pump more blood with less effort. If your heart can work less to pump, the force on your arteries decreases, lowering your blood pressure.
Becoming more active can lower your systolic blood pressure — the top number in a blood pressure reading — by an average of 4 to 9 millimeters of mercury (mm Hg). That's as good as some blood pressure medications. For some people, getting some exercise is enough to reduce the need for blood pressure medication.
If your blood pressure is at a desirable level — less than 120/80 mm Hg — exercise can help prevent it from rising as you age. Regular exercise also helps you maintain a healthy weight — another important way to control blood pressure.
But to keep your blood pressure low, you need to keep exercising on a regular basis. It takes about one to three months for regular exercise to have an impact on your blood pressure. The benefits last only as long as you continue to exercise.
How much exercise do you need?
Aerobic activity can be an effective way to control high blood pressure. But flexibility and strengthening exercises such as lifting weights are also important parts of an overall fitness plan. You don't need to spend hours in the gym every day to benefit from aerobic activity. Simply adding moderate physical activities to your daily routine will help.
Any physical activity that increases your heart and breathing rates is considered aerobic activity, including:
- Household chores, such as mowing the lawn, raking leaves, gardening or scrubbing the floor
- Active sports, such as basketball or tennis
- Climbing stairs
The Department of Health and Human Services recommends getting at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity a week, or a combination of moderate and vigorous activity. Aim for at least 30 minutes of aerobic activity most days of the week.
If you can't set aside that much time at once, remember that shorter bursts of activity count, too. You can break up your workout into three 10-minute sessions of aerobic exercise and get the same benefit as one 30-minute session.
Also, if you sit for several hours a day, try to reduce the amount of time you spend sitting. Research has found that too much sedentary time can contribute to many health conditions. Aim for five to 10 minutes of low-intensity physical activity — such as getting up to get a drink of water or going on a short walk — each hour. Consider setting a reminder in your email calendar or on your smartphone.
Weight training and high blood pressure
Weight training can cause a temporary increase in blood pressure during exercise. This increase can be dramatic, depending on how much weight you lift.
But weightlifting can also have long-term benefits to blood pressure that outweigh the risk of a temporary spike for most people. And it can improve other aspects of cardiovascular health that can help to reduce overall cardiovascular risk. The Department of Health and Human Services recommends incorporating strength training exercises of all the major muscle groups into a fitness routine at least two times a week.
If you have high blood pressure and you'd like to include weight training in your fitness program, remember:
- Learn and use proper form. Using proper form and technique when weight training reduces the risk of injury.
- Don't hold your breath. Holding your breath during exertion can cause dangerous spikes in blood pressure. Instead, breathe easily and continuously during each exercise.
- Lift lighter weights more times. Heavier weights require more strain, which can cause a greater increase in blood pressure. You can challenge your muscles with lighter weights by increasing the number of repetitions you do.
- Listen to your body. Stop your activity right away if you become severely out of breath or dizzy, or if you experience chest pain or pressure.
If you have high blood pressure, get your doctor's OK before adding weight training exercises to your fitness routine.
Aug. 06, 2015
See more In-depth
- AskMayoExpert. Hypertension care process model, incorporate lifestyle modifications. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Physical activity and blood pressure. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Physical-Activity-and-Blood-Pressure_UCM_301882_Article.jsp. Accessed July 27, 2015.
- Eckel RH, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2014;63:2960.
- Brook RD, et al. Beyond medications and diet: Alternative approaches to lowering blood pressure: A scientific statement from the American Heart Association. Hypertension. 2013;61:1360.
- Kaplan NM. Exercise in the treatment and prevention of hypertension. http://www.uptodate.com/home. Accessed July 21, 2015.
- Pescatello LS, et al., eds. ACSM's Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2014.
- Durstine JL, et al. Hypertension. In: ACSM's Exercise Management for Persons with Chronic Diseases and Disabilities. Champaign, Ill.: Human Kinetics; 2009.
- 2008 Physical Activity Guidelines for Americans. U.S. Department of Health and Human Services. http://www.health.gov/PAGUIDELINES/guidelines/default.aspx. Accessed July 21, 2015.
- Bushman B. Promoting exercise as medicine for prediabetes and prehypertension. Current Sports Medicine Reports. 2014;13:233.
- Pal S, et al. Potential benefits of exercise on blood pressure and vascular function. Journal of the American Society of Hypertension. 2013;7:494.
- Kokkinos P. Cardiorespiratory fitness, exercise, and blood pressure. Hypertension. 2014;64:1160.
- Sheps SG. 5 Steps to Controlling High Blood Pressure. 2nd ed. Rochester, Minn.: Mayo Clinic; 2015.
- Home blood pressure monitoring. American Heart Association. http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosisMonitoringofHighBloodPressure/Home-Blood-Pressure-Monitoring_UCM_301874_Article.jsp. Accessed July 28, 2015.
- Sheps SG (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 3, 2015.
- Laskowski ER (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 3, 2015.
- Ibanez J, et al. Resistance training improves cardiovascular risk factors in obese women despite a significative decrease in serum adiponectin levels. Obesity. 2010;18:535.
- Marzolini S, et al. Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: A meta-analysis. European Journal of Preventive Cardiology. 2012;19:81.