Regular physical activity is beneficial for reducing mortality in patients with high BP .
BACKGROUND Physical activity has been shown to be beneficial for the prevention and management of hypertension .
In the general population , physical activity has been shown to decrease mortality .
PURPOSE The purpose of this systematic review was to identify and synthesize the literature examining the impact of physical activity on mortality in patients with high blood pressure ( BP ) .
Exercise and cardiovascular outcomes in hypertensive patients in relation to structure and function of left ventricular hypertrophy: the LIFE study
Background Exercise lowers blood pressure and improves cardiovascular function , but little is known about whether exercise  impacts cardiovascular morbidity and mortality independent of left ventricular hypertrophy ( LVH ) and LV geometry . Design Observational analysis of prospect ively obtained echocardiographic data within the context of a r and omized trial of antihypertensive treatment . Methods A total of 937 hypertensive patients with ECG LVH were studied by echocardiography  in the Losartan Intervention For Endpoint reduction in hypertension study . Baseline exercise status was categorized as sedentary ( never exercise ) , intermediate ( ≤ 30 min twice/week ) , or physically active ( > 30 min twice/week ) . During 4.8-year follow-up , 105 patients suffered the primary composite endpoint of myocardial infa rct ion ( MI ) , stroke , or cardiovascular death . Ml occurred in 39 , stroke in 60 , and cardiovascular death in 33 patients . Results Sedentary individuals ( n = 212 ) had , compared with those physically active ( n = 511 ) , higher heart rate ( P < 0.001 ) , weight ( P < 0.001 ) , body surface area ( P = 0.02 ) , body mass index ( P < 0.001 ) , LV mass ( LVM , P = 0.04 ) , LVM indexed for height or body surface area ( P = 0.004 ) ; thicker ventricular septum ( P = 0.012 ) and posterior wall ( P = 0.016 ) ; and larger left atrium ( P = 0.006 ) . Systolic variables did not differ . In Cox regression analysis , physically active compared with sedentary patients had lower risk of primary composite endpoint [ odds ratio ( OR ) : 0.42 , 95 % confidence interval ( CI ) : 0.26 - 0.68 , P < 0.001 ] , cardiovascular death ( OR : 0.50 , 95 % CI : 0.22 - 0.1.10 , NS ) , and stroke ( OR : 0.26 , 95 % CI : 0.13 - 0.49 , P < 0.001 ) without significant difference for Ml ( OR : 0.79 , 95 % CI : 0.35 - 1.75 , NS ) independent of systolic blood pressure , LVM index , or treatment . Conclusion In hypertensive patients with LVH , physically active patients had improved prognosis for cardiovascular endpoints , mortality , and stroke that was independent of LVM . Eur J Cardiovasc Prev Rehabil 16:242 - 248 © 2009 The European Society of
Regular physical activity is beneficial for reducing mortality in patients with high BP .
BACKGROUND Physical activity has been shown to be beneficial for the prevention and management of hypertension .
In the general population , physical activity has been shown to decrease mortality .
PURPOSE The purpose of this systematic review was to identify and synthesize the literature examining the impact of physical activity on mortality in patients with high blood pressure ( BP ) .