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5 extra minutes of daily exercise may improve blood pressure

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5 extra minutes of daily exercise may improve blood pressure
  • Keeping blood pressure in a healthy range helps improve cardiovascular health and decreases the risk of death from certain causes like heart attack.
  • A recent study found that increasing exercise-like activity, such as running or cycling, by as little as five minutes a day may help lower systolic and diastolic blood pressure.
  • The results further support that longer increases in exercise-like activity could lead to clinically meaningful drops in blood pressure.

High blood pressure remains a common problem in the United States, affecting almost half the adult population. It contributes to death and increases the risk of severe problems like heart disease and stroke. Experts are interested in finding the most research-backed methods to help lower high blood pressure.

A study published in Circulation looked at the effects of different activities on blood pressure.

The researchers found that increasing exercise-like activities like running, cycling, and climbing stairs was associated with decreases in blood pressure. For example, the findings suggest that switching out 21 minutes of sedentary time with exercise-like activity could lower systolic blood pressure by about 2 mmHg.

The results highlight how much exercise can influence blood pressure and that daily changes can greatly influence cardiovascular health.

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Researchers of the current study wanted to examine activity patterns in a 24-hour period and how they influenced blood pressure, both the systolic and diastolic readings. Researchers divided activity into six distinct categories:

  1. Sleeping
  2. Sedentary behavior
  3. Standing
  4. Slow walking
  5. Fast Walking
  6. Exercise-like activities such as cycling and running

The cross-sectional study involved data from 14,761 participants from six observational cohort studies. These studies involved participants wearing movement trackers to look at activity levels. People were eligible for analysis if they met certain criteria, like wearing the movement tracker for twenty hours or more daily and having data from at least one weekday and one weekend day.

The participants spent an average of 16 minutes a day engaged in exercise-like activities and an average of over 10 hours a day engaged in sedentary behavior. Almost one-fourth of the participants were taking medication for high blood pressure, and the average blood pressure reading was around 132/79 mmHg.

All the cohorts considered some covariates, such as alcohol intake, smoking status, and age. Some cohorts gathered data on additional covariates, like mobility and education level.

Researchers were able to conduct several analyses to examine the available data. They found that doing more exercise-like activities and sleeping were associated with lower systolic and diastolic blood pressure. In contrast, higher systolic and diastolic blood pressure were associated with higher levels of sedentary behavior.

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When looking at the reallocation of activity, researchers found that replacing any other activity with exercise-like activity saw the most benefit for blood pressure. For example, researchers found that replacing five minutes of any other behavior with exercise-like activity was associated with around a 0.68-point decrease in systolic blood pressure and around a 0.54-point reduction in diastolic blood pressure.

The results also suggest that greater exercise-like activity could yield more significant reductions.

For example, researchers estimated that about a two-point drop in systolic blood pressure was associated with replacing 21 minutes of sedentary activity with exercise-like activity while leaving other activities the same. Researchers also estimated that a drop of one point in diastolic blood pressure was associated with replacing 11 minutes of sedentary time with eleven minutes of exercise-like activity.

The findings did suggest that replacing sedentary activity with other activities like walking could also help diastolic blood pressure, but that the time reallocation needed to be greater. For example, replacing 95 minutes of sedentary behavior with 95 minutes of slow walking could help lower diastolic blood pressure by one point.

In sensitivity analyses, researchers found some data that higher amounts of fast walking might actually worsen diastolic blood pressure.

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Following a review of the press release, non-study author Cheng-Han Chen, MD, a board certified interventional cardiologist and medical director of the Structural Heart Program at MemorialCare Saddleback Medical Center in Laguna Hills, CA, noted the following about the study’s results to Medical News Today:

“This study reinforces our advice for everyone to incorporate regular exercise into their daily activity. It is encouraging to see measurable changes in blood pressure with just a few minutes of exercise, something that can be incorporated into even a busy schedule. We know that physical activity directs our organs and tissue to undergo changes that improve their performance and efficiency, which can then lead to improved blood pressure control. By increasing the intensity of exercise, you are accelerating the physiological changes that are providing for the benefits to heart health.”

The research has some limitations, particularly a lack of diversity, despite including many participants. Second, the nature of the study did not allow for long-term data collection, which could be helpful to look at in additional research.

The study cannot establish causal associations. Researchers acknowledged the possibility of misclassification, overlapping, or undetected data regarding behavior measurement. They also acknowledged that they did not directly measure activity intensity, and they were unable to examine sleep quality or how bouts of exercise affected associations. Instead, they could only examine the average time participants engaged in exercise each day.

Some of the cohort data relied on participant reporting, and some components, such as how blood pressure data was collected, varied among the cohorts.

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Additionally, a subgroup analysis looking at isometric log-ratio did not observe any “interactions between sedentary behavior or exercise levels with SBP [systolic blood pressure].” This and other subgroup analyses should be considered when interpreting the study’s findings, such as those related to sleep and blood pressure.

More research may be required to understand how alterations in activities like sleep and walking can affect blood pressure.

Researchers of this study advocate for strategies that allow people to incorporate more exercise into their daily lives. This could help create meaningful changes in blood pressure. Study author Joanna M. Blodgett, PhD, noted the following in a recent press release:

“Our findings suggest that, for most people, exercise is key to reducing blood pressure, rather than less strenuous forms of movement such as walking. The good news is that whatever your physical ability, it doesn’t take long to have a positive effect on blood pressure. What’s unique about our exercise variable is that it includes all exercise-like activities, from from running for a bus or a short cycling errand, many of which can be integrated into daily routines. For those who don’t do a lot of exercise, walking did still have some positive benefits for blood pressure. But if you want to change your blood pressure, putting more demand on the cardiovascular system through exercise will have the greatest effect.”

Additionally, other actions can contribute to blood pressure control, such as reaching a healthy weight, limiting alcohol, not smoking, and managing stress levels. Throughout making lifestyle changes to improve blood pressure, people should communicate regularly with doctors and specialists as needed.

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As Chen also noted, “The best forms of exercise for lowering blood pressure are those that involve aerobic activity, such as walking/jogging, bicycling, and swimming/water aerobics. It is also helpful to incorporate some strength training, as this also helps to improve the function of blood vessels and improve blood pressure…People with high blood pressure should talk to their physician about lifestyle factors that can help with blood pressure control. In general, we recommend that people eat a healthy balanced diet low in sodium, engage in regular physical activity, get an adequate amount of quality sleep, maintain a healthy weight, avoid tobacco and alcohol, and reduce sources of stress.”

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Circadian Fitness: New Research Heightens Debate Over the Optimal Time for Exercise

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Circadian Fitness: New Research Heightens Debate Over the Optimal Time for Exercise
A Recent Study Suggests Evening Workouts May Offer Significantly Greater Longevity Benefits for Individuals with Obesity, Intensifying the Ongoing Scientific Discussion Over Whether Health Goals and Body Metabolism Dictate the Best Hour to Exercise. The question of the most beneficial time of day to exercise—a straightforward query—continues to yield frustratingly contradictory and complex answers in […]
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Prepare for Ski Season With These Workouts

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Prepare for Ski Season With These Workouts

Skiing can be a whole lot of fun when the snow starts flying. But your body can take a beating on the slopes if it’s not properly prepared.

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Sports medicine specialist Molly McDermott, DO, shares how to get ready for ski season with some workouts and strategies.

Ski training routine

Some elite skiers start training at the tail end of spring — about six months before they ever hit the slopes. Others may need less time. In general, Dr. McDermott recommends training at least six to eight weeks before your first outdoor adventure.

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As part of your routine, you’ll want to focus on ski workouts that build:

  • Strength
  • Endurance
  • Flexibility
  • Neuromuscular control (also known as muscular coordination)

Trying to jump into a sport when you haven’t intentionally trained is difficult and challenging, says Dr. McDermott. That’s especially true given the physical demands that come with skiing.

“You want to train your brain, nerves and muscles to really build stability and balance so you can have more control over how you jump and land,” she notes.

Ski exercises

Ski-focused training puts a strong emphasis on lower-body exercises, targeting everything from your glutes to your ankles. But you’ll want to take a full-body approach to ski exercises, which means working on your core and upper body as well.

“You’re going to have to make real-time decisions when you’re out on the slopes,” stresses Dr. McDermott. “You’ll need to strengthen your whole body to be able to do things like pivot or change direction, keep your balance, propel yourself forward and withstand the impact of skiing.”

Dr. McDermott recommends starting with just bodyweight exercises if this is your first go at it. More experienced athletes can focus on higher weights or machines. In general, she recommends doing three sets of 10 to 15 reps each. Then, as you work through your training, you can progressively load your weight, sets, reps or how long you exercise to continue building strength and endurance.

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Here are some workouts that lend themselves to skiing.

Dynamic warm-up

Warming up before any workout is key, especially right before you hit the slopes. The International Ski and Snowboard Federation agrees. Dynamic warm-ups and cool-downs are highly effective for preventing injury and improving performance.

Consider starting and ending your ski workout with five to 10 minutes of:

  • Jogging
  • Using an elliptical
  • Walking on a treadmill

“You’re warming up your muscles and then stretching them, as opposed to static, cold stretching,” explains Dr. McDermott.

Squats

“Squat maneuvers help make sure you have the coordination of your nerves and your muscles working together so your muscles are strong and keep your body aligned — in particular, keeping your knees from turning in,” says Dr. McDermott. “As squats become easier, you can progress to squat jumps.”

  1. Stand with your feet shoulder-width apart with your toes pointed slightly outward.
  2. Hinge at your hips, bend your knees and slowly lower your body (as if sinking into a chair).
  3. Lower until your thighs are parallel to the ground, keeping your knees in line with your toes and your weight on your heels.
  4. Hold the position for three to five seconds.
  5. Shoot up quickly to your starting position by pushing through your heels.
  6. Repeat this process for 10 to 15 reps.

Side-lying hip abductors

Hip abductor exercises help with skiing because they focus on balance, control and building strength in your hips, glutes and thighs.

  1. Lie down on your side with your legs extended straight. Your right leg should be on top of the other and you should rest your head on your left arm.
  2. Keeping your hips steady, lift your right leg so your knees are no longer touching. You should feel a stretch in your upper thigh and hip.
  3. Slowly lower your right leg.
  4. Repeat for 10 to 15 reps, then switch sides and continue.

Calf raises

Calf raises help improve ankle mobility and calf strength — all needed for those quick turns while skiing.

  1. Stand with your feet hip-width apart, with your arms hanging at your sides.
  2. Slowly lift the back of your heels until you’re standing on the balls of your feet.
  3. Hold this position for one to two seconds before lowering back down.
  4. Repeat for 10 to 15 reps.

Skater hops

“Skater hops are single-leg hops from side-to-side,” describes Dr. McDermott. “These are really going to help you in certain ski maneuvers.”

  1. Stand with your feet hip-width apart and your hips and knees bent at a 45-degree angle.
  2. Push off the floor with your left leg so that you jump to the side, landing on your right leg.
  3. Keep your knees bent and your left leg crossed behind your right (as if you’re skating).
  4. Then, jump back to the opposite side, crossing your right leg behind your left.
  5. Repeat this process in quick succession for 10 to 15 reps, jumping as fast and far as you’re able.
  6. To maintain momentum, it helps to swing your left arm forward as you’re pushing off with your left leg and vice versa.

Shoulder shrugs

“Shoulder shrugs are a good ski exercise because they help build the upper trapezius muscles that connect with your neck,” says Dr. McDermott. “They really work on your posture.”

  1. Start by standing tall, feet hip-width apart.
  2. While looking straight ahead, lift both of your shoulders and slowly roll them backward in a circle for 10 seconds.
  3. Repeat the process by circling your shoulders in the opposite direction for 10 seconds.

Chin tucks

Chin tucks involve a gentle range of motion to improve posture and strengthen neck muscles.

  1. While sitting or standing in a relaxed position, look straight ahead and lightly touch the bottom of your chin with your index finger.
  2. Gently pull your head and neck back so your chin moves away from your finger.
  3. Hold this tucked-chin position for up to 10 seconds before slowly extending your head and neck forward to the starting chin position.
  4. Repeat this process for 10 to 15 reps.

Push-ups

“Push-ups are good for strengthening your shoulders, chest and core, which helps with balance and stability when you’re skiing,” says Dr. McDermott.

  1. Kneel on all fours with your palms flat on the floor in front of you and your fingers facing forward. Hands should be shoulder-width apart and directly below your shoulders.
  2. Lift your knees off the floor and straighten your legs.
  3. Bend your elbows and tuck them to your sides as you slowly lower your chest and chin to the floor.
  4. Push through your palms until your arms are fully extended. Don’t let your hips or back dip to the ground — your head, spine and butt should all be aligned.
  5. Repeat this process for 10 to 15 reps.

Planks

This exercise targets your wrists, forearms, core and upper body — all areas that promote stability and strength while skiing.

  1. Get into a push-up position, with your legs extended and your elbows directly beneath your shoulders.
  2. Hold this upright push-up position for 10 to 15 seconds, with your abs engaged and butt and back aligned.
  3. For a modified challenge, you can lower your knees to the floor while holding this position.
  4. For a deeper stretch, you can rock your hips back and forth, or lower down to your elbows for a low plank.

Bridges

Bridges help strengthen your glutes, which help guide and direct your skis.

  1. Lie on your back with your knees bent, feet on the floor and arms at your sides.
  2. Squeezing your butt and abdominal muscles, push through your heels to slowly lift your hips toward the ceiling.
  3. Keep your back straight and your arms pressed into the floor at your sides.
  4. Hold this position for a few seconds, before slowly lowering your hips to the floor.
  5. Repeat this process for 10 to 15 reps.

Oblique twists

Also known as a Russian twist, this exercise focuses on your abdominal muscles and core strength. It helps with skiing because it supports your ability to rotate, turn and move quickly.

  1. Sit on the floor with your knees bent and your feet flat.
  2. Lean back at a 45-degree angle and squeeze your abdominal muscles.
  3. Extend your arms out straight in front of you and clasp your hands together.
  4. Engage your core as you twist slowly to the right as far as you feel comfortable, moving your arms in the direction you’re turning.
  5. Return back to center, pause and then twist to the left side.
  6. Repeat this process for 10 to 15 reps.

Cardio exercises

Skiers can also benefit from cardio exercises that get their blood flowing and build aerobic endurance, like:

  • Cycling
  • Running
  • Swimming
  • Rowing

“Build cardiovascular and low-impact activities into your training routine to help improve your performance and increase your endurance,” advises Dr. McDermott. “Some days you can break it up into sets or you can do 30 minutes straight.”

A note before hitting the slopes

A big part of ski training is getting your body acclimated to cold-weather exercises. For athletes who live in areas where winter runs strong, it helps to train early and get that outdoor exposure as temperatures begin to drop during the fall.

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Others who live in warmer climates might benefit from taking cold showers, ice baths or lowering indoor temperatures weeks before heading out on a ski trip.

Once ski season begins, make sure you warm up before heading outdoors, stay hydrated and keep moving to keep your body warm.

“When you’re skiing, a lot of unexpected things happen,” cautions Dr. McDermott. “The weather changes and things happen really fast. So, you want to be physically and mentally prepared before you hit the slopes, making sure you’ve got the right equipment, the right clothing and you’re prepared in case of injury.”

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

One of the harder parts of committing to a training routine is knowing where to start, and that’s true of those who have never trained regularly before as well as more experienced people coming back after a break.

This 20-minute workout from fitness trainer Lindsey Bomgren, founder of Nourish Move Love on YouTube, is perfect for easing your way into a training routine, especially if you’re coming back from a break because of illness or any other reason.

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