Daily Press

Isometric exercise and blood pressure

- — Eve Glazier, M.D., MBA; and Elizabeth Ko, M.D. Send questions to askthedoct­ors@mednet. ucla.edu

Dear Doctors: My blood pressure is just a tiny bit high. My doctor said I should think about taking a blood pressure drug, but I’d rather try to bring it down naturally. I just read that doing isometric exercises can lower blood pressure. Is this true?

Dear Reader: A blood pressure reading measures the force exerted on the artery walls as the heart pumps blood through the body. It is composed of two different numbers that are displayed in the form of a fraction. The top number is a measuremen­t known as systolic pressure; that is the force that blood exerts on the arteries at the peak of a heartbeat. The bottom number is diastolic pressure; it is how much pressure the blood vessels are absorbing while the heart is at rest. At this time, blood pressure readings under 120⁄80 are generally considered to fall into the normal range. Blood pressure higher than 130⁄80 enters the category of hypertensi­on.

It’s natural for blood pressure to rise and fall throughout the day.

But chronic high blood pressure poses a significan­t health threat. It can force your heart to constantly work harder than necessary to send blood throughout the body. Relentless pressure on the walls of the blood vessels can cause them to lose elasticity. If left untreated, high blood pressure can cause damage to the heart, kidneys, eyes and brain.

For these reasons, blood pressure that is chronicall­y high, even a little bit high, should not be ignored.

When it comes to improving blood pressure, the benefit of regular exercise has been clear for some time. Now, a new study has put an intriguing spin on what that exercise might entail. Researcher­s in England analyzed health data that had been collected in 270 studies over the course of 13 years. This gave them a robust participan­t pool of more than 15,000 adults. When they looked at which form of physical activity had the most favorable effect on blood pressure, the surprising answer was isometric exercise.

The trio of the exercises highlighte­d in the studies were pressing the legs against fixed resistance, squeezing a spring-loaded handgrip and maintainin­g a squat while pressing the back against a wall. The theory is that while a muscle remains contracted, blood flow naturally decreases. When that contractio­n is released, the return of blood flow sends metabolic signals that tell the blood vessels to relax. The net result is lower blood pressure.

Adding isometric exercise to your daily routine can be helpful. However, there is an important caveat: When a prolonged muscle contractio­n impedes blood flow, it results in a rise in blood pressure. Although this lasts for only the time the muscle is contracted, it may not be safe for someone with cardiovasc­ular problems or uncontroll­ed high blood pressure. Anyone who falls into those categories should check with their doctor to see if isometric exercises are safe for them to perform.

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