Mark Hayward Personal Trainer, Exeter, Devon | Weight Loss | Diet | Pilates | Cardiac Rehab | Physiotherapy | Pre and Post Natal | Fat Loss | Bodybuilding | Health and Fitness | Supplementation | Exeter-South and Mid Devon | Aylesbury, Bucks

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High Blood Pressure and exercise

Main Menu > Cardiac Rehabilitation



Specific/ Clinical Objectives



  • Lower CHD risk profile
  • Lower BP
  • Increase CV based PA
  • Reduce stress
  • Reduce body fat
  • Reduce smoking
  • Increase caloric expenditure
  • Get advice on healthy eating.


Modes

Aerobic

  • Large muscle group activity: Walking, cycling
  • Leading on to: Cross training, rowing, stepping, group based aerobics, swimming


Resistance

  • Circuit training



Contraindications

  • SBP>180 mmHg or DBP > 110 mmHg
  • Overhead resistance exercise
  • Valsalva manoeuvre (holding your breath and staining)
  • Isometric contractions (pushing a weight without it moving)
  • Do not use resistance as only form of exercise


Frequency

Aerobic

  • 3-7 days a week not early morning


Resistance

  • 2-3 days a week not early morning


Duration

Aerobic

  • 30-60 minutes session; continuous exercise if possible.


Resistance

  • 10-15 reps; 1-3 circuits


Intensity

Aerobic

  • Low to moderate
  • ObservationTalk test
  • RPE (dependant on medication)
  • HR (dependant on medication)
  • METs


Resistance

  • Low to moderate


Progression

  • Duration, frequency, mode/ intensity


Comments

  • Aerobic exercise at 40-70% MHR (or equivalent) for best results

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