High Intensity Interval Training and Arterial Hypertension: Quality of Reporting.

Sports medicine international open Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI:10.1055/a-2493-9466
Claudia Bünzen, Kaija Oberbeck, Sascha Ketelhut, Burkhard Weisser
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Abstract

The benefits of exercise have been well described for the treatment of hypertension. Poor reporting quality impairs quality appraisal and replicability. High intensity interval training (HIIT) has been shown to be an effective alternative to traditional aerobic exercise in patients with hypertension. We evaluated the completeness of reporting of randomized controlled trials (RCTs) with HIIT for hypertension and to compare both exercise modes in reporting quality. RCTs of HIIT with a minimum duration of 6 weeks in adults with at least high normal blood pressure (≥130 mmHg/≥85 mmHg) were evaluated using the Consensus on Exercise Reporting Template (CERT). Nine RCTs conducting HIIT in hypertensive patients (N=718; 51.8 years) were evaluated. A mean of 62.6% of items were sufficiently described, compared with 49.2% in moderate intensity training interventions. Exercise dose was adequately reported in 8 out of 9 studies. Only one study reported information on adverse events. In a small sample of RCTs with HIIT in patients with hypertension we found a better reporting quality than in moderate intensity training interventions. However, reporting completeness is not optimal for a good replicability in clinical practice. The lack of reporting of adverse events in interventions using high intensities is particularly unfavourable.

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高强度间歇训练与动脉高血压:报告质量。
运动对治疗高血压的好处已经有了很好的描述。糟糕的报告质量损害了质量评估和可复制性。高强度间歇训练(HIIT)已被证明是高血压患者传统有氧运动的有效替代。我们评估了HIIT治疗高血压的随机对照试验(RCTs)报告的完整性,并比较了两种运动模式的报告质量。使用运动报告模板(CERT)对至少正常血压高(≥130 mmHg/≥85 mmHg)的成人HIIT的rct进行评估,最短持续时间为6周。9项随机对照试验对高血压患者进行HIIT (N=718;51.8岁)。平均62.6%的项目被充分描述,而在中等强度训练干预中,这一比例为49.2%。9项研究中有8项充分报告了运动剂量。只有一项研究报告了不良事件的信息。在高血压患者HIIT的小样本随机对照试验中,我们发现其报告质量优于中等强度训练干预。然而,在临床实践中,报告的完整性对于良好的可重复性来说并不是最佳的。使用高强度干预措施缺乏不良事件报告尤其不利。
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