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A systematic review from 2013 highlighted the potential of isometric handgrip (IHG) training regimens in reducing systolic blood pressure (SBP). In addition, there is class I, level B evidence that 150 min of weekly physical activity offers an alternative that may be used to complement anti-hypertensive medication, although optimal exercise training regime remains unclear. Both European and US treatment guidelines for primary and secondary prevention of HT recommend non-pharmacological lifestyle modifications, such as increased levels of physical activity, as the first line of anti-hypertensive therapy. HT increases the risk of cardiovascular diseases (e.g., coronary artery disease, stroke, and heart failure) and overall mortality.
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Hypertension (HT) is a major public health concern worldwide with an upward trend. Secondary aims are to explore if/when a leveling-off effect on SBP will occur during the 20-week intervention period in the training group and to explore adherence and potential harms related to the IHG home training. The primary aim of this study is to explore the effects of a 20-week IHG home training facilitated by a Wii in hypertensive older adults (50 + years of age) on lowering SBP compared to usual care. Recently, we developed a novel method for monitoring handgrip intensity using a standard Nintendo Wii Board (Wii). Therefore, presently it is unknown if it is possible to further lower blood pressure levels beyond the 10-week mark. The average length of previous IHG training studies is approximately 7.5 weeks with the longest being 10 weeks. A recent systematic review showed that isometric handgrip (IHG) training was superior to traditional endurance and strength training in lowering resting systolic blood pressure (SBP). Lifestyle modifications, such as increased levels of physical activity, are recommended as the first line of anti-hypertensive treatment. Hypertension markedly increases the risk of cardiovascular diseases and overall mortality.