Summary of the BP response to the exercise alone (EXalone), medications alone (MEDSalone), and exercise and medications combined (EX+MEDScombined) treatment arms (mean±SE) compared with control in the acute and chronic RCTs (K=12) and the treatment arm comparisons
Treatment arm post-BP vs pre-BP change | Treatment arm comparisons of the BP change between each arm | |||||||
Trial type (K=# of trials, n=# of subjects) | EXalone | MEDSalone | EX+MEDScombined | EXalone + MEDSalone | EXalone vs EX+MEDScombined | MEDSalone vs EX+MEDScombined | EXalone +MEDSalone vs EX+MEDScombined | EXalone vs MEDSalone |
Acute | ||||||||
SBP (K=7, n=88) | −17.76±4.02§ ES=−2.53 I2=0.88* | −9.22±1.58‡ ES=−2.85 I2=0.42† | −16.58±3.37‡ ES=−2.66 I2=0.75* | −26.98±5.31‡ ES=−2.69 | −1.18±2.03** ES=−0.53 | 7.35±2.43§ ES=2.06 | −10.40±2.28§ ES=−2.28 | −8.53±3.01§ ES=−1.99 |
DBP (K=6, n=78) | −5.60±1.65§ ES=−2.03 I2=0.40* | −5.48±1.26§ ES=−2.28 I2=0.53* | −6.61±1.42§ ES=−2.35 I2=0.22* | −11.08±2.60§ ES=−2.26 | 1.01±1.30** ES=0.69 | 1.13±1.18** ES=0.83 | −4.47±1.87¶ ES=−1.66 | −0.12±1.37** ES=−0.08 |
Chronic (K=5, n=254) | ||||||||
SBP | −6.47±1.46§ ES=−1.98 I2=0.07** (n=89) | −12.32±2.18§ ES=−2.17 I2=0.06§ (n=177) | −14.96±2.59§ ES=−2.19 I2=0.14† (n=254) | −18.80±2.64§ ES=−2.34 | 8.49±2.90¶ ES=1.64 | 2.63±3.07** ES=0.71 | −3.84±3.36** ES=−0.89 | 5.85±2.60** ES=1.43 |
DBP | −5.08±1.08§ ES=−2.03 I2=0.00** (n=89) | −9.85±0.99‡ ES=−2.58 I2=0.00** (n=177) | −9.29±1.53§ ES=−2.22 I2=0.08* (n=254) | −14.93±1.46‡ ES=−2.60 | 4.20 ±1.87** ES=1.43 | −0.56±1.82** ES=−0.27 | −5.65±2.12** ES=−1.57 | 4.77±1.46¶ ES=1.74 |
Acute versus chronic | ||||||||
SBP | −11.29±4.27§ ES=−2.21 | 3.10±2.69** ES=1.08 | −1.62±4.24** ES=−0.37 | −8.18±5.93** ES=−1.28 | −9.67±3.54§ ES=−2.27 | 4.72±3.92** ES=1.12 | −6.56±4.42** ES=−1.36 | −14.39±3.98‡ ES=−2.77 |
DBP | −0.51±1.97** ES=−0.25 | 3.18±1.50¶ ES= 1.83 | 2.67±2.09** ES=1.18 | 2.67±2.93** ES=0.86 | −3.91±2.28** ES=−1.28 | 0.51±2.10** ES=0.23 | −0.00±2.77** ES=−0.00 | −3.70±1.92¶ ES=−1.69 |
Total | ||||||||
SBP (K=12, n=342) | −14.29±3.14‡ ES=−3.20 I2=0.84* (n=177) | −9.85±1.76† ES=−3.59 I2=0.60* (n=265) | −15.89±2.49† ES=−3.83 I2=0.63* (n=342) | −24.14±3.75† ES=−3.84 | 1.60±3.01** ES=0.51 | 6.04±1.46‡ ES=3.01 | −8.25±2.47‡ ES=−2.62 | −4.44±3.43** ES=−1.20 |
DBP (K=11, n=332) | −6.05±1.32‡ ES=−3.12 I2=0.36* (n=167) | −6.24±1.05† ES=−3.58 I2=0.43* (n=255) | −7.61±1.17† ES=−3.73 I2=0.17* (n=332) | −12.29±2.12† ES=−3.54 | 1.56±1.11** ES=1.28 | 1.37±0.98** ES=1.28 | −4.68±1.58§ ES=−2.37 | 0.19±1.09** ES=0.17 |
P values are calculated based on a t distribution with df ranging from 2 to 9. Effect sizes are converted to the standard normal scale. The strength of an effect size is in the absolute value: <1.64 insufficient**, 1.64–1.96 small¶, 1.96–2.58 moderate§, 2.58–3.29 large‡ and >3.29 very large*†, which correspond to P values: >0.1, P<0.1–0.05, P<0.05–0.01, P<0.01–0.001, P<0.001, respectively.
*P<0.0001; BP differences posttreatment versus pretreatment arm, acute versus chronic RCTs, and between treatment arm comparisons.
†P<0.001.
‡P<0.01.
§P<0.05.
¶0.05≤P<0.10.
**P>0.10.
BP, blood pressure; DBP, diastolic blood pressure; ES, effect size; RCT, randomised controlled trials; SBP, systolic blood pressure.;