title: [High blood pressure and physical exercise].
abstract: High blood pressure is a frequent pathology with many cardiovascular complications. As highlighted in guidelines, the therapeutic management of hypertension relies on non-pharmacological measures, which are diet and regular physical activity, but both patients and physicians are reluctant to physical activity prescription. To acquire the conviction that physical activity is beneficial, necessary and possible, we can take into account some fundamental and clinical studies, as well as the feedback of our clinical practice. Physical inactivity is a major risk factor for cardiovascular morbidity and mortality, and hypertension contributes to increase this risk. Conversely, regular practice of physical activity decreases very significantly the risk by up to 60%. The acute blood pressure changes during exercise and post-exercise hypotension differs according to the dynamic component (endurance or aerobic and/or strength exercises), but the repetition of the sessions leads to the chronic hypotensive benefit of physical activity. Moreover, physical activity prescription must take into account the assessment of global cardiovascular risk, the control of the hypertension, and the opportunities and desires of the patient in order to promote good adherence and beneficial lifestyle change.
authors.affiliation: Service de cardiologie, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers, France; Laboratoire MOVE (EA 6314), université de Poitiers, 8, allée Jean-Monnet, 86000 Poitiers, France. Electronic address: philippe.sosner@univ-poitiers.fr.
authors.forename: P
authors.initials: P
authors.lastname: Sosner
authors.affiliation: Pôle rééducation-réadaptation, centre hospitalier universitaire de Dijon, 23, rue Gaffarel, 21000 Dijon, France; Plateforme d'investigation technologique, CIC Inserm 1432, CHU de Dijon, 23, rue Gaffarel, 21079 Dijon, France; Inserm U1093 « cognition, action, et plasticité sensorimotrice », 21078 Dijon, France.
authors.forename: V
authors.initials: V
authors.lastname: Gremeaux
authors.affiliation: Laboratoire MOVE (EA 6314), université de Poitiers, 8, allée Jean-Monnet, 86000 Poitiers, France.
authors.forename: L
authors.initials: L
authors.lastname: Bosquet
authors.affiliation: Service de cardiologie, CHU de Poitiers, 2, rue de la Milétrie, 86021 Poitiers, France; Faculté de médecine et de pharmacie, université de Poitiers, 6, rue de la Milétrie, 86000 Poitiers, France.
authors.forename: D
authors.initials: D
authors.lastname: Herpin
mesh_terms: D004032:Diet; D015444:Exercise; D017408:Guidelines as Topic; D006801:Humans; D006973:Hypertension / Q000503:physiopathology* / Q000517:prevention & control*; D008019:Life Style; D012307:Risk Factors
keywords: Activité physique; Exercice; Exercise; High blood pressure; Hypertension; Hypertension artérielle; Mise au point; Physical activity; Sport