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Exercise reduces blood pressure after stroke or TIA: systematic review and meta-analysisExercise lowers blood pressure after stroke, review finds

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Key Takeaway
Consider prescribing aerobic or combined exercise to reduce blood pressure in patients after stroke or TIA.

This systematic review and meta-analysis of 25 studies examined the effect of exercise on blood pressure in individuals after stroke or transient ischemic attack. The interventions included aerobic, resistance, and combined aerobic and resistance training. The primary outcomes were systolic and diastolic blood pressure reductions.

Aerobic exercise alone reduced systolic blood pressure by 3.79 mmHg (95% CrI: -5.95, -1.86) and diastolic blood pressure by 1.91 mmHg (95% CrI: -3.56, -0.33). Combined aerobic and resistance training produced larger reductions: systolic blood pressure decreased by 7 mmHg (95% CrI: -10.05, -3.87) and diastolic by 3.58 mmHg (95% CrI: -6.04, -1.23).

The authors note that these findings support evidence-based exercise prescriptions for blood pressure management in this high-risk population. However, limitations such as potential heterogeneity among studies and lack of reported adverse events should be considered. The meta-analysis provides quantitative estimates that can guide clinical recommendations, but individual patient factors and exercise tolerance must be taken into account.

A new analysis of 25 studies suggests that exercise can help lower blood pressure in people who have had a stroke or transient ischemic attack (TIA). The review looked at different types of exercise, including aerobic training, resistance training, and a combination of both.

Aerobic exercise alone reduced systolic blood pressure (the top number) by about 3.8 mmHg on average and diastolic blood pressure (the bottom number) by about 1.9 mmHg. The combination of aerobic and resistance training was even more effective, lowering systolic pressure by about 7 mmHg and diastolic pressure by about 3.6 mmHg.

These results are based on a meta-analysis of existing studies, which means the findings are pooled from multiple smaller studies. The review did not report on safety issues like injuries or how well people tolerated the exercise programs.

For stroke survivors, this adds to the evidence that exercise is a valuable part of recovery and long-term health. However, it's important to talk to a doctor before starting any new exercise routine, especially after a stroke.

What this means for you:
Exercise, especially combined aerobic and resistance training, may help lower blood pressure after a stroke.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
OBJECTIVE: This study aimed to examine the dose-response relationships between different exercise modalities and blood pressure reduction in individuals after stroke or transient ischemic attack METHODS: Searches were performed in PubMed (1946), Web of Science (1975), Cochrane CENTRAL (1992), and EMBASE (1971) from inception up to December 10, 2025. Exercise dose was calculated as the product of duration, frequency, and intensity, expressed in metabolic equivalents of task minutes per week (METs-min/week). RESULTS: A total of 25 studies were included in the review. Aerobic exercise produced the greatest reductions in systolic blood pressure (SBP) at 590 METs-min/week (-3.79 mmHg, 95% CrI: -5.95, -1.86) and diastolic blood pressure (DBP) at 520 METs-min/week (-1.91 mmHg, 95% CrI: -3.56, -0.33). For combined aerobic and resistance training, the optimal doses were 780 METs-min/week for SBP (-7 mmHg, 95% CrI: -10.05, -3.87) and 660 METs-min/week for DBP (-3.58 mmHg, 95% CrI: -6.04, -1.23). Relative ranking analyses indicated that combined aerobic and resistance training at 780 METs-min/week and 660 METs-min/week produced the greatest reductions in SBP and DBP, respectively. CONCLUSIONS: These findings support evidence-based exercise prescriptions for blood pressure management in this high-risk population.
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