Erfahrungsheilkunde 2014; 63(1): 28-34
DOI: 10.1055/s-0033-1357604
Arterielle Hypertonie
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Hypertonie und Sport

Regelmäßiges Training zur Prävention und Behandlung der Hypertonie
Thomas Wendt
Further Information

Publication History

Publication Date:
21 February 2014 (online)

Zusammenfassung

Sport kann einem essenziellen Hypertonus nicht nur vorbeugen, sondern stellt auch einen wichtigen Pfeiler der nichtmedikamentösen Therapie einer bereits aufgetretenen primären, arteriellen Hypertonie dar. Wichtig sind die regelmäßige Durchführung einer ausdauerorientierten körperlichen Betätigung, die für den jeweiligen Patienten geeignete Sportart sowie die Beachtung individueller Risiken. Die Übersicht erläutert praxisnah die notwendige Diagnostik vor der Aufnahme einer regelmäßigen körperlichen Aktivität, welche Sportarten geeignet/ungeeignet sind sowie bei welcher Trainingsintensität die bestmöglichen Effekte zu erwarten sind.

Abstract

Sport can not only prevent an essential hypertonus but is also an important pillar of the drug-free therapy of an already existing primary arterial hypertension. It is important, to carry out an endurance training regularly, to choose the right sport for the respective patient, and to take into consideration individual risks. The overview explains the diagnosis, which is necessary before starting a regular physical activity, which sport is suited/unsuited, and at which training intensity the best possible effects can be expected.

 
  • Literatur

  • 1 Montoye HJ, Metzler HL, Keller JB. Habitual activity and blood pressure. Med Sci Sports 1972; 4: 175-181
  • 2 Blair SN, Goodyear NN, Gibbons LW et al. Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA 1984; 252: 487-490
  • 3 Paffenbarger RS, Wing AL, Hyde RT et al. Physical activity and incidence of hypertension in college alumni. Am J Epidemiol 1983; 117: 245-257
  • 4 Fagard RH. Exercise characteristics and the blood pressure response to dynamic physical training. Med Sci Sports Exerc 2001; 33: 484-492
  • 5 Hagberg JM, Park JJ, Brown MD. The role of exercise training in the treatment of hypertension: an update. Sports Med 2000; 30: 193-206
  • 6 2013 ESH/ESC Guidelines for the Management of Arterial Hypertension. Europ Heart J 2013; 34: 2159-2219
  • 7 Arakawa K. Antihypertensive mechanism of exercise. J Hypertens 1993; 11: 223-229
  • 8 Hamer M. The anti-hypertensive effects of exercise. Sports Med 2006; 36: 109-116
  • 9 Kaplan NM, Deveraux RB, Miller HS Jr. 26th Bethesda conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Task Force 4: systemic hypertension. Med Sci Sports Exerc 1994; 26 (Suppl 10): S268-270
  • 10 Ketelhut RG. Körperliche Aktivität zur Behandlung des arteriellen Hochdrucks. Dtsch Ärztebl 2004; 101: 3426-3423
  • 11 Borg G. Perceived exertion as an indicator of somatic stress. Scand J Rehab Med 1970; 2: 92-98
  • 12 Mellion MB. Exercise: how much is enough, and how much is too much?. Heart Dis Stroke 1994; 3: 2-4
  • 13 Predel HG, Schramm T, Roveda F. Differential antihypertensive therapy of physically active patients with essential hypertension. Results of the Study program on Physical activity and On Risk reduction in Treated Hypertensives (SPORT-H). Kidney Blood Pres Res 1998; 21: 382-397