High blood pressure (hypertension)

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  • With Mayo Clinic emeritus hypertension specialist

    Sheldon G. Sheps, M.D.

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Question

Weightlifting: Bad for your blood pressure?

Is weightlifting safe if I have high blood pressure?

Answer

from Sheldon G. Sheps, M.D.

Weightlifting can cause a temporary increase in blood pressure. This increase can be dramatic — depending on how much weight you lift. But, weightlifting can also have long-term benefits to blood pressure that outweigh the risk of a temporary spike for most people.

Regular exercise, including moderate weightlifting, provides many health benefits, including helping to lower blood pressure in the long term.

If you have high blood pressure, talk to your doctor before starting any exercise program. Your doctor can help you develop an exercise program tailored to your needs and medical conditions.

If you have high blood pressure, here are some tips for getting started on a weightlifting program:

  • Learn and use proper form when lifting to reduce the risk of injury.
  • Don't hold your breath. Holding your breath during exertion can cause dangerous spikes in blood pressure. Instead, breathe easily and continuously during each lift.
  • Lift lighter weights more times. Heavier weights require more strain, which can cause a greater increase in blood pressure. You can challenge your muscles with lighter weights by increasing the number of repetitions you lift.
  • Listen to your body. Stop your activity right away if you become severely out of breath or dizzy or if you experience chest pain or pressure.
Next question
Blood pressure medication: Still necessary if I lose weight?
References
  1. Cornelissen VA, et al. Effect of resistance training on resting blood pressure: A meta-analysis of randomized controlled trials. Journal of Hypertension. 2005;23:251.
  2. Fagard RH, et al. Effect of exercise on blood pressure control in hypertensive patients. European Journal of Cardiovascular Prevention and Rehabilitation. 2007;14:1.
  3. Jurva JW, et al. The effect of exertional hypertension evoked by weight lifting on vascular endothelial function. Journal of the American College of Cardiology. 2006;48:588.

AN00637

Dec. 18, 2009

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