[HN Gopher] Study suggests isometric exercises best for reducing...
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       Study suggests isometric exercises best for reducing blood pressure
        
       Author : cyounkins
       Score  : 74 points
       Date   : 2023-07-26 20:05 UTC (2 hours ago)
        
 (HTM) web link (bjsm.bmj.com)
 (TXT) w3m dump (bjsm.bmj.com)
        
       | epistasis wrote:
       | Seeing these decrease in numbers really emphasizes the strength
       | of exercise as an intervention. It's lot just isometric exercise,
       | but all types here that significantly lowered blood pressure. And
       | it's not just blood pressure, it's basically all bad health
       | outcomes, according to other meta analyses. People want to know
       | what food to eat, what food not to eat, and what supplements to
       | take, what drugs to take. But we should be asking how we can make
       | room in a week to get 3-6 hours of moderate physical activity,
       | first.
        
         | blackkettle wrote:
         | Eat less, move more, make sure you sleep.
        
           | whydoyoucare wrote:
           | That "eat less"needs to be elaborated. Eating less beef is
           | not the same as eating less tomatoes. :-)
        
             | xboxnolifes wrote:
             | In the context of caloric intake, it basically is the same
             | thing. People (population level) eat too much _food_. Which
             | foods should they eat, exactly, is essentially premature
             | optimization in this context.
        
           | eastbound wrote:
           | Sleeping is actually not easy. I reserve 9 hours in bed, but
           | I snore and wake up very tired, also insomnia and therefore
           | it's a feedback loop to open the phone in bed otherwise I
           | ruminate (potentially suicidal) thoughts... I bet less than
           | half the population is able to sleep properly while laying in
           | bed (and yes, I've heard all the advice about sleep habits
           | and seeing someone).
           | 
           | Once you fix sleep, you become much more brave and courageous
           | for sports. And it's a positive feedback loop, it's a blind
           | spot for sporty people (I've practiced 8-9hrs a week) to tell
           | "Just do sports and sleep soundly".
        
             | malfist wrote:
             | I see your comment about intrusive thoughts. Don't hesitate
             | to speak to a doctor about them and take medication for it.
             | 
             | I put off doing that for almost two decades, when I finally
             | did after an attempt it really changed my life around.
             | 
             | I'm now on a maintenance dose of trazodone, and thought
             | I've went off of it a few times, I think I'll stay on it
             | for good now. It keeps future episodes away and it does
             | wonder for your sleep. I'd agonize over the days event's
             | for an hour or so after going to bed, but it really helps
             | me fall asleep in 15-20 minutes.
        
             | inconceivable wrote:
             | lol dude you have sleep apnea. you're suffocating.
        
             | numinoid wrote:
             | Have you been tested for sleep apnea? Your symptoms are
             | pretty on the money.
        
         | paxys wrote:
         | "Exercise makes you healthier" is hardly an earth shattering
         | revelation. Everyone knows the benefits of exercise,
         | _especially_ unhealthy people. That is still usually not enough
         | of a motivator, however, hence the reliance on fad diets and
         | drugs.
        
         | numinoid wrote:
         | This can't be emphasized enough. Exercise is likely the single
         | most important and effective intervention we have available
         | from a preventative medicine standpoint.
         | 
         | If you're not optimizing adequate exercise alongside
         | controlling bodyfat levels first and foremost you're doing it
         | wrong.
        
       | qzw wrote:
       | > Secondary network meta-analyses revealed isometric wall squat
       | and running as the most effective submodes for reducing SBP
       | (90.4%) and DBP (91.3%), respectively.
       | 
       | Wall squat was actually a close second to running for DBP
       | reduction as well. As a member of late gen-X who is getting
       | slightly elevated BP readings, this is very interesting and
       | timely. I always assumed, without evidence, that aerobic
       | exercises would be best for reducing BP. Be right back, going to
       | do some wall squats.
        
       | helph67 wrote:
       | "A big advantage of doing hand-grip exercises for lower blood
       | pressure is that it doesn't take a lot of time. You only need to
       | do it for about 12 minutes a day, several times a week, and you
       | can do it pretty much anywhere"
       | https://highbloodpressurebegone.com/handgrip-exercises/
        
       | acumenical wrote:
       | Ben Greenfield, who is regarded as somewhat of a quack, has for a
       | long time advocated for isometric exercise. I always found him
       | interesting so I followed his blog for a while. I always thought
       | the stuff about isometric exercise was bunk, but if the study is
       | sound, then I guess I was too quick to judge. This is potentially
       | great news for him and his brand.
        
         | prometheus76 wrote:
         | Anecdotal, but worth considering: Bruce Lee relied mostly on
         | isometric exercises to stay in shape.
        
         | peter422 wrote:
         | Dr. Stuart McGill (PHD, written multiple books about back
         | health), strongly promotes isometric exercises for back health.
         | 
         | However at the end of the day stability only gets you so far,
         | since we are always moving, so it really makes sense to combine
         | isometric exercises with other ones to get a robust exercise
         | plan for whatever goals each person has.
        
           | shaftoe444 wrote:
           | Everyone at my Olympic weightlifting gym does the McGill Big
           | 3. Great way to protect lower back.
        
       | ww520 wrote:
       | To save time on reading here is the key finding on the decrease
       | of blood pressure from various exercises.
       | 
       | aerobic exercise training (-4.49/-2.53 mm Hg)
       | 
       | dynamic resistance training (-4.55/-3.04 mm Hg)
       | 
       | combined training (-6.04/-2.54 mm Hg)
       | 
       | high-intensity interval training (-4.08/-2.50 mm Hg)
       | 
       | isometric exercise training (-8.24/-4.00 mm Hg)
       | 
       | Here's a link on what isometric exercise is.
       | 
       | https://www.healthline.com/health/fitness-exercise/isometric...
        
         | hammock wrote:
         | What is combined training?
        
           | cyounkins wrote:
           | BBC thinks it is "aerobic and weights"
        
           | colpabar wrote:
           | [flagged]
        
             | dang wrote:
             | Ok, since we asked you not to post like this and you've
             | continued to do it a lot, I think we have to ban the
             | account.
             | 
             | I hate to ban an account with a vim command in its profile,
             | but unfortunately moderation is about the worst things a
             | user does, not the best things.
             | 
             | If you don't want to be banned, you're welcome to email
             | hn@ycombinator.com and give us reason to believe that
             | you'll follow the rules in the future. They're here:
             | https://news.ycombinator.com/newsguidelines.html.
        
           | dqv wrote:
           | Right, it's not mentioned what that is in the article.
           | 
           | On first search, something you do with your horse. I don't
           | have a horse.
           | 
           | This site says
           | 
           | >Combination Training is an integrated form of training that
           | combines lower body, upper body, trunk musculature and
           | balance training all into one exercise, accomplishing three
           | times as much training in the same amount of time.
           | 
           | https://nwpersonaltraining.com/blog/combination-training/
           | 
           | I think something like those Billy Blanks Tae Bo videos would
           | fit the bill.
        
         | geph2021 wrote:
         | can anyone summarize the volume of such training that was used
         | in the comparison?
         | 
         | EDIT: At least the isometric exercise part is answered in the
         | comments below [1]
         | 
         | 1 - https://news.ycombinator.com/item?id=36884118#36884647
        
         | panabee wrote:
         | comparison with GPT4 answering the same question:
         | 
         | test 1
         | 
         | prompt: what are the key findings on the decrease in blood
         | pressure on various exercises?
         | 
         | answer: The study found significant reductions in resting
         | systolic blood pressure (SBP) and diastolic blood pressure
         | (DBP) following various types of exercise training:
         | 
         | 1. Aerobic exercise training resulted in a decrease of
         | approximately 4.49 mm Hg in SBP and 2.53 mm Hg in DBP.
         | 
         | 2. Dynamic resistance training led to a decrease of
         | approximately 4.55 mm Hg in SBP and 3.04 mm Hg in DBP.
         | 
         | 3. Combined training (a mix of different exercise types)
         | resulted in a decrease of approximately 6.04 mm Hg in SBP and
         | 2.54 mm Hg in DBP.
         | 
         | 4. High-intensity interval training led to a decrease of
         | approximately 4.08 mm Hg in SBP and 2.50 mm Hg in DBP.
         | 
         | 5. Isometric exercise training resulted in the most significant
         | decrease, with approximately 8.24 mm Hg in SBP and 4.00 mm Hg
         | in DBP.
         | 
         | In terms of specific exercises, the isometric wall squat was
         | found to be the most effective for reducing systolic blood
         | pressure, and running was found to be the most effective for
         | reducing diastolic blood pressure (Pages 1, 5, 8, 11).
         | 
         | test 2
         | 
         | prompt: you're a world-class educator who can explain any
         | concept, no matter how esoteric or technical. what are the key
         | findings on the decrease in blood pressure on various
         | exercises?
         | 
         | answer: Sure, I'll break down the key findings from the study
         | on how various exercises affect blood pressure:
         | 
         | 1. *Aerobic exercise training*: This type of exercise includes
         | activities like jogging, swimming, or cycling. The study found
         | that aerobic exercise training can reduce systolic blood
         | pressure (the top number in a blood pressure reading,
         | indicating the pressure in your arteries when your heart beats)
         | by an average of 4.49 mm Hg, and diastolic blood pressure (the
         | bottom number, indicating the pressure in your arteries when
         | your heart is at rest between beats) by an average of 2.53 mm
         | Hg.
         | 
         | 2. *Dynamic resistance training*: This involves exercises like
         | weight lifting where you're moving your body against some type
         | of resistance. The study found that this type of training can
         | reduce systolic blood pressure by an average of 4.55 mm Hg and
         | diastolic blood pressure by an average of 3.04 mm Hg.
         | 
         | 3. *Combined training*: This is a mix of different types of
         | exercise. The study found that combined training can reduce
         | systolic blood pressure by an average of 6.04 mm Hg and
         | diastolic blood pressure by an average of 2.54 mm Hg.
         | 
         | 4. *High-intensity interval training (HIIT)*: This involves
         | short bursts of intense exercise followed by short periods of
         | rest or lower-intensity exercise. The study found that HIIT can
         | reduce systolic blood pressure by an average of 4.08 mm Hg and
         | diastolic blood pressure by an average of 2.50 mm Hg.
         | 
         | 5. *Isometric exercise training*: This involves exercises where
         | you're holding a position and contracting your muscles without
         | much visible movement, like planks or wall sits. The study
         | found that isometric exercise training can reduce systolic
         | blood pressure by an average of 8.24 mm Hg and diastolic blood
         | pressure by an average of 4.00 mm Hg, making it the most
         | effective exercise mode in this study for reducing both
         | systolic and diastolic blood pressure.
         | 
         | In terms of specific exercises, the study found that the
         | isometric wall squat was the most effective for reducing
         | systolic blood pressure, and running was the most effective for
         | reducing diastolic blood pressure.
         | 
         | Remember, these are averages, and individual results can vary.
         | It's also important to note that any exercise program should be
         | undertaken with the advice of a healthcare professional,
         | especially for individuals with high blood pressure or other
         | health conditions.
        
           | zer8k wrote:
           | I don't know if people think these posts are useful but they
           | are starting to become tiring enough to be spam.
           | 
           | If I wanted ChatGPT's response I'd ask it.
        
             | panabee wrote:
             | sorry, thought others might also be curious since LLMs are
             | notorious for hallucinating but fared well here.
             | 
             | unfortunately, cannot delete because of our comments. :(
        
         | Alex3917 wrote:
         | Honestly I think aerobic training is more effective than
         | isometric training at reducing blood pressure, I think most
         | people (and studies) just don't do enough of it to see the
         | effect. You really need to be doing a minimum of 90 minutes of
         | zone 2 training 5 - 6 days per week, which isn't especially
         | difficult but it's just more than most people are willing to
         | do.
         | 
         | There's no doubt that doing squats or whatever will reduce your
         | blood pressure more in the short term, but the effects
         | generally only last for a few days. Whereas the effects of
         | aerobic are larger and longer lasting, you just need to do it
         | correctly and reasonably consistently.
        
         | m463 wrote:
         | I wonder how much a standing desk counts as isometric exercise,
         | or is it more a balancing exercise.
        
       | rngname22 wrote:
       | "isometric handgrip (IHG), isometric leg extension (ILE) and
       | isometric wall squat (IWS) as IET subgroups. IET programmes
       | commonly employ protocols of 4x2 min contractions, separated by
       | 1-4 min rest intervals, performed three times a week. IHG"
       | 
       | It sounds like the three isometric exercises evaluated in these
       | studies were wall sits, leg extensions, and handgrips.
       | 
       | Does anyone know how this study would go if these exercises were
       | less medical intervention and more elite athlete? How would one
       | even do a full body isometric workout?
        
         | wswope wrote:
         | Some options that spring to mind for a more "serious" full-body
         | isometric workout:
         | 
         | * Suitcase holds
         | 
         | * Pull-up holds
         | 
         | * Standing in a power rack with heavy barbell on back
         | 
         | * Bench press holds at the bottom (pressing just hard enough to
         | keep weight off the chest)
         | 
         | * Overhead holds
         | 
         | Quite a few plank-variation-type options from the yoga world as
         | well.
        
           | peter422 wrote:
           | It's more of a hybrid exercise but "pause squats", in which
           | you hold the weight at the bottom position before coming back
           | up are a very good variation of a standard squat.
        
         | DennisP wrote:
         | Bruce Lee famously used isometrics, using a bar attached to a
         | chain, attached to a platform to stand on.
         | 
         | A modern equivalent is the Isomax, which adds a strain gauge so
         | you can see how hard you pulled, and audible feedback that
         | tells you when you're pulling harder than your target weight.
         | You can do deadlifts, squats, presses, rows, and so on. Even a
         | chest press, it uses a strap made of seatbelt material and you
         | can wrap it around your back instead of attaching to the
         | platform.
         | 
         | https://www.dragondoor.com/products/isomax/
         | 
         | There's various stuff on youtube, and on the previous
         | generation called the Isochain, which is heavier and a bit less
         | convenient to work with but essentially the same. It uses a
         | chain instead of a strap, and has a heavy spring so there's
         | still a slight bit of give to it, which they say helps your
         | nervous system make a strong effort. Here's one channel
         | dedicated to it:
         | 
         | https://www.youtube.com/@NoLimitSquad
         | 
         | I recently got the Isomax and it seems to be a pretty solid
         | piece of kit. I've mainly been using other gear so haven't done
         | that much with it yet, but this study has me thinking I should
         | get more serious about it.
        
           | codemac wrote:
           | If you don't want to start with something as elaborate, is
           | some basic straps in a loop. Worldfit[0] sells these simple
           | pieces, work great.
           | 
           | [0]: https://www.worldfit.com/
        
             | DennisP wrote:
             | Sure that's a much cheaper way to start. I do find the
             | feedback helpful. A lot of times I think I'm giving max
             | effort but the device isn't beeping yet, and I find I've
             | got more in me after all. It's kinda like lifting a
             | barbell, where you have to exceed a certain force to get
             | something to happen.
        
       | smolder wrote:
       | Taken from Mayo clinic, for anyone not clear on what isometric
       | exercise refers to:
       | 
       | Isometric exercises are tightening (contractions) of a specific
       | muscle or group of muscles. During isometric exercises, the
       | muscle doesn't noticeably change length. The affected joint also
       | doesn't move. Isometric exercises help maintain strength. They
       | can also build strength, but not effectively. And they can be
       | performed anywhere. Examples include a leg lift or plank.
        
         | cyounkins wrote:
         | Yep! The isometric leg extension is more commonly known in the
         | US as a plank. Pictures here:
         | https://www.bbc.com/news/health-66303982
        
         | digdugdirk wrote:
         | Follow up details - isometric exercises don't have to be just
         | bodyweight, and can be trained for strength by performing the
         | exercise against something to constrain the motion. Imagine
         | crawling under your bed before performing the plank (now more
         | of a pushup, since you're pressing with your chest muscles)
         | mentioned above. You can push as hard as possible, but you
         | won't budge the bed.
         | 
         | They're incredible for returning from injury, since you can
         | specifically train ranges of motion, and the person performing
         | the exercise has full control of the "load" - aka how hard to
         | exert themselves.
        
         | varjag wrote:
         | I had a watchOS app made (Hold Steady on App Store) for my
         | olympic pistol isometric training if anyone feels like
         | exercising their arms instead. Have no idea if it has a
         | comparable effect on blood pressure though.
        
       | akaru wrote:
       | So...yoga?
        
       | evansj wrote:
       | This explains how Principal Skinner was able to keep so calm
        
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