{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T04:46:15Z","timestamp":1785732375651,"version":"3.56.0"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare and rank the effects of exercise modalities on blood pressure in adults with hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a PRISMA-NMA\u2013compliant systematic review and network meta-analysis. PubMed, the Cochrane Library, and Web of Science were searched through May 24, 2026, for randomized controlled trials of exercise interventions. Random-effects models were used, and interventions were ranked using surface under the cumulative ranking curve values. Risk of bias and evidence certainty were assessed with RoB 2, GRADE, and CINeMA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty trials involving 2,137 participants were included. Compared with standard care, combined training produced the greatest reduction in systolic blood pressure (mean difference [MD], \u22129.52 mmHg; 95% CI, \u221213.47 to \u22125.56) and ranked first. Isometric training and moderate-intensity continuous training also significantly reduced systolic blood pressure. High-intensity continuous training produced the largest reduction in diastolic blood pressure (MD, \u22127.48 mmHg; 95% CI, \u221211.54 to \u22123.43), followed by combined training (MD, \u22125.84 mmHg; 95% CI, \u22128.51 to \u22123.16). No major inconsistency or publication bias was detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Combined training may be most effective for lowering systolic blood pressure, whereas high-intensity continuous training may yield the greatest reduction in diastolic blood pressure. Larger, longer-term trials are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/www.crd.york.ac.uk\/prospero\/display_record.php?RecordID=1432343<\/jats:ext-link>\n                      , identifier CRD420261432343.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fendo.2026.1926728","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T04:26:34Z","timestamp":1785731194000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Non-pharmacological interventions for blood pressure management in hypertensive patients: selection of exercise regimens\u2014a systematic review and network meta-analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Renchao","family":"Lv","sequence":"first","affiliation":[{"name":"School of Education, Yunnan Technology and Business University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinying","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sport, Central China Normal University","place":["Wuhan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongfei","family":"Li","sequence":"additional","affiliation":[{"name":"School of Physical Education, Kunming University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zitong","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Education, Yunnan Technology and Business University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liaokun","family":"Ye","sequence":"additional","affiliation":[{"name":"School of Education, Yunnan Technology and Business University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Education, Yunnan Technology and Business University","place":["Kunming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001356","article-title":"2025 AHA\/ACC\/AANP\/AAPA\/ABC\/ACCP\/ACPM\/AGS\/AMA\/ASPC\/NMA\/PCNA\/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: A report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice 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