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Id 191
Author Conceição, L. S. R.; Neto, M. G.; Amaral, M. A. S.; Martins-Filho, P. R. S.; Carvalho, V. O.
Title Effect of dance therapy on blood pressure and exercise capacity of individuals with hypertension: A systematic review and meta-analysis

Conceição, L. S. R., Neto, M. G., do Amaral, M. A. S., Martins-Filho, P. R. S., & Carvalho, V. O. (2016). Effect of dance therapy on blood pressure and exercise capacity of individuals with hypertension: A systematic review and meta-analysis. International journal of cardiology, 220, 553-557. "

Keywords blood pressure; dance; exercise; meta-analysis
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Abstract Hypertension is a common condition that is associated with unhealthy lifestyle and represents an important risk factor for cardiovascular diseases . To diagnose hypertension is necessary multiple measurements on, at least, two separate days, considering 1–4 weeks of interval. Hypertension is classified as: stage 1, systolic blood pressure (SBP)/diastolic blood pressure (DBP) ≥140/90 mm Hg, stage 2 ≥ 160/100 mm Hg, and stage 3 hyper- tension ≥180/110 mm Hg. The current treatment of hypertension involves antihypertensive medications and lifestyle modification, such as sodium restriction, smoking cessation and physical activity. A previous meta- analysis showed that increasing in physical activity level is very important to blood pressure control in individuals with hyperten-sion. It has also been shown that physical activity can decrease not just systolic (5 to 10 mm Hg), but also diastolic blood pressures (1 to 6 mm Hg). Dance therapy is a less conventional modality of physical activity in cardiovascular rehabilitation, which is positively linked to cognitive, emotional and social integration of the participants. Some data involving individuals with cardiovascular diseases are now available in the literature. A previous meta-analysis showed that dance therapy improved exercise capacity and quality of life of individuals with chronic heart failure [5]. Despite some randomized controlled trials (RCTs) about dance therapy and hypertension, no meta-analysis has been performed to guide clinicians and

Metodology Pubmed, Scopus, LILACS, IBECS, MEDLINE and SciELO via Virtual Health Library (Bireme) (from the earliest data available to February 2016) for controlled trials that investigated the effects of dance therapy on exercise capacity, systolic (SBP) and diastolic (DBP) blood pressure in hypertensive patients. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test.

Findings Four studies met the eligibility criteria. Dance therapy resulted in a significant reduction in systolic blood pressure (WMD −12.01 mm Hg; 95% CI: −16.08, −7.94 mm Hg; P b 0.0001) when compared with control subjects. Significant reduction in diastolic blood pressure were also found (WMD −3.38 mm Hg; 95% CI: −4.81, −1.94 mm Hg; P b 0.0001), compared with control group. Exercise capacity showed a significant improvement (WMD 1.31; 95% CI: 0.16, 2.47; P b 0.03). A moderate to high heterogeneity was observed in our analysis: I2 = 92% to SBP, I2 = 55% to DBP, and I2 = 82% to exercise capacity. Our meta-analysis showed a positive effect of dance therapy on exercise capacity and reduction of SBP and DBP in individuals with hypertension. However, the moderate to high heterogeneity found in our analysis limits a pragmatic recommendation of dance therapy in individuals with hypertension.
Open Access NO
DOI 10.1016/j.ijcard.2016.06.182
Search Database Snowball
Technique Systematic Review; PICOT Criteria; PEDro scale; I2 Index; Cochran Q test.
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