The physical exercise or sport is one of the most effective in primary prevention of hypertension and diseases linked to cardiovascular risk such as obesity, high cholesterol and diabetes. Dr. Nieves Martell, head of the Hypertension Club of the Spanish Society of Hypertension-Spanish League for the Control of Hypertension (SEH-LELHA) explains that "physical exercise may contribute to the regulation of systolic and diastolic blood pressure provided it is practiced regularly, produces an arterial vasodilator effect is achieved only when performing a repeated physical activity, to a suitable intensity and sustained over time. "

The SEH-LELHA recommends a fitness program tailored to the needs of each individual patient or not, to prevent hypertension as a risk factor or as an adjunct treatment or as a replacement antihipertensión. "We must find a type of activity in which the patient exercises the most of your muscles, so energy expenditure to reach 40-60% of maximum oxygen consumption, which would maintain a heart rate Max. Thus, the most recommended exercise in sedentary hypertensive patients would be brisk walking or light jogging, "says Dr. Nieves Martell.

There are a variety of programs, along with walking regularly, almost affordable for everyone, as is the practice of swimming or other water activities, cycling or static normal "until alternative programs for people with limited walking or maintain adequate stability of the body as toning exercises, flexibility and coordination, "says this expert.

Physical exercise in hypertensive patients
For patients with mild hypertension, systolic blood pressure levels less than or equal to 145 mmHg .- physical exercise regularly 4 or 5 times a week for 30 or 40 minutes a day, could benefit the reduction of blood pressure at adequate levels. Along with this measure, its hypotensive effect is enhanced if accompanied by a diet low in salt or calories, especially in patients with overweight or obesity, can replace drug treatment.

In parallel, physical activity is also linked to the prevention of other cardiovascular risk linked diseases such as obesity, high cholesterol and diabetes. The physical exercise helps raise HDL cholesterol levels, termed as "good cholesterol" - and helps reduce levels of LDL or "bad" cholesterol and triglycerides. With regard to obesity, body fat is closely connected with insulin resistance. Obese people who exercise increase the capacity to metabolize glucose and prevent the development of diabetes.

With respect to the beneficial effects of sport in hypertensive patients by gender we can say that this is higher in men than in women. In males, physical activity can lead to a loss between 7-8 mmHg in systolic blood pressure levels, whereas in females, is about 6-7 mmHg. This indicates that if a patient begins to play sports with a figure of 145 mmHg, after a 6-8 weeks of regular physical exercise, can reach levels of 137-138 mmHg, "recommended amount for a person not at risk of suffering a cardiovascular event "