Worldwide, raised blood pressure (BP) or hypertension is the global leading risk factor for the development of cardiovascular diseases and all-cause mortality, with the highest prevalence found in Asian and African origin populations. Post-exercise hypotension (PEH), defined as a sustained reduction in BP after a single bout of exercise is an important physiological phenomenon in BP management. However, little is known about the hypotensive effect of a single bout of exercise in non-Caucasian populations. We systematically summarized the acute effects of a single bout of aerobic exercise on BP in a population of African or Asian origin. We searched the MEDLINE database identifying randomized controlled trials investigating the effect of a single bout of aerobic exercise on BP in African or Asian populations with optimal BP, high normal BP or hypertension published in a peer reviewed journal up to August 2021. A subsequent meta-analysis was performed using random-effect models fitted to estimate effect sizes. We identified 10 aerobic exercise trials performed in individuals of Asian origin (n = 136; mean age: 29.51 (21.2–69) years: 78% male; baseline systolic BP/diastolic BP: 118.9 ± 9.64/68.9 ± 2.69 mmHg) and 11 aerobic exercise trials involving individuals of African origin (n = 157; mean age: 41.05 (29.9–49) years; 59% male; baseline systolic BP/diastolic BP: 134.5 ± 8.65 mmHg/82.2 ± 3.24 mmHg). Non-significant reductions in office systolic BP and diastolic BP at 30 min post exercise (−2.25 [−6.38, 1.88] mmHg, p = 0.28/−1.02 [−2.51, 0.47] mmHg, p = 0.18) and 60 min post exercise (−2.80 [−7.90, 2.28], p = 0.27/−1.95, [−5.66, 1.75], p = 0.3) were observed compared to the control intervention. No statistically significant differences were found between both ethnic groups (p > 0.05). Ambulatory BP was reported only in a few African groups. No effect was found on 24h-systolic BP post exercise, but 24h-diastolic BP was statistically significantly reduced (−1.89 [−3.47, −0.31] mmHg, p < 0.01) after a bout of aerobic exercise compared to the control intervention. The available evidence is insufficient to recommend a single session of aerobic exercise as an efficient tool to lower BP in African and Asian populations. Though, the paucity of data in non-Caucasian populations underscores the need for additional efforts to establish the efficacy of single bouts of exercise, including isometric and dynamic resistance exercise, as a potential non-pharmacological adjunct to help lowering BP in the daily life of descendants of Asian or African origin.

在世界范围内，血压升高（BP）或高血压是导致心血管疾病和全因死亡率的全球主要危险因素，其中亚洲和非洲血统人群的患病率最高。运动后低血压（PEH），定义为单次运动后血压持续降低，是血压管理中的重要生理现象。然而，对于非白人人群单次运动的降血压效果知之甚少。我们系统地总结了单次有氧运动对非洲或亚洲人群血压的急性影响。我们检索了 MEDLINE 数据库，确定了截至 2021 年 8 月在同行评审期刊上发表的随机对照试验，这些试验调查了单次有氧运动对具有最佳血压、正常高血压或高血压的非洲或亚洲人群血压的影响。使用随机效应模型进行分析以估计效应大小。我们确定了 10 项在亚洲血统个体中进行的有氧运动试验（n  = 136；平均年龄：29.51 (21.2–69) 岁：78% 男性；基线收缩压/舒张压：118.9 ± 9.64/68.9 ± 2.69 mmHg）和 11涉及非洲裔个体的有氧运动试验（n = 157；平均年龄：41.05 (29.9–49) 岁；59% 男性；基线收缩压/舒张压：134.5 ± 8.65 mmHg/82.2 ± 3.24 mmHg）。运动后 30 分钟（−2.25 [−6.38, 1.88] mmHg， p  = 0.28/−1.02 [−2.51, 0.47] mmHg，p  = 0.18）和运动后 60 分钟办公室收缩压和舒张压无显着降低 与对照干预相比，观察到（−2.80 [−7.90, 2.28]，p  = 0.27/−1.95，[−5.66，1.75]，p = 0.3）。两个种族之间没有发现统计学显着差异（p  >0.05）。仅在少数非洲群体中报告了动态血压。 没有发现运动后 24 小时收缩压有影响，但与对照干预相比，一次有氧运动后24 小时舒张压在统计学上显着降低（−1.89 [−3.47，−0.31] mmHg，p < 0.01）。现有证据不足以推荐单次有氧运动作为非洲和亚洲人群降低血压的有效工具。然而，非白种人群体数据的缺乏凸显出需要付出更多努力来确定单次运动（包括等长运动和动态阻力运动）的功效，作为一种潜在的非药物辅助手段，帮助降低日常生活中的血压。亚洲或非洲血统的后裔。