The effect of pedal cadence on a cycle ergometer on blood pressure reduction in individuals with hypertension: a systematic review of randomized controlled trials

Antonov A.G., Miroshnikov A.B., Rybakova  P.D., Smolensky A.V.

 

ABSTRACT

 

Aerobic exercise (walking, swimming, bicycling, etc.) is an important component of lifestyle modification for the prevention and control of arterial hypertension (AH). The aim of this study was to conduct a systematic review of randomized controlled trials (RCTs) to investigate the relationship between pedal cadence on a cycle ergometer and blood pressure (BP) levels in individuals with hypertension (AH).

Methods. The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature searches were performed in the following databases: PubMed, MedNar, Cochrane Library, Epistemonikos, and eLibrary. No restrictions on date or language were applied.

Results. A total of 199 records were identified across the databases. However, none of the studies met the inclusion criteria. As a result of a systematic search in multiple electronic databases (PubMed, MedNar, Cochrane Library, Epistemonikos, and eLibrary) without date or language restrictions, the review did not identify any RCTs investigating the potential impact of different pedal cadences on BP in individuals with AH.

Conclusion. We consider it appropriate to publish our findings, as this study has identified a gap in the literature regarding the relationship between pedal cadence and elevated BP in individuals with AH.

 

Keywords: pedal cadence, cycling cadence, cycle ergometry, hypertension, cardiovascular diseases.

 

For citation:

Antonov A.G., Miroshnikov A.B., Rybakova  P.D., Smolensky A.V. The effect of pedal cadence on a cycle ergometer on blood pressure reduction in individuals with hypertension: a systematic review of randomized controlled trials. International Journal of Heart and Vascular Diseases. 2025. 13(45): 38-45. DOI: 10.24412/2311-1623-2025-45-46-52