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Health promotion and public health
Exercise is an effective intervention for reducing blood pressure in adults with hypertension and diabetes: an opportunity for nurses
  1. Nicole Armstrong1,2
  1. 1 Villa Marie, Covenant Care, Red Deer, Alberta, Canada
  2. 2 ObesityLink, Canadian Telehealth Collaborative, Red Deer County, Alberta, Canada
  1. Correspondence to Nicole Armstrong, Villa Marie, Covenant Care, Red Deer County, AL T0M 1R0, Canada; nicki.armstrong{at}

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Commentary on: Park S, Kim J, Lee J. Effects of exercise intervention on adults with both hypertension and type 2 diabetes mellitus: a systematic review and meta-analysis. J Cardiovasc Nurs. 2020 Jan 31. doi: 0.1097/JCN.0000000000000651.

Implications for practice and research

  • Nurses should encourage people living with hypertension and type 2 diabetes to engage in aerobic exercise to aid in the management of hypertension.

  • Future research should address sustainability and adherence to exercise interventions over the long term and assess non-surrogate end points (eg, reduction in mortality vs reduction in blood pressure).


Type 2 diabetes mellitus (T2DM) is a pervasive non-communicable disease resulting in significant mortality and morbidity.1 Hypertension (HTN) is a frequent comorbidity in persons with diabetes.2 The pathophysiology of the two diseases results in an additive risk to cardiovascular …

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  • Twitter @NArmstrongNP

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.