Concurrent training based on an individual load-velocity ratio assessment as a better alternative to continuous endurance training to improve hypertension

Hypertension remains a major global public health problem as the leading modifiable risk factor for cardiovascular death worldwide, responsible for more than 10 million deaths per year. The aim of the present study was to compare the effect of strength training, based on an individual load-velocity ratio assessment, concurrent with endurance training, and endurance training on blood and metabolic biomarkers, body composition and physical fitness in adults with hypertension. A randomised, single-blind, 12-week, prospective clinical trial was conducted. The study included 75 volunteers with an average age of 54 years, all of whom were hypertensive and sedentary. The sample was randomly assigned into three groups, strength training, based on an individual load-velocity ratio assessment, concurrent with endurance training, endurance training alone group, and a control group. The concurrent training group obtained greater reductions in SBP, DBP and MAP than the endurance training group, up to 12.8 mmHg, 6.8 mmHg and 8.6 mmHg respectively. The findings of the present study indicate that performing strength training, based on an individual load-velocity ratio assessment, concurrent with endurance training 2 days per week for 12 weeks, leads to improvements in metabolic and blood biomarkers, body composition, and physical fitness, of adults with hypertension, with these adaptations being superior to those produced by endurance training alone.