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Hypertension: Protective Effects of Physical Exercise on Cognition Function, Arterial Function and Brain Health

Abstract

Systemic Arterial Hypertension (SAH) is a chronic condition that requires clinical treatment and is associated with increased risk of cognitive impairment and dementia. Therefore, strategies with fewer side effects and less invasive procedures are required. Evidence supports that Physical Exercise (PE) has antihypertensive effects and has proven to be an efficient and complementary tool for managing hypertension, reducing cardiovascular disease risk factors, and improving cerebral perfusion in the majority of healthy populations. Much of this cardiovascular-protective effect of PE is probably due to pluripotent effects on the vasculature, including regulation of vascular tone, energy metabolism, microvascular recruitment, and endothelial function (reducing oxidative stress and preserving NO availability). These factors are speculated to work synergistically, thereby reducing systolic and diastolic blood pressure and are directly related to improved cerebrovascular function. However, few studies have specifically examined the potential positive effects of PE on the brain in hypertensive individuals. In this brief review, we discuss the potential effect of different PE modalities (aerobic, resistance, and combined) that may act as an effective preventive or therapeutic strategy for reducing blood pressure in hypertensives and, consequently, mitigate the association between hypertension, cognitive impairment and risk of dementia.

References

  1. Leung AA, Daskalopoulou SS, Dasgupta K, McBrien K, Butalia S, Zarnke KB, et al. Hypertension Canada’s 2017 Guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults. Can J Cardiol 2017;33:557–76.

    Google Scholar 

  2. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507–20.

    Google Scholar 

  3. D’Agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation 2008;117:743–53.

    Google Scholar 

  4. Whitworth JA. 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens 2003;21:1983–92.

    Google Scholar 

  5. Guo Z, Fratiglioni L, Zhu L, Fastbom J, Winblad B, Viitanen M. Occurrence and progression of dementia in a community population aged 75 years and older: relationship of antihypertensive medication use. Arch Neurol 1999;56:991–6.

    Google Scholar 

  6. Tzourio C, Dufouil C, Ducimetière P, Alpérovitch A. Cognitive decline in individuals with high blood pressure: a longitudinal study in the elderly. EVA Study Group. Epidemiology of Vascular Aging. Neurology 1999;53:1948–52.

    Google Scholar 

  7. Tadic M, Cuspidi C, Hering D. Hypertension and cognitive dysfunction in elderly: blood pressure management for this global burden. BMC Cardiovasc Disord 2016;16:208.

    Google Scholar 

  8. Hughes TM, Sink KM. Hypertension and its role in cognitive function: current evidence and challenges for the future. Am J Hypertens 2016;29:149–57.

    Google Scholar 

  9. McDonald C, Pearce MS, Kerr SR, Newton JL. Blood pressure variability and cognitive decline in older people: a 5-year longitudinal study. J Hypertens 2017;35:140–7.

    Google Scholar 

  10. Iadecola C, Yaffe K, Biller J, Bratzke LC, Faraci FM, Gorelick PB, et al. Impact of hypertension on cognitive function: a scientific statement from the American Heart Association. Hypertension 2016;68:e67–e94.

    Google Scholar 

  11. Kivipelto M, Helkala EL, Hänninen T, Laakso MP, Hallikainen M, Alhainen K, et al. Midlife vascular risk factors and late-life mild cognitive impairment: a population-based study. Neurology 2001;56:1683–9.

    Google Scholar 

  12. Kuller LH, Lopez OL, Jagust WJ, Becker JT, DeKosky ST, Lyketsos C, et al. Determinants of vascular dementia in the Cardiovascular Health Cognition Study. Neurology 2005;64:1548–52.

    Google Scholar 

  13. Seliger SL, Siscovick DS, Stehman-Breen CO, Gillen DL, Fitzpatrick A, Bleyer A, et al. Moderate renal impairment and risk of dementia among older adults: the Cardiovascular Health Cognition Study. J Am Soc Nephrol 2004;15:1904–11.

    Google Scholar 

  14. Gąsecki D, Kwarciany M, Nyka W, Narkiewicz K. Hypertension, brain damage and cognitive decline. Curr Hypertens Rep 2013;15:547–58.

    Google Scholar 

  15. Haring B, Wu C, Coker LH, Seth A, Snetselaar L, Manson JE, et al. Hypertension, dietary sodium, and cognitive decline: results from the women’s health initiative memory study. Am J Hypertens 2016;29:202–16.

    Google Scholar 

  16. Aronow WS. Hypertension and cognitive impairment. Ann Transl Med 2017;5:259.

    Google Scholar 

  17. Walker KA, Power MC, Gottesman RF. Defining the relationship between hypertension, cognitive decline, and dementia: a review. Curr Hypertens Rep 2017;19:24.

    Google Scholar 

  18. Murray CJL, Barber RM, Foreman KJ, Abbasoglu Ozgoren A, Abd-Allah F, Abera SF, et al. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition. Lancet 2015;386:2145–91.

    Google Scholar 

  19. Gottesman RF, Schneider ALC, Albert M, Alonso A, Bandeen-Roche K, Coker L, et al. Midlife hypertension and 20-year cognitive change: the atherosclerosis risk in communities neuro-cognitive study. JAMA Neurol 2014;71:1218–27.

    Google Scholar 

  20. Birns J, Morris R, Donaldson N, Kalra L. The effects of blood pressure reduction on cognitive function: a review of effects based on pooled data from clinical trials. J Hypertens 2006;24:1907–14.

    Google Scholar 

  21. Köhler S, Baars MAE, Spauwen P, Schievink S, Verhey FRJ, van Boxtel MJP. Temporal evolution of cognitive changes in incident hypertension: prospective cohort study across the adult age span. Hypertension 2014;63:245–51.

    Google Scholar 

  22. Duron E, Hanon O. Hypertension, cognitive decline and dementia. Arch Cardiovasc Dis 2008;101:181–9.

    Google Scholar 

  23. Duron E, Hanon O. Vascular risk factors, cognitive decline, and dementia. Vasc Health Risk Manag 2008;4:363–81.

    Google Scholar 

  24. Waldstein SR, Katzel LI. Interactive relations of central versus total obesity and blood pressure to cognitive function. Int J Obes (Lond) 2006;30:201–7.

    Google Scholar 

  25. Ambrose JA, Barua RS. The pathophysiology of cigarette smoking and cardiovascular disease: an update. J Am Coll Cardiol 2004;43:1731–7.

    Google Scholar 

  26. Recio-Rodriguez JI, Gomez-Marcos MA, Patino-Alonso MC, Romaguera-Bosch M, Grandes G, Menendez-Suarez M, et al. Association of television viewing time with central hemodynamic parameters and the radial augmentation index in adults. Am J Hypertens 2013;26:488–94.

    Google Scholar 

  27. Utsugi M, Saijo Y, Yoshioka E, Sato T, Horikawa N, Gong Y, et al. Relationship between two alternative occupational stress models and arterial stiffness: a cross-sectional study among Japanese workers. Int Arch Occup Environ Health 2009;82:175–83.

    Google Scholar 

  28. Elias MF, Elias PK, Sullivan LM, Wolf PA, D’Agostino RB. Lower cognitive function in the presence of obesity and hypertension: the Framingham heart study. Int J Obes Relat Metab Disord 2003;27:260–8.

    Google Scholar 

  29. Trigiani LJ, Hamel E. An endothelial link between the benefits of physical exercise in dementia. J Cereb Blood Flow Metab 2017;37:2649–64.

    Google Scholar 

  30. Eggink E, Moll van Charante EP, van Gool WA, Richard E. A population perspective on prevention of dementia. J Clin Med 2019;8:pii: E834.

  31. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, et al. Dementia prevention, intervention, and care. Lancet 2017;390:2673–734.

    Google Scholar 

  32. Joosten H, van Eersel MEA, Gansevoort RT, Bilo HJG, Slaets JPJ, Izaks GJ. Cardiovascular risk profile and cognitive function in young, middle-aged, and elderly subjects. Stroke 2013;44:1543–9.

    Google Scholar 

  33. Blumenthal JA, Smith PJ, Mabe S, Hinderliter A, Lin PH, Liao L, et al. Lifestyle and neurocognition in older adults with cognitive impairments: a randomized trial. Neurology 2019;92:e212–e23.

    Google Scholar 

  34. Smith PJ, Blumenthal JA, Hoffman BM, Cooper H, Strauman TA, Welsh-Bohmer K, et al. Aerobic exercise and neurocognitive performance: a meta-analytic review of randomized controlled trials. Psychosom Med 2010;72:239–52.

    Google Scholar 

  35. Pescatello LS, MacDonald HV, Ash GI, Lamberti LM, Farquhar WB, Arena R, et al. Assessing the existing professional exercise recommendations for hypertension: a review and recommendations for future research priorities. Mayo Clin Proc 2015;90:801–12.

    Google Scholar 

  36. Cornelissen VA, Fagard RH. Effect of resistance training on resting blood pressure: a meta-analysis of randomized controlled trials. J Hypertens 2005;23:251–9.

    Google Scholar 

  37. Cornelissen VA, Buys R, Smart NA. Endurance exercise beneficially affects ambulatory blood pressure: a systematic review and meta-analysis. J Hypertens 2013;31:639–48.

    Google Scholar 

  38. Cornelissen VA, Fagard RH, Coeckelberghs E, Vanhees L. Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension 2011;58:950–8.

    Google Scholar 

  39. Lourida I, Hannon E, Littlejohns TJ, Langa KM, Hyppönen E, Kuźma E, et al. Association of lifestyle and genetic risk with incidence of dementia. JAMA 2019;322:430–7.

    Google Scholar 

  40. Santos LP, Moraes RS, Vieira PJ, Ash GI, Waclawovsky G, Pescatello LS, et al. Effects of aerobic exercise intensity on ambulatory blood pressure and vascular responses in resistant hypertension: a crossover trial. J Hypertens 2016;34:1317–24.

    Google Scholar 

  41. Green DJ, Maiorana A, O’Driscoll G, Taylor R. Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol 2004;561:1–25.

    Google Scholar 

  42. Thijssen DHJ, Green DJ, Hopman MTE. Blood vessel remodeling and physical inactivity in humans. J Appl Physiol (1985) 2011;111:1836–45.

    Google Scholar 

  43. Tanaka H. Effects of regular exercise on arterial stiffness. In: Pescatello LS, editor. Effects of exercise on hypertension: from cells to physiological systems. New York: Humana Press; 2015, pp. 185–201.

  44. Seals DR, Kaplon RE, Gioscia-Ryan RA, LaRocca TJ. You’re only as old as your arteries: translational strategies for preserving vascular endothelial function with aging. Physiology (Bethesda) 2014;29:250–64.

    Google Scholar 

  45. Seals DR, Nagy EE, Moreau KL. Aerobic exercise training and vascular function with ageing in healthy men and women. J Physiol 2019;597:4901–14.

    Google Scholar 

  46. Angevaren M, Aufdemkampe G, Verhaar HJJ, Aleman A, Vanhees L. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev 2008;CD005381.

  47. Barnes JN, Corkery AT. Exercise improves vascular function, but does this translate to the brain? Brain Plast 2018;4:65–79.

  48. Lucas SJE, Ainslie PN, Murrell CJ, Thomas KN, Franz EA, Cotter JD. Effect of age on exercise-induced alterations in cognitive executive function: relationship to cerebral perfusion. Exp Gerontol 2012;47:541–51.

    Google Scholar 

  49. Pedralli ML, Eibel B, Waclawovsky G, Schaun MI, Nisa-Castro-Neto W, Umpierre D, et al. Effects of exercise training on endo-thelial function in individuals with hypertension: a systematic review with meta-analysis. J Am Soc Hypertens 2018;12:e65–e75.

    Google Scholar 

  50. Thijssen DH, Dawson EA, Black MA, Hopman MT, Cable NT, Green DJ. Brachial artery blood flow responses to different modalities of lower limb exercise. Med Sci Sports Exerc 2009;41:1072–9.

    Google Scholar 

  51. Teixeira RB, Marins JCB, Amorim PRS, Teoldo I, Cupeiro R, de Andrade MOC, et al. Evaluating the effects of exercise on cognitive function in hypertensive and diabetic patients using the mental test and training system. World J Biol Psychiatry 2019;20:209–18.

    Google Scholar 

  52. Maher FO, Clarke RM, Kelly A, Nally RE, Lynch MA. Interaction between interferon γ and insulin-like growth factor-1 in hippocampus impacts on the ability of rats to sustain long-term potentiation. J Neurochem 2006;96:1560–71.

    Google Scholar 

  53. Pescatello LS, MacDonald HV, Lamberti L, Johnson BT. Exercise for hypertension: a prescription update integrating existing recommendations with emerging research. Curr Hypertens Rep 2015;17:87.

    Google Scholar 

  54. Pescatello LS, Arena R, Riebe D, Thompson PD. ACSM’s Guidelines for Exercise Testing and Prescription 9th Ed. 2014. J Can Chiropr Assoc 2014;58:328.

    Google Scholar 

  55. Boutcher YN, Boutcher SH. Exercise intensity and hypertension: what’s new? J Hum Hypertens 2017;31:157–64.

  56. Hansen D, Niebauer J, Cornelissen V, Barna O, Neunhäuserer D, Stettler C, et al. Exercise prescription in patients with different combinations of cardiovascular disease risk factors: a consensus statement from the EXPERT working group. Sports Med 2018;48:1781–97.

    Google Scholar 

  57. Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc 2013;2:e004473.

  58. Wen H, Wang L. Reducing effect of aerobic exercise on blood pressure of essential hypertensive patients: a meta-analysis. Medicine (Baltimore) 2017;96:e6150.

  59. Moriguchi J, Itoh H, Harada S, Takeda K, Hatta T, Nakata T, et al. Low frequency regular exercise improves flow-mediated dilatation of subjects with mild hypertension. Hypertens Res 2005;28:315–21.

    Google Scholar 

  60. Molmen-Hansen HE, Stolen T, Tjonna AE, Aamot IL, Ekeberg IS, Tyldum GA, et al. Aerobic interval training reduces blood pressure and improves myocardial function in hypertensive patients. Eur J Prev Cardiol 2012;19:151–60.

    Google Scholar 

  61. Ashor AW, Lara J, Siervo M, Celis-Morales C, Mathers JC. Effects of exercise modalities on arterial stiffness and wave reflection: a systematic review and meta-analysis of randomized controlled trials. PLoS One 2014;9:e110034.

  62. Kelley GA, Kelley KS. Progressive resistance exercise and resting blood pressure: a meta-analysis of randomized controlled trials. Hypertension 2000;35:838–43.

    Google Scholar 

  63. MacDonald HV, Johnson BT, Huedo-Medina TB, Livingston J, Forsyth KC, Kraemer WJ, et al. Dynamic resistance training as stand-alone antihypertensive lifestyle therapy: a meta-analysis. J Am Heart Assoc 2016;5:pii: e003231.

  64. Moraes MR, Bacurau RF, Casarini DE, Jara ZP, Ronchi FA, Almeida SS, et al. Chronic conventional resistance exercise reduces blood pressure in stage 1 hypertensive men. J Strength Cond Res 2012;26:1122–9.

    Google Scholar 

  65. Beck DT, Martin JS, Casey DP, Braith RW. Exercise training improves endothelial function in resistance arteries of young prehypertensives. J Hum Hypertens 2014;28:303–9.

    Google Scholar 

  66. Keese F, Farinatti P, Pescatello L, Monteiro W. A comparison of the immediate effects of resistance, aerobic, and concurrent exercise on postexercise hypotension. J Strength Cond Res 2011;25:1429–36.

    Google Scholar 

  67. Dolezal BA, Potteiger JA. Concurrent resistance and endurance training influence basal metabolic rate in nondieting individuals. J Appl Physiol (1985) 1998;85:695–700.

    Google Scholar 

  68. Dos Santos ES, Asano RY, Filho IG, Lopes NL, Panelli P, da Cunha Nascimento D, et al. Acute and chronic cardiovascular response to 16 weeks of combined eccentric or traditional resistance and aerobic training in elderly hypertensive women: a randomized controlled trial. J Strength Cond Res 2014;28:3073–84.

    Google Scholar 

  69. Shaw I, Shaw BS, Brown GA, Cilliers JF. Concurrent resistance and aerobic training as protection against heart disease. Cardiovasc J Afr 2010;21:196–9.

    Google Scholar 

  70. Stewart KJ, Bacher AC, Turner KL, Fleg JL, Hees PS, Shapiro EP, et al. Effect of exercise on blood pressure in older persons: a randomized controlled trial. Arch Intern Med 2005;165:756–62.

    Google Scholar 

  71. Son WM, Sung KD, Cho JM, Park SY. Combined exercise reduces arterial stiffness, blood pressure, and blood markers for cardiovascular risk in postmenopausal women with hypertension. Menopause 2017;24:262–8.

    Google Scholar 

  72. Schuler G, Adams V, Goto Y. Role of exercise in the prevention of cardiovascular disease: results, mechanisms, and new perspectives. Eur Heart J 2013;34:1790–9.

    Google Scholar 

  73. Smith PJ, Blumenthal JA, Babyak MA, Craighead L, Welsh-Bohmer KA, Browndyke JN, et al. Effects of the dietary approaches to stop hypertension diet, exercise, and caloric restriction on neurocognition in overweight adults with high blood pressure. Hypertension 2010;55:1331–8.

    Google Scholar 

  74. Larson EB, Wang L, Bowen JD, McCormick WC, Teri L, Crane P, et al. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med 2006;144:73–81.

    Google Scholar 

  75. Rovio S, Kåreholt I, Helkala EL, Viitanen M, Winblad B, Tuomilehto J, et al. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer’s disease. Lancet Neurol 2005;4:705–11.

    Google Scholar 

  76. Colcombe SJ, Erickson KI, Scalf PE, Kim JS, Prakash R, McAuley E, et al. Aerobic exercise training increases brain volume in aging humans. J Gerontol A Biol Sci Med Sci 2006;61:1166–70.

    Google Scholar 

  77. Deslandes A, Moraes H, Ferreira C, Veiga H, Silveira H, Mouta R, et al. Exercise and mental health: many reasons to move. Neuropsychobiology 2009;59:191–8.

    Google Scholar 

  78. Lipsky RH, Marini AM. Brain-derived neurotrophic factor in neuronal survival and behavior-related plasticity. Ann N Y Acad Sci 2007;1122:130–43.

    Google Scholar 

  79. Tyler WJ, Pozzo-Miller LD. BDNF enhances quantal neurotransmitter release and increases the number of docked vesicles at the active zones of hippocampal excitatory synapses. J Neurosci 2001;21:4249–58.

    Google Scholar 

  80. Erickson KI, Kramer AF. Aerobic exercise effects on cognitive and neural plasticity in older adults. Br J Sports Med 2009;43:22–4.

    Google Scholar 

  81. Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, Chaddock L, et al. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci U S A 2011; 108:3017–22.

  82. Eadie BD, Redila VA, Christie BR. Voluntary exercise alters the cytoarchitecture of the adult dentate gyrus by increasing cellular proliferation, dendritic complexity, and spine density. J Comp Neurol 2005;486:39–47.

    Google Scholar 

  83. Buttler L, Jordão MT, Fragas MG, Ruggeri A, Ceroni A, Michelini LC. Maintenance of blood-brain barrier integrity in hypertension: a novel benefit of exercise training for autonomic control. Front Physiol 2017;8:1048.

    Google Scholar 

  84. Rêgo MLM, Cabral DAR, Costa EC, Fontes EB. Physical exercise for individuals with hypertension: it is time to emphasize its benefits on the brain and cognition. Clin Med Insights Cardiol 2019;13:1–10.

    Google Scholar 

  85. Whittaker AC, Delledonne M, Finni T, Garagnani P, Greig C, Kallen V, et al. Physical Activity and Nutrition INfluences In ageing (PANINI): consortium mission statement. Aging Clin Exp Res 2018;30:685–92.

    Google Scholar 

  86. De Wit L, O’Shea D, Chandler M, Bhaskar T, Tanner J, Vemuri P, et al. Physical exercise and cognitive engagement outcomes for mild neurocognitive disorder: a group-randomized pilot trial. Trials 2018;19:573.

    Google Scholar 

  87. Pedralli ML, Waclawovsky G, Camacho A, Markoski MM, Castro I, Lehnen AM. Study of endothelial function response to exercise training in hypertensive individuals (SEFRET): study protocol for a randomized controlled trial. Trials 2016;17:84.

    Google Scholar 

  88. Westhoff TH, Franke N, Schmidt S, Vallbracht-Israng K, Meissner R, Yildirim H, et al. Too old to benefit from sports? The cardiovascular effects of exercise training in elderly subjects treated for isolated systolic hypertension. Kidney Blood Press Res 2007;30:240–7.

    Google Scholar 

  89. Cook JN, DeVan AE, Schleifer JL, Anton MM, Cortez-Cooper MY, Tanaka H. Arterial compliance of rowers: implications for combined aerobic and strength training on arterial elasticity. Am J Physiol Heart Circ Physiol 2006;290:H1596–H600.

    Google Scholar 

  90. Cortez-Cooper MY, DeVan AE, Anton MM, Farrar RP, Beckwith KA, Todd JS, et al. Effects of high intensity resistance training on arterial stiffness and wave reflection in women. Am J Hypertens 2005;18:930–4.

    Google Scholar 

  91. Nualnim N, Parkhurst K, Dhindsa M, Tarumi T, Vavrek J, Tanaka H. Effects of swimming training on blood pressure and vascular function in adults >50 years of age. Am J Cardiol 2012;109:1005–10.

    Google Scholar 

  92. Spence AL, Carter HH, Naylor LH, Green DJ. A prospective randomized longitudinal study involving 6 months of endurance or resistance exercise. Conduit artery adaptation in humans. J Physiol 2013;591:1265–75.

    Google Scholar 

  93. DeSouza CA, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H, et al. Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men. Circulation 2000;102:1351–7.

    Google Scholar 

  94. Higashi Y, Sasaki S, Kurisu S, Yoshimizu A, Sasaki N, Matsuura H, et al. Regular aerobic exercise augments endothelium-dependent vascular relaxation in normotensive as well as hypertensive subjects: role of endothelium-derived nitric oxide. Circulation 1999;100:1194–202.

    Google Scholar 

  95. Tanaka H, Shimizu S, Ohmori F, Muraoka Y, Kumagai M, Yoshizawa M, et al. Increases in blood flow and shear stress to nonworking limbs during incremental exercise. Med Sci Sports Exerc 2006;38:81–5.

    Google Scholar 

  96. Green DJ, Hopman MTE, Padilla J, Laughlin MH, Thijssen DHJ. Vascular adaptation to exercise in humans: role of hemodynamic stimuli. Physiol Rev 2017;97:495–528.

    Google Scholar 

  97. Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep 2013;15:659–68.

    Google Scholar 

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Correspondence to Marinei Lopes Pedralli.

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Pedralli, M.L., Barbosa, E. & Cunha, P.G. Hypertension: Protective Effects of Physical Exercise on Cognition Function, Arterial Function and Brain Health. Artery Res 25, 81–86 (2019). https://doi.org/10.2991/artres.k.191203.003

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