Managing Hypertension and Weight Loss with Exercise

Given three methods of exercising, LISS, HIIT, and Strength Training: Are there any solid data indicating which is best for managing hypertension? I’m wondering if I should modify my training to incorporate more of either LISS or HIIT since I mostly strength train now.

Also, given the same three methods: Are there any solid data showing which is best to help with weight loss? I’m currently around 26% body fat at 230 lbs. From what I’ve read, weight loss seems to be the most important factor for lowering hypertension.

Third, since creatine causes water retention, and it seems the first line drug to treat hypertension is a diuretic to reduce overall blood volume, would you recommend discontinuing creatine, or is the improved recovery and therefore increased ability to exercise more important?

Currently BP is consistently around 145/95. Hypertension runs in the family. I’m 50 years old. I ran HLM for a few years after a short NLP (been active my whole life.) Then I switched to your Bridge 1.0 this January after reading the ebook that came with it. Grinding 5 x 5 on the squats, in particular, at REP 9-10 was causing a lot of pain in my hips and knees. While the 8 minute rest between sets I would need was dragging my workouts out way longer than was reasonable. I’m really pleased with the results of lowing the intensity and upping the volume on Bridge 1.0.

I’m looking at Bridge 2.0 or your HLM templates as a base, and I would add LISS and HIIT over and above what you include in those if you think it would help to control the hypertension.

Thanks.

Start here: https://www.youtube.com/watch?v=G0RukxNBOZo

And no, creatine increases intracellular water retention, whereas diuretics reduce extracellular fluid volume.

Glad to hear you’re doing well on the Bridge!

Thanks. Great podcast. I was finally able to watch it last night. Filled out nicely the info I’d read at mayoclinic.org, which while it provided a good overview, gave much more general and vague exercise recommendations. (They’re also still stuck on the salt hypothesis.)