THIS Exercise beats Cardio for Blood Pressure lowering | New trial
A new clinical trial has revealed an exercise almost twice as effective as cardio in lowering blood pressure.
Connect with me:
Facebook: / drgilcarvalho
Twitter: / nutritionmades3
Animations: Even Topland @toplandmedia
References:
New trial: jamanetwork.com/journals/jama...
US/Europe BP Classifications:
www.acc.org/Latest-in-Cardiol...
Disclaimer: The contents of this video are for informational purposes only and are not intended to be medical advice, diagnosis, or treatment, nor to replace medical care. The information presented herein is accurate and conforms to the available scientific evidence to the best of the author's knowledge as of the time of posting. Always seek the advice of your physician or other qualified health provider with any questions regarding any medical condition. Never disregard professional medical advice or delay seeking it because of information contained in Nutrition Made Simple!.
#NutritionMadeSimple #GilCarvalho
0:00 Lowering Blood Pressure
1:05 New clinical trial
2:28 Results
4:08 Caveats
4:36 How it works
Пікірлер: 163
I can walk for hours and hours each day but I can’t see myself doing tai chi for longer than a few minutes. At the end of the day, the exercise that lowers your blood pressure the most, is the exercise that you can sustain.
@4124V4TA-SNPCA-x
25 күн бұрын
That's a given and Gil himself said it several times. Best lifestyle is what is sustainable for you on the long run. Eat healthy, but what you can. Exercise how you can. Etc. Have a nice day!😊
@-ZTUN-
18 күн бұрын
the real advantage of tai chi is that it can be done by already sick/frail/very old/ people that could otherwise not exercise at all or in the early stages of rehabilitation following disease or surgery
@asdasdnq
16 күн бұрын
Unless it's lifting up a beer bottle.
There was a study done recently that showed isometric exercises like Planks and wall sits are better at lowering blood pressure than cardio exercises.
@StrongerThanBigfoot
8 күн бұрын
I highly doubt that
Problem is, 99% of dr.'s offices cannot do BP testing correctly.
@thomashugus5686
Ай бұрын
So true! Plus white coat anxiety can up your pressure!
@jedinxf7
24 күн бұрын
oh so it isn't just me
@Better_Call_Raul
20 күн бұрын
Why? BP check is pretty straightforward.
@judithjay9312
15 күн бұрын
Some of the problems are ss follows: Wrong B/P cuff size used You should not talk while getting b/p checked Rest a few minutes before b/p measured.
@Thejoeordinary1
14 күн бұрын
They treat you as just another patient, taking little care to do it carefully. That can make all the difference in the world. Doing it at home correctly is best. In office is just a formality.
Just want to let you know I shout you out to all my clients if they want to learn more about food and nutrition! This is one of the best most trust worthy channels because you just go through the science with no agenda.
@shaystern2453
24 күн бұрын
for clicks
I have white coat syndrome. Every time I measure it in the doctors office it is always around 140-150. But when I am at home, relaxed it is around 110-120.
@Beans-great
25 күн бұрын
Same here. Really annoying.
@davidjennings6937
20 күн бұрын
I too have that syndrome and when I show the doctors my readings at home I just get a get outta here look as if I'm making it up. I've been as high as 170 but my readings at home 120's 130's. Years ago 140 was considered normal then the pharms kept dropping it.
@vijayakumarp7593
19 күн бұрын
I too experience same
@jkconner9636
18 күн бұрын
My cardiologist had me get the omron brand blood pressure cuff. It sends data to my iPad and tracks it. She can then look at a months worth of results. I deal with the same issue, # is 15 to 20 points higher in the doctors office
@charlesgair8608
15 күн бұрын
My BP Does The Same.When They Measure It Again In Drops Every Time Down To Normal.
There's no holding of positions in Tai Chi (that would be more like Yoga)i; the point is that one is constantly moving, all joints rhythmically in unison. Some want to call it a form of moving Chi Kung; that's fine. They both utilize basically the same breathing techniques, which are in all probability, what influences pulse rate and blood pressure. One can actually lower their heart rate and blood pressure, with simple breathing exercises, standing or sitting completely still.
Have you heard of any tests on gardening? I garden about 2 hours a day and find it both exercising and relaxing.
@shaystern2453
24 күн бұрын
it's good
I do think Tai Chi is more helpful in slowing down and getting you in touch with your body, which I think is extremely beneficial. Cardio is great for the heart and circulation as well, so I think some of both is probably the key. There's no one magic bullet in health, and we don't have to choose just one modality that has a slightly better improvement rate than another. These things are both beneficial in their own way, and it's also better to do the one that is sustainable for you, while also trying, when you can, to reach beyond your comfort zone and do something different once in a while.
wall squats but not using a wall = "horse stance". Here in Toronto we have huge outdoor classes of taijquan.
@anonymoussource7999
Ай бұрын
Also combine wall squats with your calves raised to increase intensity!
I’d really like to see a video on the risks of low blood pressure, specifically clotting.
@scienceislove2014
Ай бұрын
High blood pressure kills more people... That topic would be really trivial especially when you can almost control that by eating more salt
@YourLakelandSloth
Ай бұрын
I suffer from low blood pressure. I never understood why 😅 I’m not the most active person either
@Joseph1NJ
Ай бұрын
syncope
@JS-yd5vc
Ай бұрын
My diastolic blood pressure trends low. Like 50-70. When it’s below 60 I worry. My resting heart rate also trends high, like 70-90 which is weird since I’m super active and eat well and live such a healthy lifestyle. I’m 22, male, 5’4, 125lbs, 14% body fat, workout regularly through weights and calisthenics, do some jumprope too. I eat primarily whole plant foods, average >50g fiber
@ChessMasterNate
Ай бұрын
@@YourLakelandSloth If you are not low in electrolytes, you might be underhydrated. You don't want to be underhydrated, because that can damage the kidneys. Don't skip drinking water before bed. I fell into that, and kept having my circulation cut off on my arms or legs. With better hydration before bed, I rarely ever have that problem anymore. Did not want to get up in the middle of the night to pee. But that was a bad assumption. After I decided to hydrate anyway, counterintuitively I now very rarely need to get up in the night to pee. Once a month or less. There is a quick and dirty pinch test for dehydration. You pinch and release the skin on the back of your hand. If it instantly springs back flat, you probably are not dehydrated. If there is any delay, it could be dehydration. I don't think it works on the very young or the very old. In the young, often skin springs back regardless, while in some old it returns with delay even if well hydrated. Hypothyroid or other endocrine issues, or low levels of vitamin B-12, folate and iron can also cause it. If you are vegan, you may not be getting enough B-12. Methylcobalamin is the best. You put that under your tongue. Of course, low BP could just be genetic.
As a retired 74-year-old scientist, I find all your content useful and fact-based. I wonder if Yoga offers the same sort of benefits as they also involve mental focus, breathing, and very coordinated musculoskeletal movements?
@Jemawin
Ай бұрын
I had the same thought.
@CristinaAcosta
28 күн бұрын
Yes! Committed to 3 months of yoga 8-10 hours per week. my blood pressure dropped 10 points to low normal. Age 64. It worked!
@ramachandran8666
27 күн бұрын
@@CristinaAcosta Great to hear the positive effect of Yoga on BP as well. I had back surgery 14 years ago. I have been doing light versions of yoga stretches not only to keep my back pain-free but also to help me in sound sleep. I also noticed much steady BP in healthy range despite my mild hypertension
I'm on double meds to lower BP (from 195/103 to 130/78 now). Heart rate is 39 to 42 BPM; 30 at night. Genetics and stress, I'm pretty sure. Lots of swimming, walking, biking, calisthenics and only real food. Perfect BMI.
@tombillard5264
16 күн бұрын
That is a dangerously low heartrate
@asphalthedgehog6580
16 күн бұрын
@@tombillard5264 yes, and so is my BP. My cardiologist however isn't worried. And I feel fine. When my HR reaches 100 I don't feel fine. Must have a powerful heart...
I love this channel! Data-driven and with no agenda - just getting the best information out to the public. Thank you for all your work. Regarding Tai Chi, I find my muscles get a great workout with it, as indicated by how sore they are the next day.
@jasonito23
Ай бұрын
There is one incy wincy agenda....The Mediterranean Diet is the God diet on this channel 🤣. But this is the best channel for nutrition in my opinion.
@4124V4TA-SNPCA-x
25 күн бұрын
@@jasonito23 I wouldn't call it an agenda as Gil don't say you have to be on Mediterranean diet and he prefers it because science supports that the most. He also considers DASH, vegetarian, pescetarian, vegan and other diets healthy, and short term low carb or keto dieting if necessary for medical reasons. As the data sports those. But if the science marches on he will change his view and adjust to it. Unlike dietary tribe advocates stuck in their views because of financial attachment. He endorses no products. He has no sponsors, no ads. Doesn't push his line of dietary supplements. I'd say he has no agenda at all. If you know someone more neutral, trust worthy and more objective than him, I'd like to see.
I am not surprised to hear these results. Doing a set always left me with shaky legs and the sensation that I was winded though I never actually got to breathing hard. I eventually concluded that the majority of any exhaustion I experienced was the result of the intense focus that Tai Chi commanded, from me at least I can't speak for others. I'd be thrilled if the local park had an impromptu group that assembled daily for Tai Chi, sadly however that park is under snow 6 months of the year.
@johnc3212
Ай бұрын
Thinking of moving south for this reason exactly!
Today I was diagnosed as hypertensive and you release this 🙏🏼
Thanks for covering this.
Good stuff 👍
Once he note Tai Chi was slightly better, it made me wonder about vagal tone to the heart, decreasing inotropy and chrontropy thereby reducing CO. This would decrease BP plus impact tone of sympathetic to the vasculature. Very interesting study. I look forward to reading. As an A&P professor, I appreciate your work. Thanks!
On the not so stressful days, I have noticed that intensive exercise like a one mile hard run does bring down my BP for several hours. On the very stressful days, nothing seems to help.
Great info. , thanks for sharing!
I'm from Malaysia and I love your videos Dr.Gil👍
That interesting! Not what I would have expected
Thanks for presenting this information.
Excellent thanks.
Great video and info. Many thanks for sharing Dr Carvalho
Great info we are going to sign up for a class and hope for the best.
Wish I had groups I could do it with in my area, but for a while I was following some KZread lessons on it and doing it on my own. I did feel like I was deriving some physical benefits from it, but it's hard to say exactly what. Like, maybe somewhat more resilient joints or something. It was definitely very relaxing. Would probably be good to pick it up again, but there are only so many things I can do in a day. It starts to grate on me when I have too many different "daily practice" type of things that I try to do every day.
I’d love to see a comparison of Tai Chi and isometric exercise.
Tai chi is really good for balance, too!!
I've been doing T'ai Chi for a couple of years - I think I'll keep it up!
Once again requesting for audio podcasts. Please make your audio podcasts available on spotify etc.
Theres a lot of potential for dynamic tension in Tai Chi, i know some nights I will actively work against myself and come away sweating, others I'm there for the meditative aspect. Having an instructor who teaches it from a Kung Fun perspective is a big factor too. Either way - interesting video! Especially since I'm currently wearing a 24hr monitor!
Just when I was about to ditch squats for wall sits and other isometric exercises that you suggested a couple of months ago, and now comes in Tai Chi. God damn, training is a science.
Not surprised given the isometric contractions involved in Tai Chi (edit, too early. You then said it)
I’m a Taichi lover myself, so hearing that you have done Taichi regularly before gives me another reason to support your channel! 😃😃😃
I am so glad you tied it together at the end with the isometric exercise and the other studies you went over about those. That was the first thought in my head. It seems kind of like a slow moving isometric exercise rather than a completely static one.
@oolala53
22 күн бұрын
I’m glad too because I guess I’m not scared enough about my slightly rising blood pressure to think of committing to those hours consistently. I think in his other video the time needed to make decent change using iso metric positions was far less than multiple hours per week. Definitely more doable.
Could it be that one activity (Tai Chi) was done in a group and another was individual? I wonder if group activity can reduce stress which then affects blood pressure.
I’ve continued to do tai chi after getting POTS and only rarely is my BP high. My boyfriend who is also my teacher has really low blood pressure, almost to the point of needing to take salt pills. It has so many benefits! Thanks for sharing.
Trouble is, it seems every exercise that helps with BP is about duration and isn't short in duration... for people pressed for time, working long hours, and who maybe also do other, more intense exercise, scheduling in an hour of Tai Chi isn't easy.
Is there a similar study for yoga?
I would love to hear your take on conservative measures for (the neglected) Low BP, which of course if also related to the ANS.
5:33 - Looks like isometric exercise. That was also my first thought.
Dr. Carvalho, could you plese talk about if Taichi can also improve a person's Vo2max metric and how important is Vo2max metric in the overall health of a person?
Hey 🌹 thanks for this helpful video 🤘 one question, please, why is the bloodpressure between US and European so different?
My brother-in-law lived healthy 96 years. His life style waking up 3:30 am !, and doing exercises , cycle to office, gardening, good food.
another vid showed isometric works best for hbp - i tried that and it works! planks, wall sits, yoga etc.
Please can you share reflections on the optimal blood sugar range for longevity, postprandial, hba1c and fasted
Another excellent assessment. Dr. Gill and Dr. Layne Norton are the only two professionals on KZread that I recommend other than myself, the KZread channel for which will be soon once my practice is up and running in Cleveland)
@oolala53
22 күн бұрын
Do you have a website?
👏👏👏
I would say Yoga and meditation have very similar effects
@ZsuzsaKarolySmith
29 күн бұрын
Or just deep breathing
Warmup for tai chi? I presume that was raising the hand to wave hello to the other participants.
@bambolincyprus9527
Ай бұрын
😁
Can you give us your opinion on C15 fatty acid supplementation ?
Good information, and matches outcomes for other evidence based health research. NOTE: the modern name 'Tai Chi' isn't standardized, and some people are offering a slow motion Zumba-ish class , without a deep understanding of proper body mechanics... so be an informed consumer.
Really? Any decent exercise regime is really really good vs not exercising. Tai Chi helps if you are sedentary but it’s not running or lifting weights. Do all 3 (hard cardio, resistance training and mental conditioning (yoga/tai chi)
how large is the sample of this trial?
can these results be applied to excercises like Yoga?
Tai Chi yes! Increasing breathing skills that relaxes the mind and body. Stress esp when over 38 years old. I'm not just a Uniform
Hi, new subscriber here. I have a 2-part question and hope to get some insight from you (or anyone who likes to offer). (1) I'm 65+ and my blood pressure (BP) is usually at 90-100/60-70 with the average at 95/70. Is that too low and is it good? (2) I watched your video about "B12 vitamin" and my question is: I'm on a whole-food plant-based and if I like to take a daily 1000 mcg of B12 supplement, is it better to take 500 mcg twice a day, or 1000 mcg once daily? I think you mentioned in that video that it's better to take separately to have a better absorption.
May i suggest a topic? the blood type diet? there's much controversy around it.
0:35 -- I'm just with that tiny range of pressure numbers ...My pressure is under all that but moves around all day & night..
140 is high-normal in Europe.
Please talk about diet, supplements for osteoarthritis Copd Visceral/abdominal fat Kidney health Joint pain/aches and flexibility Mental health
Hey Gil, have you talked about TMAO in any of your videos?
@NutritionMadeSimple
27 күн бұрын
we have one coming soon all on it
Can you make an update video on Olive Oil? It is gaining more popularity and some new evidence might be available
Just consume more potassium and some extra magnesium, lowers bp a lot
@matauboy
Ай бұрын
So does dying but that doesn't mean it's good for you😮. Putting blanket comments on a video backed with good science and excellent explanations is really rather pointless 😢
I wonder if yoga has a similar effect.
And hidden in the form is the martial arts aspect. Many variations too using various props: fan, cane (for older / partly disabled people), swords, pitchfork (taught to those farmers to help them protect their land against invaders), etc.
Tai Chi is an absolute smoker from the static tension and slow concentric and eccentric contractions. Its resistance training IMO.
I imagine the main benefit is sustained breathing exercise and control. That typically has a significant impact on lowering blood pressure.
Currently hypotension atage 1 starts at 130 ..... With this pace of adjustement is it safe to assume that within the next 2 decades they announce the hypothension from 100 -110 points ? I do know reason behind but as far as I am informed (at least in my country) the hypothension stage 1 would in this case apply to at least 80-90% of an adult population :)
Warm up for Tai-Chi? What does it look like? You stand up still for 10mins?
Now this is quite cool. I wonder if these Tai Chi movements also somehow calm us down and the reduced stress causes the lowered bloow pressure.
@cyndij8312
Ай бұрын
Exactly what I was wondering. If that's the case, meditation might also help. I need to try it.
If tai chi works that well, now someone must measure the yoga effect on bp, as they are pretty similar in style
Tai Chi also is performed in a social setting usually which may also be a factor in lowering blood pressure.
@ZsuzsaKarolySmith
29 күн бұрын
If you’re an extrovert - otherwise, it could have the opposite effect!
Ti Chi strikes me as a form of meditation
How do you cool down from tai chi?
@ozmunky
Ай бұрын
Stiff whiskey and a cigarette ....
Were the study groups randomized? I’m guessing not.
@NutritionMadeSimple
26 күн бұрын
yes, randomized. see 1:08 where this is covered
Blood pressure is such a sketchy metric that I don't place a lot of weight on it, maybe I would if I was regularly 130+ on systolic. There is strong placebo effect. Many small things can cause transient spikes in blood pressure. For me even the first test itself seems to cause a spike, if I do 4 tests in a 5 minute period, the first will almost always be the highest. For me a hard workout the day before will cause an increase in blood pressure the following mourning, so I should not work out hard to keep my blood pressure low?, that would be the wrong conclusion imo.
1st view, 1st comment. As always, GREAT info!
What about yoga?
Spooky man in the mirror at 3:20 😅
What I find troubling is the difference between the American normal and the European view of normal. At age 71 this American is slanting more toward the European version.
In that case maybe meditation would be a good option as well.
Im probably wrong on this but didnt the AMA raise the bar to 115/75 as normal optimization
@BobSmith-fx9sz
Ай бұрын
Yes. Risk for CV events starts at 115 and increases with every mmhg. The 120 is a PH guideline that takes into account achievability.
@joblogos2367
Ай бұрын
I'm stuffed then
Tai chi seems hard on the knees
Wouldn’t yoga have similar benefits?
Pretty sure Qi Gong is superior compared to Tai Chi for blood pressure and health. But ofcourse they did not include that.
I have been doing tai chi for about 6 months--also have lost some weight on keto--and my blood pressure has come down. Tai chi is like moving meditation so an hour a day you are in parasympathetic mode. It's also body awareness and relaxing areas of held tension as you move. Finally as you get stronger you are strengthening the thighs in a way that's much like isometric exercises like wall sits and stable squats.
@VeganWellnessTribe
Ай бұрын
If I can ask, what drew you to keto?
They should have a third group doing 50/50. I think there may be a roof to the effect to Tai Chi in this respect. As a physiotherapist its also not new to me that isometric-like exercise have a good cardiovascular effect:-)
according to Robert Baron the acceptable BP for seniors is 140/90
@Hanover-ek4jy
Ай бұрын
Who is Robert Baron?
me not even having high blood pressure looking for thai chi group.
You have to wonder what is more important, physical or mental health.
Does Tai Chi make you sweat alot? I ask because one fairly intuitive mechanism for why exercise lowers blood pressure is that it makes you sweat more and causes you to lose sodium. If Tai Chi does this without putting your body under stress (which may act to raise blood pressure at least transiently) it could make sense. But then nothing about health/fitness is ever intuitive so looking for intuitive explanations may be a naive way to go.
Um… How do you cool down from Tai Chi? Maybe a nap?
I wondered if he was going to get around to iso. I also wonder how low BP would be if you watched pretty fish swim around in a nice fish tank for 20 minutes a day. I don't have a tank and fish, but I have thought about buying something like that. There was a recent study that showed that aromatherapy during sleep could help the brain. And I wondered if BP was measured. Aroma therapy might just be lowering BP. I suppose if it was smells you did not like, it would not have the same benefits: skunk, burnt toast, outhouse, maggot mess, sulfur spring, stinky shoe, bad breath, dirty diaper, rotting fish, locker room and garbage truck, likely are not top aromatherapy sellers. I also wonder if they only used smells each subject liked. There are definitely smells other people like that, I don't like, like frankincense, lavender and tea tree.
far out!
I can’t hardly get my BP lower than 140 ever! I’m even on 2 meds, doesn’t make a difference.
that new mic is completely Nuts (I can hear the inside sounds of your mouth)
It seems to me that an hour of Tai Chi is a bit more intense than moderate cardio for the same amount of time.
@noggintube
Ай бұрын
It depends, I've seen some people doing Tai Chi and not putting much into it, and others with sweat pouring off them. Same with 'moderate' cardio. To some it means plodding along still having a conversation, others closer to a more intense level where they're actually working.
@surrealistidealist
Ай бұрын
@@noggintube Indeed. It can be very tricky when trying to establish a consistent standard for where moderate intensity ends and higher intensity begins. This probably contributes to some of the individual variation in both experimental groups.
Not shocking. Cardio can be quite stressful, physically and mentally.