Effect of dance therapy on blood pressure and exercise capacity of individuals with hypertension: A systematic review and meta-analysis

Dance therapy is a less conventional modality of physical activity in cardiovascular rehabilitation. This study performed a systematic review and meta-analysis to investigate the effects of dance therapy in hypertensive patients.

Pubmed, Scopus, LILACS, IBECS, MEDLINE and SciELO via Virtual Health Library (Bireme) (from the earliest data available to February 2016) were searched for controlled trials that investigated the effects of dance therapy on exercise capacity, systolic (SBP) and diastolic (DBP) blood pressure in hypertensive patients. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I2 test.

Four studies met the eligibility criteria. Dance therapy resulted in a significant reduction in systolic blood pressure (WMD -12.01mmHg; 95% CI: -16.08, -7.94mmHg; P<0.0001) when compared with control subjects. Significant reduction in diastolic blood pressure were also found (WMD -3.38mmHg; 95% CI: -4.81, -1.94mmHg; P<0.0001), compared with control group. Exercise capacity showed a significant improvement (WMD 1.31; 95% CI: 0.16, 2.47; P<0.03). A moderate to high heterogeneity was observed in our analysis: I2=92% to SBP, I2=55% to DBP, and I2=82% to exercise capacity.

The study’s meta-analysis showed a positive effect of dance therapy on exercise capacity and reduction of SBP and DBP in individuals with hypertension.

However, the moderate to high heterogeneity found in this analysis limits a pragmatic recommendation of dance therapy in individuals with hypertension.

Physical activity programme

A series of five online courses that comprehensively explore physical activity and the related role of physiotherapy / physical therapy