Exercise
The recommended mode, frequency, duration, and intensity of exercise are generally the same as those for persons without hypertension.
Sports participation
Blood pressure should be controlled before resumption of participation in vigorous sports, because both dynamic and isometric exercise can cause remarkable increases in blood pressure.
Recommendations on exercise restrictions
High-normal blood pressure	No restrictions
Controlled mild to moderate hypertension (<140/90 mm Hg)	No restrictions on dynamic exercise; possible limit on isometric training or sports in some patients
Uncontrolled hypertension (>140/90 mm Hg)	Limited to low-intensity dynamic exercise; avoid isometric sports.
Controlled hypertension with end-organ damage	Limited to low-intensity dynamic exercise; avoid isometric sports.
Severe hypertension with no end-organ involvement	Limited to low-intensity dynamic exercise, with participation only if blood pressure is under adequate control.
Secondary hypertension of renal origin	Limited to low-intensity dynamic exercise; avoid “collision” sports that could lead to kidney damage.