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People are becoming increasingly sedentary leading to a rise in clinical conditions such as hypertension or high blood pressure that has major impact on public health concern and social care. With higher blood pressure the heart has to pump harder and the arteries have to carry blood that is flowing under greater pressure in which can lead to an increases risk of a heart attack, heart failure, stroke or kidney damages and disease. Physical activity is considered to be an antihypertensive strategy to prevent or control of high blood pressure in the form of post exercise hypotension. Post exercise hypotension emphasis to lifestyle modification rather than a sole reliance on pharmacological therapy. It has been reported for every 1 MET increase in fitness level, mortality risk decreases by 11% in people with high blood pressure. Subsequently researched indicated an optimal health benefit can be achieved through moderate dose of exercise intensity at 3–6 METs for all adult aged 18-65 year that seems to be a well-designed strategy to prevent cardiovascular problem such as high blood pressure. However, there are few national programmes to serve as models for prevention and control of hypertension and few countries have embarked on national hypertension prevention and control programmes on the exact magnitude of moderate – intensity at 3–6 METs .The application of moderate intensity exercise based on metabolic equivalent may lead to a new approach to tackle hypertension.
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