health
Blood Pressure Support
Blood Pressure Support refers to efforts aimed at improving blood pressure readings, particularly by reducing systolic blood pressure (SBP). It describes an outcome area rather than a single treatment and may include approaches such as Tai Chi, Psyllium Husk, Garlic, or Citrulline.
A concise overview of Blood Pressure Support, with context to help you understand the topic clearly.
These are research findings, not promises. Most options have little evidence, and results differ from person to person.
What may help
What studies found for each option, best evidence first.
51 options:2 good evidence10 some evidence11 mixed20 not enough evidence3 not tested in people2 personal stories only3 no benefit found
Tai ChipracticeGood evidence it helpsSize of effect: Large
Good human studies found a benefit, and they mostly agree. This is about what studies measured, not a cure.
All 18 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
Open the Tai Chi pageTabata TrainingpracticeGood evidence it helpsSize of effect: Large
Good human studies found a benefit, and they mostly agree. This is about what studies measured, not a cure.
All 3 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.
A 2022 randomized trial found an average systolic blood pressure reduction of 12.77 mmHg in the group with high blood pressure compared with the other groups. A 2023 randomized trial of 122 participants also found lower systolic blood pressure.
Open the Tabata Training pageFastingpracticeSome evidence it helpsSize of effect: Small
Some human studies found a benefit. More research could change this.
21 of 25 studies found a benefit; 4 found none. Strongest study: a pooled analysis of several trials.
Open the Fasting pageAlternate Nostril Breathing (Nadi Shodhana)practiceSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 17 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
Open the Alternate Nostril Breathing (Nadi Shodhana) pageQigongpracticeSome evidence it helpsSize of effect: Medium
Some human studies found a benefit. More research could change this.
10 of 12 studies found a benefit; 2 found none. Strongest study: a pooled analysis of several trials.
A 2017 meta-analysis of randomized trials found systolic blood pressure was 15.55 mm Hg lower with Tai Chi/Qigong than with no intervention among 468 people in its analysis. A 2021 meta-analysis also found systolic blood pressure was 8.90 mm Hg lower with Qigong than with nonexercise control among 487 people.
Open the Qigong pageMeditationpracticeSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 7 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
A pooled analysis of randomized trials found systolic blood pressure was lower by -6.320 mm Hg among 2
Open the Meditation pageMindfulness MeditationpracticeSome evidence it helpsSize of effect: Medium
Some human studies found a benefit. More research could change this.
All 7 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
A pooled analysis of randomized trials found a reduction in systolic blood pressure among 429 participants compared with a waitlist, but found no effect on diastolic blood pressure. Another pooled analysis whose designs were not recorded also reported reduced systolic blood pressure in people with hypertension.
Open the Mindfulness Meditation pageDancepracticeSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 5 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
Open the Dance page
Comparing practices
- Tai ChiGood evidence it helpsSize of effect: Large16 trials
- Tabata TrainingGood evidence it helpsSize of effect: Large3 trials
- Strength TrainingMixed resultsSize of effect: Large15 trials
The expert view shows every study, dose protocol and source.
What may help
Linked to improving it51 listedStart here
Highest probability, strongest evidence
- →PracticesTai ChiCertaintyHighSourceMeta-analysisLarge effect18 other sources
Pooled analyses whose study designs were not recorded found lower systolic blood pressure (SBP) with Tai Chi; one reported an SMD of -1.10 (95% CI [-1.23, -0.98]) among 1,163 people in its outcome analysis, and another reported a decrease of −8.67 mm Hg among 2,592 people in its analysis.
How big is the effect
Large effectA big difference on average. Check how strong the evidence is.
Who was studied
- Healthy people and patients
- Breast Cancer
- Diabetes Type2
- Dyslipidemia
- Hyperglycemia
- Hypertension
- Obesity
- +2 more
Open Tai ChiStudy result
Tai Chi (SMD = -1.10, 95% CI [-1.23, -0.98], p=0, I²=16%) significantly reduced SBP compared to control.
- →PracticesTabata TrainingCertaintyHighSourceRCTLarge effect3 other sources
A 2022 randomized trial found an average systolic blood pressure reduction of 12.77 mmHg in the group with high blood pressure compared with the other groups. A 2023 randomized trial of 122 participants also found lower systolic blood pressure (d = −1.24, 95% CI: −1.63 to −0.84).
How big is the effect
Large effectA big difference on average. Check how strong the evidence is.
Who was studied
- Healthy people and patients
- Hypertension
- Overweight
Open Tabata TrainingStudy result
systolic BP (p < 0.001, d = −1.24, 95% CI: −1.63 to −0.84)
Medium probability(21)
- →PracticesFastingCertaintyMediumSourceMeta-analysisSmall effect26 other sources
A pooled analysis whose designs were not recorded reported small systolic blood-pressure reductions with alternate-day fasting compared with time-restricted eating. A meta-analysis of randomized trials found a diastolic blood-pressure change of WMD: -2.24 mmHg in 2,032 people; a separate review found no significant impact of Ramadan fasting during pregnancy on pre-eclampsia.
How big is the effect
Small effectA small but noticeable difference on average.
Who was studied
- Healthy people and patients
- Breast Cancer
- Diabetes Type2
- Fatty Liver Nafld
- Hypertension
- Metabolic Syndrome
- Obesity
- +2 more
Open FastingStudy result
Alternate day fasting showed small reductions in systolic blood pressure compared with time restricted eating (certainty of evidence ranging from low to moderate).
- →PracticesBreathworkCertaintyMediumSourceMeta-analysisModerate effectconflicting findings17 other sources
Pooled analyses whose designs were not recorded reported lower systolic blood pressure, including a mean reduction of −7.06 [−10.20, −3.92] in an analysis of 1,097 people. Results are not consistent: a pooled analysis of randomized trials found the systolic blood pressure reduction was not statistically significant under its random-effects model.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- Healthy people and patients
- Asthma
- Cancer
- Chronic Kidney Disease
- Copd
- Depression
- Heart Disease
- +2 more
Open BreathworkStudy result
breathing exercise (−17.00 mm Hg [95% CI, −26.28 to −7.72]) for reduction of systolic blood pressure compared to usual care
- →PracticesCardioCertaintyMediumSourceMeta-analysisLarge effectconflicting findings14 other sources
A pooled analysis of randomized trials found systolic blood pressure decreased by 4.5 mm Hg (95% CI: -6.5 to -2.4); another pooled analysis whose designs were not recorded found a favorable effect on diastolic blood pressure (MD = −2.5, 95% CI: −3.8, −1.18). A separate pooled analysis of randomized and non-randomized human studies found no significant effects on blood pressure or glycolipid markers.
How big is the effect
Large effectA big difference on average. Check how strong the evidence is.
Who was studied
- Healthy people and patients
- Chronic Kidney Disease
- Diabetes Type1
- Hypertension
- Menopause
- Obesity
- Overweight
Open CardioStudy result
Aerobic exercise reduced systolic blood pressure by 4.5 mm Hg (95% CI: -6.5 to -2.4)
- →PracticesStrength TrainingCertaintyMediumSourceMeta-analysisLarge effectconflicting findings22 other sources
A pooled analysis of randomized trials found systolic blood pressure fell by -3.91 mmHg among 1,396 people in its outcome analysis. Findings vary across analyses: another reported a reduction, while a separate analysis based on 22 people had a wide confidence interval (MD -5.00, 95% CI -34.42 to 24.42) and very low-certainty evidence.
How big is the effect
Large effectA big difference on average. Check how strong the evidence is.
Who was studied
- People with a condition
- Diabetes Type2
- Hypertension
- Menopause
- Metabolic Syndrome
- Obesity
- Overweight
- +1 more
Open Strength TrainingStudy result
lowered systolic blood pressure (-3.91 mmHg)
- →PracticesAlternate Nostril Breathing (Nadi Shodhana)CertaintyMediumSourceRCT17 other sources
A 2024 meta-analysis of randomized trials, covering 525 people in its systolic blood pressure analysis, found that Alternate Nostril Breathing lowered systolic blood pressure by MD -7.16 mmHg [-7.86, -6.45] compared with no intervention or placebo.
Who was studied
- Healthy people and patients
- Diabetes Type2
- Glaucoma
- Hypertension
- Hypothyroidism
- Shift Work Disorder
Open Alternate Nostril Breathing (Nadi Shodhana)Study result
ANB was better in reducing SBP than that of the control group (nonintervention or placebo) (mean difference [MD]: -7.16, 95% confidence interval [CI]: -7.86 to -6.45, I2: 93%).
- →PracticesBrisk WalkingCertaintyMediumSourceRCTModerate effect9 other sources
A 2024 meta-analysis pooling randomized and non-randomized human studies found lower systolic blood pressure (SMD: −0.55) in analyses involving people with conditions including Hypertension (High Blood Pressure), Diabetes Type 2, Menopause, and Peripheral Artery Disease. In a 2008 trial, systolic blood pressure decreased by −11.4 mmHg within the brisk-walking group.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- Healthy people and patients
- Diabetes Type2
- Hypertension
- Menopause
- Peripheral Artery Disease
Open Brisk WalkingStudy result
Systolic blood pressure had a substantial effect size in all studies (P<0.05; SMD: −0.55)
- →PracticesQigongCertaintyMediumSourceRCTModerate effect12 other sources
A 2017 meta-analysis of randomized trials found systolic blood pressure was 15.55 mm Hg lower with Tai Chi/Qigong than with no intervention among 468 people in its analysis. A 2021 meta-analysis also found systolic blood pressure was 8.90 mm Hg lower with Qigong than with nonexercise control among 487 people.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- Healthy people and patients
- Breast Cancer
- Chronic Fatigue Syndrome
- Depression
- Diabetes
- Fibromyalgia
- Hypercholesterolemia
- +6 more
Open QigongStudy result
significant benefits of Tai Chi/qigong over no intervention with mean group difference in systolic blood pressure of −15.55 mm Hg (95% CI −21.16; −9.95; I²=82%)
- →PracticesHot BathCertaintyMediumSourceRCT26 other sources
A pooled analysis of randomized and non-randomized human studies found that one hot-water immersion lowered diastolic blood pressure by 5 mmHg [−9, −1]. The studied populations included people with hypertension, diabetes type 2, heart failure and other conditions.
Who was studied
- Healthy people and patients
- Chronic Fatigue Syndrome
- Diabetes Type2
- Elderly
- Heart Failure
- Hypertension
- Obesity
- +1 more
Open Hot BathStudy result
Single immersion in hot water decreased DBP in 5 [−9, −1] mmHg (PI = −12, 2 mmHg, p = 0.01)
- →PracticesMeditationCertaintyMediumSourceRCT7 other sources
A pooled analysis of randomized trials found systolic blood pressure was lower by -6.320 mm Hg among 2
Who was studied
- Healthy people and patients
- Hypertension
Open MeditationStudy result
Overall, mindfulness-based interventions had a large effect on the reduction in systolic blood pressure by -6.320 mm Hg
- →PracticesMindfulness MeditationCertaintyMediumSourceRCTModerate effect7 other sources
A pooled analysis of randomized trials found a reduction in systolic blood pressure among 429 participants compared with a waitlist, but found no effect on diastolic blood pressure. Another pooled analysis whose designs were not recorded also reported reduced systolic blood pressure in people with hypertension.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- People with a condition
- Hypertension
Open Mindfulness MeditationStudy result
Very low quality of evidence was found for positive effects of MBSR on SBP (MD = -11.26 mmHg, 95%CI = -20.24 to -2.29, p = 0.01) but no evidence for effects on DBP levels ... compared to waitlist control.
- →PracticesHatha YogaCertaintyMediumSourceRCT9 other sources
A pooled analysis of randomized trials found blood pressure was 10.39 mmHg lower, on average, among 644 people in its analysis. A separate pilot study of 35 people reported improved systolic blood pressure at 12 weeks.
Who was studied
- Healthy people and patients
- Breast Cancer
- Cancer
- Coronary Artery Disease
- Diabetes Type2
- Heart Disease
- Hypertension
- +2 more
Open Hatha YogaStudy result
Participants allocated in the yoga subset reported a mean decrease in blood pressure of −10.39 mmHg compared with controls, with a 95% confidence interval ranging from −16.34 to −4.44 mmHg.
- →PracticesDanceCertaintyMediumSourceRCT5 other sources
A pooled analysis whose study designs were not recorded found lower systolic blood pressure with dance therapy among 983 people (MD = −7.45, 95% CI (−8.50, −6.39), p < 0.0001). Another analysis reported a blood-pressure-lowering effect with plaza dancing (SMD of −0.42, 95%CI [−0.76,−0.09], p = 0.01).
Who was studied
- Healthy people and patients
- Hypertension
Open DanceStudy result
plaza dancing has significant blood pressure-lowering effects with clear cardiovascular protective effects, SMD of −0.42, 95%CI [−0.76,−0.09], p = 0.01
- →PracticesSwimmingCertaintyMediumSourceRCT4 other sources
A pooled analysis whose designs were not recorded found nighttime blood pressure reductions after aquatic exercise compared with land exercise (−3.7 mmHg (−4.7 to −2.8 mmHg)) and rest (−1.7 mmHg (−1.9 to −0.8 mmHg)). A review of randomized trials involving 402 people also reported blood pressure reductions, though their timing and magnitude varied.
Who was studied
- People with a condition
- Hypertension
Open SwimmingStudy result
The AE had favorable PEH during the night in comparison with LE [−3.7 mmHg (−4.7 to −2.8 mmHg), I² = 23%, p = 0.000] and rest [−1.7 mmHg (−1.9 to −0.8 mmHg), I² = 0%, p = 0.000] control conditions.
- →PracticesHeating Pads / Warm CompressesCertaintyMediumSourceRCT5 other sources
A 2021 pooled analysis combining randomized and non-randomized human studies found an average systolic blood pressure decrease of 3.94 mmHg. In a separate 2021 trial, heat acutely decreased systolic blood pressure by −19±4 mm Hg, compared with 3±4 with sham.
Who was studied
- Healthy people and patients
- Hypertension
- Peripheral Artery Disease
Open Heating Pads / Warm CompressesStudy result
systolic blood pressure (n = 10; MD: -3.94 mmHg, 95% CI: -7.22, -0.67; P = 0.02)
- →PracticesAcupunctureCertaintyMediumSourceRCT3 other sources
Pooled randomized trials in people with hypertension found lower systolic blood pressure (SBP), with estimates of -6.73 mmHg among 812 people in one outcome analysis and -6.63 mmHg for office SBP among 121 people in another. Heterogeneity was 73.3% in the first analysis and 0.0% in the second.
Who was studied
- People with a condition
- Hypertension
Open AcupunctureStudy result
Acupuncture was associated with lower SBP [mean differences (MD) = -6.73 mmHg, 95% confidence interval (CI): -8.84 to -4.62]; heterogeneity I2 = 73.3%
- →PracticesYogaCertaintyMediumSourceRCTModerate effectconflicting findings26 other sources
A 2025 pooled analysis whose designs were not recorded found lower systolic blood pressure (MD=-7.95 mmHg, 95% CI=-10.24 to -5.66) among 2,007 people in its analysis. Results disagree: a 2026 pooled analysis of randomized trials found that the reduction was not statistically significant under its random-effects model among 606 people in its systolic blood pressure analysis.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- Healthy people and patients
- Ankylosing Spondylitis
- Anxiety Disorder
- Anxiety Generalized
- Arthritis
- Asthma
- Atrial Fibrillation
- +26 more
Open YogaStudy result
Very low quality of evidence was found for positive effects of yoga on systolic blood pressure (SBP, 26 RCTs, n=2007; MD=-7.95 mmHg, 95% CI=-10.24 to -5.66, p<0.01)
- →PracticesPilatesCertaintyMediumSourceRCTconflicting findings11 other sources
A pooled analysis of randomized and non-randomized human studies reported lower blood pressure, with a reduction of -4.76 mmHg. Findings differ on how well Pilates controls blood pressure compared with other interventions.
Who was studied
- Healthy people and patients
- Hypertension
- Menopause
- Metabolic Syndrome
- Obesity
- Overweight
Open PilatesStudy result
participants who performed Pilates program obtained significantly reduces on systolic blood pressure and diastolic blood pressure, of -4.76 mmHg (95% CI: -6.55 to -2.97, p < 0.001)
- →PracticesCyclingCertaintyMediumSourceClinical7 other sources
Two randomized trials in healthy participants reported lower diastolic pressure after cycling: one found a change of −3 ± 8% (P = 0.021), and another reported −1.2 ± 7.5% in the cycling group versus an 11.9 ± 16.5% increase in the control group (p = 0.02, ηp2 = 0.223). A separate trial found no statistically significant differences between groups in cardiometabolic health outcome measures.
- →PracticesBinaural BeatsCertaintyMediumSourceClinical5 other sources
In a randomized trial of 90 people, mean systolic blood pressure at incision was lowest in the Binaural Beats group (P = 0.041). In another trial of 72 people, hypotension occurred in 2 [6%] in the B group versus 10 [28%] in the control group (p = 0.024).
Who was studied
- Healthy people and patients
Open Binaural BeatsStudy result
Isolated between-group differences in physiological parameters were observed: mean SBP at incision was lowest in the BB group (P = 0.041).
- →PracticesSwedish (Classic) MassageCertaintyMediumSourceClinical6 other sources
Two randomized trials, each involving 50 people with Hypertension (High Blood Pressure), found lower mean systolic and diastolic blood pressure in the massage groups than in control groups.
Who was studied
- Healthy people and patients
- Hypertension
Open Swedish (Classic) MassageStudy result
mean systolic and diastolic blood pressure in the massage group was significantly lower in comparison with the control group (p < 0.001)
- →PracticesYoga NidraCertaintyMediumSourceClinical3 other sources
A pooled analysis of randomized and non-randomized human studies found that systolic blood pressure fell by 12.03 mm Hg among 482 people in its blood-pressure analysis. A randomized trial in people with hypertension also found a reduction of 7.6 mmHg after 60 days.
Who was studied
- People with a condition
- Hypertension
Open Yoga NidraStudy result
YN significantly reduced SBP (WMD = 12.03 mm Hg, 95% CI [7.12, 16.93], Z = 4.80, p < 0.00001)
Low probability(25)
- →PracticesHigh-Intensity Interval Training (HIIT)CertaintyLowSourceMeta-analysisSmall effectconflicting findings48 other sources
Pooled analyses of randomized trials found small reductions in systolic blood pressure, including a reduction of 3 mmHg in an analysis of 573 people. Findings disagree, as another pooled analysis reported no significant blood-pressure effect.
How big is the effect
Small effectA small but noticeable difference on average.
Who was studied
- Healthy people and patients
- Addiction Drugs
- Asthma
- Atrial Fibrillation
- Cancer
- Copd
- Coronary Artery Disease
- +18 more
Open High-Intensity Interval Training (HIIT)Study result
A small reduction in SBP was observed with HIIT interventions (MD −3.00; 95% CI −4.61 to −1.39; p < 0.0001; SMD −0.28; 95% CI −0.42 to −0.13; p = 0.0003).
- →PracticesTranscendental MeditationCertaintyLowSourceRCT5 other sources
In an RCT involving 304 participants with high-normal blood pressure, systolic blood pressure was lower after Transcendental Meditation by −3.33 mm Hg (p = 0.045). A quasi-experimental study found reductions in both groups, with no statistically significant difference between groups.
Who was studied
- People with a condition
- Coronary Artery Disease
- Diabetes
- Heart Disease
- Hypertension
Open Transcendental MeditationStudy result
TM participants in the high-normal BP group showed significantly lower posttest SBP (-3.33 mm Hg, p = 0.045).
- →PracticesGardening TherapyCertaintyLowSourceRCTSmall effect2 other sources
A 2022 meta-analysis pooling randomized and non-randomized human studies suggested Gardening Therapy might help maintain stable blood pressure compared with doing nothing, especially systolic pressure; reported values were 136.54±3.38/71.86±3.71 vs. 152.40±3.64/65.90±3.33 (mmHg). A 2023 meta-analysis also reported an effect on systolic blood pressure in an analysis of 184 people (SMD -0.411 [-0.704, -0.118]).
How big is the effect
Small effectA small but noticeable difference on average.
Who was studied
- Healthy people and patients
- Alzheimers Disease
- Cancer
- Dementia
- Depression
- Frailty
- Mild Cognitive Impairment
- +1 more
Open Gardening TherapyStudy result
compared to doing nothing, HT might maintain the stable blood pressure, especially in systolic pressure (136.54±3.38/71.86±3.71 vs. 152.40±3.64/65.90±3.33) (mmHg)
- →PracticesMassageCertaintyLowSourceRCT1 other source
Pooled analyses whose designs were not recorded found systolic blood pressure was lower with manual therapy than in the control group (MD = −3.91 (95% CI −4.63 to −3.18)).
Who was studied
- Healthy people and patients
Open MassageStudy result
Participants receiving manual therapy had significantly lower systolic blood pressure than those in the control group [MD = −3.91 (95% CI −4.63 to −3.18) P < 0.00001, I² = 32%]
- →PracticesJump Rope TrainingCertaintyLowSourceRCTconflicting findings4 other sources
In an RCT of 120 participants with obesity, systolic blood pressure decreased by MD -2.78 mmHg [-4.63, -0.94] in one intervention group. Findings differ: a pooled analysis of randomized and non-randomized human studies found no significant jump-rope-training effects on systolic-diastolic blood pressure.
Who was studied
- Healthy people and patients
- Obesity
Open Jump Rope TrainingStudy result
SBP (JRE-1 = −2 ± 2 mmHg, P < 0.05, JRE-2 = −2 ± 3 mmHg, P < 0.05) decreased in both intervention groups; JRE-1 vs CON MD: −2.78 (95% CI −4.63 to −0.94, P=0.001), JRE-2 vs CON MD: −2.32 (95% CI −4.16 to −0.49, P=0.008)
- →PracticesPursed-Lip BreathingCertaintyLowSourceRCT1 other source
An RCT in 110 people with hypertension reported a mean systolic blood-pressure difference of 9.80 mm Hg (95% CI; 4.10 to 15.50).
Who was studied
- People with a condition
- Hypertension
Open Pursed-Lip BreathingStudy result
The mean differences of SBP (9.80 mm Hg, 95% CI; 4.10 to 15.50) were significantly different (all p < .001)
- →PracticesFinnish SaunaCertaintyLowSourceClinicalModerate effect23 other sources
In a 2019 randomized trial of 21 people, systolic blood pressure fell from 123 ± 15 to 105 ± 11 mmHg (P < 0.01) during the 1 × 10 condition. A 2017 cohort study associated more frequent sauna sessions with lower incident hypertension, but a 2023 randomized trial of 41 people found no difference between interventions in cf-PWV or systolic or diastolic blood pressure.
How big is the effect
Moderate effectA clear difference on average.
Who was studied
- Healthy people and patients
- Back Pain
- Coronary Artery Disease
- Diabetes Type2
- Hypertension
- Obesity
- Peripheral Artery Disease
Open Finnish SaunaStudy result
Sauna bathing increased mean skin temperature, oral temperature, and heart rate, whereas it decreased systolic, diastolic, and mean blood pressures (Table 2); systolic blood pressure fell from 123 ± 15 to 105 ± 11 mmHg (P < 0.01) during the 1 × 10 condition
- →PracticesCupping TherapyCertaintyLowSourceClinical5 other sources
In a randomized trial of 40 people, systolic blood pressure was lower in the Cupping Therapy group than in the control group (MD -14.1 mmHg). Another trial of 60 people reported a decrease from 117.7 ± 2.9 mmHg to 111.8 ± 2.3 mmHg in the cupping group.
Who was studied
- Healthy people and patients
- Coronary Artery Disease
- Hypertension
- Metabolic Syndrome
- Neck Pain
Open Cupping TherapyStudy result
The nutrition modification and cupping groups had a significantly decreased SBP compared to the control group (p < 0.05 and p < 0.001, respectively).
- →PracticesForest Bathing (Shinrin-yoku)CertaintyLowSourceClinicalSmall effectconflicting findings37 other sources
Pooled randomized and non-randomized human studies found average systolic blood pressure lower by 3.15 mmHg in forest settings than non-forest settings, and another pooled analysis found a reduction of 3.44 mmHg. Findings are not uniform: another review reported fewer benefits in physiological outcomes.
How big is the effect
Small effectA small but noticeable difference on average.
Who was studied
- Healthy people and patients
- Addiction Alcohol
- Alzheimers Disease
- Anxiety Disorder
- Anxiety Generalized
- Back Pain
- Cancer
- +17 more
Open Forest Bathing (Shinrin-yoku)Study result
SBP of the forest environment was significantly lower than that of the non-forest environment (MD −3.15 mmHg; 95% CI −4.12 to −2.18; P < 0.001; I^2 = 1%; 732 participants; 20 trials)
- →PracticesLatin Dance FitnessCertaintyLowSourceClinical4 other sources
In a 2019 trial of 98 participants, systolic blood pressure decreased in the ZF group by 6.454 mmHg; the ZF + BW group also had a decrease.
Who was studied
- Healthy people and patients
- Hypertension
- Menopause
- Obesity
Open Latin Dance FitnessStudy result
a decrease in SBP (ZF= 6.454 ± 1.70, p < 0.0001; ZF + BW = 4.12 ± 1.95, p = 0.039)
- →PracticesLaughter Yoga / TherapyCertaintyLowSourceClinical3 other sources
A 2024 review pooling randomized and non-randomized human studies reported improved blood pressure. A 2026 quasi-experimental study in 64 people with chronic kidney disease observed reductions in systolic blood pressure (P = 0.003).
Who was studied
- Healthy people and patients
- Chronic Kidney Disease
Open Laughter Yoga / TherapyStudy result
Laughter Yoga showed patients having improvement in several outcomes such as ... blood pressure
- →PracticesHot YogaCertaintyLowSourceClinical3 other sources
In an RCT with 63 participants, higher attendance was associated with reduced diastolic blood pressure. A separate RCT with 14 participants found that blood-pressure responses were unaltered by the intervention.
Who was studied
- Healthy people and patients
Open Hot YogaStudy result
higher attendance in the experimental group was associated with significant reductions in diastolic blood pressure (p = 0.039; partial η2 = 0.154)
- →PracticesFoam RollingCertaintyLowSourceClinical3 other sources
Trials in healthy participants reported reductions in diastolic blood pressure after self-myofascial release and a reduction in systolic blood pressure at Post-60 after Foam Rolling. These were short-term findings from small trials, rather than evidence about ongoing blood-pressure control.
Who was studied
- Healthy people
Open Foam RollingStudy result
There was a more substantial reduction in pDBP observed for the SMR condition from t0 to t1 (F(2,38)=38.368, p<0.001, η²p=0.669), as well as from t0 to t2 (F(2,38)=41.530, p<0.001, η²p=0.686) resulting in a lower pDBP at t1 and (p<0.001) t2 (p<0.001).
- →PracticesTENS / EMS TherapyCertaintyLowSourceClinicalconflicting findings4 other sources
A review of 166 people with essential hypertension reported post-intervention systolic blood pressure reductions ranging from 4.7 to 8.5 mmHg with low-frequency TENS. Findings conflict: a pooled analysis whose design was not recorded found no significant difference between TENS and control (MD with a 95% CI: 0.98 [−1.20, 3.16], p-value = 0.38).
Who was studied
- People with a condition
- Diabetes Type2
- Hypertension
- Kidney Stones
- Migraine
- Obesity
Open TENS / EMS TherapyStudy result
Lo-TENS demonstrated a tendency to positively affect blood pressure in individuals with EH... reductions observed post-intervention ranged from 4.7 to 8.5 mmHg for SBP
- →PracticesIce Bath / Cold PlungeCertaintyLowSourceClinical2 other sources
In one trial of 12 people, mean arterial pressure was reduced with cold-water immersion (MD -12 mmHg [-17, -8]), but the study described its findings as inconclusive because of methodological limitations. A trial of 28 people found no significant treatment effect or time-by-treatment interaction for mean arterial pressure.
Who was studied
- Healthy people
Open Ice Bath / Cold PlungeStudy result
MAP (p = 0.028, 95% CI −17 to −8 mmHg) ... were reduced in CWI, whereas CON showed no change (p > 0.05). ... due to the methodological limitations in this exploratory study, the effects of repeated CWI on resting MAP and HR remain inconclusive.
- →PracticesRed Light Therapy (Photobiomodulation)CertaintyLowSourceClinical1 other source
A pooled review of studies involving 169 people with Hypertension (High Blood Pressure) reported a systolic blood pressure reduction of MD -15.87 mmHg [-27.11, -4.64]. The studies had considerable heterogeneity (I^2 = 92%).
Who was studied
- People with a condition
- Hypertension
Open Red Light Therapy (Photobiomodulation)Study result
PBM treatments had a reduction in SBP with a mean difference of −15.87 mmHg (confidence interval = −27.11 to −4.64 mmHg; p = 0.006; Figure 2), with very low-certainty evidence and considerable heterogeneity (I^2 = 92%).
- →PracticesCalisthenicsCertaintyLowSourceClinicalconflicting findings4 other sources
A 2022 randomized trial of 30 participants found resting systolic blood pressure fell by MD -6 (-12 to -1) mmHg with L-HIIT and MD -6 (-11 to 0) mmHg with H-HIIT, compared with control. Findings differed by measure: a 2024 randomized trial found no significant group-by-time interaction for mean arterial blood pressure.
Who was studied
- Healthy people and patients
- Frailty
- Obesity
Open CalisthenicsStudy result
There was a significant reduction in resting systolic BP in L-HIIT (MD -6 (-12 to -1) mmHg; p = 0.02) and H-HIIT (MD -6 (-11 to 0) mmHg; p = 0.05) when compared to CON
- →PracticesInfrared SaunaCertaintyLowSourceClinicalconflicting findings5 other sources
A randomized trial of 12 participants found diastolic blood pressure fell from 78±6 to 63±11 mmHg immediately after heat exposure, then measured 72±11 mmHg at t=120; a quasi-experimental study in 14 people with Diabetes Type 2 reported a 2% reduction in average systolic blood pressure following 8 weeks of PHT. Findings conflict with a pooled analysis of randomized and non-randomized human studies, which found no significant effect on systolic or diastolic blood pressure.
Who was studied
- Healthy people and patients
- Diabetes Type2
- Heart Failure
Open Infrared SaunaStudy result
During HOT, DBP decreased from 78±6 to 63±11 mmHg between baseline and t=0 (P<0.001) and did not return to baseline at t=120 (72±11 mmHg; P=0.011), while no changes over time occurred during CON. DBP was lower in HOT compared to CON at t=0 min (63±11 vs. 77±12 mmHg; P=0.005) and t=120 min (72±11 vs.
- →PracticesThai MassageCertaintyLowSourceClinical1 other source
In a randomized trial of 48 people with Major Depressive Disorder, systolic blood pressure was lower in the treatment group than the control group (Mean difference = 7.10; 95% CI: 1.75 to 12.45; P = 0.01).
Who was studied
- People with a condition
- Major Depressive Disorder
Open Thai MassageStudy result
SBP in treatment group was lower than control group (Mean difference = 7.10; 95% CI: 1.75 to 12.45; P = 0.01).
- →PracticesBox BreathingCertaintyLowSourceAnecdotal2 other sources
Expert knowledge suggests slow breathing (<10 breaths/min) may modestly reduce systolic and diastolic blood pressure, possibly by increasing baroreflex sensitivity and reducing sympathetic outflow. These reductions have also been mentioned in community reports.
Open Box BreathingStudy result
Slow breathing techniques (<10 breaths/min) may produce modest reductions in both systolic and diastolic blood pressure, through increased baroreflex sensitivity and reduced sympathetic outflow.
- →PracticesGrounding / EarthingCertaintyLowSourceAnecdotal2 other sources
The proposed rationale is that grounding may support blood pressure regulation through reduced sympathetic drive and improved endothelial function.
Open Grounding / EarthingStudy result
May support healthy blood pressure regulation via reduced sympathetic drive and improved endothelial function.
- →PracticesAnusara YogaCertaintyLowSourceTheoretical1 other source
Yoga is proposed to modestly lower systolic and diastolic blood pressure, potentially through parasympathetic activation and stress reduction; this is an expert-knowledge rationale, not a human-study finding.
Open Anusara YogaStudy result
Yoga practice modestly lowers both systolic and diastolic blood pressure, likely through parasympathetic activation and stress reduction.
- →PracticesFocused Attention MeditationCertaintyLowSourceTheoretical1 other source
The proposed explanation is that meditation may lower blood pressure through reduced sympathetic tone and stress reduction; focused attention meditation is described as having modest effects.
Open Focused Attention MeditationStudy result
Meditation practices can lower blood pressure through reduced sympathetic tone and stress reduction, with focused attention meditation showing modest effects.
- →PracticesVinyasa YogaCertaintyLowSourceTheoretical1 other source
Yoga combining postures and breathing is described as modestly lowering systolic and diastolic blood pressure, most clearly in people with elevated blood pressure.
Open Vinyasa YogaStudy result
Yoga with postures and breathing modestly lowers systolic and diastolic blood pressure, most clearly in people with elevated blood pressure.
Very low probability(3)
- →PracticesWim Hof Method BreathingCertaintyVery lowSourceClinical2 other sources
A randomized trial of 42 participants found no significant time × group interactions in systolic BP (p = 0.839), so the studies did not support a blood-pressure benefit.
Open Wim Hof Method BreathingWho was studied
- Healthy people and patients
- →PracticesLoving-Kindness Meditation (Metta)CertaintyVery lowSourceClinical1 other source
A quasi-experimental study of 29 people with heart disease found no significant differences in blood pressure parameters within or between the groups.
Open Loving-Kindness Meditation (Metta)Who was studied
- People with a condition
- Heart Disease
- →PracticesIndoor RowingCertaintyVery lowSourceTheoretical4 other sources
A 2023 randomized trial of 17 participants found no group-by-time interaction or overall time effect for systolic or diastolic blood pressure. The studies did not support a blood-pressure benefit from this practice.
Open Indoor RowingWho was studied
- Healthy people and patients
Practices compared
Practices with at least one trial of their own for this goal. Ranked by how sure the evidence is, then effect size.Top 10 of 39| Practice | How sure | Effect size | Own trials | What worked in trials |
|---|---|---|---|---|
| Tai Chi | CertaintyHighSourceMeta-analysis | Large effect | 16 trials or pooled analyses | 45–60 min · 3–4×/week · 12–24 weeks |
| Tabata Training | CertaintyHighSourceRCT | Large effect | 3 trials or pooled analyses | 14–19 min · 1–2×/week · 8–10 weeks |
| Strength Training | CertaintyMediumSourceMeta-analysis | Large effect | 15 trials or pooled analyses | 45–60 min · 2–3×/week · 6–12 weeks |
| Cardio | CertaintyMediumSourceMeta-analysis | Large effect | 11 trials or pooled analyses | 33–41 min · 1.1–3×/week · 6–8 weeks |
| Yoga | CertaintyMediumSourceRCT | Moderate effect | 21 trials or pooled analyses | 30–53 min · 1–4.5×/week · 1.4–13 weeks |
| Breathwork | CertaintyMediumSourceMeta-analysis | Moderate effect | 11 trials or pooled analyses | 7×/week · 8–12 weeks |
| Qigong | CertaintyMediumSourceRCT | Moderate effect | 10 trials or pooled analyses | 30–53 min · 2–3.2×/week · 12–17 weeks |
| Mindfulness Meditation | CertaintyMediumSourceRCT | Moderate effect | 7 trials or pooled analyses | 30–90 min · 1×/week · 8 weeks |
| Brisk Walking | CertaintyMediumSourceRCT | Moderate effect | 6 trials or pooled analyses | 55–60 min · 3×/week · 8–12 weeks |
| Fasting | CertaintyMediumSourceMeta-analysis | Small effect | 20 trials or pooled analyses | 3.5–7×/week · 0.7–20 weeks |
What worked in trials: From the smallest to the typical amount in the trials that found this benefit. Not the most anyone did, not a target and not a limit.
How to read the evidence
Evidence tier — overall strength of the evidence for the whole compound
- StrongWell established — backed by strong, consistent human research.
- ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
- PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
- LimitedVery limited evidence — treat this as a hypothesis, not proof.
- InsufficientNot enough good evidence to draw conclusions yet.
Certainty — how sure we can be that the effect is real
- Very highVery sure — strong, consistent evidence
- HighFairly sure — consistent evidence from good studies
- MediumModerately sure — new studies could change this
- LowNot sure — little or mixed evidence
- Very lowVery unsure — almost no usable evidence
Source — where the data comes from
- Meta-analysisPooled analysis of many trials — the strongest evidence
- RCTRandomized controlled trial — a strong human study design
- ClinicalA human clinical study
- Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
- Animal researchStudied in animals, not humans
- Community reportsAggregated user reports — anecdotal signal, not evidence
- TheoreticalMechanism-based reasoning, not yet tested
Study grade — quality of each underlying study (A best, D weakest)
- AHigh-quality — strong, consistent human trials
- BGood — solid evidence with some limitations
- CModerate — limited, small, or mixed-quality studies
- DWeak — preliminary, indirect, or animal-only
Confidence — how strongly the sources back a finding
A 0–100 score from study quality and agreement
Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.
Full write-up
What is it
Blood Pressure Support refers to efforts aimed at improving blood pressure readings, particularly by reducing systolic blood pressure (SBP). It describes an outcome area rather than a single treatment and may include approaches such as Tai Chi, Psyllium Husk, Garlic, or Citrulline. The outcome is assessed through blood pressure measurements, so changes in readings are central to how it is evaluated.
How interventions help
Interventions linked with blood-pressure support differ substantially in timing and use. Some approaches are designed to produce a short-term response: Beetroot Extract was studied as an acute single dose of 150 mL (10.5 mmol nitrate), while other options were evaluated over weeks or months. GABA showed a significant decrease at week 6 and week 8, with the decrease still present 1 week after intervention, suggesting that at least one finding extended beyond the treatment period.
For supplements used over time, the studied schedules ranged from 2-11 g/day of Citrulline for 2-6 weeks and 3.7 to 15 g/day of Psyllium Husk for 4 weeks to 6 months, to 0.5-6 g/day of Taurine for 5 days to 12 months. Garlic was studied at 600-2400 mg/day for 8-24 weeks, while Dietary Fiber (Prebiotics) was studied at 3–30 g/day for 4–13 weeks (median). These ranges describe how interventions were studied, not a universal regimen.
The reported outcome is usually systolic blood pressure, although Quercetin was associated with reductions in both systolic and diastolic blood pressure. Tai Chi and Yoga represent movement-based approaches, whereas the other interventions are primarily supplements or dietary components. The populations also varied: studies included mixed health-status groups, people with a clinical condition, and groups whose health status was not specified. Results were not fully consistent across all interventions, so findings may not apply equally to every person or setting.
Choosing guidance
Choosing among these options depends first on the kind of approach you want to evaluate. Tai Chi and Yoga are movement-based choices, while Psyllium Husk, Garlic, Citrulline, Quercetin, and other listed options involve a supplement or dietary intervention. A routine-based option may suit someone looking for an activity that can be incorporated into regular practice; a supplement may suit someone comparing a defined intake over a study period. The evidence does not establish that one format is universally preferable.
Time course also differs. Some options were studied after a single exposure or over a short period, whereas others were evaluated only after repeated use over several weeks or longer. This matters when judging an option for an immediate change versus a longer-term trial. The listed study doses and durations should be read as the conditions investigated, not as a general recommendation.
Human applicability is uneven. Many options have been studied in people, but some findings come from mixed health groups, people with clinical conditions, or small studies. Other entries rely on animal studies, reference material, or evidence without human confirmation, so they are less directly applicable to a person seeking blood-pressure support.
Results are not fully consistent across the options. Conflicting findings appear for several otherwise promising entries, including Garlic, Citrulline, Taurine, and Magnesium. Ginkgo Biloba is especially difficult to interpret because it appears in both supportive and opposing findings. When studies disagree, the direction, timing, and size of an observed change should be treated as uncertain rather than assumed to be stable.