Paper Title
THE EFFECT OF BRISK WALKING EXERSICE OF REDUCTION BLOOD PRESSURE IN HYPERTENSION PATIENTS: SYSTEMATIC REVIEW

Abstract
Background: There are quite a lot of studies showing the positive effect of brisk walking exercise on several cardiovascular diseases. However, there have not been many investigations or reviews that have concluded the effectiveness of the model, intensity, duration, and frequency of carrying out brisk walking in reducing blood pressure in patients with hypertension. Objective: The purpose of this study was to examine the available publication data so that it can be used as scientific evidence to identify the effect of brisk walking exercise on blood pressure reduction in hypertensive patients in terms of model, intensity, duration, and frequency. Method: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol across seven databases: Scopus, ScienceDirect, PubMed, Wiley, Cochrane, ProQuest, and EBSCOhost. The search for articles was based on the Patient-Intervention-Comparison-Outcome (PICO) format and used keywords with Boolean combinations. The quality of the articles was assessed using the CASP (Critical Appraisal Skills Program) and the Cochrane Collaboration's tool for assessing the risk of bias. Results: Based on the results of a review of fifteen articles, the recommendation for physical activity in the form of brisk walking to reduce blood pressure in hypertensive patients is moderate-intensity physical activity, with a duration and frequency of 30-45 minutes per session for 4-7 times per week. This regimen showed a decrease in the average systolic blood pressure of 5.4-13.1 mmHg and a decrease in the mean diastolic blood pressure of 6.1-8.29 mmHg. However, it still needs to be adjusted according to the condition or capacity of each patient’s exercise ability. Conclusion: The implementation of brisk walking, when carried out with certain protocols, can help reduce blood pressure within a significant range. Patients with normal conditions and those with hypertension have different abilities in physical activity. This may be a consideration in determining the speed, distance, duration, and intensity of brisk walking. Keywords - Brisk Walking Exercise, High Blood Pressure, Hypertension