# Synergistic Role of Aerobic Exercise and Vitamin C in Reducing Hypertension and Restoring Redox–Inflammatory Balance

## TL;DR

Aerobic exercise and vitamin C together help lower blood pressure and reduce inflammation in hypertensive rats more effectively than either treatment alone.

## Contribution

The study demonstrates the synergistic effects of aerobic exercise and vitamin C in managing hypertension and restoring redox-inflammatory balance.

## Key findings

- Exercise and vitamin C individually reduced blood pressure and oxidative stress in hypertensive rats.
- The combination of exercise and vitamin C showed the most significant improvement in blood pressure and gut health.
- The combined treatment upregulated anti-inflammatory cytokines and reduced stress hormones more effectively than individual treatments.

## Abstract

Background/Objectives: Hypertension (HTN) remains a major global concern despite the availability of many antihypertensive medications, each with its own side effects. Lifestyle interventions, such as aerobic exercise and antioxidant-rich foods, represent promising non-pharmacological strategies for hypertension management. This study investigated the combined effects of exercise and vitamin C on anthropometric parameters, blood pressure, gut histology, biochemical markers, hematological profile, inflammatory gene expression, redox status, and stress hormones in L-nitroarginine methyl ester (L-NAME)-induced hypertensive rats. Methods: Male Wistar rats (n = 30) were randomly divided into five groups (n = 6/group): control, hypertensive (HTN), hypertensive + exercise (HTN + EX), hypertensive + vitamin C (HTN + VC), and hypertensive + exercise + vitamin C (HTN + EX + VC). Exercise consisted of treadmill training at a low intensity (50 ft/min) for 60 min daily, while vitamin C was administered orally (200 mg/kg/day) for four weeks. Blood pressure, anthropometric parameters, gut histology, inflammatory gene expression, hematological indices, serum biochemistry, oxidative stress markers, and hormonal assays were measured. Results: Both exercise and vitamin C individually reduced blood pressure (p < 0.05) and increased villi length (p < 0.05), upregulated anti-inflammatory cytokine expression in the gut, lowered oxidative stress (assessed through CRP, MDA, and catalase), and reduced stress hormones (cortisol and norepinephrine). The combined intervention (HTN + EX + VC) showed the most pronounced effects, resulting in a greater reduction in blood pressure and reversal of the changes induced by hypertension when compared to the HTN group. Conclusions: Exercise and vitamin C were beneficial in lowering blood pressure and improving the adverse changes associated with hypertension.