Large artery stiffening is independently associated with the development of hypertension. In addition, arterial stiffness is an independent predictor of coronary events, stroke, and all-cause mortality in individuals with hypertension. In contrast to observations in normotensive older adults, the available evidence suggests that regular aerobic exercise is not effective in reducing large artery stiffness in adults with elevated BP. However, the previous studies on this issue were relatively short in duration (i.e., 3 months), and the subjects did not experience weight loss. Whether longer-duration exercise training (with or without weight loss) is necessary to reduce large artery stiffness in this population is unknown. The contention that arterial stiffness is a marker of vascular disease and a risk factor for cardiovascular morbidity and mortality in adults is gaining support, and the role of arterial stiffness in the development of cardiovascular disease is increasingly emphasised