Hypertension is a common chronic condition among older adults and a major contributor to cardiovascular disease, stroke, and kidney failure. This narrative review examines available evidence on how different forms of exercise may contribute to blood pressure control and the prevention or management of hypertension-related complications in older adults.. Relevant literature published between 2010 and 2025 was identified through searches in PubMed, Scopus, and Web of Science. Priority was given to randomized controlled trials, systematic reviews, meta-analyses, and cohort studies involving adults aged 65 years or older. The selected evidence addressed exercise interventions, blood pressure regulation, cardiovascular and renal outcomes, and health-related quality of life.. Available evidence indicates that regular moderate-intensity aerobic activity, including walking, swimming, and cycling, can contribute to clinically meaningful reductions in systolic and diastolic blood pressure when performed consistently.. Resistance exercise may provide additional benefits through improvements in muscular fitness and vascular function, with evidence also indicating favorable effects on blood pressure. Regular physical activity may further support vascular health by decreasing inflammatory markers, improving arterial elasticity, and enhancing insulin sensitivity. Despite these potential benefits, barriers such as physical limitations, reduced motivation, and limited access to exercise facilities may hinder participation among older adults. Individualized exercise prescriptions, home-based approaches, and digital tools such as activity-monitoring devices may facilitate sustained participation and improve accessibility. Overall, current evidence suggests that physical activity can serve as a supportive non-pharmacological approach in the management of hypertension in older adults. However, further high-quality and long-term studies are needed to clarify optimal exercise protocols and sustainability of effects.