Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How?: A Scientific Statement From the American Heart Association
Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-o...
Uložené v:
| Vydané v: | Hypertension (Dallas, Tex. 1979) Ročník 78; číslo 2; s. e26 |
|---|---|
| Hlavní autori: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.08.2021
|
| Predmet: | |
| ISSN: | 1524-4563, 1524-4563 |
| On-line prístup: | Zistit podrobnosti o prístupe |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol. |
|---|---|
| AbstractList | Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol.Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol. Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol. |
| Author | Rosenkranz, Sara K Lobelo, Felipe Jerome, Gerald J Schorr, Erica N Hivert, Marie-France Kraus, William E Barone Gibbs, Bethany Spartano, Nicole L |
| Author_xml | – sequence: 1 givenname: Bethany surname: Barone Gibbs fullname: Barone Gibbs, Bethany – sequence: 2 givenname: Marie-France surname: Hivert fullname: Hivert, Marie-France – sequence: 3 givenname: Gerald J surname: Jerome fullname: Jerome, Gerald J – sequence: 4 givenname: William E surname: Kraus fullname: Kraus, William E – sequence: 5 givenname: Sara K surname: Rosenkranz fullname: Rosenkranz, Sara K – sequence: 6 givenname: Erica N surname: Schorr fullname: Schorr, Erica N – sequence: 7 givenname: Nicole L surname: Spartano fullname: Spartano, Nicole L – sequence: 8 givenname: Felipe surname: Lobelo fullname: Lobelo, Felipe |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34074137$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkNtK5EAQhptFWU_7BstSl3thNH1KjDdLDI4jDDigy7JXQ02nwrQk6bG7R5mH891sT2BdVBVVP18dDtjO6EZi7CfPTzgv-On0__wk_2q8Kr6xfa6FypQu5M6XfI8dhHCfJEqp8jvbkyovFZflPnuer7bBGuyhNtE-2rgFDIDQeBvfyo0b1mnwGMF1MLE-xGxmR4I7TxiH13rnPFz29IiRWrjonWth7imEjSdIrWblegqRvOvP4d_KHSeH8RhwbGHqnv6cQw23xiaS7ayB25g4b9yJdwPEFUE9kE-7jDAl9BHqEJyxGK0bj9huh32gHx_xkP2dXN4102x2c3Xd1LPMKH5WZW2bq9IY02lCLGQhdYnVstOFwZKqM10hiUJyk9NSyFbmXYv5UuuuVFgJUXJxyH6_c9fePWzSNYvBBkN9jyO5TVgILQtVKa5Ekv76kG6WA7WLtbcD-u3i8-XiBSUAh8k |
| CitedBy_id | crossref_primary_10_3389_fendo_2023_1219194 crossref_primary_10_1161_JAHA_122_028712 crossref_primary_10_1177_14604086241231373 crossref_primary_10_1111_aphw_12553 crossref_primary_10_3389_ijph_2023_1605332 crossref_primary_10_1016_j_jpsychores_2023_111160 crossref_primary_10_1097_GME_0000000000001995 crossref_primary_10_1007_s11906_022_01196_3 crossref_primary_10_1097_HJH_0000000000003563 crossref_primary_10_2196_56376 crossref_primary_10_1161_JAHA_124_039133 crossref_primary_10_1007_s11936_023_01001_7 crossref_primary_10_1038_s41598_025_02357_5 crossref_primary_10_1080_14330237_2024_2425376 crossref_primary_10_2196_51321 crossref_primary_10_1016_j_ajog_2025_03_024 crossref_primary_10_36660_ijcs_20210257 crossref_primary_10_1038_s41366_025_01835_0 crossref_primary_10_3389_fmed_2025_1606471 crossref_primary_10_1001_jamanetworkopen_2024_3234 crossref_primary_10_1007_s11357_024_01329_3 crossref_primary_10_1161_ATVBAHA_124_319543 crossref_primary_10_1177_07334648251316955 crossref_primary_10_1038_s41598_024_75894_0 crossref_primary_10_1038_s41598_024_81919_5 crossref_primary_10_1016_j_ancard_2023_101607 crossref_primary_10_1007_s11883_022_01068_w crossref_primary_10_1177_23727322241306071 crossref_primary_10_3389_fnut_2022_982626 crossref_primary_10_1136_bmjopen_2024_091219 crossref_primary_10_1161_HYPERTENSIONAHA_121_18596 crossref_primary_10_1186_s12889_025_23157_6 crossref_primary_10_1016_j_amjms_2024_06_025 crossref_primary_10_7759_cureus_72443 crossref_primary_10_1007_s40266_023_01013_9 crossref_primary_10_1177_10998004221098974 crossref_primary_10_15829_1560_4071_2025_6539 crossref_primary_10_1161_HYPERTENSIONAHA_124_21721 crossref_primary_10_1111_jch_14610 crossref_primary_10_3389_fnut_2022_1015290 crossref_primary_10_1093_eurheartj_ehae506 crossref_primary_10_4103_jfmpc_jfmpc_905_24 crossref_primary_10_1097_HCO_0000000000001221 crossref_primary_10_1161_JAHA_123_033328 crossref_primary_10_1186_s12933_021_01429_w crossref_primary_10_1038_s41440_022_00936_x crossref_primary_10_1161_CIRCRESAHA_124_323975 crossref_primary_10_1152_japplphysiol_00524_2022 crossref_primary_10_1038_s41572_024_00563_5 crossref_primary_10_1016_j_smhs_2025_02_010 crossref_primary_10_1371_journal_pone_0318942 crossref_primary_10_2196_51308 crossref_primary_10_1002_pmrj_13029 crossref_primary_10_1080_23328940_2025_2465025 crossref_primary_10_1016_j_ijnurstu_2025_105225 crossref_primary_10_1002_jpen_2661 crossref_primary_10_1161_CIRCRESAHA_123_322121 crossref_primary_10_1186_s12884_023_05522_8 crossref_primary_10_1016_j_smhs_2023_07_005 crossref_primary_10_1186_s12944_024_02030_2 crossref_primary_10_1161_HYPERTENSIONAHA_124_22704 crossref_primary_10_1007_s10389_024_02311_1 crossref_primary_10_4103_aam_aam_90_24 crossref_primary_10_3389_fphys_2022_834812 crossref_primary_10_1007_s11356_023_27598_7 crossref_primary_10_1016_j_mayocp_2025_02_010 crossref_primary_10_1161_CIRCULATIONAHA_123_068564 crossref_primary_10_1161_CIR_0000000000001148 crossref_primary_10_1177_15598276241303728 crossref_primary_10_1007_s13755_025_00368_0 crossref_primary_10_1016_j_pop_2023_07_001 crossref_primary_10_1007_s00520_024_08955_9 crossref_primary_10_3389_fnut_2022_828792 crossref_primary_10_1016_j_ctim_2022_102818 crossref_primary_10_1016_j_amjmed_2022_04_015 crossref_primary_10_1038_s41440_022_01147_0 crossref_primary_10_1007_s11325_024_03158_2 crossref_primary_10_1097_CM9_0000000000003431 crossref_primary_10_1002_fft2_289 crossref_primary_10_1161_CIRCULATIONAHA_124_072482 crossref_primary_10_1186_s12889_022_13992_2 crossref_primary_10_1016_j_pcad_2022_11_003 crossref_primary_10_1186_s44147_023_00240_6 |
| ContentType | Journal Article |
| CorporateAuthor | American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology |
| CorporateAuthor_xml | – name: American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1161/HYP.0000000000000196 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1524-4563 |
| ExternalDocumentID | 34074137 |
| Genre | Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GroupedDBID | --- .-D .3C .55 .GJ .XZ .Z2 01R 0R~ 18M 1J1 2WC 3O- 40H 4Q1 4Q2 4Q3 53G 5GY 5RE 5VS 71W 77Y 7O~ AAAAV AAAXR AAFWJ AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AARTV AASCR AASOK AAXQO AAYEP ABASU ABBUW ABDIG ABJNI ABOCM ABQRW ABVCZ ABXVJ ABXYN ABZAD ABZZY ACCJW ACDDN ACEWG ACGFO ACGFS ACIJW ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ACZKN ADBBV ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEBDS AEETU AENEX AFBFQ AFDTB AFEXH AFFNX AFNMH AFUWQ AGINI AHMBA AHOMT AHQNM AHQVU AHRYX AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BAWUL BCGUY BOYCO BQLVK BS7 C1A C45 CGR CS3 CUY CVF DIK DIWNM DUNZO E.X E3Z EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL GX1 H0~ H13 HLJTE HZ~ IKREB IKYAY IN~ IPNFZ JF9 JG8 JK3 JK8 K-A K-F K8S KD2 KMI KQ8 L-C L7B N4W N9A NPM N~7 N~B N~M O9- OAG OAH OB3 OCUKA ODA ODMTH OGROG OHYEH OK1 OL1 OLG OLH OLU OLV OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OWBYB OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P PQQKQ R58 RAH RIG RLZ S4R S4S T8P TEORI TR2 TSPGW V2I VVN W3M W8F WH7 WOQ WOW X3V X3W X7M XXN XYM YFH YHZ YOC YYM YYP ZFV ZGI ZZMQN 7X8 ABPXF ADKSD ADSXY OZ- |
| ID | FETCH-LOGICAL-c4189-dd047cccf5eaa636357a9bf56ca7e9859ae2631c0eb23d30fda0b55f74a922712 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 123 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00004268-202108000-00039&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1524-4563 |
| IngestDate | Mon Sep 08 10:24:58 EDT 2025 Tue Apr 01 03:09:35 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Keywords | blood pressure exercise risk reduction behavior hypertension AHA Scientific Statements lifestyle |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4189-dd047cccf5eaa636357a9bf56ca7e9859ae2631c0eb23d30fda0b55f74a922712 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 34074137 |
| PQID | 2536494142 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2536494142 pubmed_primary_34074137 |
| PublicationCentury | 2000 |
| PublicationDate | 2021-08-00 20210801 |
| PublicationDateYYYYMMDD | 2021-08-01 |
| PublicationDate_xml | – month: 08 year: 2021 text: 2021-08-00 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Hypertension (Dallas, Tex. 1979) |
| PublicationTitleAlternate | Hypertension |
| PublicationYear | 2021 |
| SSID | ssj0014447 |
| Score | 2.6556547 |
| Snippet | Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | e26 |
| SubjectTerms | American Heart Association Exercise Humans Hypercholesterolemia - therapy Hypertension - therapy Life Style United States |
| Title | Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How?: A Scientific Statement From the American Heart Association |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/34074137 https://www.proquest.com/docview/2536494142 |
| Volume | 78 |
| WOSCitedRecordID | wos00004268-202108000-00039&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1NT9wwELX4EuqFAoWWtqBB4ohF1nbsmAvaIlZ7gNUeQGxPK8cfYiVI6C6lv47_xthJRC-VkJpDLpGjRDMev_GM3yPkSBbBSpmVNA8iUMFKRbUsLVW4FnstIsdlInG9VKNRMZnocbvhtmjbKruYmAK1q23cIz9hOZcCBwt29viLRtWoWF1tJTSWySpHKBO9Wk3eqghCJIExXKIERaDA26NzCHJOhj_HDXVhd_W0_DfITIvN4OP_fuYm2WhhJvQbv9giS77aJutXbSH9E3kZt_aBvm30I8AswECnfAAxTtQVrkhQBxjMECNSTFs9XHeN6YBoFy7u_TOCVQc_Yv87NGcN5x7w0XkU3o0sDPX9Kdze1ccQWcKPwVQOhvWfs1PoQwosqVkJEuhN7x3M6wdAWApdMQmGOBuf4C9H2iE3g4vr8yFtlRyoFb1CU-cyoay1IffGSB458IwuQy6tUV4XuTaeSd6zGeb53PEsOJOVeR6UMJox1WO7ZKXCn_5CIDBMqgujbBkzIeYK5pQOocA0skSwp_bIYWeYKc6UWP4wla9_L6ZvptkjnxvrTh8bSo8pFxFacfX1HaO_kQ8sNrakLsDvZDVgnPD7ZM0-P80W84Pkgngfja9eAZYK5fw |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Physical+Activity+as+a+Critical+Component+of+First-Line+Treatment+for+Elevated+Blood+Pressure+or+Cholesterol%3A+Who%2C+What%2C+and+How%3F%3A+A+Scientific+Statement+From+the+American+Heart+Association&rft.jtitle=Hypertension+%28Dallas%2C+Tex.+1979%29&rft.au=Barone+Gibbs%2C+Bethany&rft.au=Hivert%2C+Marie-France&rft.au=Jerome%2C+Gerald+J&rft.au=Kraus%2C+William+E&rft.date=2021-08-01&rft.eissn=1524-4563&rft.volume=78&rft.issue=2&rft.spage=e26&rft_id=info:doi/10.1161%2FHYP.0000000000000196&rft_id=info%3Apmid%2F34074137&rft_id=info%3Apmid%2F34074137&rft.externalDocID=34074137 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1524-4563&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1524-4563&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1524-4563&client=summon |