Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial

Background Physical activity (PA) promotes cardiovascular health and health related quality of life (HRQoL), although the effect of that on blood pressure (BP) control has rarely been studied in hypertensive subjects. Our aim was to evaluate the effectiveness of a PA intervention programme on cardio...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Health and quality of life outcomes Ročník 16; číslo 1; s. 184 - 11
Hlavní autori: Arija, Victoria, Villalobos, Felipe, Pedret, Roser, Vinuesa, Angels, Jovani, Dolors, Pascual, Gabriel, Basora, Josep
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 14.09.2018
BioMed Central Ltd
BMC
Predmet:
Adult
Aged
Analysis
Blood Pressure
Care and treatment
Clinical trials
Exercise Therapy
Female
Health aspects
Health Status
Health Status Indicators
Humans
Hypertension - physiopathology
Hypertension - psychology
Hypertension - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Physical fitness
Primary Health Care
Quality of Life
Quality of Life Research
Risk factors
Treatment Outcome
Type 2 diabetes
Walking
Socio-cultural Activities
Physical Component Summary
Walking Group
Hypertensive Subjects
Health-related Quality Of Life (HRQoL)
ISSN:1477-7525, 1477-7525
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:Background Physical activity (PA) promotes cardiovascular health and health related quality of life (HRQoL), although the effect of that on blood pressure (BP) control has rarely been studied in hypertensive subjects. Our aim was to evaluate the effectiveness of a PA intervention programme on cardiovascular disease (CVD) risk, HRQoL and BP control in hypertensive subjects. Methods A randomized clinical trial, with a PA intervention programme of 9 months duration, comprising a walking group of 120 min/week, supervised, and with socio-cultural activities. Participants were 207 hypertensive subjects (68.2 years, 76.8% women). PA (IPAQ-s), diet, CVD risk, BP, BMI, smoking, and HRQoL (SF-36) were assessed at baseline and at the end of the intervention. Changes in CVD risk and in HRQoL during the intervention was calculated (end-baseline score). Multivariate models were applied. Results In multivariate models, the PA intervention programme, with no modification of the diet, decreased CVD risk (− 1.19 points) and the systolic BP (− 8.68 mmHg), and increased some areas of HRQoL (4.45 to 14.62 points). An increase in the percentage of subjects with controlled BP was observed by the PA programme itself (OR 5.395 to 5.785 according to multivariate models), and by the changes during the intervention in the decrease in CVD risk (OR 0.609) and in the increase in the HRQoL in physical component summary (OR 1.041), role physical (OR 1.010), and bodily pain (OR 1.014), independently of controlled BP at baseline. Conclusions This PA intervention programme improved cardiovascular health and HRQoL, and favoured BP control in primary care users with hypertension. Trial registration Clinicaltrials.gov ID NCT02767739 ; Trial registered on May 5th, 2016. Retrospectively registered.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ISSN:1477-7525
1477-7525
DOI:10.1186/s12955-018-1008-6