Estilo de vida sedentário em indivíduos com hipertensão arterial

Martins, Larissa Castelo Guedes; Lopes, Marcos Venícios de Oliveira; Guedes, Nirla Gomes; Nunes, Marília Mendes; Diniz, Camila Maciel; Carvalho, Priscilla Magalhães de Oliveira

doi:10.1590/0034-7167.2015680602i

Cited by 8 publications

(14 citation statements)

References 10 publications

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“…As a nursing diagnosis, SL was included in the NANDA-I classification in 2004 and currently belongs to the Health Promotion domain and to the Health Perception Class. Some studies have considered a sedentary lifestyle as a nursing phenomenon, as it requires the validation of a concept or the definition of defining characteristics in specific populations (Guedes et al, 2013;Martins et al, 2015). Guedes et al (2013) reviewed SL, identifying six more related factors: attitudes, beliefs and health habits that hinder the practice of physical exercise; discharge of social support for the practice of physical exercise; discharge of confidence for the practice of physical exercise; impaired mobility; intolerance to activity; and report of pain.…”

Section: Introductionmentioning

confidence: 99%

The factors related to a sedentary lifestyle: A meta‐analysis review

Martins

Lopes

Diniz

et al. 2020

Journal of Advanced Nursing

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Aims To compare factors associated with the sedentary lifestyle described in the literature with the factors listed in NANDA International. Design Systematic review with meta‐analysis of factors associated with a sedentary lifestyle in adolescents, adults and older people. Data sources An electronic search of PubMed, Scopus, CINAHL and Latin America and the Caribbean Literature on Health and Science databases conducted in May 2016. Review methods Descriptive data were extracted according to a standardized form. The odds ratios for each etiological factor associated with a sedentary lifestyle were extracted directly from the articles or calculated from the data described therein. The meta‐analysis was conducted for factors that were investigated in more than one study. Results Thirty‐five articles were included. The statistically significant factors were: lack of social support, of physical space, of time, of motivation, of sports skills and of interest in physical activity, intolerance to activity, being retired, living in a low‐income country, laziness, not having a job/studying, low socioeconomic status and level of knowledge about physical activity, female gender, living in an urban area, negative self‐perception of health, using public transportation, being in the oldest age group in the study and perceived physical disability. Conclusion The new factors associated with a sedentary lifestyle and those already included in the NANDA International classification will lead to better clinical guidance for nurses. Impact Knowledge about these factors can contribute directly to public health policies.

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Section: Introductionmentioning

confidence: 99%

The factors related to a sedentary lifestyle: A meta‐analysis review

Martins

Lopes

Diniz

et al. 2020

Journal of Advanced Nursing

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“…No additional factors from the literature were investigated. In contrast, other studies (Martins et al, 2015(Martins et al, , 2021 have found new aetiological factors for SL; however, such elements need to be evaluated clinically in a specific population to generate more robust clinical evidence. From this perspective, there is a need to validate the related factors of SL in individuals with arterial hypertension to obtain sufficient evidence about the strength of the relationship between these factors and the diagnosis.…”

Section: Introductionmentioning

confidence: 94%

“…Sedentary lifestyle (SL) is a nursing diagnosis included in the NANDA International (NANDA-I) Classification (Herdman & Kamitsuru, 2017) that stands out in the context of noncommunicable diseases. Although this diagnosis has been submitted to previous validation (Guedes et al, 2013(Guedes et al, , 2019Guirao-Goris et al, 2016;Martins et al, 2015), its current structure still has gaps, mainly in the aetiological factors of the diagnosis such as the absence of associated clinical conditions that can interfere with physical activities and result in a sedentary lifestyle.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, diagnostic validation studies tend to evaluate or clinically test the manifestations (defining characteristics) of nursing phenomena, while aetiological factors (related factors) usually go through the content validation process only (Guedes et al, 2013;Martins et al, 2015). As an additional gap in the literature, Costa et al, (2019) investigated the related factors of SL, but their study was limited to the currently related factors.…”

Section: Introductionmentioning

confidence: 99%

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Clinical indicators and aetiological factors of sedentary lifestyle in patients with arterial hypertension

Martins

Lopes

Diniz

et al. 2021

Journal of Clinical Nursing

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Aims:The aim of this study is to verify the clinical validity of clinical indicators and aetiological factors of sedentary lifestyle in individuals with arterial hypertension.Background: Diagnostic validation is performed to expand nursing taxonomies and to revise or confirm the described concepts. New elements listed in the literature and those identified by the NANDA International definition for sedentary lifestyle need to be evaluated.Design: This is a cross-sectional and diagnostic validation study. The STROBE guidelines were used in this study. Methods: Two hundred and fifty subjects aged over 18 years were evaluated. The diagnostic status of the participants was obtained by latent class analysis. Logistic regression was used to identify aetiological factors with the manifestation of sedentary lifestyle, considering a significance level of 5%.Results: A total of 57.8% of the study participants met the diagnostic criteria for sedentary lifestyle. The clinical indicators with high sensitivity were as follows: "Average daily physical activity is less than recommended for gender and age"; "Does not perform physical activity during leisure time"; "Preference for activity low in physical activity" and "Overweight." The significantly related factors associated with the diagnosis of sedentary lifestyle were as follows: "Insufficient knowledge on physical activity," "Lack of time," "Negative self-perception of health," "Lack of security," "Lack of appropriate place," "Lack of motivation," "Activity intolerance," "Lack of sports ability," "Having a partner," "Using public transportation," "Perception of physical disability," "Pain," "Having a job/studying," "Laziness," "Impaired mobility," "Living in an urban area," "Education in a public institution," "Female gender," "Lack of confidence to practice physical exercise," "Education level," "Age" and "Lack of social support for the practice of physical exercise." Conclusion: Four out of eight clinical indicators had a good adjustment by the latent class analysis. Of the 27 aetiological factors, 22 were significantly associated with sedentary lifestyle. Relevance to practice: The correct identification of sedentary lifestyle and its elements supports care planning, especially for health promotion and disease prevention.| 3331 MARTINS eT Al.

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“…It has been demonstrated that lifestyle modifications, including increased physical activity, can significantly contribute to blood pressure control [13,14]. A sedentary lifestyle increases the risk of many adverse health conditions, including cardiovascular diseases, and shortens life expectancy [15,16,17], whereas increased occupational or leisure-time physical activity is associated with lower levels of blood pressure [18,19,20]. A number of intervention studies have been conducted so far, supporting the role of physical activity in modulating blood pressure [21,22,23].…”

Section: Introductionmentioning

confidence: 99%

Effects of Physical Exercise on Endothelial Function and DNA Methylation

Ferrari

Vicenzi

Tarantini

et al. 2019

IJERPH

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Essential hypertension is the leading preventable cause of death in the world. Epidemiological studies have shown that physical training can reduce blood pressure (BP), both in hypertensive and healthy individuals. Increasing evidence is emerging that DNA methylation is involved in alteration of the phenotype and of vascular function in response to environmental stimuli. We evaluated repetitive element and gene-specific DNA methylation in peripheral blood leukocytes of 68 volunteers, taken before (T0) and after (T1) a three-month intervention protocol of continuative aerobic physical exercise. DNA methylation was assessed by bisulfite-PCR and pyrosequencing. Comparing T0 and T1 measurements, we found an increase in oxygen consumption at peak of exercise (VO2peak) and a decrease in diastolic BP at rest. Exercise increased the levels of ALU and Long Interspersed Nuclear Element 1 (LINE-1) repetitive elements methylation, and of Endothelin-1 (EDN1), Inducible Nitric Oxide Synthase (NOS2), and Tumour Necrosis Factor Alpha (TNF) gene-specific methylation. VO2peak was positively associated with methylation of ALU, EDN1, NOS2, and TNF; systolic BP at rest was inversely associated with LINE-1, EDN1, and NOS2 methylation; diastolic BP was inversely associated with EDN1 and NOS2 methylation. Our findings suggest a possible role of DNA methylation for lowering systemic BP induced by the continuative aerobic physical training program.

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Estilo de vida sedentário em indivíduos com hipertensão arterial

Cited by 8 publications

References 10 publications

The factors related to a sedentary lifestyle: A meta‐analysis review

The factors related to a sedentary lifestyle: A meta‐analysis review

Clinical indicators and aetiological factors of sedentary lifestyle in patients with arterial hypertension

Effects of Physical Exercise on Endothelial Function and DNA Methylation

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