A Senior Center–Based Pilot Trial of the Effect of Lifestyle Intervention on Blood Pressure in Minority Elderly People with Hypertension

Fernandez, Senaida; Scales, Kasandra; Pineiro, Johanna M.; Schoenthaler, Antoinette; Ogedegbe, Gbenga

doi:10.1111/j.1532-5415.2008.01863.x

Cited by 37 publications

(32 citation statements)

References 14 publications

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“…However, few studies have implemented a multidimensional intervention that is tailored to patients' needs [3,24]. In particular, there is little evidence to support the benefits of intervention in community-based settings such as senior center [4,25]. The HAHA program in our study integrated the education for behavior modification into exercise intervention.…”

Section: Discussionmentioning

confidence: 95%

The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial

Park

Song

Cho

et al. 2011

Patient Education and Counseling

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Section: Discussionmentioning

confidence: 95%

The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial

Park

Song

Cho

et al. 2011

Patient Education and Counseling

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“…When the TS was subdivided into NT and HT groups, greater reductions in BP during the first hour post-exercise were observed in the HT group than in the NT group, although the reduction was still significant in the latter group. Many investigators 6,[22][23][24] have observed post-exercise reductions in BP only in hypertensive persons, regardless of age. The results reported by these investigators have suggested that acute physical exercise does not promote BP reductions in NT individuals.…”

Section: Discussionmentioning

confidence: 99%

Effect of a single session of aerobic walking exercise on arterial pressure in community-living elderly individuals

et al. 2012

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Several studies have demonstrated that one exercise session (ES) on a cycloergometer or ergometric treadmill causes a reduction in blood pressure (BP). However, there are few similar studies on walking, which is the exercise modality most available to the elderly. We investigated the immediate and 24-h effects of walking on BP in independent, community-living elderly individuals. Volunteers participated in a single ES and resting control session (CS). Before and after each session, BP was measured by auscultatory and oscillometric methods. After each session, 24-h ambulatory blood pressure monitoring was conducted. An accelerometer was installed 48 h before the sessions and left in place for 5 days. The mean volunteer age was 67.7 ± 3.5 years; 11 were hypertensive patients under treatment, and 12 were normotensive. In the total sample, there were immediate 14mm Hg and 12 mm Hg reductions in systolic BP (SBP) after the ES according to the auscultatory and oscillometric methods, respectively. Diastolic BP (DBP) was reduced by 4 mm Hg after the ES according to both methods. SBP during wakefulness and sleep and DBP during wakefulness were lower after the ES than after the CS (Po0.01), when wakefulness and sleep were determined individually (variable-time pattern) using data from the activity monitors and provided by the volunteers. Keywords: actigraph; aerobic exercise; ambulatory blood pressure monitoring; blood pressure; elderly individuals INTRODUCTIONThe aging process is associated with many important physiological changes, of which increased blood pressure (BP) is one of the most well known. In addition to regular physical exercise, a single session of acute exercise has also been observed to reduce BP during the recovery period.Hypotensive responses have been observed in hypertensive animals 1,2 and normotensive (NT) and hypertensive humans. [3][4][5][6] The magnitude of the hypotensive response to aerobic exercise varies between NT and hypertensive subjects and young and elderly subjects. In a study conducted in NT and hypertensive elderly persons, 6 reduced BP was observed only in hypertensive subjects after executing a single exercise session (ES) on a cycloergometer. In another study including only NT women, 7 a marked reduction in BP was observed after acute dynamic exercise in middle-aged and elderly women but not in young women. Other studies 8,9 have shown greater BP reductions in persons aged 41-60 years compared with older and younger individuals.Ambulatory arterial blood pressure monitoring (ABPM) has been extensively used to obtain more detailed information about BP

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“…The beneficial effect of aerobic physical activity on CV risk factors has been reported even in the elderly. [2][3][4][5][6] Cross-sectional studies have shown that physical activity is associated with lower values of pulse wave velocity carotid-femoral (PWVcf), a surrogate marker of subclinical vascular damage. [7][8][9] To date, only a few studies have evaluated the effect of physical activity on PWVcf in the elderly.…”

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confidence: 99%

Supervised walking groups to increase physical activity in elderly women with and without hypertension: effect on pulse wave velocity

et al. 2012

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To date, only a few studies have evaluated the effect of physical activity on PWVcf in the elderly. In the current study, 21 community-dwelling women, with a mean age of 68.19 ± 5.72 years and a mean BMI of 28.63 ± 4.69 kg m À2 , participated in moderate physical activity sessions for 1 h per day and 2 days each week under the supervision of a qualified physical education instructor for a total of 24 weeks. At the beginning of the study, at 3 months and at 6 months, the study participants' body weight, waist circumference, sagittal abdominal diameter (SAD) and body composition by dual energy X-ray absorptiometry (DEXA) were recorded along with the participants' Physical Activity Scale for the Elderly questionnaire. Total low-density-lipoprotein and high-density lipoprotein cholesterol; triglycerides (TGs) and HbA1c; blood pressure (BP); and arterial stiffness, as determined by carotid-femoral and carotid-radial pulse wave velocity (PWVcf, PWVcr), were also assessed. During the follow-up period, the waist and SAD significantly decreased, whereas fat-free mass, BMI and weight did not decrease. A significant decline in TGs was observed. A significant decline in PWVcf, even after adjusting for mean arterial pressure, heart rate triglycerides and waist diameter changes, was observed. In a sub-analysis that examined the effect of physical activity separately in the hypertensive and normotensive subjects, we observed a significant decline in PWVcf in the hypertensive subjects and a nonsignificant tendency in the normotensive subjects. The data showed an association between light aerobic physical activity in the elderly and decreased PWVcf, even after adjusting for changes in systolic BP (SBP), TGs and central adiposity. These results suggest a beneficial effect of moderate physical activity on subclinical vascular damage, particularly in hypertensive subjects. Keywords: cardiovascular risk factors; elderly; physical activity; pulse wave velocity INTRODUCTION Exercise may reduce cardiovascular (CV) morbidity and mortality 1 and decrease several CV risk factors. The beneficial effect of aerobic physical activity on CV risk factors has been reported even in the elderly. [2][3][4][5][6] Cross-sectional studies have shown that physical activity is associated with lower values of pulse wave velocity carotid-femoral (PWVcf), a surrogate marker of subclinical vascular damage. [7][8][9] To date, only a few studies have evaluated the effect of physical activity on PWVcf in the elderly. Madden et al. 10 showed that aerobic exercise reduced arterial stiffness (that is, PWVcf and pulse wave velocity carotid-radial (PWVcr)) in a group of 36 elderly diabetic patients, whereas non-aerobic exercise did not demonstrate an effect.No studies have supported the efficacy of moderate physical activity in improving arterial stiffness in elderly subjects with hypertension.

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A Senior Center–Based Pilot Trial of the Effect of Lifestyle Intervention on Blood Pressure in Minority Elderly People with Hypertension

Cited by 37 publications

References 14 publications

The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial

The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial

Effect of a single session of aerobic walking exercise on arterial pressure in community-living elderly individuals

Supervised walking groups to increase physical activity in elderly women with and without hypertension: effect on pulse wave velocity

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