Physical activity and fitness for the prevention of hypertension

Bakker, Esmée A.; Sui, Xuemei; Brellenthin, Angelique G.; Lee, Duck-chul

doi:10.1097/hco.0000000000000526

Cited by 98 publications

(86 citation statements)

References 63 publications

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“…While blood pressure can usually be best regulated through lifestyle modifications before it reaches the stage of hypertension, there is a range of treatment options 5 . Lifestyle adjustments, including physical activity and exercise, are the standard first-line treatments for hypertension 6 . It is well known that favorable physiological changes and overall health benefits are associated with regular physical activity 7 .…”

Section: Introductionmentioning

confidence: 99%

Hypertension and physical activity in middle-aged and older adults in China

You

Teng

Wang

et al. 2018

Sci Rep

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There are few studies examining the association between levels of physical activity and hypertension in middle-aged and older adults in China. Data were drawn from the Chinese Health and Retirement Longitudinal Study (using four-stage stratified probability-proportional-to-size sampling), involving 7113 individuals aged 45 years and older from 28 provinces of China. Hypertension was defined as a systolic BP ≥ 130 mm Hg, or diastolic BP ≥ 80 mm Hg, or self-reported use of anti-hypertensive medications. The awareness, treatment, and control among hypertensive participants were 53.12%, 43.37%, and 10.03%, respectively. The prevalence of hypertension was 56.12% among all the participants, higher in main city zones (58.68%) than villages (55.52%) and other areas (55.78%, p < 0.0001). Participants who were overweight (BMI ≥ 24: AOR 4.08, 95% CI 3.21–5.20, P < 0.0001; BMI ≥ 28: 10.03, 7.56–13.31, P < 0.0001), and drinking more than once a month (1.28, 1.12–1.46, P < 0.0001) were more likely to have hypertension. The decision tree model was established to analyze the importance of different levels of physical activity on hypertension prevention. Participants who usually participated in moderate-to-vigorous activity for more than 10 minutes (vigorous: 0.82, 0.73–0.91, P = 0.0004; moderate: 0.83, 0.75–0.92, P = 0.0006) were less likely to have hypertension. The results of the decision tree showed that the vigorous physical activity seemed to be more important than moderate and light activity to induce beneficial effects on prevention of hypertension. The strength of our study is in using the decision tree to clearly rank the importance of those key factors affecting hypertension.

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Section: Introductionmentioning

confidence: 99%

Hypertension and physical activity in middle-aged and older adults in China

You

Teng

Wang

et al. 2018

Sci Rep

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“…Those who did regular exercise had lower score of global sleep score. Bakker, Sui, Brellenthin, and Lee (2018) stated that exercise is included in the front line to treat patients with hypertension. During the data collection for this study, we found that majority of rural participants said regular exercise was not a common practice because they viewed it as a part of their daily physical activity during working such as walking or farming.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Depression and Self-Reported Sleep Quality Among Hypertensive Patients in a Rural Area of Central Sulawesi

Lainsamputty¹,

Manitu²,

Abdillah³

2019

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Poor quality of sleep may increase burden of hypertensive patients and worsen quality of life. Recognition of individuals’ sleep quality and its related factors might benefit the outcome of hypertension management. The purpose of this study was to investigate the association between depression and sleep quality among hypertensive patients in rural community. A cross-sectional, correlational study design was performed with 149 accidental samples at two public health care areas. Instruments included Depression Anxiety Stress Scale 42 and Pittsburgh Sleep Quality Index. Almost 78% of participants experienced mild to moderate depression and 98.7% of poor sleepers were identified. Significant determinants of sleep quality were exercises and type 2 diabetes mellitus (DM). Depression was associated to sleep quality but was not identified as a determinant. This study suggests future interventions should be directed to increase regular exercises and controlling co-existing disease particularly type 2 DM should be developed to improve sleep quality. Keywords: Depression, hypertension, sleep quality. Abstrak Kualitas tidur yang buruk dapat memperberat beban pasien hipertensi dan menurunkan kualitas hidup. Mengidentifikasi kualitas tidur individu dan faktor-faktor yang terkait dengannya dapat membantu meningkatkan hasil dari manajemen penyakit hipertensi. Penelitian ini bertujuan untuk menginvestigasi asosiasi depresi dan kualitas tidur pada pasien hipertensi di daerah pedesaan. Desain penelitian menggunakan pendekatan potong lintang dan deskriptif korelasi dengan 149 sampel insidental pada wilayah kerja dua pusat kesehatan masyarakat. Kuesioner yang digunakan yaitu DASS-42 dan PSQI. Hampir 78% partisipan menderita depresi ringan hingga sedang dan presentase kualitas tidur buruk sebanyak 98.7%. Faktor determinan yang signifikan adalah olahraga dan DM tipe 2. Depresi berhubungan secara signifikan dengan kualitas tidur, tetapi tidak teridentifikasi sebagai faktor determinan. Penelitian ini merekomendasikan dilakukannya intervensi untuk meningkatkan kegiatan olahraga yang regular dan pengontrolan penyakit komorbiditas terutama DM tipe 2 untuk meningkatkan kualitas tidur. Kata Kunci: Depresi, hipertensi, kualitas tidur.

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“…44 Nevertheless, if on one hand the major effect of exercise training is recorded in hypertensive conditions, on the other hand the training inhibits the progression from normal to pre-hypertension and from pre-hypertension to hypertension. 43,[45][46][47][48] Therefore, physical exercise represents a powerful therapeutic tool to prevent the development of hypertension, especially in high-risk populations like diabetic patients or individuals with family history of hypertension.…”

Section: E Xercis E Tr Aining a S Effec Tive Ther Apeuti C Tool In mentioning

confidence: 99%