Relation between physical training and ambulatory blood pressure in stage I hypertensive subjects. Results of the HARVEST Trial. Hypertension and Ambulatory Recording Venetia Study.

Palatini, Paolo; Graniero, Gianrocco; Mormino, Paolo; Nicolosi, Liliana; Mos, Lucio; Visentin, Pieralberto; Pessina, Achille C.

doi:10.1161/01.cir.90.6.2870

Cited by 126 publications

(118 citation statements)

References 32 publications

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“…Several population studies have indicated that increased physical activity is inversely proportional to cardiovascular mortality in the long term. The practice of moderately intense physical activity reduces the future risk of presenting HBP and its progression, resulting in a favorable effect in reducing early mortality (19,20). Of the 45 hypertensive patients who took part in this study, only 7 (15.5%) practiced some form of physical activity (we recommend regular aerobic exercise, like brisk walking, at least half an hour a day, almost everyday of the week) (4).…”

Section: Discussionmentioning

confidence: 99%

Screening for hypertension in a primary care dental clinic

Feijoo

Núñez-Orjales²,

Limeres-Posse³

et al. 2010

Med Oral

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Objective: The aim of this study was to record blood pressure in patients during their visit to a dental clinic, with the aim of identifying those who have high blood pressure and are unaware of it, as well as those who are aware of their condition but do have their blood pressure under adequate control. Study design: We designed a cross-sectional study which included 154 patients who were seen for a dental checkup at the Primary Dental Care of the Gallician Health Service (SERGAS). All participants completed a standardized medical questionnaire after measuring their systolic blood pressure (SBP) and diastolic blood pressure (DBP), which was conducted using the protocol established by the Spanish Society of Hypertension-Spanish League for the Fight Against Hypertension (HTA). Results: In 45 patients (29%), the figures for blood pressure were recorded as SBP≥140 mmHg and/or DBP ≥90 mmHg, indicating that they may have hypertension. Only 12 of them had been previously diagnosed with hypertension, but did not have their blood pressure under adequate control. The remaining 33 had no history of hypertension and were referred to a family physician, but only 19 saw their doctor; 11 of these patients were given non-pharmacological treatment, 6 were prescribed drug treatment and no type of treatment was indicated for the other two patients. Conclusions: By screening for hypertension, especially among patients who are more than 40 years old, the dentist can play an important role in the early diagnosis.

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Section: Discussionmentioning

confidence: 99%

Screening for hypertension in a primary care dental clinic

Feijoo

Núñez-Orjales²,

Limeres-Posse³

et al. 2010

Med Oral

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“…[11][12][13] Only subjects who had at least 6 months of follow-up were included. Patients' recruitment was obtained with the collaboration of the local general practitioners who were instructed during local meetings.…”

Section: Methodsmentioning

confidence: 99%

“…Baseline data included a medical and family history and a selfcompiled questionnaire about lifestyle habits: current use of coffee and alcoholic beverages, smoking status, and physical activity habits. [11][12][13] Other details are reported in the online-only Data Supplement. Brachial office BP at entry was the mean of 6 measurements obtained with a mercury sphygmomanometer with appropriately sized cuffs, during 2 visits performed 2 weeks apart.…”

Section: Methodsmentioning

confidence: 99%

“…Other details on follow-up procedures in the HARVEST were reported elsewhere. [11][12][13]18 Cardiovascular events included fatal and nonfatal ST-segment-elevated acute myocardial infarction, non-STsegment-elevated acute coronary syndromes, any myocardial revascularization procedure, heart failure needing at least hospitalization, fatal and nonfatal strokes, any aortic or lower limb revascularization procedure and renal events, defined as a chronic kidney disease stage 3 or higher (estimated glomerular filtration rate <60 mL/min per 1.73 m 2 ).…”

Section: Major Adverse Cardiovascular Eventsmentioning

confidence: 99%

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Office Pulse Pressure Is a Predictor of Favorable Outcome in Young- to Middle-Aged Subjects With Stage 1 Hypertension

et al. 2017

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“…13,14 However, it is still debated whether the sympathetically mediated beneficial effect of physical activity on arterial compliance, particularly small artery compliance, is merely due to the reduction of heart rate and BP or to a direct effect on the arterial wall. 9,[15][16][17][18][19] Regular physical activity, through a reduction of sympathetic activity, may lead to a reduction of smooth muscle tone thereby decreasing the stiffness of the muscular arteries. Increased sympathetic tone is frequently associated with hypertension in young-to-middle-age adults 20 and thus a non-pharmacological measure that reduces the sympathetic tone could have beneficial effects on the small artery elasticity of these subjects.…”

Section: Introductionmentioning

confidence: 99%

Regular physical activity is associated with improved small artery distensibility in young to middle-age stage 1 hypertensives

et al. 2014

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The aim of the present study was to investigate the association of physical activity with small artery elasticity in the early stage of hypertension. We examined 366 young-to-middle-age stage 1 hypertensives (mean blood pressure 145.6±10.3/92.5±5.8 mmHg), divided into two categories of physical activity, sedentary (n=264) and non-sedentary (n=102) subjects. The augmentation index was measured using the Specaway DAT System. Small artery compliance (C2) was measured by applanation tonometry, at the radial artery, with an HDI CR2000 device. After 6 years of follow-up, arterial distensibility assessment was repeated in 151 subjects. Heart rate was lower in active than in sedentary subjects (71.2±8.9 vs 76.6±9.7 bpm, p<0.001). After adjusting for age, sex, heart rate, smoking, and blood pressure, C2 was higher (8.0±2.6 vs 6.4±3.0 ml/mmHg × 100, p=0.008) in non-sedentary than in sedentary patients. The augmentation index was smaller in the former (8.8±20.1 vs 16.8±26.5%, p=0.044) but the difference lost statistical significance after further adjustment for blood pressure. After 6 years, C2 was still higher in the non-sedentary than sedentary subjects. In addition, an improvement in the augmentation index accompanied by a decline in total peripheral resistance was found in the former. These data show that regular physical activity is associated with improved small artery elasticity in the early phase of hypertension. This association persists over time and is independent of blood pressure and heart rate.

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Relation between physical training and ambulatory blood pressure in stage I hypertensive subjects. Results of the HARVEST Trial. Hypertension and Ambulatory Recording Venetia Study.

Abstract: These data suggest that participation in aerobic sports may attenuate the risk of hypertension in young subjects whose office BP is in the stage I hypertensive range at office measurement.

Cited by 126 publications

References 32 publications

Screening for hypertension in a primary care dental clinic

Screening for hypertension in a primary care dental clinic

Office Pulse Pressure Is a Predictor of Favorable Outcome in Young- to Middle-Aged Subjects With Stage 1 Hypertension

Regular physical activity is associated with improved small artery distensibility in young to middle-age stage 1 hypertensives

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