The evaluation of physical activity for community‐dwelling patients with hypertension

Ma, Chunhua

doi:10.1111/jocn.13781

Cited by 6 publications

(10 citation statements)

References 25 publications

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“…It is believed that patients could achieve a better outcome of BP control if they follow health expertise advice on hypertension treatment and healthy lifestyles in terms of exercising properly [33], avoiding smoking and drinking [34]. Supported by previous study reports, our hypothesis is that community-based BP monitoring has a positive effect on hypertension control through medication treatment and healthy lifestyle establishment.…”

Section: Introductionmentioning

confidence: 90%

Utilisation of national community-based blood pressure monitoring service among adult Chinese and its association with hypertension treatment and blood pressure control—a mediation analysis

et al. 2019

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Background Community-based blood pressure (BP) monitoring plays an important role in national hypertension management in China. However, the utilisation of this service, together with its associations on hypertension treatment and BP control has not been fully investigated. Methods The study population was from the China Health and Retirement Longitudinal Study (CHARLS) in 2015. Cross-sectional data of 2487 hypertensive persons were included as subjects. Stratified sample households were selected from 450 villages or communities of 150 counties from 28 provinces. Finally, 21,097 individuals were interviewed successfully. The main outcome was hypertension control (having average BP under 140-90 mmHg). The main independent variable was utilisation of community-based BP monitoring service (having BP examination once a season or more). The mediators were hypertension treatment (currently taking any antihypertensive medicine) and lifestyle factors (alcohol intake, physical activity, smoke). We performed chi-square and binary logistic regression to analyse associations of BP monitoring with hypertension treatment and blood pressure control. The mediation model was examined by the Sobel test. Results Mean age of the population was 64.2 (0.24). The percentage of males was 42.8%. Prevalence of community-based BP monitoring was 32.1%. Patients who used this service had higher odds of hypertension treatment (β = 1.259, P < 0.01, OR = 3.52, CI = 2.467–5.030), and BP control (β = 0.220, P < 0.05, OR = 1.246, CI = 1.035–1.499). Medication treatment played a complete mediating role between monitoring and hypertension control in this study (t = 4.51, P < 0.001). Those who underwent BP monitoring tended to be those who did not finish primary school education (χ2 = 30.300, P < 0.001), had poorer household income (χ2 = 18.298, P < 0.05), and lived in rural areas rather than in urban areas (χ2 = 40.369, P < 0.001). Conclusions Although the use of BP monitoring service had no direct effect on BP control, it had a positive effect on BP control through the full mediation effect of hypertension treatment. Termly BP monitoring by community-based health expertise among hypertensive persons, for instance, once a season, can be recommended to public health policymakers for BP control through instructions on medication treatment and health behaviours.

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Section: Introductionmentioning

confidence: 90%

Utilisation of national community-based blood pressure monitoring service among adult Chinese and its association with hypertension treatment and blood pressure control—a mediation analysis

et al. 2019

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“…Recent research on the future health of the elderly population and improvements in quality of life has received a great deal of attention, and the relevance of physical exercise has been highlighted in these studies (5,6). To be able to understand their needs, it is important to assess the level of physical activity in the elderly (7)(8)(9). Questionnaires, diaries, accelerometers, and pedometers are some of the tools that can be used to assess physical activity in the elderly.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, it is important for these methods to be suitable for the elderly and to be standardized. There are scales that have been developed specifically for the elderly to deal with such problems and achieve more reliable results, and these scales are similar in content to each other (8)(9)(10). The Physical Activity Scale for the Elderly (PASE) was developed in 1993 by Washburn et al (11), and the validity and reliability study of the Turkish version of PASE was conducted by Ayvat et al (12).…”

Section: Introductionmentioning

confidence: 99%

Validity and Reliability Study of the Turkish version of Physical Activity Scale for the Elderly in Nursing Homes

ŞAHİNOĞLU¹

2022

tjgeri

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“…At meantime, hypertensive people appear to be less physically active than those without hypertension [12]. It is reported that only about one third of hypertensive patients achieve the recommended PA level [13]. Most previous researches subdivided physical activity by domains (e.g., occupational, domestic and leisure-time activity) [14] or intensities (e.g., light, moderate and vigorous physical activities) when exploring the relationship between PA and CVDs [15].…”

Section: Introductionmentioning

confidence: 99%

The association between daily total physical activity and risk of cardiovascular disease among hypertensive patients: a 10-year prospective cohort study in China

Zhou

Tao

et al. 2021

BMC Public Health

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Background The effect of high levels of physical activity and relationship between daily total physical activity and the risk of cardiovascular disease (CVD) among hypertensive people were not clear. This study aimed to explore the optimum level of physical activity for CVD prevention. Methods Data used in the present study was derived from the sub-study of China Kadoorie Biobank study (CKB) in Jiangsu province of China. The CKB was a prospective cohort study established during 2004–2008. At baseline, 53,259 participants aged 35–74 years were recruited for the CKB Jiangsu sub-study conducted in Wuzhong district of Suzhou City. Among those 53,259 participants, the 20,179 hypertensive individuals were our study population. The outcome events were cardiovascular diseases (CVDs), while the independent variable was total daily physical activity. The Cox proportional hazard models were introduced to investigate the association between total physical activity and CVDs, reporting as hazard ratios (HR) and 95% confidence intervals (CIs). Results During a 10.1-year follow-up, 2419 CVD cases were identified. After adjustment for potential confounding factors, compared with participants at the lowest level of daily total physical activity, the hazard ratios for CVDs were 0.87 (95%CI: 0.79–0.97), 0.73 (95%CI: 0.65–0.83) and 0.75 (95%CI: 0.65–0.85) for participants within 2, 3 and 4 quartiles of physical activity. Such a negative association between total physical activity and CVDs were also observed among participants by gender and age-group, but within patients with stage 1 hypertension only. Moreover, the association of physical activity with CVDs was U-shape and the lowest HR (0.63, 95%CI: 0.54–0.74) was observed at 35.4 MET-h/d of total physical activity. Conclusions Total daily physical activity was negatively associated with CVDs among hypertensive adults in China, and this association was U-shape. It has some public health implications that community-based total physical activity intervention campaigns can be of help for CVDs prevention among hypertensive people in China.

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The evaluation of physical activity for community‐dwelling patients with hypertension

Abstract: The findings implied that hypertensive patients who did insufficient physical activity were subgroups that needed specific instructions in physical activity and motivation to take part in physical activity. Nurses should consider providing counselling and supervision to these patients.

Cited by 6 publications

References 25 publications

Utilisation of national community-based blood pressure monitoring service among adult Chinese and its association with hypertension treatment and blood pressure control—a mediation analysis

Utilisation of national community-based blood pressure monitoring service among adult Chinese and its association with hypertension treatment and blood pressure control—a mediation analysis

Validity and Reliability Study of the Turkish version of Physical Activity Scale for the Elderly in Nursing Homes

The association between daily total physical activity and risk of cardiovascular disease among hypertensive patients: a 10-year prospective cohort study in China

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