Treating Blood Hypertension in a Brazilian Community: Moving from Reactive Homeostatic Model to Proactive Allostatic Healthcare

Abstract

The responsiveness of hypertensive subjects to different types of physical exercises and length of intervention, has been investigated in samples of our dynamic cohort study ("Move for Health" program) based on spontaneous demand for healthy lifestyle with supervised exercises and dietary counseling. After clinical selection and baseline assessments they were spontaneously assigned to exercise protocols of strength (PAc) isolated or combined with endurance (walking) exercises (PMi) daily or in alternated days(PMiA), hydrogymnastics(PHy) and tread mill high-intensity exercises(PHit), applied during 10(experiment 1) and 20(experiment 2) weeks of intervention. Baseline demographic, socioeconomic, anthropometric and physical activity and fi tness characteristics were similar among protocols. Ten-week training improved VO2max. Similarly in all protocols while hand grip increased only in PAc. In average, there was a 16% reduction rate of hypertension rate from baseline with both, SBP and DBP, reduced by PHy and only SBP by the PMi. After adjustments hypertension was more reduced by PAc, PMi and PHy. In the 20-week experiment, higher SBP was similarly reduced by PAc or PMiA and DBP by PMiA, after adjustments. Hence, so far, our generated data suggest physical exercises as an effective tool for hypertension reduction, from 10 weeks to 3 year-long supervised protocols composed by surface or aquatic activities with strength or endurance exercises. PAc takes longer and shortperiod responsiveness can be achieved by either combined (strength-endurance) or hydrogymnastic exercises. Thus, exercise training is a time-and type-dependent tool, feasible, costless and scientifi c-based rheostaticallostatic alternative for the current "sick-care" drug-dependent homeostatic approach to hypertension med care.

Understanding contemporary diseases under evolutionary medicine view

“…For energy saving and energy-yielding substrate distribution, fat storage and insulin resistance can be seen as thriftiness in situation such as famine (19,20). Similarly, sodium preservation during water privation (21) and inflammation in situations of infection (22).…”

Síndrome De West Com Suspeita De Correlação Com Citomegalovirose Congênita: Relato De Caso

“…The mean response returns to its initial level while responsiveness is maintained (Sterling & Peter, 2004. This seems to work very much for hypertension while considering that the current authoritative recommendations for treatment are no longer drugs but: (i) weight loss; (ii) exercise; (iii) moderate alcohol consumption; (iv) diet reduced in sodium and fat and increased in calcium, potassium, and fiber; (v) cease smoking (Carretero & Oparil, 2000;Burini et al 2018;Polo et al 2019).…”

Brazilian Primary Care of T2D with Reactive-Homeostatic and Lifestyle Changing- Allostatic Approaches: A Cost-Effectiveness Data

“…cool down-stretching. The strength training sessions were preceded by 2wk-exercise familiarization and 1 RM test realization [41].…”

“…Strength exercises were alternated in different days, for upper and lower limbs. The PMi protocol should be attended at least three days during the week [41].…”