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August 21, 2020International Journal of Environmental Research and Public HealthOpen Access

Physical Activity Counseling for Adults with Hypertension: A Randomized Controlled Pilot Trial

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Key result

A 12-week physical activity counseling program increased steps per day compared to control (5839 vs. 5028; p=0.044) but did not reduce blood pressure or improve metabolic profile.

Why the study?

The effect of physical activity counseling in hypertensive adults remains unclear.

Does a 12-week physical activity counseling program improve physical activity levels, blood pressure, metabolic profile, and body composition in hypertensive adults?

Comparison

12-week physical activity counseling vs single baseline FITT instruction meeting

Design

Randomized controlled pilot trial

Follow-up

12 weeks

Authors

ASAltieres Elias de SousaUniversidade Federal do Rio Grande do NorteGMGeovani Araújo Dantas MacêdoUniversidade Federal do Rio Grande do NorteDSDaniel SchwadeSt. Boniface Hospital

Discussion

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Implication

Counseling raises steps without BP or metabolic gains in hypertension; challenges expectations that brief activity increases alone improve cardiometabolic outcomes.

Study Design

Type

RCT (n=22)

Randomization

Randomized

Structured PICO

Does a 12-week physical activity counseling program improve physical activity levels, blood pressure, metabolic profile, and body composition in hypertensive adults?

P
Population
22 hypertensive adults (mean age 48.8 years) followed for 12 weeks.
I
Intervention
12-week physical activity counseling (PAC) based on the 5 A's model considering the FITT principle (Frequency, Intensity, Time, and Type).
C
Comparator
Instructions about FITT in one face-to-face meeting at baseline.
O
Outcome
Blood pressure (resting and ambulatory), physical activity level (pedometer-measured steps), sitting time, metabolic profile (cholesterol, triglycerides, fasting glucose), and body composition (fat mass, abdominal fat, fat free mass) at 12 weeks.surrogate

Main Result

Absolute Event Rate: 5839% vs 5028%

p-value: p=0.044

A 12-week physical activity counseling program in hypertensive adults modestly increased daily steps but did not significantly improve blood pressure, metabolic profiles, or body composition.

Cite This Study

Sousa et al. (2020) conducted an RCT in Hypertension (n=22). Physical activity counseling (PAC) vs. One face-to-face meeting with FITT instructions at baseline was evaluated on Steps per day (p=0.044). A 12-week physical activity counseling program increased steps per day compared to control (5839 vs. 5028; p=0.044) but did not reduce blood pressure or improve metabolic profile.

synapsesocial.com/papers/6a1fe98c3f3a87967f2e4f77https://doi.org/10.3390/ijerph17176076

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Behavioral Counseling to Promote a Healthy Lifestyle in Persons With Cardiovascular Risk Factors: A Systematic Review for the U.S. Preventive Services Task Force2014 · 196 citations
  2. 2Using Pedometers to Increase Physical Activity and Improve Health2007 · 2,114 citations
  3. 3Walking and hypertension: greater reductions in subjects with higher baseline systolic blood pressure following six months of guided walking2018 · 34 citations
  4. 4Exercise Training for Blood Pressure: A Systematic Review and Meta‐analysis2013 · 1,711 citations
  5. 5Evidence-based risk assessment and recommendations for physical activity clearance: Consensus Document 2011<sup>1</sup>This paper is one of a selection of papers published in this Special Issue, entitled Evidence-based risk assessment and recommendations for physical activity clearance, and has undergone the Journal’s usual peer review process.2011 · 156 citations