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October 24, 2019Research Quarterly for Exercise and SportOpen Access

Long-Term Effects in the EXERDIET-HTA Study: Supervised Exercise Training vs. Physical Activity Advice

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Why the study?

To determine whether improvements in cardiorespiratory fitness, blood pressure, and body composition after a 16-week supervised exercise and hypocaloric diet intervention are maintained following six months of unsupervised exercise.

Does a supervised exercise and diet intervention followed by unsupervised advice improve long-term cardiometabolic health in overweight/obese patients with hypertension compared to physical activity advice alone?

Population

190 overweight/obese, physically inactive participants with primary hypertension

Comparison

Three supervised exercise groups vs attention control with physical activity recommendations

Design

Randomized controlled trial

Follow-up

6 months following a 16-week intervention

Authors

PCPablo CorresAAAitor Martínez Aguirre-BetolazaSFSimon Fryer

Discussion

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Overview

Benefits in CRF and body composition may not persist without supervision; extends evidence for ongoing structured programs in hypertensive obesity.

Structured PICO

Does a supervised exercise and diet intervention followed by unsupervised advice improve long-term cardiometabolic health in overweight/obese patients with hypertension compared to physical activity advice alone?

P
Population
190 overweight/obese, physically inactive participants with primary hypertension (HTN)
I
Intervention
16-week supervised exercise intervention (one of three supervised exercise groups, including high-volume and high-intensity interval training) with hypocaloric diet, followed by 6 months of unsupervised diet and physical activity advice
C
Comparator
Attention control group receiving physical activity recommendations
O
Outcome
Maintenance of improvements in cardiorespiratory fitness (CRF), blood pressure (BP), and body composition at 6 months post-interventionsurrogate

Cardiometabolic improvements achieved through supervised exercise and diet in hypertensive patients significantly decline when supervision is removed, suggesting the need for ongoing supervised programs.

Cite This Study

Corres et al. (2019) studied this question.

synapsesocial.com/papers/6a758c3ffbccc8f4fd160bf5https://doi.org/10.1080/02701367.2019.1656794
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Also Consider

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

  1. 1A Metabolically Healthy Profile Is a Transient Stage When Exercise and Diet Are Not Supervised: Long-Term Effects in the EXERDIET-HTA Study2020 · 9 citations
  2. 2Effects of Supervised Versus Unsupervised Aerobic Exercise Training on Weight Loss, Functional Capacity, Quality of Life and Depression Level in Patients With Essential Hypertension2021 · 4 citations
  3. 3Effects of Different Exercise Training Programs on Cardiorespiratory Fitness in Overweight/Obese Adults With Hypertension: A Pilot Study2018 · 13 citations
  4. 4Impact on Health-Related Quality of Life after Different Aerobic Exercise Programs in Physically Inactive Adults with Overweight/Obesity and Primary Hypertension: Data from the EXERDIET-HTA Study2020 · 26 citations
  5. 5Exercise Supervision Is Important for Cardiometabolic Health Improvements: A 16-Week Randomized Controlled Trial2019 · 21 citations