Key result
Sedentary activities and light physical activities were positively and inversely associated, respectively, with brachial and central blood pressures in hypertensive patients.
Why the study?
Is time spent in different physical activity intensities associated with blood pressure in hypertensive patients?
Cross-Sectional (n=87)
Is time spent in different physical activity intensities associated with blood pressure in hypertensive patients?
Effect estimate: r = 0.56
p-value: p=<0.01
In hypertensive patients, less sedentary time and more light physical activity are associated with lower brachial and central blood pressures.
Should not yet change practice in hypertension; hypothesis-generating for prospective trials on activity and BP.
BACKGROUND: Physical activity is recommended as a part of a comprehensive lifestyle approach in the treatment of hypertension, but there is a lack of data about the relationship between different intensities of physical activity and cardiovascular parameters in hypertensive patients. The purpose of this study was to investigate the association between the time spent in physical activities of different intensities and blood pressure levels, arterial stiffness and autonomic modulation in hypertensive patients. METHODS: In this cross-sectional study, 87 hypertensive patients (57.5 ± 9.9 years of age) had their physical activity assessed over a 7 day period using an accelerometer and the time spent in sedentary activities, light physical activities, moderate physical activities and moderate-to-vigorous physical activities was obtained. The primary outcomes were brachial and central blood pressure. Arterial stiffness parameters (augmentation index and pulse wave velocity) and cardiac autonomic modulation (sympathetic and parasympathetic modulation in the heart) were also obtained as secondary outcomes. RESULTS: Sedentary activities and light physical activities were positively and inversely associated, respectively, with brachial systolic (r = 0.56; P < 0.01), central systolic (r = 0.51; P < 0.05), brachial diastolic (r = 0.45; P < 0.01) and central diastolic (r = 0.42; P < 0.05) blood pressures, after adjustment for sex, age, trunk fat, number of antihypertensive drugs, accelerometer wear time and moderate-to-vigorous physical activities. Arterial stiffness parameters and cardiac autonomic modulation were not associated with the time spent in sedentary activities and in light physical activities (P > 0.05). CONCLUSION: Lower time spent in sedentary activities and higher time spent in light physical activities are associated with lower blood pressure, without affecting arterial stiffness and cardiac autonomic modulation in hypertensive patients.
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Gerage et al. (2015) conducted a cross-sectional in Hypertension (n=87). Sedentary behavior and light physical activity vs. Different levels of physical activity was evaluated on Brachial systolic blood pressure (r = 0.56, p=<0.01). Sedentary activities and light physical activities were positively and inversely associated, respectively, with brachial and central blood pressures in hypertensive patients.
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