Blood Pressure, Fitness, and Lipid Profiles of Rural Women in the Wellness for Women Project

PURPOSE: This study examined whether rural women, who had a high prevalence of prehypertension and hypertension upon enrollment in a wellness program, would also have a high prevalence of other cardiovascular disease risk factors such as low fitness and/or dyslipidemia. METHODS: Data were analyzed from 225 rural women, ages 50-69, enrolled in a healthy eating and activity clinical trial. Cardiovascular health histories, fitness measures, blood pressure, and fasting blood serum samples were collected following standardized protocols at rural research offices. Chi-square and MANOVA were performed to examine differences in health characteristics, lipids, and fitness across blood pressure categories. RESULTS: Fitness indicators of estimated VO(2max), 1-mile walk time, and resting heart rate differed between the blood pressure groups, with those in the prehypertensive and hypertensive groups having less desirable profiles than those in the normotensive group. Triglyceride levels of 150 mg/dL or greater, were observed in 36%, 32%, and 16.7% of women who had hypertensive, prehypertensive, and normal blood pressures, respectively. CONCLUSIONS: The need for routine blood pressure screenings by practitioners is reinforced by finding that rural women screened via PAR-Q and/or physician clearance had a high prevalence of prehypertensive and hypertensive blood pressures, in addition to low fitness and nonoptimal triglycerides. Practitioners need to provide counselling based on results and refer to other providers as appropriate.