Key result
Physical exercise of 150 minutes or more per week was associated with 39% higher odds of controlled blood pressure compared to inactivity in adults with hypertension.
Why the study?
The study was conducted to test the effectiveness of different physical activities in controlling blood pressure.
Does physical activity or physical exercise improve blood pressure control in hypertensive adults?
Cross-Sectional (n=10,199)
Does physical activity or physical exercise improve blood pressure control in hypertensive adults?
Answers are grounded in this paper and cite their sources.
Physical exercise of 150 minutes or more per week is significantly associated with better blood pressure control in hypertensive adults, showing a stronger association than total physical activity or medication use alone.
To test the effectiveness of different physical activities (PA) in controlling blood pressure. The dependent variable was controlled and uncontrolled blood pressure (BP). METHODS: This is a secondary analysis of a cross-sectional, observational, descriptive and analytical study from the Brazilian National Health Research (PNS) database. The PNS was conducted by the Brazilian Institute of Geography and Statistics (IBGE) in 2013, in partnership with the Ministry of Health. Total PA was calculated in minutes per week (MPS) with the sum of 3 activities, physical exercise, time spent walking to work, and heavy work activity. Sociodemographic variables and the use of hypertension medications were analyzed as possible associated factors. RESULTS: The chances of having controlled BP were calculated by logistic regression. Among the 10199 participants aged 40 years and older, who reported hypertension, 5398 (53%) had controlled BP, being higher among the women (56%), within the age range of 40-59 years-old (56%), and on medication for hypertension (54%). The controlled-BP group performed 64 146.1 MPW of PA while the uncontrolled-BP spent 46 150.7 MPW in PA (p < 0.001). Work activity was also higher among the controlled-BP group (p = 0.019). Participants who performed total PA between 90-149 MPW had 21% higher odds of controlled-BP (p = 0.024) and those who performed 150 MPW or more, 22% (p = 0.001). Medication increased the chance of BP control by 18% (p = 0.003). The odds of having controlled-BP were higher in physical exercise: 42% on 90-149 MPW (p = 0.001) and 40% on 150 MPW or more (p < 0.001). CONCLUSION: Physical exercise was significantly associated with better BP control than just total PA. Both exercise and total physical activity were significantly associated with better BP control than medication.
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Printes et al. (2020) conducted a cross-sectional in Hypertension (n=10,199). Physical exercise (≥ 150 min/week) vs. Inactive was evaluated on Controlled blood pressure (systolic < 140 mmHg and diastolic < 90 mmHg) (OR 1.39, 95% CI 1.2376-1.5634, p=<0.001). Physical exercise of 150 minutes or more per week was associated with 39% higher odds of controlled blood pressure compared to inactivity in adults with hypertension.
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