Effect of the physical activity program on the treatment of resistant hypertension in primary care

AbstractBackgroundRegular physical activity is widely recommended for patients with arterial hypertension as an essential component of lifestyle modification. Much less is known about the impact of physical exercise on the management of treatment of resistant hypertension (RH). The aim was to assess the effect of physical activity program intensified by mobile phone text reminders on blood pressure control in subjects with RH managed in the primary care.MethodsIn total, 53 patients with primary hypertension were qualified, including 27 who met the criteria for RH and 26 with well-controlled hypertension (WCH). Ambulatory 24-h blood pressure was monitored and body composition evaluated with bioimpedance and habitual physical activity profile was determined continuously over 72 h with accelerometer. All measurements were performed at baseline and after three and six months. The patients were asked to modify their lifestyle according to American Heart Association Guidelines that included regular aerobic physical activity tailored to individual needs.FindingsPhysical activity in RH increased significantly after six months compared with control subjects (P=0.001). Office systolic blood pressure (SBP) and diastolic blood pressure (DBP) in the RH group decreased significantly after three months but after six months only office DBP remained significantly lower. After three months 24-h SBP decreased by 3.1±11 mmHg (P=0.08) and DBP by 2.0±6 mmHg (P=0.17) in RH, whereas in WCH respective changes were +1.2±10 and −0.3±6 mmHg. After six months 24-h BP changes were similar.ConclusionIndividualized structured physical activity program increases physical activity in the treatment of resistant hypertensives in primary care but the effect on 24-h blood pressure is only transient.

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SAT-558 A Dedicated Endocrine Hypertension Service Increases the Timely Diagnosis of Primary Aldosteronism

Journal of the Endocrine Society ◽

10.1210/jendso/bvaa046.1146 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

Author(s):

Jun Yang ◽

Yin Y Lim ◽

Renata Libianto ◽

Jimmy Shen ◽

Morag Jennifer Young ◽

...

Keyword(s):

Blood Pressure ◽

Primary Care ◽

Primary Aldosteronism ◽

Pressure Control ◽

Organ Damage ◽

Antihypertensive Medications ◽

Endocrine Hypertension ◽

Treatment Naïve ◽

Hypertension Diagnosis ◽

The Impact

Abstract Background: Primary aldosteronism (PA) accounts for 3.2-12.7% of hypertension in primary care but is often diagnosed late, if at all. A delayed or missed diagnosis leads to poor blood pressure control and greater cardiovascular risk that could be averted with targeted treatment. An Endocrine Hypertension Service (EHS), encompassing an education program, streamlined diagnostic tests and dedicated PA clinic, was developed to address this issue. Aims: To analyse the impact of Victoria’s first dedicated EHS on the pattern of PA diagnoses. Methods: Socio-demographic and clinical data from all patients who attended the EHS since July 2016 (N=267) was collected prospectively. Patients were divided into Year 1 (Y1), Year 2 (Y2), and Year 3 (Y3), based on their first visit. Results: The proportion of referrals from primary care increased (20% in Y1 to 52% in Y3) with more referrals being made for treatment-naive hypertension (3% in Y1 to 19% in Y3). Patients with a hypertension diagnosis of 5 years or less at the time of referral to EHS increased from 34% in Y1 to 45% in Y3 whilst the percentage of patients with a hypertension diagnosis of more than 10 years decreased from 50% in Y1 to 35% in Y3. Consistent with an earlier presentation, the proportion of patients with end-organ damage at the time of referral decreased from 44% in Y1 to 29% in Y3. Almost a third of the PA patients had unilateral disease; all of those who underwent adrenalectomy had biochemical cure. Patients with bilateral PA were treated with spironolactone. Their systolic/diastolic blood pressure decreased by 15/12 mmHg in Y1, 17/13 mmHg in Y2 and 23/11 mmHg in Y3; while the mean number of antihypertensive medications decreased from 2.9 to 1.8 in Y1, 2.7 to 2.0 in Y2 and 2.2 to 1.6 in Y3 Conclusion: The EHS has facilitated an increase in referrals for PA screening from primary care, resulting in the earlier diagnosis of PA, when less complications are present, and optimised patient outcomes. A broader uptake of such a clinical service, integrated with education outreach, will bridge the gap between the reported high prevalence of PA and the actual low diagnostic rates.

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Investigating the Impact of Virtual Reality and Gamification on Improving Physical Activities in School

10.21203/rs.3.rs-47976/v1 ◽

2020 ◽

Author(s):

Reza Roshanpour ◽

Mohammad Hazegh Nikroo

Keyword(s):

Physical Activity ◽

Virtual Reality ◽

Elementary Students ◽

Physical Activity Program ◽

Physical Competence ◽

Critical Areas ◽

Activity Program ◽

Physical Activity Environments ◽

Diverse Groups ◽

The Impact

Abstract Background: The rise of obesity creates a critical health problem in childhood which can establish obesity in adulthood. It is significant in the first years of life to participate in physical activity program. In other words, children have to perform physical activity for preventing obesity and toward reducing obesity in adulthood. In this regard, it seems to be important in elementary schools. In this regard, interventions were used to perform physical activity. We have utilized virtual reality and gamification as an intervention to increase motivation for exerting physical activity in elementary school. In reality, three critical areas have been identified to enhance quality physical education program include Promoting intrinsic motivation, enhancing perceived physical competence, and creating a mastery-oriented physical-activity environment.Methods: Mixed quantitative and qualitative study to specify the effects of integration gamification and virtual reality in the physical activity program was used. Analyses were conducted using IBM Statistics SPSS 25.0 software. Also, we used independent-samples T-test to compare results.Results: Total of 25 elementary students participated in our study. This study performed about combination of gamification and virtual reality games. we divided all the students into diverse groups. Results indicated the use of virtual reality and gamification could enhance motivation in children to perform physical activity in school.Conclusion: Virtual reality technology and gamification on physical activity environments had a positive effect on the motivation of elementary students. virtual reality and gamification on motivation leads students to achieve higher levels of engagement in performing physical activity.

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Perceptions of participants and staff of implementing a physical activity program in rural primary care

Evaluation and Program Planning ◽

10.1016/j.evalprogplan.2019.101772 ◽

2020 ◽

Vol 79 ◽

pp. 101772

Author(s):

Jill R. Reed ◽

Danae Dinkel ◽

Matthew R. Bice ◽

Paul Estabrooks ◽

Bunny Pozehl ◽

...

Keyword(s):

Physical Activity ◽

Primary Care ◽

Physical Activity Program ◽

Rural Primary Care ◽

Activity Program

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Healthy steps: The effect of a primary care physical activity program on quality of life in low-active older adults

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2009.10.476 ◽

2010 ◽

Vol 12 ◽

pp. e227

Author(s):

G. Kolt ◽

G. Schofield ◽

N. Kerse ◽

N. Garrett ◽

I. Ashton

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older Adults ◽

Primary Care ◽

Physical Activity Program ◽

Activity Program

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The Effect of a Physical Activity Program on the Total Number of Primary Care Visits in Inactive Patients: A 15-Month Randomized Controlled Trial

PLoS ONE ◽

10.1371/journal.pone.0066392 ◽

2013 ◽

Vol 8 (6) ◽

pp. e66392 ◽

Cited By ~ 3

Author(s):

Maria Giné-Garriga ◽

Carme Martin-Borràs ◽

Anna Puig-Ribera ◽

Carlos Martín-Cantera ◽

Mercè Solà ◽

...

Keyword(s):

Physical Activity ◽

Primary Care ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Physical Activity Program ◽

Randomized Controlled ◽

Activity Program

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The Impact of a Physical Activity Program in Persons with SCI

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2016.08.221 ◽

2016 ◽

Vol 97 (10) ◽

pp. e72-e73

Author(s):

Ryan McGrath ◽

Denise Tate ◽

Martin Forchheimer ◽

Claire Kalpakjian ◽

Mark Peterson

Keyword(s):

Physical Activity ◽

Physical Activity Program ◽

Activity Program ◽

The Impact

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The Use of an Online Tennis Learning Platform for Sedentary Adults

GYMNASIUM ◽

10.29081/gsjesh.2020.21.2.07 ◽

2020 ◽

Vol XXI (2) ◽

pp. 101

Author(s):

Radu Tiberiu Șerban ◽

Iacob Hanțiu

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Intervention Program ◽

Leisure Time Physical Activity ◽

Physical Activity Program ◽

Recreational Physical Activity ◽

Learning Platform ◽

Activity Program ◽

The Impact ◽

Web Platform

The purpose of this research was to analyse the impact of a web platform as a result of its use to support a leisure-time physical activity program based on the organized practice oftennis. The hypothesis of this research is based on the assumption that the use of a web platform for a recreational physical activity program, in particular a tennis one, will havebeneficial effects on the effectiveness of learning the game technique. The research was carried out on a sample of 47 volunteer subjects, all of them working in a sedentaryenvironment. The subjects of the study were divided into 3 groups, the intervention program consisted of 90-minute tennis training sessions, twice a week, for 4 months. Thestatistical analysis of the data was accomplished by using the IBM SPSS Statistics 20 program. At the end of the study, could be observed in total technical score, staticforehand, dynamic forehand, static backhand, dynamic backhand and serve score.

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Investigating the Impact of Virtual Reality and Gamification on Improving Physical Activities in Children

10.21203/rs.3.rs-38390/v1 ◽

2020 ◽

Author(s):

reza roshanpour ◽

Mohammad Hazegh Nikroo

Keyword(s):

Physical Activity ◽

Virtual Reality ◽

Physical Activity Program ◽

Physical Competence ◽

Virtual Reality Technology ◽

Critical Areas ◽

Activity Program ◽

Physical Activity Environments ◽

The Impact ◽

Positive Effect

Abstract Background:The rise of obesity creates a critical health problem in childhood which can establish obesity in adulthood. It is significant in the first years of life to participate in physical activity program. In other words, children have to perform physical activity for preventing obesity and toward reducing obesity in adulthood. In this regard, it seems to be important in elementary schools. In this regard, interventions were used to perform physical activity. We have utilized virtual reality and gamification as an intervention to increase motivation for exerting physical activity in elementary school. In reality, three critical areas have been identified to enhance quality physical education program include Promoting intrinsic motivation, enhancing perceived physical competence, and creating a mastery-oriented physical-activity environment.Methods:Mixed quantitative and qualitative study to specify the effects of integration gamification and virtual reality in the physical activity program was used. Analyses were conducted using IBM Statistics SPSS 25.0 software. Also, we used independent-samples T-test to compare results.Results: Total of 25 elementary students participated in our study.This study performed about combination of gamification and virtual reality games. we divided all the students into diverse groups.Results indicated the use of virtual reality and gamification could enhance motivation in children to perform physical activity in school.Conclusion:Virtual reality technology and gamification on physical activity environments had a positive effect on the motivation of elementary students.virtual reality and gamification on motivation leads students to achieve higher levels of engagement in performing physical activity.

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The Impact of Enrollment in an Instructional Physical Activity Program Course on the Physical Activity Level and Enjoyment of Physical Activity of University Students

American Journal of Health Studies ◽

10.47779/ajhs.2018.64 ◽

2020 ◽

Vol 33 (3) ◽

Author(s):

Grant M. Hill ◽

Bernard D. Goldfine ◽

Kandice J. Porter ◽

Zenong Yin

Keyword(s):

Physical Activity ◽

Treatment Group ◽

Physical Activity Level ◽

Activity Level ◽

Physical Activity Program ◽

Control Group ◽

Activity Levels ◽

Activity Program ◽

Training Control ◽

The Impact

e purposes of this research were to determine whether participation in a university elective instruction-al physical activity program course (IPAP) would increase the weekly physical activity level of students and resultin a signi cantly higher score on the Physical Activity Enjoyment Scale (PACES). Treatment-group participantswere enrolled in an elective IPAP course that was either sport-based (e.g., volleyball, tennis) or physical condi-tioning-based (e.g., aerobic/strength training). Control-group participants (N=180) were students from the sameuniversities who were not enrolled during that term in an IPAP course. Student responses to the Godin-ShephardLeisure-Time Physical Activity Questionnaire indicated within-group changes in pre vs. post physical activity thatwere signi cant for the treatment group, but not the control group. Results indicate participation in an IPAPcourse signi cantly increases the physical activity levels of students and also signi cantly increases the physical activ-ity enjoyment of students with the most sedentary lifestyles.

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