Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults.

Background Combined resistance and aerobic training (CT) is the most suitable form of exercise training to simultaneously improve cardiometabolic profile and functional capacity in middle-aged and older adults. Recreational sports (RS) emerge as an alternative to traditional exercises to improve these outcomes that could be used as a retention and continuity strategy, promoting health benefits associated with pleasure and satisfaction during the physical activity. Objectives The aim was to conduct a meta-analysis on the effects of RS and CT on systolic blood pressure (SBP), diastolic blood pressure (DBP) and glycosylated hemoglobin (HbA1c) in middle-aged and older adults and to compare these exercise interventions to a non-exercising control group (CON). Data Sources A literature search was conducted using the databases at PubMed, COCHRANE and SciELO between July and August 2020. Study Eligibility Criteria Studies that included men and women aged 45 years, healthy or with values of baseline for SBP 130mmHg or DBP 80 mmHg or with type II diabetes, in which the participants performed RS or CT versus CON, and evaluated SBP, DBP and HbA1c. Study Appraisal and Synthesis Methods Two independent reviewers screened search results, performed data extraction, and assessed of methodological quality of studies. Random effects modeling was used to compare pre to postintervention changes in BP and HbA1c from RS and CT versus CON, and the effect size were calculated through the weighted mean difference (MD) with a 95% confidence interval (CI). Conclusions RS and CT are effective exercise interventions to improve blood pressure in middle-aged and older adults. Additionally, CT seems to be an excellent strategy to reduce HbA1c, and future studies are necessary to confirm the effectiveness of recreational sports to improve HbA1c.

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Does Interrupting Prolonged Sitting With 10- or 20-Min Standing Attenuate Postprandial Glycemia and Blood Pressure in Middle-Aged and Older Adults With Type 2 Diabetes?

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0418 ◽

2020 ◽

pp. 1-8

Author(s):

Yuri A. Freire ◽

Carlos A. Silva ◽

Geovani A. D. Macêdo ◽

Rodrigo A. V. Browne ◽

Bruno M. de Oliveira ◽

...

Keyword(s):

Blood Pressure ◽

Type 2 Diabetes ◽

Older Adults ◽

Area Under The Curve ◽

Acute Effect ◽

Sitting Time ◽

Middle Aged ◽

Postprandial Glycemia ◽

Prolonged Sitting

We carried out three types of 2-hr experimental sessions with middle-aged and older adults with Type 2 diabetes in order to examine the acute effect of interrupting prolonged sitting with varying periods of standing on postprandial glycemia and blood pressure (BP): (a) prolonged sitting after breakfast; (b) standing for 10 min, 30 min after breakfast; and (c) standing for 20 min, 30 min after breakfast. Glucose and BP were assessed before and after breakfast. A generalized linear model revealed no significant differences for the incremental area under the curve of glucose between standing for 10 min, 30 min after breakfast, versus prolonged sitting after breakfast (β = –4.5 mg/dl/2 hr, 95% CI [–17.3, 8.4]) and standing for 20 min, 30 min after breakfast, versus prolonged sitting after breakfast (β = 0.9 mg/dl/2 hr, 95% CI [–11.9, 13.7]). There was no difference in area under the curve of systolic and diastolic BP among the sessions. Interrupting prolonged sitting time with 10 or 20 min of standing 30 min after breakfast does not attenuate postprandial glycemia or BP in middle-aged and older adults with Type 2 diabetes.

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Physiological and Psychological Effects of Walking in Urban Parks and Its Imagery in Different Seasons in Middle-Aged and Older Adults: Evidence from Matsudo City, Japan

Sustainability ◽

10.3390/su12104003 ◽

2020 ◽

Vol 12 (10) ◽

pp. 4003 ◽

Cited By ~ 1

Author(s):

Prita Indah Pratiwi ◽

Qiongying Xiang ◽

Katsunori Furuya

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Urban Parks ◽

Early Summer ◽

Psychological Effects ◽

Urban Park ◽

Middle Aged ◽

Total Mood Disturbance ◽

Different Seasons ◽

The City

The benefits of park therapy have been investigated in young adults, but rarely for middle-aged and older adults. This study evaluates the physiological and psychological effects of walking in urban parks and park therapy images in winter, spring, and early summer. The experiments were implemented in two walking courses in the urban park in Japan and involved 12 middle-aged and older adults. Participants walked on walking courses in an urban park and city street for 11–15 min. Their heart rate and blood pressure were evaluated to determine physiological responses. The Profile of Mood States (POMS), State-Trait Anxiety Inventory (STAI), and Landscape Image Sketching Technique (LIST) were used to determine psychological responses and spatial conditions. Walking in an urban park exhibited lower heart rates and blood pressure as compared to walking in the city. It was congruent with lowered negative moods, total mood disturbance (TMD) scores, and state anxiety, while the higher positive mood was observed in the urban parks as compared to the city. Images in winter displayed trees, relaxation, and comfort; in spring, water, activity, people, surrounding place, and recreational space; and in early summer, greenery, lawn, and broadness. In conclusion, walking in urban parks leads to physiological, psychological relaxation, and varied landscape appreciation.

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Isometric handgrip training reduces blood pressure and wave reflections in East Asian, non-medicated, middle-aged and older adults: a randomized control trial

Aging Clinical and Experimental Research ◽

10.1007/s40520-019-01330-3 ◽

2019 ◽

Vol 32 (8) ◽

pp. 1485-1491

Author(s):

Takanobu Okamoto ◽

Yuto Hashimoto ◽

Ryota Kobayashi

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Randomized Control Trial ◽

East Asian ◽

Wave Reflections ◽

Middle Aged ◽

Isometric Handgrip ◽

Randomized Control ◽

Isometric Handgrip Training

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Blood pressure and noncommunicable diseases in middle-aged and older adults in China

PLoS ONE ◽

10.1371/journal.pone.0206635 ◽

2018 ◽

Vol 13 (11) ◽

pp. e0206635

Author(s):

Yinghui You ◽

Jincai Wang ◽

Wenjie Teng ◽

Guifeng Ma ◽

Pengtao Liu

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Noncommunicable Diseases ◽

Middle Aged

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Built environment and changes in blood pressure in middle aged and older adults

Preventive Medicine ◽

10.1016/j.ypmed.2009.01.005 ◽

2009 ◽

Vol 48 (3) ◽

pp. 237-241 ◽

Cited By ~ 76

Author(s):

Fuzhong Li ◽

Peter Harmer ◽

Bradley J. Cardinal ◽

Naruepon Vongjaturapat

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Built Environment ◽

Middle Aged

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The clinical significance of abnormal diurnal blood pressure variation in healthy late middle‐aged and older adults

Blood Pressure ◽

10.1080/08037050802162839 ◽

2008 ◽

Vol 17 (3) ◽

pp. 134-140 ◽

Cited By ~ 8

Author(s):

Toshihiko Hamada ◽

Tetsuhito Murata ◽

Kosuke Narita ◽

Tetsuya Takahashi ◽

Yuji Wada ◽

...

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Clinical Significance ◽

Pressure Variation ◽

Middle Aged ◽

Blood Pressure Variation

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Systematic Review of Guidelines on Antihypertensive Treatment in Older Adults: SPRINTing to More Heterogeneity?

Innovation in Aging ◽

10.1093/geroni/igaa057.686 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 212-213

Author(s):

Jonathan Bogaerts ◽

Leonie von Ballmoos ◽

Wilco Achterberg ◽

Jacobijn Gussekloo ◽

Sven Streit ◽

...

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Antihypertensive Treatment ◽

Oldest Old ◽

Middle Aged ◽

Frail Older Adults ◽

Blood Pressure Targets ◽

All Cause Mortality ◽

Guideline Quality

Abstract Clinical trials have demonstrated that antihypertensive treatment (AHT) in older adults is beneficial. Longitudinal studies, in contrast, have shown that low blood pressure is associated with higher all-cause mortality, especially in frail older adults. Despite the high quality of the available evidence, its translation into clinical guidance for the heterogeneous older population is challenging. To give a systematic overview of blood pressure targets for older adults recommended in clinical guidelines, we searched PubMed, Embase, Emcare, and five guideline databases. We selected guidelines with numerical thresholds for the initiation or the goal of non-disease-specific AHT (January 2008-October 2019). Guidelines with advices concerning AHT in older adults were analyzed. We appraised the guideline quality with the AGREEII-instrument. Of the 44 guidelines containing a numerical threshold for the initiation or the goal of AHT, 33 (75%) provided recommendations concerning AHT for older adults. Nineteen advised a higher target of systolic blood pressure (SBP) for older adults in comparison with the middle-aged population and 3 more recent advised a lower target. Over half (19/33) recommended to treat hypertension in the oldest old to a SBP <150 mmHg, while others advised intensive treatment to targets <120 mmHg. Although many guidelines mentioned frailty, only three gave specific thresholds and targets for frail older adults. The quality of the guidelines was not related with the recommended targets. Targets of AHT in older adults in international guidelines range from less strict to more intensive in comparison with the middle-aged and are set on chronological rather than biological age.

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