scholarly journals Effects of a community physical activity program on the number of antihypertensive drugs used by elderly women with arterial hypertension: a cross-sectional study

2019 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Rafaela Gomes Santos ◽  
Ariádny Brandão Gomes ◽  
Douglas Assis Teles Santos ◽  
Marília Santos Andrade ◽  
...  

Abstract Background Physical exercise is an important tool to manage systemic arterial hypertension. However, less is known about the effect of physical exercise on the number of antihypertensive drugs used by older adults. Objectives The aim was to compare the number of antihypertensive drugs used by older female adults with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. Methods Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants that presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected. Results The number of ingested antihypertensive tablets was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets ingested (p>0.05). Although there was no statistical difference, a higher proportion of participants from the lower physical activity group used more than two antihypertensive drugs. Conclusions The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive women.

2020 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Rafaela Gomes dos Santos ◽  
Ariádny Brandão Gomes ◽  
Douglas de Assis Teles Santos ◽  
Marilia Santos Andrade ◽  
...  

Abstract Background: Physical activity is an important tool to manage systemic arterial hypertension. However, less is known about the relationship of physical activity with the number of antihypertensive drugs used by older adults. The aim of this study was to compare the number of antihypertensive drugs used by older female adults (aged ≥ 60 years) with a low level of physical activity with the number used by those with a high level of physical activity, and to verify how many participants used more than two antihypertensive drugs. The habitual level of physical activity was evaluated by the Baecke questionnaireMethods: Twenty-eight physically active older women with systemic arterial hypertension who participated in a physical activity program for community-dwelling older female adults were divided into two groups: participants who presented lower habitual physical activity levels were placed in group 1 and participants that presented higher habitual physical activity levels were placed in group 2, according to the Baecke questionnaire. In addition, the number of antihypertensive drugs used by participants was collected.Results: The number of prescribed antihypertensive tablets was 2.0 (median) for both groups investigated. There was no significant difference between groups regarding the number of antihypertensive tablets prescribed (p>0.05). There was no statistical difference in proportion of participants from the lower physical activity group used more than two antihypertensive drugs.Conclusions: The level of habitual physical activity did not affect the number of antihypertensive tablets used by hypertensive elderly women.


2020 ◽  
Author(s):  
Kerli Mooses ◽  
Triin Vihalemm ◽  
Marko Uibu ◽  
Katrin Mägi ◽  
Leene Korp ◽  
...  

Abstract Finding ways to support children in meeting suggested physical activity levels is a worldwide challenge. Current article introduces the design and development process of the Estonian nationwide comprehensive physical activity program Schools in Motion (SiM) which aims to increase the physical activity levels of children in school settings where schools are active partners in the development and implementation process. The SiM program began with 10 pilot schools in 2016 and has now reached 110 schools in 4 years, with yet more schools eager to join. The program is very popular among schools and has received a positive reception among the governors and society at large. The article describes and analyses the key elements of the planning, piloting, implementation, and scaling phases of the SiM program to give a deeper understanding of the development and the design process of nationwide physical activity intervention programs. In addition to the process and program description, we have also tried to address the difficulties faced during the development process, the strengths and challenges associated with an interdisciplinary approach, and involvement of schools as experts. The article includes an overview of the lessons learnt and the main focuses of the coming years. We hope this article and our experiences will provide valuable information to practitioners and researchers in the field.


2020 ◽  
Vol 51 ◽  
pp. 101795
Author(s):  
David González-Cutre ◽  
Alejandro Jiménez-Loaisa ◽  
Manuel Alcaraz-Ibáñez ◽  
María Romero-Elías ◽  
Inês Santos ◽  
...  

2020 ◽  
Author(s):  
Gema Insa-Sánchez ◽  
Lorena Fuentes-Broto ◽  
Alberto Cobos ◽  
Elvira Orduna Hospital ◽  
Francisco Segura ◽  
...  

<b><i>Introduction:</i></b> Our aim was to evaluate the changes in choroidal thickness (CT) and volume (CV) following aerobic physical exercise in healthy young adults. <b><i>Methods:</i></b> This study included 72 eyes from healthy volunteers between 22 and 37 years old. Using the International Physical Activity Questionnaire, total physical activity was computed. Measurements using an autorefractometer, ocular biometry, and spectral-domain optical coherence tomography using the Enhanced Depth Imaging protocol were taken. OCT was performed as a baseline measurement and after performing 10 min of dynamic physical exercise (3 and 10 min post-exercise). The choroidal layer was manually segmented, and the CT and CV in different areas from the Early Treatment Diabetic Retinopathy Study grid were obtained. <b><i>Results:</i></b> In healthy adults, at 3 min post-exercise, CT was higher in the subfoveal, the 3-mm nasal, and the 6-mm superior areas. Between 3 and 10 min post-exercise, the CT was reduced in all areas, and in some areas, the values were even smaller than the baseline measurements. The CV values showed changes after exercise similar to those of thickness. The total CV recovery after exercise was related to sex and physical activity level. <b><i>Conclusion:</i></b> Individuals with higher physical activity habits had greater CV at rest than those with lower physical activity levels. During exercise, healthy young people adjust CT and CV. At 3 min post-exercise, CT and CV increase. Women and individuals with greater physical activity levels reduce their total CV more than others during recovery.


2020 ◽  
Vol 15 (8) ◽  
pp. 1-12
Author(s):  
Chelsea E Moore ◽  
Costas Tsakirides ◽  
Zoe Rutherford ◽  
Michelle G Swainson ◽  
Karen M Birch ◽  
...  

Background/aims The primary aim of this study was to evaluate the effectiveness of two 30-minute dietary education sessions, within cardiac rehabilitation, as a means to optimise nutrient and energy intakes. A secondary aim was to evaluate patients' habitual physical activity levels. Methods Thirty patients (males: n=24, 61.8±11.2 years; females: n=6, 66.7±8.5 years) attended a 6-week early outpatient cardiac rehabilitation programme in the UK and received two 30-minute dietary education sessions emphasising Mediterranean diet principles. Energy intakes and nutrient intakes were measured through completion of 3-day food diaries in weeks one and six (before and after the dietary education sessions) to assess the impact of these sessions on nutrient intakes. At the same time-points, a sub-group (n=13) of patients had their physical activity levels assessed via accelerometery to assess the impact of the cardiac rehabilitation programme on physical activity. Results Estimated energy requirements at week one (1988±366 kcal d−1) were not matched by actual energy intakes (1785±561 kcal d−1) (P=0.047, d=−0.36). Energy intakes reduced to 1655±470 kcal d−1 at week six (P=0.66, d=−0.33) whereas estimated energy requirements increased as a function of increased activity (cardiac rehabilitation sessions). Nutrient intakes remained suboptimal, while no significant increases were observed in healthy fats and fibre, which are core elements of a Mediterranean diet. Statistically significant increases were not observed in physical activity; however, patients decreased sedentary time by 11±12% in week six compared with week one (P=0.009; d=−0.54). Conclusions The present study findings suggest that two 30-minute dietary education sessions did not positively influence energy intakes and nutrient intakes, while habitual physical activity levels were not significantly increased as a result of the cardiac rehabilitation programme. Future research should explore means of optimising nutrition and habitual physical activity within UK cardiac rehabilitation.


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