Group No.

Name
ID No (NIM)
Text Title

: A6
: Jefri Sokko
: 102012073
:
A Closer Look at Exercise Physiology
The Ups and Downs Hypertantion and
Exercise
A Closer Look at Exercise Physiology
The Ups and Downs of Hypertension and Exercise

When blood pressure is up, one way to bring it down is to increase the level of physical
activity. Research studies have demonstrated that participation in aerobic activities protects
against the development of hypertension. Furthermore, exercise can be used as a therapy to
reduce hypertension once it has already developed.
Antihypertensive medication is available to lower blood pressure in severely hypertensive
patients, but sometimes undesirable side effects occur. The side effects of diuretics include
electrolyte imbalances, inability to handle glucose normally, and raised blood cholesterol
levels. The side effects of drugs that manipulate total peripheral resistance include increased
blood triglyceride levels, lower HDL cholesterol levels (the good form of cholesterol),
weight gain, sexual dysfunction, and depression.
Patients with mild hypertension, arbitrarily defined as a diastolic blood pressure between 90
and 100 mm Hg and a systolic pressure of 160 mm Hg, pose a dilemma for physicians. The
risks of taking the drugs may outweigh the benefits gained from lowering the blood pressure.
Because of the drug therapys possible side effects, nondrug treatment of mild hypertension
may be most beneficial. The most common nondrug therapies are weight reduction, salt
restriction, and exercise.
Although losing weight will almost always reduce blood pressure, research has shown that
weight-reduction programs usually result in the loss of only 12 pounds, and the overall longterm success in keeping the weight off is only about 20%. Salt restriction is beneficial for
many hypertensives, but adherence to a low salt diet is difficult for many people because fast
foods and foods prepared in restaurants usually contain high amounts of salt.
The preponderance of evidence in the literature suggest that moderate aerobic exercise
performed for 15 to 60 minutes three times per week is a beneficial therapy in most cases of
mild to moderate hypertension. It is wise, therefore, to include a regular aerobic exercise
program along with other therapeutic measures to optimally reduce high blood pressure. If
more convenient, the total exercise time on a given day may even be split up into smaller
sessions and still provide the same benefits.

 Topic of the text : Hypertantion

Thesis statement : Increase the level of physical activity.
Outline of the Paragraph :

Paragraph 1
Topic sentence : When blood pressure is up, one way to bring it down is to increase the level
of physical activity.
Controlling idea : One way to bring blood pressure down is to increase the level of physical
activity.
Supporting idea:
Research studies have demonstrated that participation in aerobic activities protects against
the development of hypertension.
Exercise can be used as a therapy to reduce hypertension once it has already developed.

Paragraph 2
Topic sentence: Antihypertensive medication is available to lower blood pressure in severely
hypertensive patients.
Controlling idea : The side effect of antihypertensive medication.
Supporting idea :
The side effects of diuretics include electrolyte imbalances, inability to handle glucose
normally, and raised blood cholesterol levels.
The side effects of drugs that manipulate total peripheral resistance include increased
blood triglyceride levels, lower HDL cholesterol levels (the good form of cholesterol),
weight gain, sexual dysfunction, and depression.
Paragraph 3
Topic sentence: Patients with mild hypertension post a dilemma for physician.
Controlling idea : A dilemma for physicians to taking the drugs because the drug therapys
possible side effects.
Supporting idea :
The risks of taking the drugs may outweigh the benefits gained from lowering the blood
pressure.
Nondrug treatment of mild hypertension may be most beneficial.
The most common nondrug therapies are weight reduction, salt restriction, and exercise.

Paragraph 4
Topic sentence : Salt restriction is beneficial for many hypertensives.
Controlling idea : Several ways to reduce blood pressure and the probability.
Supporting idea :
Although losing weight will almost always reduce blood pressure, research has shown
that weight-reduction programs usually result in the loss of only 12 pounds, and the
overall long-term success in keeping the weight off is only about 20%.
Adherence to a low salt diet is difficult for many people because fast foods and foods
prepared in restaurants usually contain high amounts of salt.

Paragraph 5
Topic sentence : The preponderance of evidence in the literature suggest that moderate
aerobic exercise performed for 15 to 60 minutes three times per week is a beneficial therapy
in most cases of mild to moderate hypertension.
Controlling idea : Moderate aerobic exercise performed for 15 to 60 minutes three times per
week is a beneficial therapy to optimally reduce high blood pressure.
Supporting idea :
The total exercise time on a given day may even be split up into smaller sessions and still
provide the same benefits.

Concluding sentence: It is wise, therefore, to include a regular aerobic exercise program

along with other therapeutic measures to optimally reduce high blood pressure.