Apresentação de Artigo - Metodologia de Investigação

“Using the immediate blood
pressure benefits of
exercise to improve exercise
adherence among adults
with hypertension: a
randomized clinical trial”
ZALESKI, Amanda L., et al. Journal of Hypertension, 2019, 37.9: 1877-1888.
Mestrado em Atividade Física, Exercício e Saúde - Metodologia de Investigação Ano letivo 2022/2023
Context
Hypertension (HT) is the most common, costly, and modifiable cardiovascular disease (CVD) risk
factor, affecting 1.39 billion adults (31%) worldwide.
Participation in regular exercise is recommended as cornerstone lifestyle therapy for the primary
prevention, treatment, and control of HT.
Exercise acutely reduces blood pressure (BP) among adults with HT after a single, isolated exercise
session. These BP reductions are immediate, persist for at least 24 h after the exercise bout, and are
termed postexercise hypotension (PEH).
Gap, Hypothesis and Purpose
No study has been reported that use PEH as a strategy to improve exercise adherence and BP
control among adults with HT.
We hypothesized that adults using BP and exercise self-monitoring (EXERCISE + PEH) would increase
exercise adherence and improve BP control more than exercise self-monitoring alone (EXERCISE).
Efficacy comparison in between:

- Exercise self-monitoring
- Exercise + Hypotension
Methods
Results
- Supervised exercise training
Training characteristics Total sample, n=24 EXERCISE, n=12 EXERCISE + PEH, n12
Frequency (day/week) 2.6 ± 0.4 2.4 ± 0.4 2.8 ± 0.2
Adherence (%) 87.9 ± 12.1 81.6 ± 13.2 94.3 ± 6.6
Results
- Unsupervised exercise training
Number of subjects reporting at least one 12 2 10

verified exercise session at home during
12-week study period (n)
Results
- Supervised and Unsupervised exercise training
Time (min/session) 37.9 ± 12.4 34.1 ± 3.3 41.8 ± 16.7
Adherence (%) 94.9 ± 20.9 82.7 ± 12.2 107.3 ± 18.7
Results
- Four-week follow-up to the exercise training
Participants among the total sample reported maintaining exercise training for 1.9 ± 1.5
days/week.
- adults who self-monitored their BP report greater exercise frequency (2.6 ± 1.7
days/week) than adults who not self-monitored their BP (1.3 ± 1.1 days/week).
At follow-up, adults who self-monitored their BP were still engaging in 70% (73.9 ± 54.1%)
of their supervised exercise training volume (frequency x time) compared with 30% (33.3
28.7%) of those who were not using BP self-monitoring.
Discussion
Adults with HT who self-monitored their BP were more adherent to exercise - supervised and
unsupervised, even at 1-month follow-up, in relation to those who were not using BP self-
monitoring.
- self-monitoring of BP may serve an efficacious condition-specific behavioral strategy to

increase exercise adherence among adults with HT.
Self-monitoring of BP resulted in an additional 30 min or 1 day more of aerobic exercise per week.
- Given that exercising as little as 1 day/ week is as effective (or even more so) than
pharmacotherapy for reducing BP and all-cause mortality among those with HT, this additional
amount of exercise is clinically important [8].
Discussion
Discussion
Limitations:
- Small sample - larger studies are required to confirm these encouraging findings.
- Absence of a comprehensive analysis of moderators of exercise behavior (perceived risk of
disease, family support, stress, ...)
Strengths:
- The current study is the first rigorously designed RCT to examine our hypothesis
- Technical error was minimized
- all BP assessments performed by a single investigator, at the same time of day, using
the same ambulatory BP monitor for the same subject
- all training sessions were supervised by the same research assistant and in the same
training facility.
Discussion
This study is the first RCT to demonstrate that using BP self-monitoring is an efficacious strategy to improve
exercise adherence among adults with HT.
Studies with larger samples are needed to confirm these promising results.
Authors
Amanda Zaleski Linda Pescatello
“Using the immediate blood
pressure benefits of
exercise to improve exercise
adherence among adults
with hypertension: a
randomized clinical trial”
ZALESKI, Amanda L., et al. Journal of Hypertension, 2019, 37.9: 1877-1888.

Apresentação de Artigo - Metodologia de Investigação

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Apresentação de Artigo - Metodologia de Investigação

Uploaded by

Copyright:

Available Formats

“Using the immediate blood

Efficacy comparison in between:

Frequency (day/week) 2.6 ± 0.4 2.4 ± 0.4 2.8 ± 0.2

Adherence (%) 87.9 ± 12.1 81.6 ± 13.2 94.3 ± 6.6

Number of subjects reporting at least one 12 2 10

Frequency (day/week) 0.4 ± 0.4 0.4 ± 0.4 0.5 ± 0.4

Frequency (day/week) 2.9 ± 0.6 2.4 ± 0.5 3.2 ± 0.6

Time (min/session) 37.9 ± 12.4 34.1 ± 3.3 41.8 ± 16.7

Adherence (%) 94.9 ± 20.9 82.7 ± 12.2 107.3 ± 18.7

- self-monitoring of BP may serve an efficacious condition-specific behavioral strategy to

Amanda Zaleski Linda Pescatello

You might also like