Document Detail


Twenty-four hour ambulatory blood pressure monitoring to evaluate effects on blood pressure of physical activity in hypertensive patients.
MedLine Citation:
PMID:  16778545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Elevated blood pressure is an important risk factor for cardiovascular disease and stroke. Several studies have demonstrated that physical exercise reduces blood pressure levels in hypertensive subjects and improves control of several well-known risk factors for atherosclerosis such as diabetes mellitus, blood lipid profile and obesity. Our group attempted to evaluate if an exercise program based on periodic controlled fast walking sessions would reduce blood pressure levels in hypertensive subjects. DESIGN: We enrolled hypertensive subjects not suffering from obesity (Body Mass Index < 30) already under pharmacological therapy; in these subjects we performed a six-week program of mobility exercise based on fast walking. SETTING: Secondary care. PATIENTS: We enrolled 189 subjects; 168 subjects completed the training period. Entry criteria were Stage I WHO hypertension in pharmacological treatment, BMI < 30, and absence of any pathological condition resulting in reduced mobility. INTERVENTIONS: A six-week mobility program centered on fast walking. MAIN OUTCOME MEASUREMENTS: Systolic and diastolic blood pressure levels before and after the walking program. RESULTS: Mean 24 h systolic blood pressure changed from 143.1 to 135.5 mmHg. Mean 24 h diastolic blood pressure changed from 91.1 to 84.8 mmHg. CONCLUSIONS: This reduction, evaluated with Ambulatory Blood Pressure Monitoring (ABPM), confirms that physical exercise should be a part of lifestyle changes for the management of hypertension both in untreated hypertensive patients or high-risk subjects for hypertension, and also for hypertensive patients in association with pharmacological therapy.
Authors:
Antonio Pinto; Domenico Di Raimondo; Antonino Tuttolomondo; Paola Fernandez; Valentina Arnao; Valentina Arna; Giuseppe Licata
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  16     ISSN:  1050-642X     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-06-16     Completed Date:  2006-10-31     Revised Date:  2007-04-17    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-43     Citation Subset:  IM    
Affiliation:
Dipartimento Biomedico di Medicina Interna e Specialistica, Università degli Studi di Palermo, Italy. pinto@neomedia.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Pressure / physiology*
Blood Pressure Monitoring, Ambulatory / methods
Body Mass Index
Cardiovascular Diseases / prevention & control
Exercise / physiology*
Female
Humans
Hypertension / physiopathology*
Male
Middle Aged
Walking*
Comments/Corrections
Erratum In:
Clin J Sport Med. 2007 Mar;17(2):174
Note: Arna, Valentina [corrected to Arnao, Valentina]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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