Influência da atividade física programada na pressão arterial de idosos hipertensos sob tratamento não farmacológico
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Data
2008
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OBJECTIVE . Assess the influence of physical activity on the blood pressure
of hypertensive elderly patients on non-pharmacological treatment (NPT).
METHODS . The authors studied men and women, over 60 years, with
stage I hypertension who were not using antihypertensive medication.
These patients had been randomly allocated to one of two groups: Control
Group (CG) – oriented to NPT; and Study Group (SG) – NPT and a program
that included supervised physical activity consisting of 1-hour sessions, 3
times a week. Duration of the study was 6 months. Screening and follow-
up tests every 3 months, at Visits 1, 2 and 3 included a clinical evaluation,
ECG, a treadmill stress test, Ambulatory Blood Pressure Measurement
(ABPM) and an Echocardiogram. The authors used the Friedman test for
the evolutionary analysis of the intra-groups means and Student’s t test to
compare independent data between groups.
RESULTS . Twenty-four patients were randomized in the SG (5 men) and
21 in the CG (4 men). The 6-month follow-up period was completed by 22
patients in the SG and 13 in the CG. Blood pressures found by the ABPM
in V1, V2 and V3 were 134.2 ±14.5, 136.1 ±9 and 143.7±13.9 mmHg
for Systolic Blood Pressure in the CG; and 135.6 ±11.4, 138.7 ±12.2 and
133.9 ±8.5 mmHg in the SG. For Diastolic Blood Pressure, values in the
CG were 78.7±5.8, 82.3±6.2 and 83.3 ±9.2 mmHg; and in the SG,
80.1 ±6.8, 81±6.6 and 80.8 ±7.3 mmHg.
CONCLUSION . Programmed and supervised physical activity was more
efficient for maintaining adequate blood pressure control in these elderly
with stage I hypertension in the study group, when compared to the control
group.
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Palavras-chave
Hypertension, Physical activity, Elderly, Hipertensão, Atividade física, Idoso
Citação
BARROSO, Weimar Kunz Sebba; JARDIM, Paulo César Brandão Veiga; VITORINO, Priscila Valverde; BITENCOURT, Amanda; MIQUETIMCHUC, Flávia. Influência da atividade física programada na pressão arterial de idosos hipertensos sob tratamento não farmacológico. Revista da Associação Médica Brasileira, São Paulo, v. 54, n. 4, p. 328-333, 2008.