Physical Activity Counseling for Adults with Hypertension: A Randomized Controlled Pilot Trial

Abstract

The effect of physical activity counseling (PAC) in hypertensive adults is unclear. This study investigated the effect of PAC on blood pressure (BP), physical activity level, sitting time, metabolic profile, and body composition in hypertensive adults. Twenty-two hypertensive adults (48.8 ± 7.3 years) participated in this pilot trial. The 12-week PAC was based on the 5 A’s model considering the FITT principle (Frequency, Intensity, Time, and Type) of physical activity. The control group received instructions about FITT in one face-to-face meeting at baseline. Pedometer-measured physical activity, sitting time, resting and ambulatory BP, metabolic profile (cholesterol, triglycerides, fasting glucose), and body composition (fat mass, abdominal fat, fat free mass) were assessed. The PAC group showed higher steps per day (5839 ± 992 vs. 5028 ± 902; p = 0.044) and a trend for lower sitting time (5.6 ± 1.3 vs. 8.0 ± 4.0 h/day; p = 0.059) than the control group. No changes were observed in BP, metabolic profile, and body composition (p > 0.05). In conclusion, 12 weeks of a PAC program based on the 5 A’s model resulted in a modest increase of ~800 steps per day and a trend to decrease ~2 h/day in sitting time, but there were no associated reduction in BP and improvements in metabolic and body composition.

Incorporating Physical Activity Assessments and Behavior Change Techniques Into Geriatrics

“… 62 Example of Brief Action Planning Brief Action Planning Certification Publication Explaining the Development and Steps of Brief Action Planning 5A's and 5R's - time requirement variable Patients seen by clinicians who used the 5A's had higher physical activity levels ( P =.01), higher daily step counts ( P =.04), and lower sitting time ( P =.05). 63 , 64 Effectiveness and efficacy studies are primarily from smoking cessation literature. 65 US Preventative Taskforce World Health Organization's Training Modules …”

Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators

“…However, for a similar intervention implemented by non-health professionals (peer health facilitators, exercise trainers) this review found a significant positive effect on physical activity [ 97 ]. Likewise, a recently published pilot study suggested that physical activity counselling for 14 weeks increases the number of steps taken per day, but has no effect on the blood pressure of hypertensive patients [ 98 ]. Significant effects on blood pressure of hypertensive patients can be expected when physical activity is combined with dietary counselling [ 99 ].…”

Physical activity in the treatment of obesity in practice

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