Physical Activity, Sedentary Behavior, and Sleep Quality in Adults with Primary Hypertension and Obesity before and after an Aerobic Exercise Program: EXERDIET-HTA Study

Abstract

Background: The purposes of the study were to: analyze, by objective (accelerometry) and subjective (International Physical Activity Questionnaire, IPAQ) methodologies, the physical activity (PA) and sedentary behavior (SB) in healthy adults (HEALTHY, n = 30) and individuals with primary hypertension (HTN) and overweight/obesity (n = 218); assess the effects of an aerobic exercise intervention on physical activity (PA), sedentary behavior (SB), and sleep quality in the HTN group; and evaluate the relationship between objectively measured and subjectively reported PA and SB. Methods: The measurements were performed before a 16-week exercise intervention period in both HEALTHY and HTN groups and after the intervention period only in the HTN group, randomized to attention control or exercise training (ExT) subgroups. Results: The HEALTHY group showed more moderate-to-vigorous PA (p < 0.05) and better sleep quality (p < 0.05) than the HTN group, but no difference in SB. After the intervention, HTN participants’ PA and SB, objectively measured by accelerometry, were unchanged, but increased PA and decreased SB (p < 0.05) were observed through IPAQ in ExT. The intervention was effective in improving sleep quality in HTN participants. Conclusions: The differences in moderate-to-vigorous PA and SB may be useful in defining the health profile of a population. The supervised aerobic exercise program was effective in increasing PA, reducing SB, and improving sleep quality in overweight/obese adults with HTN. Accelerometer-measured and self-reported data were not comparable, but complementary.

Influence of Sedentary Behaviour Interventions on Vascular Functions and Cognitive Functions in Hypertensive Adults—A Scoping Review on Potential Mechanisms and Recommendations

“…The last group of interventions is a moderate-to-vigorous exercise routine, such as aerobic or ACSM guideline-based routine. All these studies reported similar results, such as an increase in PA, making participants more active [ 20 , 25 , 30 ]. A study by Feairheller et al showed that the carotid artery intima-to-media thickness was decreased by 6.4% and plasma nitric oxide level was increased by 76.6%, but there was no improvement in blood pressure.…”

Level of Physical Activity, Sedentary Behavior, and Sleep in the Child and Adolescent Population in the Autonomous Community of the Basque Country (6-17 Years Old): Protocol for the Mugikertu Study

“…Once the accelerometer and the daily activity record sheet have been collected, the data will be downloaded [ 26 ]. As this study is conducted with children, the originals will be converted to 60 seconds to calculate sleep [ 27 ] and to 5 seconds for daily PA [ 27 , 28 ].…”

Part A of Anatomy at the Mall: A Multimodal Activity to Enhance Health Awareness and Identify Early Signs of Health-Related Issues in the General Public

“…Furthermore, it showed how this group of students were unaware of their condition and did not see themselves as obese and exhibiting signs of hypertension [43]. However, some studies suggest that it decreases the sedentary lifestyle by examining exercise programs and improves sleep quality in obese adults [44]. Engaging in a moderate exercise of at least 30 minutes in the week was sufficient to start lowering high blood pressure [43].…”