BEHAVIOR FACTORS ARE ASSOCIATED WITH PHYSICAL ACTIVITY/EXERCISE PRACTICE OF OLDER HYPERTENSIVE ADULTS
DOI:
https://doi.org/10.20873/abef.2595-0096v5n18493Keywords:
Sedentary Beahvior, Physical exercise, Hypertension, ElderlyAbstract
INTRODUCTION: The non-medicated treatment for arterial hypertension involves changes in lifestyle. Physical activity (PA) and physical exercise (PE) regularly practiced can control arterial hypertension, decreasing global cardiovascular risk. However, the assiduity of hypertensive older people in PE programs and PA still look reduced. The variables that can explain this issue are not yet known. OBJECTIVE: To verify if the adequate practice of exercise and physical activity are associated with nutritional status, health risk behaviors, and eating habits in older hypertensive adults. METHODS: older hypertensive adults (n=10.789) with a mean age of 70.9±7.4 years old from the database of study of surveillance of risk and protection factors for chronic diseases by telephone survey -VIGITEL were classified as practicians (1) or not-practicians (0) of PE and if they were sufficiently actives (1) insufficiently actives (0). Binary logistic regression tested the odds ratio (OR) between the dependent variables (PE practice and PA classification) to be associated with the independent variables (nutritional status with body mass index [BMI], health risk behaviors with screen time ≥3 hours/day, alcohol, and tobacco consumption; both answered in a dichotomous way [yes/no] and eating habits [consumption of minimally processed and ultra-processed food scores]. RESULTS: the probability of practicing PE and achieving sufficient levels of PA are increased for each score derived from minimally processed food consumed (OREF=16.8%; ORAF=13.2%, respectively; p<0.05). The same probabilities are reduced when they are higher nutritional status (ORPE=-2.1%; ORPA=-2.7%), screen time (ORAF=-10.2%), alcohol (ORPE=-29.4%; ORPA=-31.1%) and tobacco (ORPE=-53.2%; ORPA=-38.4%) consumption are confirmed and for each score consumed more of ultra-processed food (ORPE=-11.2%; ORPA=-10.1%). CONCLUSION: The practice of PE and being sufficiently active in older hypertensive adults seems to be related to an adequate nutritional status, less frequency of health risk behaviors, and eating habits inadequate. Objective strategies in an attempt to modify the behavioral risk factors that interfere with the control of arterial hypertension in older adults can be adopted to improve the assiduity of hypertensive older people in body movements.
References
Dziechciaż M, Filip R. Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Ann Agric Environ Med. 2014;21(4):835–8.
Pillatt AP, Nielsson J, Schneider RH. Efeitos do exercício físico em idosos fragilizados: uma revisão sistemática. Fisioter Pesqui. 2019 Jul 18;26:210–7.
Mostarda C, Wichi R, Sanches IC, Rodrigues B, De Angelis K, Irigoyen MC. Hipertensão e modulação autonômica no idoso: papel do exercício físico. Rev bras hipertens. 2009;55–60.
Oliveros E, Patel H, Kyung S, Fugar S, Goldberg A, Madan N, et al. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol. 2020 Feb;43(2):99–107.
Nogueira IC, Santos ZM de SA, Mont’Alverne DGB, Martins ABT, Magalhães CB de A. Efeitos do exercício físico no controle da hipertensão arterial em idosos: uma revisão sistemática. Rev bras geriatr gerontol. 2012 Sep;15:587–601.
Cassiano A do N, Silva TS da, Nascimento CQ do, Wanderley EM, Prado ES, Santos TM de M, et al. Effects of physical exercise on cardiovascular risk and quality of life in hypertensive elderly people. Ciênc saúde coletiva. 2020 Jun 3;25:2203–12.
Gimenes C, Arca EA, Paulino MA, Nicolau NV, Buitoni B, Pontes TP, et al. Redução da pressão arterial e circunferência abdominal e melhora da Capacidade Funcional de idosas hipertensas submetidas a Programa de Fisioterapia Funcional. Revista Kairós-Gerontologia. 2015 Mar 30;18(1):77–92.
Sá ACAM, Bachion MM, Menezes RL de. Exercício físico para prevenção de quedas: ensaio clínico com idosos institucionalizados em Goiânia, Brasil. Ciênc saúde coletiva. 2012 Aug;17(8):2117–27.
Silva GS de M, Carvalho PRC, Dos Santos JCF, Barreto EMF, de Melo EHR, Freire JC, et al. Efeitos de um programa de intervenção de atividade física, educação e promoção de saúde com idosos hipertensos usuários do Sistema Único de Saúde | Revista Eletrônica Acervo Saúde. 2021 Apr 29 [cited 2022 Mar 28]; Available from: https://acervomais.com.br/index.php/saude/article/view/6926
Godinho AS, Lacerda MP, Abdalla PP, Roca LB, Júnior JRG, Araújo RG de, et al. A prática regular de exercício físico no controle da hipertensão arterial. Revista CPAQV - Centro de Pesquisas Avançadas em Qualidade de Vida - CPAQV Journal. 2021 Aug 2;13(3).
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–31.
World Health Organization. Global recommendations on physical activity for health. [Internet]. 2010. Available from: http://www.ncbi.nlm.nih.gov/books/NBK305057/
Cardoso AS, Borges LJ, Mazo GZ, Benedetti TB, Kuhnen AP. Fatores influentes na desistência de idosos em um programa de exercício físico. Movimento. 2019 May 18 [cited 2022 Mar 28]; Available from: https://seer.ufrgs.br/Movimento/article/view/2303
Camões M, Lopes C. Fatores associados à atividade física na população portuguesa. Rev Saúde Pública. 2008 Apr;42:208–16.
Lim K, Taylor L. Factors associated with physical activity among older people—a population-based study. Preventive Medicine. 2005 Jan 1;40(1):33–40.
Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994 Mar;21(1):55–67.
VIGITEL. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. [Internet]. Brasilia (DF); 2020. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2019_vigilancia_fatores_risco.pdf
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007 Aug;39(8):1423–34.
Wang YC, Bohannon RW, Li X, Sindhu B, Kapellusch J. Hand-grip strength: normative reference values and equations for individuals 18 to 85 years of age residing in the United States. J Orthopaed Sports Phys Ther 2018;48:685e693.
Varo JJ, Martínez-González MA, de Irala-Estévez J, Kearney J, Gibney M, Martínez JA. Distribution and determinants of sedentary lifestyles in the European Union. International Journal of Epidemiology. 2003 Feb 1;32(1):138–46.
Hortencio MN da S, Silva JKS da, Zonta MA, Melo CPA de, França CN. Efeitos de exercícios físicos sobre fatores de risco cardiovascular em idosos hipertensos. Revista Brasileira em Promoção da Saúde. 2018 Jun;31(2).
Rezende LFM de, Rey-López JP, Matsudo VKR, Luiz O do C. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014 Apr 9;14(1):333.
Silva CL da, Sousa AG, Borges LPSL, Costa THM da. Usual consumption of ultra-processed foods and its association with sex, age, physical activity, and body mass index in adults living in Brasília City, Brazil. Rev bras epidemiol. 2021 Jun 7; 24.
Beaulieu K, Hopkins M, Blundell J, Finlayson G. Does Habitual Physical Activity Increase the Sensitivity of the Appetite Control System? A Systematic Review. Sports Med. 2016 Dec 1;46(12):1897–919.
Silva LSLD, Abdalla PP, Araújo RGD, Batalhão DDF, Venturini ACR, Carvalho ADS, et al. O consumo de alimentos ultraprocessados é determinante no desenvolvimento da obesidade. Arquivos Brasileiros de Educação Física. 2021 Nov 19;4(2):142–9.
Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018 Jun;71(6):1269–324.
Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc. 2013 Feb 1;2(1):e004473.
Ethisan P, Somrongthong R, Ahmed J, Kumar R, Chapman RS. Factors Related to Physical Activity Among the Elderly Population in Rural Thailand. J Prim Care Community Health. 2017 Apr 1;8(2):71–6.
Moreira AD, Claro RM, Felisbino-Mendes MS, Velasquez-Melendez G. Validade e reprodutibilidade de inquérito telefônico de atividade física no Brasil. Rev bras epidemiol. 2017 Mar;20:136–46.
Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, Mechelen W van, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. The Lancet. 2016 Sep 24;388(10051):1311–24.
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