{"id":4279,"date":"2019-12-19T17:52:25","date_gmt":"2019-12-19T17:52:25","guid":{"rendered":"https:\/\/geprex.com\/2024\/12\/17\/cec2-copy\/"},"modified":"2024-12-17T17:53:28","modified_gmt":"2024-12-17T17:53:28","slug":"cec2","status":"publish","type":"post","link":"http:\/\/geprex.com\/en\/2019\/12\/19\/cec2\/","title":{"rendered":"Using the immediate blood pressure benefits of exercise to improve exercise adherence among adults with hypertension: a randomized clinical trial"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"4279\" class=\"elementor elementor-4279\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72cc5876 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72cc5876\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-747cc720\" data-id=\"747cc720\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c076e81 elementor-widget elementor-widget-text-editor\" data-id=\"c076e81\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In today's <b>Coffee &amp; Science<\/b> , the GEPrEx summarizes the main findings obtained by the study entitled\u00a0<b>Using the immediate blood pressure benefits of exercise to improve exercise adherence among adults with hypertension: a randomized clinical trial<\/b>. Prepare your coffee and have a good read!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-57d02fab elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"57d02fab\" data-element_type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1471\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1471\" aria-expanded=\"false\">Scientific journal information<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1472\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1472\" aria-expanded=\"false\">Which problem was chosen?<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1473\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1473\" aria-expanded=\"false\">How was the problem studied?<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1474\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1474\" aria-expanded=\"false\">What was discovered?<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1475\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1475\" aria-expanded=\"false\">Practical application of the results<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1471\" aria-expanded=\"false\">Scientific journal information<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1471\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1471\" tabindex=\"0\" hidden=\"false\"><p><strong>TITLE:<\/strong><\/p><p>Using the immediate blood pressure benefits of exercise to improve exercise adherence among adults with hypertension: a randomized clinical trial<\/p><p>\u00a0<\/p><p><strong>AUTHORS:<\/strong><\/p><pre>Amanda L. Zaleski\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Beth A. Taylor \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Crystal L. Park \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Lucas P. Santos\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0UFRGS                            BRASIL<br \/>Gregory Panza\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Melody Kramarz\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Kyle McCormick\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Paul D. Thompson\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Hartford Hospital\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0         EUA<br \/>Antonio B. Fernandez \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Hartford Hospital\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0         EUA<br \/>Ming-Hui Chen\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0University of Rhode Island\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Bryan Blissmer\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Kim M. Gans\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<br \/>Linda S. Pescatello\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University of Connecticut\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EUA<\/pre><p>\u00a0<\/p><p><strong>JOURNAL<\/strong><\/p><p>Journal of Hypertension<\/p><p>Fator de Impacto: 7.017<\/p><p>Qualis Capes da \u00c1rea 21: A1<\/p><p>\u00a0<\/p><p><strong>YEAR; <\/strong><strong>VOLUME (ISSUE): INITIAL-FINAL PAGES <\/strong><\/p><p>2016; 19(2):187-192<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1472\" aria-expanded=\"false\">Which problem was chosen?<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1472\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1472\" tabindex=\"0\" hidden=\"hidden\"><strong>FUNDAMENTO: <\/strong>\n\n<p align=\"justify\">Dentre os fatores de risco para doen\u00e7as cardiovasculares (DCV), a hipertens\u00e3o arterial sist\u00eamica (HAS) \u00e9 o mais comum, dispendioso e modific\u00e1vel, afetando ~103 milh\u00f5es de americanos (45,6%) e 1,39 bilh\u00f5es de adultos (31%) em todo o mundo. Por outro lado, a pr\u00e1tica regular\u00a0 de exerc\u00edcios \u00e9 um determinante comportamental modific\u00e1vel chave da HAS e, portanto, recomendada por todas as organiza\u00e7\u00f5es profissionais para preven\u00e7\u00e3o prim\u00e1ria, tratamento e controle da hipertens\u00e3o. Sabe-se, por exemplo, que uma simples sess\u00e3o de exerc\u00edcio aer\u00f3bio (ExA) reduz agudamente a press\u00e3o arterial (PA) nas primeiras 24h entre adultos com hipertens\u00e3o, fen\u00f4meno conhecido como hipotens\u00e3o p\u00f3s-exerc\u00edcio (HPE). Por\u00e9m, a baixa ades\u00e3o ao ExA como terapia anti-hipertensiva entre adultos hipertensos, destaca a necessidade de novas estrat\u00e9gias comportamentais para aumentar a motiva\u00e7\u00e3o para sua pr\u00e1tica regular.\n\n&nbsp;\n<\/p>\n<strong>PROBLEMA<\/strong>:\n<p align=\"justify\">O automonitoramento da PA tem sido recomendado para controle da doen\u00e7a, melhora da ades\u00e3o ao tratamento farmacol\u00f3gico, e mudan\u00e7as comportamentais para ado\u00e7\u00e3o de um estilo de vida mais saud\u00e1vel. Similarmente, o automonitoramento da HPE pode promover expectativas positivas quanto aos resultados do treinamento e, assim, aumentar a ades\u00e3o ao ExA entre adultos hipertensos. Contudo, a efic\u00e1cia comportamental da automonitoriza\u00e7\u00e3o da PA antes e ap\u00f3s as sess\u00f5es de ExA permanece totalmente desconhecida.<\/p>\n\n<strong>OBJETIVO:<\/strong>\n<p align=\"justify\">Examinar a efic\u00e1cia do automonitoramento da HPE sobre a ades\u00e3o de adultos hipertensos em um programa de ExA.<\/p>\n\n<strong>HIP\u00d3TESE<\/strong>:\n<p align=\"justify\">\nO ExA associado ao automonitoramento da HPE aumentaria a ades\u00e3o ao treinamento.\n\n&nbsp;\n<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1473\" aria-expanded=\"false\">How was the problem studied?<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1473\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1473\" tabindex=\"0\" hidden=\"hidden\"><p align=\"justify\">Foram inclu\u00eddos no estudo um total de 24 indiv\u00edduos (46% homens; idade: 52,3 \u00b1 10,8 anos), todos classificados com PA elevada [PA sist\u00f3lica\/ diast\u00f3lica (PAS\/PAD): 130-160 \/ 80-100 mmHg], e randomizados para os grupos ExA (n = 12) ou ExA + PEH (n = 12). Os participantes foram submetidos ao ExA supervisionado de intensidade moderada (dura\u00e7\u00e3o: 40-50 min\/ freq. semanal: 3 x\/ <em>follow-up<\/em>: 12 semanas) e incentivados a se exercitarem em casa por pelo menos 30 min\u00b7dia<sup>-1<\/sup> (1-2 vezes\u00b7semana<sup>-1<\/sup>). O grupo ExA+ PEH monitorou a PA antes e ap\u00f3s o exerc\u00edcio. A ades\u00e3o foi calculada como [(n\u00ba de sess\u00f5es de ExA realizadas \u00f7 n\u00ba de poss\u00edveis sess\u00f5es de ExA) \u00d7 100%]. A PA foi medida antes e ap\u00f3s as 12 semanas de treinamento.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1474\" aria-expanded=\"false\">What was discovered?<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1474\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1474\" tabindex=\"0\" hidden=\"hidden\"><p align=\"justify\">Em m\u00e9dia, os participantes realizaram 35,1\u00b12,9 min\u00b7sess\u00e3o-1 de intensidade moderada a vigorosa [frequ\u00eancia card\u00edaca de reserva: 61,2\u00b18,0%, IC95%: 57,7-64,6%], sendo o exerc\u00edcio em esteira a modalidade predominante (95,5\u00b19,1%), com frequ\u00eancia semanal m\u00e9dia de\u00a0 2,6\u00b10,4 dias ao longo das 12 semanas de treinamento.<\/p><p>Em m\u00e9dia, A PA diminui significativamente ap\u00f3s o treinamento (\u2206PAS\/PAD: -7,4\u00b111,3 \/ -4,9\u00b19,9 mmHg (<i>P<\/i> = 0,025), por\u00e9m sem diferen\u00e7a significativa entre os grupos ExA (\u2206PAS\/PAD: -5,2 \u00b1 13,3 \/ -3,6 \u00b1 6,1 mmHg) e ExA + HPE (\u2206PAS\/PAD: -9,9 \u00b1 11,3 \/ &#8211; 6,1 \u00b1 6,9 mmHg; <i>P<\/i> &gt; 0,05). Al\u00e9m disso, o grupo ExA + HPE demonstrou maior ades\u00e3o \u00e0s sess\u00f5es de treinamento supervisionado em compara\u00e7\u00e3o ao grupo ExA (P = 0,007) (ver Figura 1).<\/p><p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-3577\" src=\"http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_.png\" alt=\"\" width=\"3670\" height=\"2328\" srcset=\"http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_.png 3670w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-300x190.png 300w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-1024x650.png 1024w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-768x487.png 768w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-1536x974.png 1536w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-2048x1299.png 2048w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-1320x837.png 1320w, http:\/\/geprex.com\/wp-content\/uploads\/2020\/02\/q.fw_-600x381.png 600w\" sizes=\"(max-width: 3670px) 100vw, 3670px\" \/><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"5\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1475\" aria-expanded=\"false\">Practical application of the results<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1475\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1475\" tabindex=\"0\" hidden=\"hidden\"><p>&#8211; A automonitoriza\u00e7\u00e3o di\u00e1ria da PA (pr\u00e9 e p\u00f3s-exerc\u00edcio) aparenta ser uma estrat\u00e9gia eficaz para promover a ades\u00e3o ao ExA entre adultos hipertensos,<\/p>\n<p>\n&#8211; O automonitoramento da HPE foi seguido por um aumento significativo de 37% na taxa de ades\u00e3o ao ExA em hipertensos.\n<\/p>\n<p>&#8211; Embora os resultados preliminares sejam encorajadores, faz-se necess\u00e1rio a realiza\u00e7\u00e3o de novos experimentos com maior tamanho amostral para confirmar a efic\u00e1cia do automonitoramento da PA no contexto de programas de exerc\u00edcio para hipertensos.<\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>In today's Coffee &amp; Science, the GEPrEx summarizes the main findings obtained by the study entitled Using The Immediate Blood Pressure Benefits Of Exercise To Improve Exercise Adherence Among Adults With Hypertension: A Randomized Clinical Trial. Prepare your coffee and have a good read!<\/p>","protected":false},"author":1,"featured_media":3583,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[],"class_list":["post-4279","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cafe"],"_links":{"self":[{"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/posts\/4279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/comments?post=4279"}],"version-history":[{"count":2,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/posts\/4279\/revisions"}],"predecessor-version":[{"id":4281,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/posts\/4279\/revisions\/4281"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/media\/3583"}],"wp:attachment":[{"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/media?parent=4279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/categories?post=4279"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/geprex.com\/en\/wp-json\/wp\/v2\/tags?post=4279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}