Factors associated with physical activity in African Americans with hypertension.

Autor: Bolin LP; East Carolina University, College of Nursing, 2116 Health Science Building, Mailstop 162, Greenville, NC 27858, USA. Electronic address: Bolinl@ecu.edu., Crane PB; East Carolina University, College of Nursing, 4210-C Health Science Building, Mailstop 162, Greenville, NC 27858, USA. Electronic address: Cranep14@ecu.edu., Powell JR; East Carolina University, Brody School of Medicine, Department of Medicine, 521 Moye Blvd., Greenville, NC 27858, USA. Electronic address: PowellJ@ecu.edu., Horne CE; East Carolina University, College of Nursing, 3118 Health Science Building, Mailstop 162, Greenville, NC 27858, USA. Electronic address: hornec@ecu.edu., Floegel TA; East Carolina University, College of Nursing, 4165-E Health Science Building, Mailstop 162, Greenville, NC 27858, USA. Electronic address: Floegelt16@ecu.edu.
Jazyk: angličtina
Zdroj: Applied nursing research : ANR [Appl Nurs Res] 2018 Jun; Vol. 41, pp. 62-67. Date of Electronic Publication: 2018 Apr 13.
DOI: 10.1016/j.apnr.2018.04.003
Abstrakt: Background: Pharmacological management only controls 58% of those with hypertension. Combining pharmacological therapy with physical activity is important in controlling hypertension.
Aim: To examine factors associated with physical activity (PA) adherence in African Americans (AAs) with hypertension and antihypertensive medication adherence.
Methods: A cross-sectional descriptive correlational design was used to examine if systolic BP, co-morbidities, serum creatinine and potassium, education, depression, locus of control, and social support explained PA adherence in a convenience sample of AAs (N = 77) aged 55 to 84. All completed: demographic data, PA visual analog scale (VAS-PA); Multidimensional Health Locus of Control Scale; Patient Health Question-9 Depression Instrument. Physiological data and co-morbidities were also collected.
Results: A third (n = 26) had systolic BP over 140 mm/Hg. The model explained 26% variance in adherence to PA (F = 3.378 [8, 68]; p = .003) with creatinine (p < .05), depression (p < .01), and social support (p < .05) as significant. Differences in VAS-PA scores between levels of depression were significant (F = 4.707 [269], p = .012; Eta 2  = 0.12). Those with no depression had significantly higher PA adherence (M = 88.26, SD = 18.97) compared to mildly depressed (M = 70.24, SD 27.71) and moderately depressed (M = 66.83, SD = 23.31).
Conclusions: Clinicians should promote PA as an adjunct to medications for effective control of hypertension in AAs. Screening and intervening for depression are important when examining adherence to PA in AAs with hypertension.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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