Comparison Between Supervised and Partly Supervised Cardiac Rehabilitation Protocols in Hypertensive Patients: A Randomized Controlled Trial
| Autor: | Ana Luiza Lima Sousa, Alberto Fernando Oliveira Justo, Watila Moura Sousa, Larissa Barreto Parreira, Thiago Veiga Jardim, Weimar Kunz Sebba Barroso, Paulo César Brandão Veiga Jardim, Priscila Valverde de Oliveira Vitorino |
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| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Time Factors Strength training medicine.medical_treatment Physical fitness Blood Pressure Walk Test Physical exercise law.invention 03 medical and health sciences Oxygen Consumption Randomized controlled trial law Internal Medicine medicine Humans Aerobic exercise Muscle Strength Aged Cardiac Rehabilitation Exercise Tolerance Rehabilitation medicine.diagnostic_test business.industry Cardiac stress test VO2 max Recovery of Function Middle Aged Exercise Therapy Treatment Outcome 030104 developmental biology Physical Fitness Hypertension Physical therapy Patient Compliance Female business Brazil |
| Zdroj: | Current Hypertension Reviews. 14:161-169 |
| ISSN: | 1573-4021 |
| DOI: | 10.2174/1573402114666180413121016 |
| Popis: | Background: Hypertension (HTN) is the main cause of cardiovascular diseases accounting for one-third of global mortality. Physical exercise reduces the incidence and prevalence of HTN and cardiovascular morbidity and mortality. Exercises recommended for hypertensive patients include supervised cardiac rehabilitation, which occurs in rehabilitation centers, and partly supervised rehabilitation, with the individual prescription of exercises conducted at patients’ residences. Objective: Compare clinical and functional parameters of hypertensive patients subjected to two cardiac rehabilitation protocols: supervised and partly supervised. Method: Hypertensive patients stage I or II were randomly divided into group one (G1) (partly supervised cardiac rehabilitation) and group two (G2) (supervised cardiac rehabilitation). All patients performed a warm-up, aerobic exercise, strength training and cool-down. Participants’ assessments conducted before and after intervention included: physical examination, six-minute walk test, cardiac stress test, metabolic tests, and central and peripheral blood pressure measurements. Results: A total of 61 patients (mean age 60.3±11.3 years, 78.7% women) were randomized (30 in G1 and 31 in G2). At the end of the intervention, G1 increased 30.6 meters (p=0.004) and G2 increased 55.0 meters (p>0.001) the distance covered in the six-minute walk test. G2 showed an increase in the maximum oxygen consumption from 24.7±8.6 mlO2/Kg/min to 28.4±7.5 mlO2/Kg/min (p=0.003). Compliance with the intervention was similar in G1 and G2 (77.5±11% x 82±10%; p=0.654). Conclusion: Participants from both groups improved their physical fitness and showed satisfactory compliance and tolerability to the interventions. The supervised exercise was more effective in improving muscle strength and some physical fitness parameters. |
| Databáze: | OpenAIRE |
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