Effects of a short Cardiovascular Rehabilitation program in Hypertensive subjects: A Pilot Study

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Submitted: April 10, 2017
Published: May 2, 2017
DOI: 10.29328/journal.jsmt.1001008
Keywords:
Cardiovascular rehabilitation, Hypertension, Aerobic exercise

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Juliana Bassalobre Carvalho Borges
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Débora Tazinaffo Bueno
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Monique Fernandes Peres
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Ana Paula Aparecida Mantuani
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Andréia Maria Silva
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
Giovane Galdino*
Physical Therapy School, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil

Abstract

Systemic arterial hypertension (SAH) is considered an important risk factor for the development of cardiovascular diseases. The aim of the present study was to verify the effects of a short cardiovascular rehabilitation program (CR) in hypertensive subjects. The clinical pilot study involved a sample composed of 11 hypertensive subjects. It was evaluated the weight, height, body mass index (BMI), waist and hip circumference, waist hip ratio, systolic blood pressure (SBP), diastolic blood pressure (DBP) and six-minute walk test (6-MWT) before and after CR. CR was performed twice a week for 60 minutes. The results shown that after CR occurred a reduction of waist circumference (99.86±8.7 to 95.2±8.6 cm, p=0.0002) and hip circumference (110.18±14.75 to 105.00±12.7 cm p=0.01) values. About the mean distance walked in the 6-MWT there was an increase after the CR program (335.9±123.5 m to 554.56±87.9 m, p=0.000). In conclusion, the results suggest that a short CR is an effective for the treatment of hypertensive subjects. After 16 CR sessions, functional and musculoskeletal capacity was improved, evaluated by 6-MWT. Furthermore, the short CR program decreased waist and hip circumferences, being an important option for these subjects. Although. There were no changes in baseline blood pressure levels.

Article Details

Borges, J. B. C., Bueno, D. T., Peres, M. F., Mantuani, A. P. A., Silva, A. M., & Galdino, G. (2017). Effects of a short Cardiovascular Rehabilitation program in Hypertensive subjects: A Pilot Study. Journal of Sports Medicine and Therapy, 2(2), 051–056. https://doi.org/10.29328/journal.jsmt.1001008
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Copyright (c) 2017 Borges JBC, et al.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000; 894: 1-11 Ref.: https://goo.gl/Od6T8T

Sociedade Brasileira de Cardiologia/Sociedade Brasileira de Hipertensão/Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 2010; 95: 1-51 Ref.:

Diaz KM, Shimbo D. Physical Activity and the Prevention of Hypertension. Curr Hypertens Rep. 2013; 15: 659-668. Ref.: https://goo.gl/LHRt7c

Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, et al. American College of Sports Medicine. American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc. 2004; 36: 533-553. Ref.: https://goo.gl/KgsCkW

Mampuya WM. Cardiac rehabilitation past, present and future: an overview. Cardiovasc Diagn Ther. 2012; 2: 38-49. Ref.: https://goo.gl/o3FEuz

Institute of Medicine. National Research Council. Weight Gain during Pregnancy: Reexamining the Guidelines. Washington (DC). National Academy of Science. 2009.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166: 111-117. Ref.: https://goo.gl/AHlNpH

Dourado VZ, Vidotto MC, Guerra RL. Reference equations for the performance of healthy adults on field walking tests. J Bras Pneumol. 2011; 37: 607-614. Ref.: https://goo.gl/oqNaAm

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14: 377-381. Ref.: https://goo.gl/zSK1Cz

7th ed. Philadelphia: Lippincott. Williams and Wilkines. American College Of Sports Medicine (ACSM)-Guidelines for exercise testing and prescription. 2006.

Feldstein CA, Akopian M, Olivieri AO, Kramer AP, Nasi M, et al. A comparison of body mass index and waist-to-hip ratio as indicators of hypertension risk in an urban Argentine population: a hospital-based study. Nutr Metab Cardiovasc Dis. 2005; 15: 310-315. Ref.: https://goo.gl/ma3zqM

Hu G, Tuomilehto J, Silventoinen K, Barengo N, Jousilahti P. Joint effects of physical activity, body mass index, waist circumference and waist-to-hip ratio with the risk of cardiovascular disease among middle-aged Finnish men and women. Eur Heart J. 2004; 25: 2212-2219. Ref.: https://goo.gl/PmJ1UJ

Rubin LJ. The 6-minute walk test in pulmonary arterial hypertension: how far is enough? Am J Respir Crit Care Med. 2012; 186: 396-397. Ref.: https://goo.gl/SSNGzn

Swigris JJ, Olson AL, Shlobin OA, Brown KK, Nathan SD. Heart rate recovery after six-minute walk test predicts pulmonary hypertension in patients with idiopathic pulmonary fibrosis. Respirology. 2011; 16: 439-445. Ref.: https://goo.gl/gyNIAd

Demers C, McKelvie RS, Negassa A, Yusuf S, RESOLVD Pilot Study Investigators. Reliability, validity, and responsiveness of the six-minute walk test in patients with heart failure. Am Heart J. 2001; 142: 698-703. Ref.: https://goo.gl/BM0akE

Souza MFM, Timerman A, Serrano Jr CV, Santos RD, Mansur AP, et al. Tendência do risco de morte por doenças circulatórias no Brasil de1979 and 1996. Arq Bras Cardiol. 2001; 76: 497-510. Ref.: https://goo.gl/jU0Rhz

Buttar HS, Li T, Ravi N. Prevention of cardiovascular diseases: Role of exercise, dietary interventions, obesity and smoking cessation. Exp Clin Cardiol. 2005; 10: 229-249. Ref.: https://goo.gl/6hr7ix

Grilo CM. Physical activity and obesity. Biomed Pharmacother. 1994; 48: 127-136. Ref.: https://goo.gl/QG0yu7

de Lorgeril M, Renaud S, Mamelle N, Salen P, Martin JL, et al. Mediterranean Alpha-Linolenic Acid-Rich Diet in Secondary Prevention of Coronary artery disease. Lancet. 1994; 343: 1454-1459. Ref.: https://goo.gl/0ByvOB

Monteiro HL, Rolim LMC, Squinca DA, Silva FC, Ticianeli CC, et al. Efetividade de um programa de exercícios no condicionamento físico. perfil metabólico e pressão arterial de pacientes hipertensos. Ver Bras Med Esporte. 2007; 13: 107-112. Ref.: https://goo.gl/awaLZu

Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013; 15: 659-668. Ref.: https://goo.gl/9hxlSJ

Punia S, Kulandaivelan S, Singh V, Punia V. Effect of Aerobic Exercise Training on Blood Pressure in Indians: Systematic Review. Int J Chronic Dis. 2016; 2016: 1370148. Ref.: https://goo.gl/4KX3ZS

Mughal MA, Alvi IA, Akhund IA, Ansari AK. The effects of aerobic exercise training on resting blood pressure in hypertensive patients. J Pak Med Assoc. 2001; 51: 222-226. Ref.: https://goo.gl/0yUrVK

Sousa N, Mendes R, Abrantes C, Sampaio J, Oliveira J. A randomized 9-month study of blood pressure and body fat responses to aerobic training versus combined aerobic and resistance training in older men. Exp Gerontol. 2013; 48: 727-733. Ref.: https://goo.gl/Ms5GiD