Associations of Lifestyle Intervention Effect with Blood Pressure and Physical Activity among Community-Dwelling Older Americans with Hypertension in Southern California

Mei-Lan Chen, Jie Hu, Thomas P. McCoy, Susan Letvak and Luba Ivanov
Additional contact information
Mei-Lan Chen: Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA
Jie Hu: College of Nursing, The Ohio State University, Columbus, OH 43210, USA
Thomas P. McCoy: School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA
Susan Letvak: School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA
Luba Ivanov: College of Nursing, Chamberlain University, Downers Grove, IL 60515, USA

IJERPH, 2020, vol. 17, issue 16, 1-9

Abstract: A healthy lifestyle and regular physical activity are highly recommended for older adults. However, there has been limited research into testing lifestyle intervention effects on physical activity in older adults with hypertension. The purpose of this study was to assess the association of lifestyle intervention effects with physical activity and blood pressure in older adults with hypertension, accounting for social support and perceived stress as control variables. This study performed a secondary analysis of a two-arm randomized controlled trial. A total of 196 participants were randomly assigned to a six-month lifestyle intervention group or a control group. Hierarchical multiple regression analyses demonstrated that lifestyle intervention effects were not significantly associated with improvements in physical activity and blood pressure, but the final regression models were statistically significant (all p < 0.001). The result revealed that only physical activity frequency at baseline was significantly related to improvement in physical activity. Systolic blood pressure (SBP) at baseline and monthly income were significantly associated with change in SBP, while age and diastolic blood pressure (DBP) at baseline were significantly related to change in DBP. The findings provide empirical evidence for developing and optimizing lifestyle interventions for future research and clinical practice in this population.

Keywords: older adults; high blood pressure; lifestyle intervention; physical activity; hierarchical multiple regression analyses; social support; perceived stress (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/16/5673/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/16/5673/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:16:p:5673-:d:395101

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().