Factors Related to Blood Pressure Response after Community-Based Exercise Program in the Elderly Population

Yi-Pin Wang, Kuo-Wei Tseng, Meng-Hui Lin and Mei-Wun Tsai
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Yi-Pin Wang: Department of Physical Therapy and Assistive Technology, School of Biomedical Science and Engineering, National Yang Ming Chiao Tung University No.155, Sec.2, Linong Street, Beitou Dist., Taipei City 112304, Taiwan
Kuo-Wei Tseng: Department of Exercise and Health Sciences, College of Kinesiology, University of Taipei No. 101, Sec. 2, Zhongcheng Rd., Shilin Dist., Taipei City 111036, Taiwan
Meng-Hui Lin: Department of Health, Taipei City Government No.1 City Hall Rd., Xinyi Dist., Taipei City 110204, Taiwan
Mei-Wun Tsai: Department of Physical Therapy and Assistive Technology, School of Biomedical Science and Engineering, National Yang Ming Chiao Tung University No.155, Sec.2, Linong Street, Beitou Dist., Taipei City 112304, Taiwan

IJERPH, 2021, vol. 18, issue 6, 1-14

Abstract: Exercise has been recommended for blood pressure (BP) control, but not every individual can improve BP and reduce the risk of cardiovascular disease effectively by exercise. This study aimed to evaluate the BP response after 12-week exercise intervention and then identify the potential factors of responders on BP (R-BP) control. This was a retrospective cohort study from a project of Taipei City Government. Subjects completed the original program were included for further analysis. Sociodemographic factors, health-related behaviors, and cardiovascular risks were extracted as potential factors. The results were categorized into R-BP control, i.e., BP under optimal level (systolic BP (SBP) < 140 mmHg; and diastolic BP (DBP) < 90 mmHg) or a significant BP reduction (SBP ?10 mmHg or DBP ?5 mmHg) after intervention, or non-responder on BP control, i.e., subjects who failed to achieve the targets. There were 81.62% R-BP subjects. R-BP showed lower SBP and lower risk of hypertension at baseline. Active lifestyle could quadruple the number of R-BP. Higher educational level or more prescription medications were likely to be R-BP in subjects with diagnosed hypertension. Active lifestyle combined with exercise could benefit R-BP in the elderly population. Health-related factors also need to be considered for BP control.

Keywords: blood pressure; health-related behavior; health promotion; physical activity; cardiovascular risks; community-based exercise program (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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