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Lipski D, Marzyńska D, Sytek P, Rzesoś P, Rabiza A, Żurek S, Radziemski A, Stryczyński Ł, Tykarski A, Uruski P. Obesity in Hypertensive Patients Is Characterized by a Dawn Phenomenon in Systolic Blood Pressure Values and Variability. J Clin Med 2024; 13:371. [PMID: 38256505 PMCID: PMC10816240 DOI: 10.3390/jcm13020371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 12/31/2023] [Accepted: 01/09/2024] [Indexed: 01/24/2024] Open
Abstract
One of the causes of hypertension is excess weight gain, which can also affect the course of this disease. Both the diagnosis and management of hypertension commonly use ambulatory blood pressure monitoring; the results of which correlate more strongly with cardiovascular diseases and cardiovascular death than office blood pressure monitoring. We evaluated blood pressure values and their variability from hour to hour to see if and when they differed between hypertensive patients with and without obesity. The study included 1345 patients who underwent 24 h ambulatory blood pressure monitoring and then were divided into groups according to body mass index and waist circumference. The obtained data were analyzed according to the subjects' wake-up time, and short-term blood pressure variability parameters were calculated as the mean of the absolute values of the differences between consecutive measurements. The systolic blood pressure in obese subjects was significantly higher between 1 and 5 h before waking than in normal-weighted individuals. In turn, the variability in systolic and diastolic blood pressure was higher with increasing body mass index. The difference in systolic blood pressure values and blood pressure variability was most prominent in the last 5 h of sleep in obese patients.
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Affiliation(s)
- Dawid Lipski
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Dorota Marzyńska
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Paulina Sytek
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Patrycja Rzesoś
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Agnieszka Rabiza
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Sebastian Żurek
- Institute of Physics, University of Zielona Gora, 65-516 Zielona Gora, Poland
| | - Artur Radziemski
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Łukasz Stryczyński
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Andrzej Tykarski
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Paweł Uruski
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
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Scarabottolo CC, Tebar WR, Araújo Guerra PH, Martins CMDL, Ferrari G, Beretta VS, Christofaro DGD. Association between Different Domains of Sedentary Behavior and Health-Related Quality of Life in Adults: A Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16389. [PMID: 36554270 PMCID: PMC9778904 DOI: 10.3390/ijerph192416389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 12/01/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Extended periods of time on screen devices and sitting are the main activities that characterize sedentary behavior (SB), which negatively impacts the quality of life. This negative influence was demonstrated mainly by cross-sectional studies performed in high-income countries in which the effects of screen time on health-related quality of life (HRQoL) is not considered. Thus, we analyzed the association between the different domains of SB (i.e., subdomains of screen time-television, computer, cellphone) and the HRQoL in adults that live in Brazil during two years of follow-up. The sample included 331 adults. Subdomains of screen time (i.e., watching television, using computers, and cellphones) and of HRQoL (i.e., physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health, and current health perception) were assessed by a structured questionnaire and SF-36, respectively. Our results indicate a significant increase in screen time during the two years of follow-up. Linear regression models indicated that although domains of SB were differently associated with HRQoL, in general, screen time was negatively associated with social functioning and positively associated with physical functioning during locomotion and activities of daily living (ADL), role-physical (i.e., physical issues during work and ADLs), and role-emotional (i.e., emotional issues during work and ADLs) after the two-year follow-up. In conclusion, screen time may positively or negatively influence some domains of HRQoL in adults.
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Affiliation(s)
- Catarina Covolo Scarabottolo
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - William Rodrigues Tebar
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo 05403-000, Brazil
| | | | | | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | - Victor Spiandor Beretta
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
| | - Diego Giulliano Destro Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), Presidente Prudente 19060-900, Brazil
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Tebar WR, Mielke GI, Ritti-Dias RM, Silva KS, Canhin DS, Scarabottolo CC, Mota J, Christofaro DGD. Association of High Blood Pressure With Physical Activity, Screen-Based Sedentary Time, and Sedentary Breaks in a 2-Year Cohort of Community Dwelling Adults. Int J Public Health 2022; 67:1605139. [PMID: 36204008 PMCID: PMC9530061 DOI: 10.3389/ijph.2022.1605139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 09/09/2022] [Indexed: 11/14/2022] Open
Abstract
Objective: This study analyzed the association of high blood pressure (HBP) with physical activity, sedentary behavior, and sedentary breaks in 2-year follow-up. Methods: A sample of 331 middle-aged and older adults (mean age of 59.6 ± 17.3 years) was randomly selected and assessed at baseline and after 2 years of follow-up. HBP was considered as ≥140/90 mmHg values of systolic and diastolic blood pressure. Physical activity, sedentary behavior, and sedentary breaks were assessed by questionnaire. Age, sex, socioeconomic status, and body mass index were covariates. Results: Continuous HBP was observed in 26.3% of sample between baseline and follow-up. Adults who reported continuously high sedentary breaks at leisure activities were less likely to have HBP (OR = 0.34, p = 0.011), as well as those who remained high physically active (OR = 0.41, p = 0.016), even after mutual adjustment. No association was observed between high sedentary behavior and HBP at follow-up. Conclusion: Community dwelling adults who were high active and performed frequent sedentary breaks were less likely to have HBP in 2-year follow-up. Strategies for HBP control should considered both physical activities and leisure sedentary breaks in adult population.
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Affiliation(s)
- William R. Tebar
- Movement Science Post-graduation Program, Universidade Estadual Paulista–Unesp, Presidente Prudente, Brazil
| | - Gregore Iven Mielke
- School of Public Health, The University of Queensland, Brisbane, QLD, Australia
- *Correspondence: Gregore Iven Mielke,
| | - Raphael M. Ritti-Dias
- Post-graduation Program in Rehabilitation Science, Universidade Nove de Julho–UNINOVE, Sao Paulo, Brazil
| | - Kelly Samara Silva
- Post-Graduation Program in Physical Education, Universidade Federal de Santa Catarina–UFSC, Florianopolis, Brazil
| | - Daniel S. Canhin
- Movement Science Post-graduation Program, Universidade Estadual Paulista–Unesp, Presidente Prudente, Brazil
| | - Catarina C. Scarabottolo
- Movement Science Post-graduation Program, Universidade Estadual Paulista–Unesp, Presidente Prudente, Brazil
| | - Jorge Mota
- Faculdade de Desporto–FADEUP, Centro de Investigação em Atividade Física, Saúde e Lazer (CIAFEL), Universidade do Porto, Porto, Portugal
| | - Diego G. D. Christofaro
- Movement Science Post-graduation Program, Universidade Estadual Paulista–Unesp, Presidente Prudente, Brazil
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Tebar WR, Ritti-Dias RM, Fernandes RA, Damato TMM, de Barros MVG, Mota J, Andersen LB, Christofaro DGD. Validity and reliability of the Baecke questionnaire against accelerometer-measured physical activity in community dwelling adults according to educational level. PLoS One 2022; 17:e0270265. [PMID: 35969609 PMCID: PMC9377570 DOI: 10.1371/journal.pone.0270265] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Accepted: 06/08/2022] [Indexed: 11/18/2022] Open
Abstract
Baecke questionnaire have been widely used to assess physical activity. However, the role of educational level on validity and reliability of Baecke questionnaire is still not stablished, being a factor that can potentially influence the accuracy of self-reported measures. The present study aimed to verify the validity and reliability of Baecke questionnaire for the measurement of physical activity in community dwelling adults according to education level. The sample included 251 adults (42.4±17.0 years, 55% of women). Physical activity was self-reported by Baecke questionnaire and objectively measured by accelerometer. The education level (EL) was classified by years of study into low (<8 years), medium (8–11 years) and high (>11 years). A 7-day test-retest reliability was analyzed by intraclass correlation coefficient. The relationship, agreement and validity of the Baecke questionnaire against accelerometry were analyzed by Spearman’s correlation, Kappa index, and ROC curve, respectively. The reliability of Baecke questionnaire were r = 0.97 (high EL), r = 0.78 (medium EL), and r = 0.68 (low EL). Sensitivity and specificity were 77% and 71% in high EL, 54% and 80% in medium EL and 33% and 89% in the low EL. Baecke questionnaire proved to be reliable and a valid measurement of habitual physical activity in adults with medium and high EL.
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Affiliation(s)
- William R. Tebar
- Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil
- * E-mail:
| | - Raphael M. Ritti-Dias
- Universidade Nove de Julho–Post-graduation program in Rehabilitation Sciences, Sao Paulo, Brazil
| | - Rômulo A. Fernandes
- Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Tatiana M. M. Damato
- Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil
| | - Mauro V. G. de Barros
- Department of Physical Education, Universidade Federal de Pernambuco (UFPE), Recife, Brazil
| | - Jorge Mota
- Research Center on Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
| | | | - Diego G. D. Christofaro
- Post-graduation Program in Movement Sciences, Faculty of Sciences and Technology, São Paulo State University (Unesp), Presidente Prudente, Brazil
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Roque Marçal I, Teixeira Do Amaral V, Fernandes B, Martins de Abreu R, Alvarez C, Veiga Guimarães G, Cornelissen VA, Gomes Ciolac E. Acute high-intensity interval exercise versus moderate-intensity continuous exercise in heated water-based on hemodynamic, cardiac autonomic, and vascular responses in older individuals with hypertension. Clin Exp Hypertens 2022; 44:427-435. [PMID: 35438014 DOI: 10.1080/10641963.2022.2065288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES This crossover study design aimed to assess hemodynamic, cardiac autonomic, and vascular responses to high-intensity interval (HIIE) vs moderate-intensity continuous exercise (MICE) in older individuals with hypertension. METHODS Twenty (67 ± 7 y) older individuals with hypertension were randomly assigned to perform HIIE, MICE, or control (CON) sessions in the heated swimming pool (30-32°C). Blood pressure (BP), arterial stiffness, endothelial reactivity, and heart rate variability (HRV) were measured pre, post, and 45 min (recovery) after each intervention followed by 24-h ambulatory BP and HRV. RESULTS One single aerobic exercise session was not effective to provoke post-exercise hypotension and vascular improvements. HIIE was superior to MICE and CON to increasing parasympathetic modulation at post and recovery. Exercise sessions showed to disturb the autonomic system at nighttime compared to CON. CONCLUSIONS These results may have important implications in water-based therapy and the elderly with hypertension.
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Affiliation(s)
- Isabela Roque Marçal
- School of Sciences, Department of Physical Education, São Paulo State University (UNESP), Exercise and Chronic Disease Research Laboratory (ECDR), Bauru, Brazil
| | - Vanessa Teixeira Do Amaral
- School of Sciences, Department of Physical Education, São Paulo State University (UNESP), Exercise and Chronic Disease Research Laboratory (ECDR), Bauru, Brazil
| | - Bianca Fernandes
- School of Sciences, Department of Physical Education, São Paulo State University (UNESP), Exercise and Chronic Disease Research Laboratory (ECDR), Bauru, Brazil
| | - Raphael Martins de Abreu
- Department of Physiotherapy, LUNEX International University of Health Exercise and Sports, Differdange, Luxembourg
| | - Cristian Alvarez
- School of Physical Therapy, Andres Bello University, Exercise and Rehabilitation Sciences Laboratory, Chile
| | - Guilherme Veiga Guimarães
- Heart Institute Department, University of São Paulo, School of Medicine, Heart Institute, São Paulo, Brazil
| | - Véronique A Cornelissen
- Leuven, University of Leuven, KU Leuven, Research Group for Cardiovascular RehabilitationDepartment of Rehabilitation Sciences, Belgium
| | - Emmanuel Gomes Ciolac
- School of Sciences, Department of Physical Education, São Paulo State University (UNESP), Exercise and Chronic Disease Research Laboratory (ECDR), Bauru, Brazil
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Commentary on 'Effect modification, confounding, or interaction: understanding the role of hypertension on the association between adiposity and physical activity'. Blood Press Monit 2021; 26:170. [PMID: 33656492 DOI: 10.1097/mbp.0000000000000515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Effect modification, confounding, or interaction: understanding the role of hypertension on the association between adiposity and physical activity. Blood Press Monit 2021; 26:169. [PMID: 33656491 DOI: 10.1097/mbp.0000000000000501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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