Abstract
Objective: To assess the impact of an unsupervised physical activity program (UNSUP-PA) on the quality of life (QoL), physical fitness (PF), and blood pressure (BP) among elderly individuals diagnosed with hypertension. Methods: In a 12-week randomized controlled clinical trial, sixty-three hypertensive participants were assigned to an intervention group (IG) or a control group (CG). Comprehensive assessments, including clinical, anthropometric, BP measurements, physical tests, and laboratory evaluations, were conducted at the study's commencement and conclusion. QoL was evaluated using the SF-36 questionnaire. The IG engaged in a minimum of three weekly walking sessions, while the CG received routine outpatient care. Results: After 12 weeks, the IG demonstrated statistically significant QoL improvements in functional capacity, vitality, and emotional well-being (p < 0.05). Both groups exhibited improved cardiorespiratory fitness (p < 0.05), with the IG also showing enhanced abdominal strength (p < 0.05). BP did not significantly differ between groups. No training interruptions occurred due to injuries, falls, pain, or acute events related to the UNSUP-PA program. Conclusion: This study suggests that an UNSUP-PA program for hypertensive elderly individuals can enhance QoL, PF, help maintain BP, and does not entail associated risks or safety concerns.
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