Keywords
Hypertension
Health promotion
Quality of life
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Abstract
Objective: To integratively review the literature on physical exercise interventions for hypertension management in older adults, highlighting exercise modalities, duration, frequency, and intensity, as well as comparing outcomes in terms of blood pressure reduction. Methods: This is an integrative literature review, including articles published between 2018 and 2023, in Portuguese and English, with full-text availability. The guiding question was: What is the impact of combining physical exercise and nutritional guidance on hypertension control in older adults? The literature search was conducted from May to August 2024 using databases such as Medline/PubMed, with the Medical Subject Headings (MeSH) platform utilized to define the descriptors. The selected search terms included: "Physical Exercise," "Hypertension," and "Older Adults," with the use of Boolean operators "AND" and "OR." Results: Seven articles met the inclusion and exclusion criteria, highlighting physical activity and nutritional guidance as key factors in promoting health among hypertensive older adults. Final considerations: The practice of physical activity and nutritional guidance effectively reduced systolic blood pressure in hypertensive older adults, with exercises such as walking, HIIT (High-Intensity Interval Training), and the adoption of the DASH diet being particularly effective.
References
ARIJA V, et al. Physical activity, cardiovascular health, quality of life and blood pressure control in hypertensive subjects: randomized clinical trial. Health and quality of life outcomes, 2018; 16: 1-11.
BARROSO WKS, et al. Diretrizes brasileiras de hipertensão arterial–2020. Arquivos brasileiros de cardiologia, 2021; 116: 516-658.
BERGER ALD, et al. Efeito dos padrões alimentares no tratamento e prevenção da hipertensão arterial: uma atualização. Rev. bras. hipertens, 2023; 11-15.
BRICARELLO LP, et al. Abordagem dietética para controle da hipertensão: reflexões sobre adesão e possíveis impactos para a saúde coletiva. Ciência & Saúde Coletiva, 2020; 25: 1421-1432.
CORRÊA ACF, et al. Hipertensão Arterial Sistêmica (HAS): uma revisão abrangente. Revista Corpus Hippocraticum, 2024; 1(2).
DE CARVALHO L. Tratamento da hipertensão arterial sistêmica: revisão literária. Perquirere, 2018; 15(4): 75-85.
DOS ANJOS KDG, et al. Dieta DASH no tratamento da hipertensão arterial sistêmica. Brazilian Journal of Health Review, 2021; 4(1): 621-634.
FILIPPOU CD, et al. Dietary approaches to stop hypertension (DASH) diet and blood pressure reduction in adults with and without hypertension: a systematic review and meta-analysis of randomized controlled trials. Advances in nutrition, 2020; 11(5): 1150-1160.
GAO W, et al. Effects of different types of exercise on hypertension in middle-aged and older adults: a network meta-analysis. Frontiers in Public Health, 2023; 11: 1194124.
HERROD PJJ, et al. Time-efficient physical activity interventions to reduce blood pressure in older adults: a randomised controlled trial. Age and Ageing, 2021; 50(3): 980-984.
LOPES GM, et al. A prática de atividades físicas regulares como estratégia para o controle e prevenção da hipertensão arterial: Uma revisão integrativa. Revista de Epidemiologia e Saúde Pública-RESP, 2024; 2(1).
LOPES S, et al. Effect of exercise training on ambulatory blood pressure among patients with resistant hypertension: a randomized clinical trial. JAMA cardiology, 2021; 6(11): 1317-1323.
MIRANDA GMD, et al., O envelhecimento populacional brasileiro: desafios e consequências sociais atuais e futuras. Revista brasileira de geriatria e gerontologia, 2016; 19: 507-519.
OPAS. ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. Relatório lançado pela OMS detalha impacto devastador da hipertensão e formas de combate. Disponível em: https ://www.paho .org /pt /notícias /19 -9 -2023 -relatorio -lancado -pela -oms -detalha -impacto -devastador -da -hipertensao -e -formas. Acesso em: 8 dez. 2024.
PEREIRA P, et al. The benefit of aerobic exercise in blood pressure control in individuals with Systemic Arterial Hypertension: an integrative literature review. Brazilian Journal of Development, 2022; 8(11): 76101-76112.
SHAMSI SA, et al. Impact of lifestyle interventions on reducing dietary sodium intake and blood pressure in patients with hypertension: A randomized controlled trial. Archives of the Turkish Society of Cardiology/Türk Kardiyoloji Derneği Arşivi, 2021; 49.
VILLAFUERTE FU, et al. Effectiveness of a multifactorial intervention, consisting of self-management of antihypertensive medication, self-measurement of blood pressure, hypocaloric and low sodium diet, and physical exercise, in patients with uncontrolled hypertension taking 2 or more antihypertensive drugs: The MEDICHY study. Medicine, 2020; 99(17): 19769.