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.
Department of Physical Therapy and Assistive Technology, National Yang Ming University No.155, Sec.2, Linong Street, Beitou Dist., Taipei City 112304, Taiwan.
Int J Environ Res Public Health. 2021 Mar 18;18(6):3149. doi: 10.3390/ijerph18063149.
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.
运动已被推荐用于控制血压（BP），但并非每个人都能通过运动有效改善血压并降低心血管疾病风险。本研究旨在评估 12 周运动干预后的血压反应，然后确定对血压（R-BP）控制有反应的潜在因素。这是台北市政府项目的一项回顾性队列研究。对完成原始方案的受试者进行了进一步分析。提取了社会人口统计学因素、与健康相关的行为和心血管风险作为潜在因素。结果分为 R-BP 控制，即干预后血压处于最佳水平（收缩压（SBP）<140mmHg；舒张压（DBP）<90mmHg）或显著降低（SBP 降低 10mmHg 或 DBP 降低 5mmHg），或血压控制无反应者，即未达到目标的受试者。有 81.62%的 R-BP 受试者。R-BP 受试者的基线 SBP 较低，且患高血压的风险较低。积极的生活方式可使 R-BP 受试者的数量增加四倍。在已确诊高血压的受试者中，较高的教育水平或更多的处方药可能会使 R-BP 受益。积极的生活方式与运动相结合可能有益于老年人群中的 R-BP。还需要考虑健康相关因素来控制血压。
