Institute of Biomedicine - iBiMED, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
Physiotherapy Department, Polytechnic of Coimbra, ESTeSC Coimbra Health School, 3040-854 Coimbra, Portugal.
Rev Cardiovasc Med. 2021 Dec 22;22(4):1271-1278. doi: 10.31083/j.rcm2204134.
Treatment options for hypertension have been evolving over time. However, prevalence rates keep increasing and perpetuate hypertension as a major cardiovascular risk factor. Exercise training is effective in reducing blood pressure, cardiovascular disease risk factors and mortality, besides improving quality of life. However, participation rates for hypertensive patients remain shockingly low and adherence to exercise training tends to decline following exercise programs. These trends emphasize the need to deepen our knowledge of modifiable intrapersonal, interpersonal, and socioeconomic and environmental factors that help explain exercise adherence among people with hypertension. The present review focuses on the determinants of adherence and long-term maintenance of a physically active lifestyle in hypertensive individuals.
高血压的治疗选择一直在随着时间的推移而演变。然而,患病率仍在不断上升,使高血压成为主要的心血管危险因素。运动训练在降低血压、心血管疾病危险因素和死亡率方面非常有效,同时还能提高生活质量。然而,高血压患者的参与率仍然低得惊人,而且运动训练的依从性往往会在运动计划结束后下降。这些趋势强调了需要深入了解可改变的个体内部、人际间以及社会经济和环境因素,这些因素有助于解释高血压患者的运动依从性。本综述重点关注高血压患者坚持和长期保持积极生活方式的决定因素。