踏阶运动对患有1级高血压的老年女性血压、身体机能及生活质量的影响：一项随机对照试验
The Effects of Stepping Exercise on Blood Pressure, Physical Performance, and Quality of Life in Female Older Adults with Stage 1 Hypertension: a Randomized Controlled Trial.
作者信息
Sarinukul Chawin, Janyacharoen Taweesak, Donpunha Wanida, Nakmareong Saowanee, Ruksapukdee Wanida, Sawanyawisuth Kittisak
机构信息
School of Physiotherapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen.
Research Center in Back, Neck and Other Joint Pain and Human Performance, Khon Kaen University, Khon Kaen.
出版信息
Can Geriatr J. 2023 Mar 1;26(1):144-149. doi: 10.5770/cgj.26.632. eCollection 2023 Mar.
BACKGROUND
Hypertension is a common disease, particularly in older adults. In a previous study, we found that an eight-week course of stepping exercise improved physical performance in healthy older adults as measured using the six-minute walk test (468 vs. 426 m in controls; = .01). This study aims to further evaluate the effects of stepping exercise on blood pressure, physical performance, and quality of life in older adults with stage 1 hypertension.
METHODS
This was a randomized, controlled trial comparing older adults with stage 1 hypertension who performed stepping exercise with controls. The stepping exercise (SE) was performed at moderate intensity three times/week over an eight-week period. Participants in the control group (CG) received verbal and written (pamphlet) lifestyle modification advice. Blood pressure at Week 8 was the primary outcome, while quality of life score and physical performance on the 6-minute walk test (6MWT), timed up and go test (TUGT), and five times sit to stand test (FTSST) were secondary outcomes.
RESULTS
There were 17 female patients in each group (total of 34). After eight weeks of training, participants in the SE group showed significant improvements in systolic blood pressure (SBP; 132.0 vs. 145.1 mmHg; <.01), diastolic blood pressure (DBP; 67.3 vs. 87.6 mmHg; <.01), 6MWT (465.6 vs. 437.0; <.01), TUGT (8.1 vs. 9.2 sec; <.01), and FTSST (7.9 vs. 9.1 sec; <.01) compared to controls. Regarding within-group comparison, participants in the SE also showed significant improvement in all outcomes from baseline, while any such outcomes in the CG were comparable from baseline (SBP: 144.1 to 145.1 mmHg; = .23; DBP: 84.3 to 87.6 mmHg; = .90).
CONCLUSIONS
The stepping exercise examined is an effective non-pharmacological intervention for blood pressure control in female older adults with stage 1 hypertension. This exercise also resulted in improvements in physical performance and quality of life.
背景
高血压是一种常见疾病，在老年人中尤为普遍。在之前的一项研究中，我们发现，为期八周的阶梯运动课程可改善健康老年人的身体机能，这一效果通过六分钟步行测试得以衡量（对照组为426米，运动组为468米；P = 0.01）。本研究旨在进一步评估阶梯运动对1期高血压老年人的血压、身体机能和生活质量的影响。
方法
这是一项随机对照试验，比较了进行阶梯运动的1期高血压老年人与对照组。阶梯运动（SE）以中等强度每周进行三次，为期八周。对照组（CG）的参与者接受了口头和书面（宣传册）的生活方式改善建议。第8周时的血压是主要结果，而生活质量得分以及六分钟步行测试（6MWT）、起立行走测试（TUGT）和五次坐立测试（FTSST）中的身体机能则是次要结果。
结果
每组有17名女性患者（共34名）。经过八周的训练，与对照组相比，SE组的参与者在收缩压（SBP；132.0对145.1 mmHg；P<0.01）、舒张压（DBP；67.3对87.6 mmHg；P<0.01）、6MWT（465.6对437.0；P<0.01）、TUGT（8.1对9.2秒；P<0.01）和FTSST（7.9对9.1秒；P<0.01）方面均有显著改善。在组内比较方面，SE组的参与者在所有结果上也均较基线有显著改善，而CG组的任何此类结果与基线相比则无差异（SBP：144.1至145.1 mmHg；P = 0.23；DBP：84.3至87.6 mmHg；P = 0.90）。
结论
所研究的阶梯运动是对1期高血压老年女性进行血压控制的一种有效的非药物干预措施。这项运动还改善了身体机能和生活质量。
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