Rad Bodan Roxana Cristina, Dușe Adina Octavia, Papp Eniko Gabriela, Melinte Răzvan Marian, Andor Minodora
Doctoral School, "Victor Babeș" University of Medicine and Pharmacy Timișoara, No.2 Eftimie Murgu Square, 300041 Timisoara, Romania.
Department of Balneofiziokinetotherapy and Medical Recovery, Faculty of Medicine, "Dimitrie Cantemir" University Târgu-Mureș, No.3-5 Bodoni Sandor, 540545 Târgu-Mureș, Romania.
Sports (Basel). 2025 Apr 17;13(4):124. doi: 10.3390/sports13040124.
The overweight population is a major public health problem which is typical for the 21st century, considering the peak of the noncommunicable diseases (NCDs). The connection between hypertension-the number-one risk factor of cardiovascular diseases (CVDs)-and the body mass index (BMI), which is growing worldwide, needs to be taken into consideration.
Four homogeneous groups of twenty-five patients each with hypertension degree 1 benefited from different 8-week recovery programs: recommendation for a healthy lifestyle (all groups-A, B, C and D), antihypertensive medication (groups B, C and D), physical therapy program (group C), and hydrotherapy program (group D). Four parameters were pursued: body mass index (BMI), waist circumference (Wcir.), and systolic and diastolic blood pressure (SBP-DBP).
Intragroup comparison between initial and final testing registered a statistically significant decrease in all parameters for group C: BMI ( = 0.001), Wcir, SBP and DBP ( < 0.0001). Additionally, parameters of group D decreased significantly: BMI ( = 0.0005), Wcir, SBP and DBP (each < 0.0001). Group A registered a statistical increase in the DPB parameter ( = 0.03), and group B had a significant decrease in SBP ( = 0.03).
Implication in established physical therapy and hydrotherapy had a better outcome in diminishing all four parameters compared to the recommendations for a healthy lifestyle when patients had to improve their lifestyle by themselves, unsupervised.
考虑到非传染性疾病（NCDs）的高峰期，超重人群是21世纪典型的主要公共卫生问题。需要考虑高血压（心血管疾病（CVDs）的首要危险因素）与全球范围内不断上升的体重指数（BMI）之间的联系。
四组每组25名患有1级高血压的患者分别受益于不同的8周康复计划：健康生活方式建议（所有组 - A、B、C和D）、抗高血压药物治疗（B、C和D组）、物理治疗计划（C组）和水疗计划（D组）。追踪四个参数：体重指数（BMI）、腰围（Wcir.）以及收缩压和舒张压（SBP - DBP）。
组内初始测试与最终测试之间的比较显示，C组所有参数均有统计学意义的下降：BMI（ = 0.001）、Wcir、SBP和DBP（ < 0.0001）。此外，D组参数也显著下降：BMI（ = 0.0005）、Wcir、SBP和DBP（均 < 0.0001）。A组的DPB参数有统计学意义的增加（ = 0.03），B组的SBP有显著下降（ = 0.03）。
当患者在无人监督的情况下自行改善生活方式时，与健康生活方式建议相比，接受既定的物理治疗和水疗对降低所有四个参数的效果更好。
