Effect of an adapted physical activity program on the morphological and physiological profile of hypertensive patients of University Clinics of Kinshasa

Yıl 2019, Cilt: 5 Sayı: 4, 618 - 622, 04.07.2019

Teddy Bofosa Betty Miangindula Godefroid Kusuayi Nicaise Kiana Constant Nkiama

https://doi.org/10.18621/eurj.415593

Cited By: 2

Öz

Objectives:
The
treatment of arterial hypertension requires a comprehensive care because it is
necessary not only to take the prescribed medication but also to apply certain
rules of hygiene. The purpose of this study was to evaluate the effect of a
program of physical activity adapted to the morphological and physiological
state of the hypertensive patients.

Methods: An experimental study was
conducted on a sample of 31 male hypertensive patients with an average age of
58.16 ± 3.7 years undergoing an aerobic and anaerobic physical activity program
treadmill walking, cycling, ergonomics and aerobic exercise and muscle building
exercises of moderate intensity, duration of forty-five minutes and a frequency
of three times a week associated with low calorie nutrition education low in
cholesterol and saturated fatty acids (bad fats) , low sodium rich in
vegetables, fruits and vitamins for 4 months at the University Clinics of
Kinshasa between January 2017and May 2017.

Results: After 4 months of
intervention, we found statistically significant reductions in weight -7.2 kg,
waist circumference -7.61 cm, body mass index -5.42 kg/m², visceral
fat percentage -1.4%, systolic blood pressure -6 mmHg, low-density lipoprotein
-22 mg/dL, triglyceride -26.7 mg/dL with the exception of high-density
lipoprotein and muscle that statistically increased +7.42 mg/dL and +15.3%
while diastolic blood pressure -3.4 mmHg was not statistically modified.

Conclusion: The practice of adapted physical activities combined with
nutritional education improves the morphological and physiological status of
hypertensive patients. 

Anahtar Kelimeler

Adapted physical activity, morphological state, physiological

Kaynakça

• [1] Akingkugbe O. [Hypertension research in Africa: past, present and future]. Trop Cardiol 1987;13(Suppl): S195-201. [Article in French]
• [2] Bieleli EI, Moswa JL, Ditu M, Kandjingu Mulumba M, Mayangi M. [Prevalence of diabetes mellitus among the population of Kinshasa]. Congo Médical 2000;2:1055-61. [Article in French]
• [3] Amaral SL, Zorn TM, Michelini LC. Exercise training normalizes wall-to-lumen ratio of the gracilis muscle arterioles and reduces pressure in spontaneously hypertensive rats. J Hypertens 2000;18:1563-72.
• [4] Longo-Mbenza B, Tonduangu K, Muyeno K, Phanzu M, Kebolo Baku A, Muvova D, et al. Predictors of stroke-associated mortality in Africans. Rev Epidemiol Sante Publique 2000;48:31-9.
• [5] WHO. Noncommunicable diseases: a strategy for the African Region. World Health Organisation, WHO Regional Office for Africa, Harare 2000.
• [6] Blacher J, Halimi JM, Hanon O, Mourad JJ, Pathak A, Schnebert B, et al; Société française d’hypertension artérielle. [Management of arterial hypertension in adults: 2013 guidelines of the French Society of Arterial Hypertension]. Presse Med 2013;42:819-25. [Article in French]
• [7] Collier SR, Kanaley JA, Carhart Jr R, Frechette V, Tobin MM, Hall AK, et al. Effect of 4 weeks of aerobic or resistance exercise training on arterial stiffness, blood flow and blood pressure in pre- and stage-1 hypertensives. J Hum Hypertens 2008;22:678-86.
• [8] Godet-Thobie H, Vernay M, Noukpoape A, Salavane B, Malon A, Castetbon K, et al. [Mean blood pressure level and prevalence of hypertension in 18 to 74 year-old adults]. ENNS Survey 2006-2007]. BEH 2008;49-50:478-83. [Article in French]
• [9] Cornelissen VA, Fagard RH. Effects of endurance training on blood pressure, blood pressure-regulating mechanisms, and cardiovascular risk factors. Hypertension 2005;46:667-75.
• [10] Strokes GS. Management of hypertension in the elderly patient. Clin Interv Aging 2009;4:379-89.
• [11] Zrnzević N, Zrnzević JE. [Effects of teaching physical education on the functional abbilities of female students of younger school]. J Anthropol Soc Serbia 2015;50:1-9.
• [12] Sikiru L, Okoye GC. Effect of interval training programme on pulse pressure in the management of hypertension : a randomized controlled trial. Afr Health Sci 2013;13:571-8.
• [13] Bangalore S, Kumar S, Wetterslev J, Messerli FH. Angiotensin receptor blockers and risk of myocardial infarction: meta-analyses and trial sequential analyses of 147 020 patients from randomised trials. BMJ 2011;342:d2234.
• [14] Grassi, G, Servalle, G, Calhoun, D, Bolla GB, Mancia G. Physical exercise in essential hypertension. Chest 1992;101(5 Suppl):312S-14S.
• [15] Guimaraes GV, Ciolac EG, Carvalho VO, D’Avila VM, Bortolotto LA, Bocchi EA. Effects of continuous vs. interval exercise training on bloodpressure and arterial stiffness in treated hypertension. Hypertens 2010;33:627-32.
• [16] 1999 World Health Organisation - International Society of Hypertension. Guidelines for the Management of Hypertension. Guidelines Subcommittee. J Hypertens 1999;17:151-83.
• [17] Halliwill JR, Buck TM, Lacewell AN, Romero SA. Postexercise hypotension and sustained postexercise vasodilatation: what happens after we exercise? Exp Physiol 2013;98:7-18.
• [18] Higashi Y, Yoshizumi M. Exercise and endothelial function: role of endothelium-derived nitric oxide and oxidative stress in healthy subjectsand hypertensive patients. Pharmacol Ther 2004;102:87-96.
• [19] Kawano H, Tanaka H, Miyachi M. Resistance training and arterial compliance : Keeping the benefits while minimizing the stiffening. J Hypertens 2006;24:1753-9.
• [20] Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J 2013;34:2159-219.
• [21] Reddy KS, Yusuf S. Emerging epidemic of cardiovascular disease in developing countries. Circulation 1998;97:596-601.
• [22] Williams PT. Lower prevalence of hypertension, hypercholesterolemia, and diabetes in marathoners. Med Sci Sports Exerc 2009;41:523-9.
• [23] Beck DT, Martin JS, Casey DP, Braith RW. Exercise training reduces peripheral arterial stiffness and myocardial oxygen demand in young pre-hypertensive subjects. Am J Hypertens 2013;26:1093-102.
• [24] Yoshizawa S, Maeda S, Miyaki A, Misono M, Saito Y, Tanabe K, et al. Effect of 12 weeks of moderate-intensity resistance training on arterial stiffness : a randomised controlled trial in women aged 32-59 years. Br J Sports Med 2009;43:615-8.