Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study
Increasing daily steps by an additional 3000 steps/day on 5 days/week equates to ~150 min/week of aerobic physical activity to meet the physical activity guidelines; however, its effectiveness for blood pressure control in older adults with hypertension is unknown. A 20-week, single-arm, pilot e-hea...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/10/8/317 |
| _version_ | 1797584333399130112 |
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| author | Elizabeth C. Lefferts Joseph M. Saavedra Bong Kil Song Angelique G. Brellenthin Linda S. Pescatello Duck-chul Lee |
| author_facet | Elizabeth C. Lefferts Joseph M. Saavedra Bong Kil Song Angelique G. Brellenthin Linda S. Pescatello Duck-chul Lee |
| author_sort | Elizabeth C. Lefferts |
| collection | DOAJ |
| description | Increasing daily steps by an additional 3000 steps/day on 5 days/week equates to ~150 min/week of aerobic physical activity to meet the physical activity guidelines; however, its effectiveness for blood pressure control in older adults with hypertension is unknown. A 20-week, single-arm, pilot e-health lifestyle walking intervention was conducted in 21 sedentary older adults (73 ± 5 years old) with hypertension (13 female, 8 male) to investigate the effectiveness of increasing daily steps by an additional 3000 steps/day for blood pressure control. The intervention consisted of two phases, with behavior change assistance provided during the first active phase (weeks 1–10) to help reach step goals and minimal assistance provided during the second self-maintenance phase (weeks 11–20). Nineteen participants (91%) completed both the 10- and 20-week assessments. The participants wore the pedometer for ≥10 h on 97% of the days over 20 weeks. They significantly increased average steps/day from 3899 ± 2198 at baseline to 6512 ± 2633 at 10 weeks and 5567 ± 2587 at 20 weeks. After 20 weeks, both systolic (137 ± 10 to 130 ± 11 mm Hg, <i>p</i> < 0.001) and diastolic (81 ± 6 to 77 ± 6 mm Hg, <i>p</i> = 0.01) blood pressure improved. The response was consistent in participants with (<i>n</i> = 8) and without (<i>n</i> = 13) anti-hypertensive medication. The results of our lifestyle walking intervention are encouraging for reducing blood pressure in older adults with hypertension; however, larger randomized, controlled trials need to be performed to confirm these findings. |
| first_indexed | 2024-03-10T23:51:22Z |
| format | Article |
| id | doaj.art-5851b6523d7349c1b03cb2642a9f4f2b |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-10T23:51:22Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-5851b6523d7349c1b03cb2642a9f4f2b2023-11-19T01:37:49ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-07-0110831710.3390/jcdd10080317Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot StudyElizabeth C. Lefferts0Joseph M. Saavedra1Bong Kil Song2Angelique G. Brellenthin3Linda S. Pescatello4Duck-chul Lee5Department of Kinesiology, Iowa State University, Ames, IA 50011, USADepartment of Kinesiology, Iowa State University, Ames, IA 50011, USADepartment of Kinesiology, Iowa State University, Ames, IA 50011, USADepartment of Kinesiology, Iowa State University, Ames, IA 50011, USADepartment of Kinesiology, University of Connecticut, Storrs, CT 06269, USADepartment of Kinesiology, Iowa State University, Ames, IA 50011, USAIncreasing daily steps by an additional 3000 steps/day on 5 days/week equates to ~150 min/week of aerobic physical activity to meet the physical activity guidelines; however, its effectiveness for blood pressure control in older adults with hypertension is unknown. A 20-week, single-arm, pilot e-health lifestyle walking intervention was conducted in 21 sedentary older adults (73 ± 5 years old) with hypertension (13 female, 8 male) to investigate the effectiveness of increasing daily steps by an additional 3000 steps/day for blood pressure control. The intervention consisted of two phases, with behavior change assistance provided during the first active phase (weeks 1–10) to help reach step goals and minimal assistance provided during the second self-maintenance phase (weeks 11–20). Nineteen participants (91%) completed both the 10- and 20-week assessments. The participants wore the pedometer for ≥10 h on 97% of the days over 20 weeks. They significantly increased average steps/day from 3899 ± 2198 at baseline to 6512 ± 2633 at 10 weeks and 5567 ± 2587 at 20 weeks. After 20 weeks, both systolic (137 ± 10 to 130 ± 11 mm Hg, <i>p</i> < 0.001) and diastolic (81 ± 6 to 77 ± 6 mm Hg, <i>p</i> = 0.01) blood pressure improved. The response was consistent in participants with (<i>n</i> = 8) and without (<i>n</i> = 13) anti-hypertensive medication. The results of our lifestyle walking intervention are encouraging for reducing blood pressure in older adults with hypertension; however, larger randomized, controlled trials need to be performed to confirm these findings.https://www.mdpi.com/2308-3425/10/8/317steps/dayphysical activityagingintervention |
| spellingShingle | Elizabeth C. Lefferts Joseph M. Saavedra Bong Kil Song Angelique G. Brellenthin Linda S. Pescatello Duck-chul Lee Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study Journal of Cardiovascular Development and Disease steps/day physical activity aging intervention |
| title | Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study |
| title_full | Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study |
| title_fullStr | Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study |
| title_full_unstemmed | Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study |
| title_short | Increasing Lifestyle Walking by 3000 Steps per Day Reduces Blood Pressure in Sedentary Older Adults with Hypertension: Results from an e-Health Pilot Study |
| title_sort | increasing lifestyle walking by 3000 steps per day reduces blood pressure in sedentary older adults with hypertension results from an e health pilot study |
| topic | steps/day physical activity aging intervention |
| url | https://www.mdpi.com/2308-3425/10/8/317 |
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