Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension
Glaube R Riegel,1 Giulia B Martins,1 Afonso G Schmidt,1 Marcela P Rodrigues,1 Gerson S Nunes,2 Vicente Correa Jr,1,2 Sandra C Fuchs,1 Flavio D Fuchs,1,2 Paula AB Ribeiro,1,3 Leila B Moreira1,4 1Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-01-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/self-reported-adherence-to-physical-activity-recommendations-compared--peer-reviewed-article-PPA |
| _version_ | 1819141450068131840 |
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| author | Riegel GR Martins GB Schmidt AG Rodrigues MP Nunes GS Correa Jr V Fuchs SC Fuchs FD Ribeiro PAB Moreira LB |
| author_facet | Riegel GR Martins GB Schmidt AG Rodrigues MP Nunes GS Correa Jr V Fuchs SC Fuchs FD Ribeiro PAB Moreira LB |
| author_sort | Riegel GR |
| collection | DOAJ |
| description | Glaube R Riegel,1 Giulia B Martins,1 Afonso G Schmidt,1 Marcela P Rodrigues,1 Gerson S Nunes,2 Vicente Correa Jr,1,2 Sandra C Fuchs,1 Flavio D Fuchs,1,2 Paula AB Ribeiro,1,3 Leila B Moreira1,4 1Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; 2Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; 3Cardiology Division, University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada; 4Pharmacology Department, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Background: Physical activity (PA) is recommended as adjuvant therapy to control blood pressure (BP). The effectiveness of simple recommendations is not clear. We aimed to assess the agreement between self-report of adherence to PA in clinical routine and International Physical Activity Questionnaire (IPAQ) interview and its association with BP control. Methods: A cross-sectional study was conducted with hypertensive outpatients. Adherence to recommendation to PA was assessed by the physician and IPAQ interview. A cutoff of 150 minutes/week was used to classify active or nonactive patients. High sitting time was considered >4 hours/day. A total of 127 individuals (SBP 144.9±24.4 mmHg/DBP 82.0±12.8 mmHg) were included. Results: A total of 69 subjects (54.3%) reported to be active to their physician, whereas 81 (63.8%) were classified as active by IPAQ (6.3% active in leisure time PA). Kappa test was 0.22 (95% CI, 0.06–0.37). The rate of BP control was 45.7%. There was no association with the reported PA assessed by both methods nor with sitting time. Our results demonstrated poor agreement between self-report adherence and IPAQ interview, and neither evaluation was associated with BP control. Conclusion: Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings. Keywords: blood pressure, exercise, treatment adherence, self-report, hypertension, physical activity counseling |
| first_indexed | 2024-12-22T11:54:38Z |
| format | Article |
| id | doaj.art-c3babaa2598947c1ae5b3bc1a51bff94 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-22T11:54:38Z |
| publishDate | 2019-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-c3babaa2598947c1ae5b3bc1a51bff942022-12-21T18:26:52ZengDove Medical PressPatient Preference and Adherence1177-889X2019-01-01Volume 1320921443753Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertensionRiegel GRMartins GBSchmidt AGRodrigues MPNunes GSCorrea Jr VFuchs SCFuchs FDRibeiro PABMoreira LBGlaube R Riegel,1 Giulia B Martins,1 Afonso G Schmidt,1 Marcela P Rodrigues,1 Gerson S Nunes,2 Vicente Correa Jr,1,2 Sandra C Fuchs,1 Flavio D Fuchs,1,2 Paula AB Ribeiro,1,3 Leila B Moreira1,4 1Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; 2Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; 3Cardiology Division, University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada; 4Pharmacology Department, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Background: Physical activity (PA) is recommended as adjuvant therapy to control blood pressure (BP). The effectiveness of simple recommendations is not clear. We aimed to assess the agreement between self-report of adherence to PA in clinical routine and International Physical Activity Questionnaire (IPAQ) interview and its association with BP control. Methods: A cross-sectional study was conducted with hypertensive outpatients. Adherence to recommendation to PA was assessed by the physician and IPAQ interview. A cutoff of 150 minutes/week was used to classify active or nonactive patients. High sitting time was considered >4 hours/day. A total of 127 individuals (SBP 144.9±24.4 mmHg/DBP 82.0±12.8 mmHg) were included. Results: A total of 69 subjects (54.3%) reported to be active to their physician, whereas 81 (63.8%) were classified as active by IPAQ (6.3% active in leisure time PA). Kappa test was 0.22 (95% CI, 0.06–0.37). The rate of BP control was 45.7%. There was no association with the reported PA assessed by both methods nor with sitting time. Our results demonstrated poor agreement between self-report adherence and IPAQ interview, and neither evaluation was associated with BP control. Conclusion: Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings. Keywords: blood pressure, exercise, treatment adherence, self-report, hypertension, physical activity counselinghttps://www.dovepress.com/self-reported-adherence-to-physical-activity-recommendations-compared--peer-reviewed-article-PPAblood pressurephysical activitytreatment adherenceself-reporthypertensionphysical activity counselling |
| spellingShingle | Riegel GR Martins GB Schmidt AG Rodrigues MP Nunes GS Correa Jr V Fuchs SC Fuchs FD Ribeiro PAB Moreira LB Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension Patient Preference and Adherence blood pressure physical activity treatment adherence self-report hypertension physical activity counselling |
| title | Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension |
| title_full | Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension |
| title_fullStr | Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension |
| title_full_unstemmed | Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension |
| title_short | Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension |
| title_sort | self reported adherence to physical activity recommendations compared to the ipaq interview in patients with hypertension |
| topic | blood pressure physical activity treatment adherence self-report hypertension physical activity counselling |
| url | https://www.dovepress.com/self-reported-adherence-to-physical-activity-recommendations-compared--peer-reviewed-article-PPA |
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