Effects of daily walking on office, home and 24-h blood pressure in hypertensive patients
Effects of daily walking on office, home and 24-h blood pressure in hypertensive patients
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DOI：
10.3109/10641963.2015.1013115
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发表时间：
2015-01-01
影响因子：
12.3
通讯作者：
Nakamura, Satoko
中科院分区：
文献类型：
--
作者：
Ohta, Yuko;Kawano, Yuhei;Nakamura, Satoko
有氧运动已被推荐用于高血压的治疗。然而，很少有研究探讨步行对动态血压（BP）的影响，也没有研究采用家庭BP监测。我们调查了高血压患者每天步行对办公室、家庭和24小时动态血压的影响。采用随机交叉设计，对65例治疗或未治疗的原发性高血压患者（39例女性和26例男性，60 ± 9岁）进行了检查。患者每天步行30-60 min，达到10000步/d，持续4周，并维持日常活动4周。每天记录步行步数和家庭血压。在每个阶段结束时测量办公室和动态血压，并采集血液和尿液样本。对照期和步行期的平均步数分别为5349 ± 2267/d和10049 ± 3403/d。体重和尿钠排泄量没有变化。办公室、家庭和步行期间的24小时血压比对照期间低2.6 +/- 9.4/1.3 +/- 4.9mmHg（p
Aerobic exercise has been recommended in the management of hypertension. However, few studies have examined the effect of walking on ambulatory blood pressure (BP), and no studies have employed home BP monitoring. We investigated the effects of daily walking on office, home, and 24-h ambulatory BP in hypertensive patients. Sixty-five treated or untreated patients with essential hypertension (39 women and 26 men, 60 +/- 9 years) were examined in a randomized cross-over design. The patients were asked to take a daily walk of 30-60 min to achieve 10 000 steps/d for 4 weeks, and to maintain usual activities for another 4 weeks. The number of steps taken and home BP were recorded everyday. Measurement of office and ambulatory BP, and sampling of blood and urine were performed at the end of each period. The average number of steps were 5349 +/- 2267/d and 10 049 +/- 3403/d in the control and walking period, respectively. Body weight and urinary sodium excretion did not change. Office, home, and 24-h BP in the walking period were lower compared to the control period by 2.6 +/- 9.4/1.3 +/- 4.9mmHg (p