Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension

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) int...

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Bibliographic Details
Published in:Patient preference and adherence 2019-01, Vol.13, p.209-214
Main Authors: Riegel, Glaube R, Martins, Giulia B, Schmidt, Afonso G, Rodrigues, Marcela P, Nunes, Gerson S, Correa, Jr, Vicente, Fuchs, Sandra C, Fuchs, Flavio D, Ribeiro, Paula Ab, Moreira, Leila B
Format: Article
Language:English
Subjects:
Aerobics
Blood pressure
Cardiovascular disease
Care and treatment
Comparative analysis
Diabetes
Exercise
Health aspects
Health surveys
Hospitals
Hypertension
Meta-analysis
Original Research
Patient compliance
Patients
physical activity
physical activity counselling
Physical fitness
Questionnaires
Self report
Surveys
Systematic review
treatment adherence
Womens health
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Summary: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. 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. 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. Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings.
ISSN:1177-889X
1177-889X
DOI:10.2147/PPA.S185519