The Effect of Elderly Exercise on Blood Pressure Among Older Adults with Hypertension: A Quasi-Experimental Study
Keywords:
Elderly Exercise, Hypertension, Blood Pressure, Older Adults, Quasi-Experimental StudyAbstract
Background: Hypertension is one of the leading causes of cardiovascular morbidity and mortality among older adults worldwide. Regular physical activity, including elderly exercise, has been recommended as an effective non-pharmacological intervention to improve blood pressure control. However, evidence regarding the effectiveness of structured elderly exercise programs among hypertensive older adults in Buton Regency, Southeast Sulawesi, remains limited.
Research Objective: This study aimed to determine the effect of an elderly exercise program on blood pressure among older adults with hypertension using a quasi-experimental design.
Methods: A quasi-experimental one-group pretest–posttest study was conducted involving 32 older adults with hypertension selected through purposive sampling. Participants attended structured elderly exercise sessions three times per week for four weeks, with each session lasting 30–40 minutes. Blood pressure was measured before and after the intervention using a calibrated digital sphygmomanometer. Data were analyzed using descriptive statistics, the Shapiro–Wilk normality test, and the paired-samples t-test with a significance level of p < 0.05.
Results: The mean systolic blood pressure decreased from 154.8 ± 9.7 mmHg before the intervention to 144.2 ± 8.5 mmHg after the intervention, while the mean diastolic blood pressure decreased from 94.6 ± 6.4 mmHg to 87.8 ± 5.5 mmHg. The paired-samples t-test demonstrated statistically significant reductions in both systolic and diastolic blood pressure after the elderly exercise program (p < 0.001).
Conclusion: The elderly exercise program effectively reduced blood pressure among older adults with hypertension. Integrating structured elderly exercise into routine community health services may enhance hypertension management and promote healthy aging.
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Billis, A., Pandria, N., Mouratoglou, S.-A., Konstantinidis, E., & Bamidis, P. (2020). Development of Cognitive and Physical Exercise Systems, Clinical Recordings, Large-Scale Data Analytics, and Virtual Coaching for Heart Failure Patients: Protocol for the BioTechCOACH-ForALL Project. JMIR Research Protocols, 9(5). https://doi.org/https://doi.org/10.2196/17714
Brauner, P., & Ziefle, M. (2020). Serious Motion-Based Exercise Games for Older Adults: Evaluation of Usability, Performance, and Pain Mitigation. JMIR Serious Games, 8(2). https://doi.org/https://doi.org/10.2196/14182
Carrijo, V. H. V, Amaral, A. L., Mariano, I. M., de Souza, T. C. F., Batista, J. P., de Oliveira, E. P., & Puga, G. M. (2021). Beetroot juice intake with different amounts of nitrate does not change aerobic exercise-mediated responses in heart rate variability in hypertensive postmenopausal women: A randomized, crossover and double-blind study. Journal of Exercise Science & Fitness, 19(2), 104–110. https://doi.org/https://doi.org/10.1016/j.jesf.2020.12.001
Chowdhury, E. K., Berk, M., Nelson, M. R., Wing, L. M. H., & Reid, C. M. (2019). Association of depression with mortality in an elderly treated hypertensive population. International Psychogeriatrics, 31(3), 371–381. https://doi.org/https://doi.org/10.1017/S1041610218000856
Cordeiro, R., Mira, P. A., Monteiro, W., Cunha, F., Laterza, M. C., Pescatello, L. S., Martinez, D. G., & Farinatti, P. (2021). Hemodynamics and cardiac autonomic modulation after an acute concurrent exercise circuit in older individuals with pre- to established hypertension. Clinics, 76, e1971. https://doi.org/https://doi.org/10.6061/clinics/2021/e1971
Fraenkel, L., Pack, Q., Drager, L., Patel, J., Pontier, P., & Lindenauer, P. K. (2023). Stepped care versus center-based cardiopulmonary rehabilitation for older frail adults living in rural MA: Design of a feasibility randomized controlled trial. Contemporary Clinical Trials Communications, 33, 101147. https://doi.org/https://doi.org/10.1016/j.conctc.2023.101147
Hoai Thuong, C. N., Thuan, T. T., Xuan Hanh, V. T., Anh Tuan, H. N., & Dang, T. N. (2022). Factors associated to treatment adherence in elderly people with hypertension: A cross-sectional study in Ho Chi Minh city. Clinical Epidemiology and Global Health, 16, 101099. https://doi.org/https://doi.org/10.1016/j.cegh.2022.101099
Hyodo, K., Kidokoro, T., Yamaguchi, D., Iida, M., Watanabe, Y., Ueno, A., Noda, T., Kawahara, K., Nishida, S., Kai, Y., & Arao, T. (2023). Feasibility, Safety, Enjoyment, and System Usability of Web-Based Aerobic Dance Exercise Program in Older Adults: Single-Arm Pilot Study. JMIR Aging, 6. https://doi.org/https://doi.org/10.2196/39898
Ibrahim, A., Mat Ludin, A. F., Shahar, S., Hamzah, N. H., Chin, A.-V., & Singh, D. K. A. (2023). Association between maximal oxygen consumption and physical performance tests among older adults with cognitive frailty. Experimental Gerontology, 184, 112326. https://doi.org/https://doi.org/10.1016/j.exger.2023.112326
Izquierdo, M., Merchant, R. A., Morley, J. E., Anker, S. D., Aprahamian, I., Arai, H., Aubertin-Leheudre, M., Bernabei, R., Cadore, E. L., Cesari, M., Chen, L.-K., de Souto Barreto, P., Duque, G., Ferrucci, L., Fielding, R. A., García-Hermoso, A., Gutiérrez-Robledo, L. M., Harridge, S. D. R., Kirk, B., … Singh, M. F. (2021). International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. The Journal of Nutrition, Health and Aging, 25(7), 824–853. https://doi.org/https://doi.org/10.1007/s12603-021-1665-8
Larkey, L. K., James, T., Han, S., & James, D. L. (2023). Pilot study of Qigong/Tai Chi Easy acute effects of meditative movement, breath focus and “flow” on blood pressure, mood and oxytocin in older adults. Complementary Therapies in Medicine, 72, 102918. https://doi.org/https://doi.org/10.1016/j.ctim.2023.102918
Li, F. D., Tong, Z. D., Chang, Y., Li, K. F., Gu, X., Zhang, T., & Lin, J. (2022). Eggs Consumption in Relation to Lower Risk of Cognitive Impairment in Elderly: Findings from a 6-Year Cohort Study. The Journal of Nutrition, Health and Aging, 26(8), 771–777. https://doi.org/https://doi.org/10.1007/s12603-022-1810-z
Maniyara, K., Kodali, P. B., & Thankappan, K. R. (2023). Prevalence, awareness, treatment, control and correlates of prevalence and control of hypertension among older adults in Kerala: A mixed methods study. Indian Heart Journal, 75(3), 185–189. https://doi.org/https://doi.org/10.1016/j.ihj.2023.03.004
Niu, Z., Duan, Z., Wei, J., Wang, F., Han, D., Zhang, K., Jing, Y., Wen, W., Qin, W., & Yang, X. (2022). Associations of long-term exposure to ambient ozone with hypertension, blood pressure, and the mediation effects of body mass index: A national cross-sectional study of middle-aged and older adults in China. Ecotoxicology and Environmental Safety, 242, 113901. https://doi.org/https://doi.org/10.1016/j.ecoenv.2022.113901
Parent-Roberge, H., Fontvieille, A., Maréchal, R., Wagner, R., Fülöp, T., Pavic, M., & Riesco, E. (2020). Effects of combined exercise training on the inflammatory profile of older cancer patients treated with systemic therapy. Brain, Behavior, & Immunity - Health, 2, 100016. https://doi.org/https://doi.org/10.1016/j.bbih.2019.100016
Patel, K. V, Saha, A., Ayers, C. R., Rohatgi, A., Berry, J. D., Almandoz, J. P., Johannsen, N. M., deFilippi, C., Church, T. S., de Lemos, J. A., & Pandey, A. (2023). Exercise Training, Cardiac Biomarkers, and Cardiorespiratory Fitness in Type 2 Diabetes: The HART-D Study. JACC: Advances, 2(1), 100174. https://doi.org/https://doi.org/10.1016/j.jacadv.2022.100174
Poirier, P., Bastien, M., Auclair, A., Nadreau, É., Clavel, M.-A., Pibarot, P., Bagur, R., Forman, D. E., & Rodès-Cabau, J. (2021). The Physiological Burden of the 6-Minute Walk Test Compared With Cardiopulmonary Exercise Stress Test in Patients With Severe Aortic Stenosis. CJC Open, 3(6), 769–777. https://doi.org/https://doi.org/10.1016/j.cjco.2021.02.003
Portes, J., Bullón, B., Gallardo, I., Fernandez-Riejos, P., Quiles, J. L., Giampieri, F., & Bullón, P. (2023). Prevalence of undiagnosed diabetes and prediabetes related to periodontitis and its risk factors in elderly individuals. Journal of Dentistry, 132, 104480. https://doi.org/https://doi.org/10.1016/j.jdent.2023.104480
Prasertsri, P., Singsanan, S., Chonanant, C., Boonla, O., & Trongtosak, P. (2019). Effects of arm swing exercise training on cardiac autonomic modulation, cardiovascular risk factors, and electrolytes in persons aged 60–80 years with prehypertension: A randomized controlled trial. Journal of Exercise Science & Fitness, 17(2), 47–54. https://doi.org/https://doi.org/10.1016/j.jesf.2018.11.002
Ran, J., Zhang, Y., Han, L., Sun, S., Zhao, S., Shen, C., Zhang, X., Chan, K.-P., Lee, R. S., Qiu, Y., & Tian, L. (2021). The joint association of physical activity and fine particulate matter exposure with incident dementia in elderly Hong Kong residents. Environment International, 156, 106645. https://doi.org/https://doi.org/10.1016/j.envint.2021.106645
Romero-García, M., López-Rodríguez, G., Henao-Morán, S., González-Unzaga, M., & Galván, M. (2021). Effect of a Multicomponent Exercise Program (VIVIFRAIL) on Functional Capacity in Elderly Ambulatory: A Non-Randomized Clinical Trial in Mexican Women with Dynapenia. The Journal of Nutrition, Health and Aging, 25(2), 148–154. https://doi.org/https://doi.org/10.1007/s12603-020-1548-4
Rozenberg, D., Santa Mina, D., Nourouzpour, S., Camacho Perez, E., Stewart, B. L., Wickerson, L., Tsien, C., Selzner, N., Shore, J., Aversa, M., Woo, M., Holdsworth, S., Prevost, K., Park, J., Azhie, A., Huszti, E., McLeod, E., Dales, S., & Bhat, M. (2022). Feasibility of a Home-Based Exercise Program for Managing Posttransplant Metabolic Syndrome in Lung and Liver Transplant Recipients: Protocol for a Pilot Randomized Controlled Trial. JMIR Research Protocols, 11(3). https://doi.org/https://doi.org/10.2196/35700
Ruangthai, R., & Phoemsapthawee, J. (2019). Combined exercise training improves blood pressure and antioxidant capacity in elderly individuals with hypertension. Journal of Exercise Science & Fitness, 17(2), 67–76. https://doi.org/https://doi.org/10.1016/j.jesf.2019.03.001
Sheshadri, A., Lai, M., Hsu, F.-C., Bauer, S. R., Chen, S.-H., Tse, W., Jotwani, V., Tranah, G. J., Lai, J. C., Hallan, S., Fielding, R. A., Liu, C., Ix, J. H., Coca, S. G., & Shlipak, M. G. (2023). Structured Moderate Exercise and Biomarkers of Kidney Health in Sedentary Older Adults: The Lifestyle Interventions and Independence for Elders Randomized Clinical Trial. Kidney Medicine, 5(11), 100721. https://doi.org/https://doi.org/10.1016/j.xkme.2023.100721
Takahashi, M., & Kinoshita, Y. (2023). A Study on Risk Assessment Approach for the Elderly Based on Sarcopenia Criteria. Procedia Computer Science, 225, 1524–1532. https://doi.org/https://doi.org/10.1016/j.procs.2023.10.141
Welford, P., Östh, J., Hoy, S., Diwan, V., & Hallgren, M. (2022). Effects of yoga and aerobic exercise on wellbeing in physically inactive older adults: Randomized controlled trial (FitForAge). Complementary Therapies in Medicine, 66, 102815. https://doi.org/https://doi.org/10.1016/j.ctim.2022.102815
Yang, J., Xuan, L., Markovic, V., Zakaly, H. M. H., Ivanov, D. S., Bai, C., & Huang, R. (2023). Associations between exposure to brominated flame retardants with cognitive function in U.S. older adults: A cross-sectional study of NHANES from 2011 to 2012. Emerging Contaminants, 9(4), 100259. https://doi.org/https://doi.org/10.1016/j.emcon.2023.100259
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