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Effectiveness of motivational interviewing and physical activity on prescription on leisure exercise time in subjects suffering from mild to moderate hypertension
Department of Health Sciences, Mid Sweden University, Sundsvall.
Department of Health Sciences, Mid Sweden University, Sundsvall; Husum Family Health Centre, County Council of Västernorrland, Örnsköldsvik.
Research and Development Centre, County Council of Västernorrland, Sundsvall.
Department of Surgical and Perioperative Sciences, Section of Anesthesiology and Intensive Care, Umeå University, Umeå; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm.
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2011 (English)In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 4, article id 352Article in journal (Refereed) Published
Abstract [en]

Background

Physical inactivity is considered to be the strongest individual risk factor for poor health in Sweden. It has been shown that increased physical activity can reduce hypertension and the risk of developing cardiovascular diseases. The objective of the present pilot study was to investigate whether a combination of Motivational Interviewing (MI) and Physical Activity on Prescription (PAP) would increase leisure exercise time and subsequently improve health-related variables.

Methods

This pilot study was of a repeated measures design, with a 15 months intervention in 31 patients with mild to moderate hypertension. Primary outcome parameter was leisure exercise time and secondary outcome parameters were changes in blood pressure, Body Mass Index (BMI), waist circumference, lipid status, glycosylated haemoglobin (HbA1c) and maximal oxygen uptake (VO2 max). Assessments of the outcome parameters were made at baseline and after 3, 9 and 15 months.

Results

Leisure exercise time improved significantly from < 60 min/week at baseline to a mean activity level of 300 (± 165) minutes/week at 15 months follow up. Furthermore, statistically significant improvements (p < 0.05) were observed in systolic (-14,5 ± 8.3 mmHg) and diastolic blood pressure (-5,1 ± 5.8 mmHg), heart rate (-4.9 ± 8.7 beats/min, weight (-1.2 ± 3.4 kg) BMI -0.6 ± 1.2 kg/m2), waist circumference (-3.5 ± 4.1 cm) as well as in VO2 max (2.94 ± 3.8 ml/kg and 0.23, ± 0.34 lit/min) upon intervention as compared to baseline.

Conclusions

A 15 month intervention period with MI, in combination with PAP, significantly increased leisure exercise time and improved health-related variables in hypertensive patients. This outcome warrants further research to investigate the efficacy of MI and PAP in the treatment of mild to moderate hypertension.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 4, article id 352
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-30756DOI: 10.1186/1756-0500-4-352OAI: oai:DiVA.org:hig-30756DiVA, id: diva2:1359520
Available from: 2019-10-09 Created: 2019-10-09 Last updated: 2019-10-09Bibliographically approved

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