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Ann Cardiol Angeiol (Paris). 2015 Jun;64(3):205-9. doi: 10.1016/j.ancard.2015.04.011. Epub 2015 Jun 3.

[Physical activity level and home blood pressure measurement: Pilot study "Acti-HTA"].

[Article in French]

Author information

1
Centre médico-sportif Mon Stade, 5, rue Elsa-Morante, 75013 Paris, France; Laboratoire MOVE (EA6314), université de Poitiers, 8, allée Jean-Monnet, 86000 Poitiers, France; Centre de diagnostic, Hôtel-Dieu, AP-HP, 1, parvis Notre-Dame, 75004 Paris, France. Electronic address: philippe.sosner@univ-poitiers.fr.
2
Service de néphrologie, centre hospitalier d'Haguenau, 64, avenue Pr-Leriche, 67500 Haguenau, France.
3
Service de médecine interne, hôpital Tenon, AP-HP, 4, rue Chine, 75020 Paris, France.
4
Service de néphrologie-dialyse, centre hospitalier Métropole Savoie, place Lucien-Biset, 73011 Chambéry, France.
5
Service de néphrologie, CHU de Strasbourg, 1, place Hôpital, 67000 Strasbourg, France.
6
Service de néphrologie, centre hospitalier de Valence, 179, avenue Maréchal-Juin, 26000 Valence, France.
7
Service de cardiologie, CHU de Poitiers, 2, rue Milétrie, 86021 Poitiers, France.
8
Service de cardiologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
9
Service de néphrologie, centre hospitalier de Saint-Nazaire, 11, boulevard Georges-Charpak, 44606 Saint-Nazaire, France.
10
Service de cardiologie, groupe hospitalier Mutualiste, 8, rue Dr-Calmette, 38000 Grenoble, France.
11
Faculté de médecine et de pharmacie, université de Poitiers, 6, rue Milétrie, 86000 Poitiers, France.
12
Médecine physique et réadaptation, hôpital Rangueil, CHU de Toulouse, 1, avenue Pr-Jean-Poulhès, 31059 Toulouse, France.
13
Pôle rééducation-réadaptation, CHU de Dijon, 23, rue Gaffarel, 21000 Dijon, France; Inserm U1093 « cognition, action, et plasticité sensorimotrice », 21078 Dijon, France.
14
Service de médecine interne, CHU Avicenne, AP-HP, 125, rue Stalingrad, 93000 Bobigny, France.

Abstract

While physical activity (PA) is recommended for high blood pressure management, the level of PA practice of hypertensive patients remains unclear. We aimed to assess the association between the level of both PA and blood pressure of individuals consulting in 9 hypertension specialist centres. Eighty-five hypertensive patients were included (59 ± 14 years, 61% men, 12% smokers, 29% with diabetes). Following their consultation, they performed home blood pressure measurement (HBPM) over 7 days (2 in the morning+2 in the evening), they wrote in a dedicated form their daily activities to estimate the additional caloric expenditure using Acti-MET device (built from International physical Activity Questionnaire [IPAQ]). Thus, patients completed a self-administered questionnaire "score of Dijon" (distinguishing active subjects with a score>20/30, from sedentary<10/30). Subjects with normal HBPM value (<135/85 mm Hg) (55% of them) compared to those with high HBPM were older, had a non-significant trend towards higher weekly caloric expenditure (4959 ± 5045 kcal/week vs. 4048 ± 4199 kcal/week, P=0.3755) and score of Dijon (19.44 ± 5.81 vs. 18.00 ± 4.32, P=0.2094) with a higher proportion of "active" subjects (48.9% vs. 34.2%, P=0.1773). In conclusion, our results demonstrate a "tendency" to a higher level of reported PA for subjects whose hypertension was controlled. This encourages us to continue with a study that would include more subjects, which would assess PA level using an objective method such as wearing an accelerometer sensor.

KEYWORDS:

Activité physique; Automesure tensionnelle; Caloric expenditure; Dépense énergétique; High blood pressure; Home blood pressure measurement; Hypertension; Hypertension artérielle; Physical activity

PMID:
26047874
DOI:
10.1016/j.ancard.2015.04.011
[Indexed for MEDLINE]

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