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

Authors Riegel GR, Martins GB, Schmidt AG, Rodrigues MP, Nunes GS, Correa Jr V, Fuchs SC, Fuchs FD, Ribeiro PAB, Moreira LB

Received 28 August 2018

Accepted for publication 8 November 2018

Published 23 January 2019 Volume 2019:13 Pages 209—214

DOI https://doi.org/10.2147/PPA.S185519

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Glaube R Riegel,1 Giulia B Martins,1 Afonso G Schmidt,1 Marcela P Rodrigues,1 Gerson S Nunes,2 Vicente Correa Jr,1,2 Sandra C Fuchs,1 Flavio D Fuchs,1,2 Paula AB Ribeiro,1,3 Leila B Moreira1,4

1Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; 2Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; 3Cardiology Division, University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada; 4Pharmacology Department, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

Background: 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.
Methods: 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.
Results: 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.
Conclusion: Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings.

Keywords: blood pressure, exercise, treatment adherence, self-report, hypertension, physical activity counseling

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