Abstract
The aim of the study is to determine the effects of a multidisciplinary lifestyle intervention (including a short period of physical exercise) on some health-related variables, particularly on blood pressure, in an overweight/obese adult group. The main outcome was blood pressure lowering. The study involved 378 subjects affected by obesity or type 2 diabetes. The intervention included exercise, nutrition and psychological aspects. Before and after the intervention, several anthropometrics, cardiovascular risk related measures (height, body weight, body mass index, waist circumference, body composition and WHTR index) and physical exercise measures (aerobic capacity, flexibility and dynamic muscle strength) were evaluated through fitness tests. We observed a significant reduction in: blood pressure values, body weight, BMI, waist circumference, WHTR, fat mass and an improvement of fat free mass and physical exercise measures. The C.U.R.I.A.Mo. multidisciplinary approach is effective for reducing blood pressure, after relatively few exercise sessions (three weeks), particularly in patients with hypertension. The intervention can ameliorate the health status and physical performance in the short term, in normotensive and hypertensive adult subjects with overweight/obesity.
Highlights
Physical activity is considered as one of the most important instruments for primary prevention of hypertension [1]
With regard to blood pressure (BP) data, the comparison of data between normotensive and hypertensive groups indicated that, with the exception of SBPPRE in the normotensive group, During first medical examination ambulatory BP values (DAYBP), DAYDBP, DBPPRE, DBPPOST and SBPPRE significantly decreased at T4
The average DAYSBP decrease was of 10 mmHg in the hypertensive subjects and 2.5 mmHg in the normotensive subjects, respectively
Summary
Physical activity is considered as one of the most important instruments for primary prevention of hypertension [1]. Physical exercise can cause an acute increase in both metabolic activity and systolic BP (SBP), while the diastolic BP (DBP) values lower slightly or are unchanged [5]. Taylor [8] has suggested that in older sedentary men with stage 1 or 2 hypertension, the reduction in BP load from an acute exercise bout of just 45 minutes is immediately apparent and can persist for 24 hours. This phenomenon occurs through adjustments in the neuro-humoral mechanisms and could have an important clinical impact on cardiovascular health
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