Background: Hypertension (HTN) is the main cause of cardiovascular diseases
accounting for one-third of global mortality. Physical exercise reduces the incidence and prevalence
of HTN and cardiovascular morbidity and mortality. Exercises recommended for hypertensive patients
include supervised cardiac rehabilitation, which occurs in rehabilitation centers, and partly
supervised rehabilitation, with the individual prescription of exercises conducted at patients’ residences.
Objective: Compare clinical and functional parameters of hypertensive patients subjected to two
cardiac rehabilitation protocols: supervised and partly supervised.
Method: Hypertensive patients stage I or II were randomly divided into group one (G1) (partly
supervised cardiac rehabilitation) and group two (G2) (supervised cardiac rehabilitation). All patients
performed a warm-up, aerobic exercise, strength training and cool-down. Participants’ assessments
conducted before and after intervention included: physical examination, six-minute walk
test, cardiac stress test, metabolic tests, and central and peripheral blood pressure measurements.
Results: A total of 61 patients (mean age 60.3±11.3 years, 78.7% women) were randomized (30 in
G1 and 31 in G2). At the end of the intervention, G1 increased 30.6 meters (p=0.004) and G2 increased
55.0 meters (p>0.001) the distance covered in the six-minute walk test. G2 showed an increase
in the maximum oxygen consumption from 24.7±8.6 mlO2/Kg/min to 28.4±7.5 mlO2/Kg/min
(p=0.003). Compliance with the intervention was similar in G1 and G2 (77.5±11% x 82±10%;
Conclusion: Participants from both groups improved their physical fitness and showed satisfactory
compliance and tolerability to the interventions. The supervised exercise was more effective in improving
muscle strength and some physical fitness parameters.