Comparison Between Supervised and Partly Supervised Cardiac Rehabilitation Protocols in Hypertensive Patients: A Randomized Controlled Trial

Title:Comparison Between Supervised and Partly Supervised Cardiac Rehabilitation Protocols in Hypertensive Patients: A Randomized Controlled Trial

Volume: 14 Issue: 2

Author(s): Larissa Barreto Parreira, Priscila Valverde de Oliveira Vitorino*, Paulo Cesar Brandao Veiga Jardim, Ana Luiza Lima Sousa, Thiago Veiga Jardim, Watila de Moura Sousa, Alberto Fernando Oliveira Justo and Weimar Kunz Sebba Barroso

Affiliation:

• School of Social Sciences and Health, Pontificial Catholic University of Goias (PUC Goiás), Goias,Brazil

Keywords: Hypertension. exercise. rehabilitation. physical exercise. partly supervised exercise. cardiac rehabilitation.

Abstract: 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%; p=0.654).

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.

Cite this article as:

Parreira Barreto Larissa , de Oliveira Vitorino Valverde Priscila *, Jardim Cesar Brandao Veiga Paulo , Sousa Luiza Lima Ana , Jardim Veiga Thiago , de Moura Sousa Watila , Justo Fernando Oliveira Alberto and Barroso Kunz Sebba Weimar , Comparison Between Supervised and Partly Supervised Cardiac Rehabilitation Protocols in Hypertensive Patients: A Randomized Controlled Trial, Current Hypertension Reviews 2018; 14 (2) . https://dx.doi.org/10.2174/1573402114666180413121016