The effectiveness of long-term controlled therapeutic physical exercises in the combi-nation therapy of patients with hypertension and overweight
DOI: https://doi.org/10.29296/25877305-2021-08-14
Issue:
8
Year:
2021
Objective. To evaluate the impact of long-term outpatient controlled therapeutic physical exercises
(TPE) on the parameters of 24-hour blood pressure (BP) monitoring (24-h BPM), the state of target organs,
and metabolic indices of the body structure in hypertensive patients. Subjects and methods. The
investigation involved 164 women who were divided into 3 groups: 1) 42 normotensive women (a control group);
2) 62 hypertensive women; 3) 60 women with hypertension and abdominal obesity. All the examined groups
underwent the following tests: 24-h BPM on a BPLab device (manufactured by the OOO “Petr Telegin”, Russia);
assessment of the metabolic indices of the body structure; study of the elastic properties of the vascular
wall by using sphygmography on a VaSera VS-1000 Series device (Fukuda Denshi, Japan) with an estima-tion of
pulse wave velocity in the right and left elastic arteries; and laboratory blood tests for the levels of sex
hormones (estrogen, progesterone, testosterone) on the IMMULITE 1000 analyzer (Siemens Diagnostics, USA). An
adapted TPE procedure was used in hypertensive patients for 12 months. Results. Twelve-month long-term
controlled TPE optimally controls the achievement and maintenance of the target levels of 24-h BPM
indicators (systolic and diastolic BP), and also pro-vides a reduction in visceral fat area, mass, and
volume in the hypertension group. Conclusion. Long-term outpatient TPE forms a strong motivation for
conscious control of the patients’ health status and contributes to the maintenance of the main parameters
of 24-h BPM at the target level. Optimization of the metabolic indices of the body structure in menopausal
pa-tients with hypertension requires an additional consideration of their hormonal profile.
Keywords:
cardiology
hypertension
metabolic indices
long-term therapeutic physical exercises
References:
- Chazova I.E. Arterial'naja gipertonija v svete sovremennyh rekomendatsij. Ter arh. 2018; 9: 4–7 [Chazova I.E. Hypertension in the light of current recommendations. Ther arch. 2018; 9: 4–7 (in Russ.)]. DOI: 10.26442/terarkh20189094-7
- Panteleeva L.R., Starodubtsev A.K., Maksimov M.L. i dr. Sovremennye podhody k ratsional'nomu lecheniju arterial'noj gipertenzii. RMZh. 2015; 15: 866 [Panteleeva L.R., Starodubtsev A.K., Maksimov M.L. et al. Modern approaches to the rational treatment of hypertension. RMJ. 2015; 15: 866 (in Russ.)].
- Ostroumova O.D., Kochetkov A.I., Kopchenov I.I. i dr. Arterial'naja gipertonija v sochetanii s izbytochnoj massoj tela i ozhireniem. Vozmozhnosti kombinatsii amlodipina i lizinoprila. Ratsional'naja farmakoterapija v kardiologii. 2017; 13 (5): 693–8 [Ostroumova O.D., Kochetkov A.I., Kopchenov I.I. et al. Arterial hypertension in combination with overweight and obesity. Possibilities of a combination of amlodipine and Lisinopril. Rational pharmacotherapy in cardiology. 2017; 13 (5): 693–8 (in Russ.)]. DOI: 10.20996/1819-6446-2017-13-5-693-698
- Agranovich N.V., Anopchenko A.S., Knysheva S.A. Vlijanie LFK na gemodinamicheskie pokazateli pozhilyh patsientov s arterial'noj gipertenziej. Kurortnaja meditsina. 2016; 4: 59–63 [Agranovich N.V., Anopchenko A.S., Knysheva S.A. The influence of exercise therapy on the hemodynamic parameters of elderly patients with arterial hypertension. Kurortnaya meditsina. 2016; 4: 59–63 (in Russ.)].
- Vjalova M.O., Sokolov I.M., Shmojlova A.S. i dr. Arterial'naja gipertenzija pri zanjatijah fizkul'turoj i sportom u lits srednego i pozhilogo vozrasta. Kardiovaskuljarnaja terapija i profilaktika. 2020; 19 (1): 5–10 [Vyalova M.O., Sokolov I.M., Shmoylova A.S. et al. Hypertension in people in middle and late adulthood during sports and physical training. Cardiovascular Therapy and Prevention. 2020; 19 (1): 5–10 (in Russ.)]. DOI: 10.15829/1728-8800-2019-2213
- Kil'debekova R.N., Dmitriev A.V., Ishakova E.R. Fizicheskaja reabilitatsija v ambulatornyh uslovijah u bol'nyh s arterial'noj gipertoniej. Kardiologija i serdechno-sosudistaja hirurgija. 2014; 7 (3): 37–9 [Kil’debekova R.N., Dmitriev A.V., Iskhakov E.R. Physical rehabilitation in patients with hypertension on outpatient basis. Kardiologiya i Serdechno-Sosudistaya Khirurgiya. 2014; 7 (3): 37–9 (in Russ.)].
- Avdeeva K.S., Petelina T.I., Gapon L.I. i dr. Osobennosti arterial'noj gipertonii u zhenschin s abdominal'nym ozhireniem v postmenopauze: rol' markerov vospalitel'noj reaktsii, leptina i zhenskih polovyh gormonov v patogeneze regidnosti sosudistoj stenki. Sibirskij zhurnal klinicheskoj i eksperimental'noj meditsiny. 2019; 34 (3): 103–13 [Avdeeva K.S., Petelina T.I., Gapon L.I. et al. Features of arterial hypertension in postmenopausal women with abdominal obesity: The role of inflammatory response markers, leptin, and female sex hormones in the pathogenesis of vascular wall stiffness. The Siberian Journal of Clinical and Experimental Medicine. 2019; 34 (3): 103–13 (in Russ.)]. DOI: 10.29001/2073-8552-2019-34-3-103-113