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Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients

Background: Treatment of high blood pressure is a combination of lifestyle changes and medications, and appropriateexercise therapy is recommended as one of the lifestyle-related changes. Recently, stretching, a low-intensity exercise, was reported to be antihypertensive and effective for improving...

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Autores principales: Yamada, Etsuko, Sakai, Sayuri, Uchiyama, Mieko, Abeywickrama, Hansani M., Inoue, Masanori, Maeda, Kazuo, Kikuchi, Yuko, Omatsu, Kentaro, Koyama, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9149945/
https://www.ncbi.nlm.nih.gov/pubmed/35645313
http://dx.doi.org/10.3390/clinpract12030036
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author Yamada, Etsuko
Sakai, Sayuri
Uchiyama, Mieko
Abeywickrama, Hansani M.
Inoue, Masanori
Maeda, Kazuo
Kikuchi, Yuko
Omatsu, Kentaro
Koyama, Yu
author_facet Yamada, Etsuko
Sakai, Sayuri
Uchiyama, Mieko
Abeywickrama, Hansani M.
Inoue, Masanori
Maeda, Kazuo
Kikuchi, Yuko
Omatsu, Kentaro
Koyama, Yu
author_sort Yamada, Etsuko
collection PubMed
description Background: Treatment of high blood pressure is a combination of lifestyle changes and medications, and appropriateexercise therapy is recommended as one of the lifestyle-related changes. Recently, stretching, a low-intensity exercise, was reported to be antihypertensive and effective for improving arteriosclerosis, in addition to aerobic exercise. The present study investigated the short-term effects of continuous stretching and rest-induced rebound on vascular endothelial function in hypertensive patients. Methods: This study was conducted as a single-arm prospective interventional study including patients between 30 and 70 years of age undergoing treatment for hypertension from October 2019 until May 2021. The intervention consisted of six months of daily stretching, one month of rest, and another three months of stretching. We measured arteriosclerosis indices such as cardio ankle vascular index (CAVI), ankle brachial pressure index (ABI) and reactive hyperemia index (RHI), and flexibility at the baseline and one, three, six, seven, and ten months from the baseline. Results: We included a total of ten patients (three males and seven females) with an average age of 60.10 ± 6.05 years. The exercise rate for the entire period was 90% or more, and the anteflexion measurement value improved significantly before and after the intervention (p < 0.001). Blood pressure and CAVI/ABI were well controlled throughout the study period. RHI did not show any significant improvement during the initial six months, and only slightly improved by the third month (p = 0.063). Even after the rest phase and resumption of stretching, RHI remained stable. Conclusions: The compliance of the stretching program we used, evaluated by the exercise implementation rate for the entire period, was 90% or more; therefore, easy to perform and continue by hypertensive patients. However, we did not observe a significant positive effect on arteriosclerosis index or blood pressure in this study.
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spelling pubmed-91499452022-05-31 Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients Yamada, Etsuko Sakai, Sayuri Uchiyama, Mieko Abeywickrama, Hansani M. Inoue, Masanori Maeda, Kazuo Kikuchi, Yuko Omatsu, Kentaro Koyama, Yu Clin Pract Article Background: Treatment of high blood pressure is a combination of lifestyle changes and medications, and appropriateexercise therapy is recommended as one of the lifestyle-related changes. Recently, stretching, a low-intensity exercise, was reported to be antihypertensive and effective for improving arteriosclerosis, in addition to aerobic exercise. The present study investigated the short-term effects of continuous stretching and rest-induced rebound on vascular endothelial function in hypertensive patients. Methods: This study was conducted as a single-arm prospective interventional study including patients between 30 and 70 years of age undergoing treatment for hypertension from October 2019 until May 2021. The intervention consisted of six months of daily stretching, one month of rest, and another three months of stretching. We measured arteriosclerosis indices such as cardio ankle vascular index (CAVI), ankle brachial pressure index (ABI) and reactive hyperemia index (RHI), and flexibility at the baseline and one, three, six, seven, and ten months from the baseline. Results: We included a total of ten patients (three males and seven females) with an average age of 60.10 ± 6.05 years. The exercise rate for the entire period was 90% or more, and the anteflexion measurement value improved significantly before and after the intervention (p < 0.001). Blood pressure and CAVI/ABI were well controlled throughout the study period. RHI did not show any significant improvement during the initial six months, and only slightly improved by the third month (p = 0.063). Even after the rest phase and resumption of stretching, RHI remained stable. Conclusions: The compliance of the stretching program we used, evaluated by the exercise implementation rate for the entire period, was 90% or more; therefore, easy to perform and continue by hypertensive patients. However, we did not observe a significant positive effect on arteriosclerosis index or blood pressure in this study. MDPI 2022-05-09 /pmc/articles/PMC9149945/ /pubmed/35645313 http://dx.doi.org/10.3390/clinpract12030036 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yamada, Etsuko
Sakai, Sayuri
Uchiyama, Mieko
Abeywickrama, Hansani M.
Inoue, Masanori
Maeda, Kazuo
Kikuchi, Yuko
Omatsu, Kentaro
Koyama, Yu
Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title_full Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title_fullStr Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title_full_unstemmed Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title_short Compliance of Static Stretching and the Effect on Blood Pressure and Arteriosclerosis Index in Hypertensive Patients
title_sort compliance of static stretching and the effect on blood pressure and arteriosclerosis index in hypertensive patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9149945/
https://www.ncbi.nlm.nih.gov/pubmed/35645313
http://dx.doi.org/10.3390/clinpract12030036
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