Association between flexibility activity and blood-pressure change among older adults in Japan: A 5-year longitudinal study.
cohort
hypertension
physical activity
strength training
stretching
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
07
04
2023
received:
31
10
2022
accepted:
24
04
2023
medline:
11
7
2023
pubmed:
11
5
2023
entrez:
11
5
2023
Statut:
ppublish
Résumé
This longitudinal study examined the relationship between flexibility-activity and blood-pressure (BP) change among older adults in Japan. Our study included 452 older adults who took part in our survey in both 2012/2013 and 2017/2018. The seated systolic blood pressure (SBP) and diastolic BP (DBP) were measured both at baseline and at the 5 years follow-up. The frequencies of the different physical activities at baseline were assessed using a questionnaire. A generalized linear mixed model was used to estimate the non-standardized coefficient (B) of BP change associated with flexibility activity, after adjustments for sex, age, body mass index, smoking status, alcohol consumption, antihypertensive medication use, history of heart disease, walking time, and muscle-strengthening activity as a fixed-effect, and area of residence as a random-effect. Higher flexibility-activity frequency was significantly associated with reduced SBP (B = -0.77 [95% confidence intervals = -1.36, -0.18], p for linear trend = 0.01, p for quadratic trend = 0.85) and DBP (-0.33 [-0.71, 0.05], p for linear trend = 0.09, p for quadratic trend = 0.04). Engaging in flexibility activity for 3 days per week was significantly associated with a reduction in DBP (B = -4.16, 95% CI [-7.53, -0.79], p = 0.02) compared with that in the reference group (0 days per week). Interaction tests were not significant between basic variables (sex, age, BMI, and antihypertensive medication) and flexibility. In conclusion, higher flexibility activity frequency was associated with a reduction in BP in older adults. Future longitudinal and interventional studies should examine the effects of flexibility activity on cardiovascular disease prevention.
Substances chimiques
Antihypertensive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1552-1559Subventions
Organisme : Japan Society for the Promotion of Science
Informations de copyright
© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Yusuf S, Joseph P, Rangarajan S, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet. 2020;395:795-808.
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. 2021;398:957-980. (National Council on Disability. RisC).
NCD Risk Factor Collaboration (NCD-RisC). Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys. Lancet. 2019;394:639-651. (National Council on Disability. RisC).
Ministry of Health, Labour and Welfare of Japan. The National Health and Nutrition Survey in Japan. 2019. Accessed May 6, 2023. https://www.mhlw.go.jp/content/000711007.pdf (Japanese)
Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension. 2020;75:1334-1357.
Umemura S, Arima H, Arima S, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertens Res. 2019;42:1235-1481.
American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. 11th ed. Walters Kluwer; 2021.
World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. World Health Organization; 2020.
Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54:1451-1462.
Kato M, Nihei Green F, Hotta K, et al. The efficacy of stretching exercises on arterial stiffness in middle-aged and older adults: a meta-analysis of randomized and non-randomized controlled trials. Int J Environ Res Public Health. 2020;17:5643.
Wong A, Figueroa A. Eight weeks of stretching training reduces aortic wave reflection magnitude and blood pressure in obese postmenopausal women. J Hum Hypertens. 2014;28:246-250.
Ko J, Deprez D, Shaw K, et al. Stretching is superior to brisk walking for reducing blood pressure in people with high-normal blood pressure or stage I hypertension. J Phys Act Health. 2021;18:21-28.
Gando Y, Sawada SS, Momma H, et al. Body flexibility and incident hypertension: the Niigata wellness study. Scand J Med Sci Sports. 2021;31:702-709.
Ministry of Health. Labor and welfare. Specific Health Checkups and Specific Health Guidance 2013.
The Japanese Society of Cardiovascular Disease Prevention. The Handbook of Cardiovascular Disease Prevention. 7th ed, vols 12-5 (Japanese). HOKENDOHJINSHA Inc; 2014.
Kamada M, Kitayuguchi J, Inoue S, et al. A community-wide campaign to promote physical activity in middle-aged and elderly people: a cluster randomized controlled trial. Int J Behav Nutr Phys Act. 2013;10:44.
Kamada M, Kitayuguchi J, Abe T, et al. Community-wide promotion of physical activity in middle-aged and older Japanese: a 3-year evaluation of a cluster randomized trial. Int J Behav Nutr Phys Act. 2015;12:82.
Kamada M, Kitayuguchi J, Shiwaku K, Inoue S, Okada S, Mutoh Y. Differences in association of walking for recreation and for transport with maximum walking speed in an elderly Japanese community population. J Phys Act Health. 2011;8:841-847.
Donath C, Grässel E, Baier D, Pfeiffer C, Bleich S, Hillemacher T. Predictors of binge drinking in adolescents: ultimate and distal factors - a representative study. BMC Public Health. 2012;12:263.
Yamada E, Sakai S, Uchiyama M, et al. Compliance of static stretching and the effect on blood pressure and arteriosclerosis index in hypertensive patients. Clin Pract. 2022;12:306-317.
Caspersen CJ, Pereira MA, Curran KM. Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc. 2000;32:1601-1609.
Sandler RD, Sui X, Church TS, Fritz SL, Beattie PF, Blair SN. Are flexibility and muscle-strengthening activities associated with a higher risk of developing low back pain? J Sci Med Sport. 2014;17:361-365.
Wang YY, Chen YH, Guo DJ, Lin CC, Wang WK. The benefit of stretching along the artery. 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE; 2008:2451-2452.
Hotta K, Kamiya K, Shimizu R, et al. Stretching exercise improves vascular endothelial function and peripheral circulation in patients with ischemic heart disease. Eur Heart J. 2010;31:382.
Shinno H, Kurose S, Yamanaka Y, et al. Evaluation of a static stretching intervention on vascular endothelial function and arterial stiffness. Eur J Sport Sci. 2017;17:586-592.
Sparrenberger F, Cichelero FT, Ascoli AM, et al. Does psychosocial stress cause hypertension? A systematic review of observational studies. J Hum Hypertens. 2009;23:12-19.
Brotman DJ, Golden SH, Wittstein IS. The cardiovascular toll of stress. Lancet. 2007;370:1089-1100.
Corey SM, Epel E, Schembri M, et al. Effect of restorative yoga vs. stretching on diurnal cortisol dynamics and psychosocial outcomes in individuals with the metabolic syndrome: the PRYSMS randomized controlled trial. Psychoneuroendocrinology. 2014;49:260-271.
Eda N, Ito H, Shimizu K, Suzuki S, Lee E, Akama T. Yoga stretching for improving salivary immune function and mental stress in middle-aged and older adults. J Women Aging. 2018;30:227-241.
Kamada M, Kitayuguchi J, Abe T, et al. Community-wide intervention and population-level physical activity: a 5-year cluster randomized trial. Int J Epidemiol. 2018;47:642-653.