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Blood pressure circadian pattern and physical exercise assessment by accelerometer and 7-day physical activity recall scale.

Abstract：

BACKGROUND:The relationship between regular physical activity, measured objectively and by self-report, and the circadian pattern of 24-hour ambulatory arterial blood pressure (BP) has not been clarified. METHODS:We performed a cross-sectional study in a cohort of healthy patients. We included 1,345 patients from the EVIDENT study (mean age 55 ± 14 years; 59.3% women). Physical activity was assessed using the 7-day physical activity recall (PAR) questionnaire (metabolic equivalents (MET)/hour/week) and the Actigraph GT3X accelerometer (counts/minute) for 7 days; ambulatory arterial BP was measured with a radial tonometer (B-pro device). RESULTS:The dipper-pattern patients showed a higher level of activity than nondipper patients, as assessed by accelerometer and 7-day PAR. Physical activity measures correlated positively with the percent drop in systolic BP (SBP; ρ = 0.19 to 0.11; P < 0.01) and negatively with the systolic and diastolic sleep to wake ratios (ρ = -0.10 to -0.18; P < 0.01) and heart rate (ρ = -0.13; P < 0.01). In logistic regression, considering the circadian pattern (1, dipper; 0, nondipper) as the dependent variable, the odds ratio of the third tertile of counts/minute was 1.79 (95% confidence interval [CI], 1.35-2.38; P < 0.01) and of MET/hour/week was 1.33 (95% CI, 1.01-1.75; P = 0.04) after adjustment for confounding variables. CONCLUSIONS:Physical activity, as evaluated by both the accelerometer and the 7-day PAR, was associated with a more marked nocturnal BP dip and, accordingly, a lower SBP and diastolic BP sleep to wake ratio. CLINICAL TRIAL REGISTRATION:Clinical Trials.gov Identifier: NCT01083082.

journal_name

Am J Hypertens

journal_title

American journal of hypertension

authors

García-Ortiz L,Recio-Rodríguez JI,Puig-Ribera A,Lema-Bartolomé J,Ibáñez-Jalón E,González-Viejo N,Guenaga-Saenz N,Agudo-Conde C,Patino-Alonso MC,Gomez-Marcos MA,EVIDENT Group.

doi

10.1093/ajh/hpt159

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

665-73

issue

eissn

0895-7061

issn

1941-7225

pii

hpt159

journal_volume

pub_type

杂志文章,多中心研究

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Blood pressure circadian pattern and physical exercise assessment by accelerometer and 7-day physical activity recall scale.