Hypertension, metabolic equivalent task and Post – exercise hypotension
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People are becoming increasingly sedentary leading to a rise in clinical conditions such as hypertension or high blood pressure that has major impact on public health concern and social care. With higher blood pressure the heart has to pump harder and the arteries have to carry blood that is flowing under greater pressure in which can lead to an increases risk of a heart attack, heart failure, stroke or kidney damages and disease. Physical activity is considered to be an antihypertensive strategy to prevent or control of high blood pressure in the form of post exercise hypotension. Post exercise hypotension emphasis to lifestyle modification rather than a sole reliance on pharmacological therapy. It has been reported for every 1 MET increase in fitness level, mortality risk decreases by 11% in people with high blood pressure. Subsequently researched indicated an optimal health benefit can be achieved through moderate dose of exercise intensity at 3–6 METs for all adult aged 18-65 year that seems to be a well-designed strategy to prevent cardiovascular problem such as high blood pressure. However, there are few national programmes to serve as models for prevention and control of hypertension and few countries have embarked on national hypertension prevention and control programmes on the exact magnitude of moderate – intensity at 3–6 METs .The application of moderate intensity exercise based on metabolic equivalent may lead to a new approach to tackle hypertension.
- Davis AM, Press V. Easing the pressure: tackling hypertension. A toolkit for developing a local strategy to tackle high blood pressure. Faculty of Public Health and the National Heart Forum. 2005; p 4-7.
- Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005 Jan 15-21; 365(9455):217-23.
- Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA May. 2003; 289(19):2560-72.
- Franklin SS, Wilkinson IB, McEniery CM. Unusual hypertensive phenotypes: what is their significance? Hypertension. 2012 Feb; 59(2):173-8.
- Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002 Dec 14; 360(9349):1903-13.
- Stamler J, Neaton JD, Wentworth DN. Blood pressure (systolic and diastolic) and risk of fatal coronary heart disease. Hypertension. 1989 May; 13(5 Suppl):I2-12.
- Cain AE, Khalil RA. Pathophysiology of essential hypertension: role of the pump, the vessel, and the kidney. Semin Nephrol. 2002 Jan; 22(1):3-16.
- Howell SJ, Hemming AE, Allman KG, Glover L, Sear JW, Foëx P. Predictors of postoperative myocardial ischaemia. The role of intercurrent arterial hypertension and other cardiovascular risk factors. Anaesthesia .1997Feb; 52(2):107-11.
- Wareham NJ, Wong MY, Hennings S, Mitchell J, Rennie K, Cruickshank K, Day NE. Quantifying the association between habitual energy expenditure and blood pressure. Int J Epidemiol. 2000 Aug; 29(4):655-60.
- Paffenbarger RS, Wing AL, Hyde RT, Jung DL. Physical activity and incidence of hypertension in college alumni. Am J Epidemiol. 1983 Mar; 117(3):245-57.
- Halliwill JR. Mechanisms and clinical implications of post-exercise hypotension in humans. Exerc Sport Sci Rev. 2001 Apr; 29(2):65-70.
- MacDonald JR. Potential causes, mechanisms, and implications of post exercise hypotension. J Hum Hypertens. 2002 Apr; 16(4):225-36.
- Chen CY, Bonham AC. Postexercise hypotension: central mechanisms. Exerc Sport Sci Rev. 2010 Jul; 38(3):122-7.
- Jones,H., George ,K., Edwards ,B., Atkinson,G. Is the magnitude of acute post-exercise hypotension mediated by exercise intensity or total work done? Eur J Appl Physiol. 2007 Dec; 102(1):33-40.
- Shephard RJ, Balady GJ. Exercise as cardiovascular therapy. Circulation.1999Feb; 99(7):963–972.
- American College of Sports Medicine. Position stand on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exer.1998; 30: 975– 991.
- Rising R, Harper IT, Fontvielle AM, Ferraro RT, Spraul M, Ravussin E. Determinants of total daily energy expenditure: variability in physical activity. Am J Clin Nutr. 1994Apr; 59(4):800-4.
- Westerterp KR. Impacts of vigorous and non-vigorous activity on daily energy expenditure. Proc Nutr Soc. 2003Aug; 62(3):645-50.
- Jetté M, Sidney K, Blümchen G. Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin Cardiol. 1990Aug; 13(8):555-65.
- Byrne NM, Hills AP, Hunter GR, Weinsier RL, Schutz Y. Metabolic equivalent: one size does not fit all. J Appl Physiol.2005Sep; 99(3): 1112–1119.
- Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Report, 2008. Washington, DC: U.S. Department of Health and Human Services.
- Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007 Aug; 116(8): 1081–1093.
- Juraschek SP, Blaha MJ, Whelton SP, Blumenthal R, Jones SR, Keteyian SJ, Schairer J, Brawner CA, Al-Mallah MH. Physical Fitness and Hypertension in a Population at Risk for Cardiovascular Disease: The Henry Ford ExercIse Testing (FIT) Project. Journal of the American Heart Association. J Am Heart Assoc. 2014 Dec; 3(6):e001268.
- Faselis C, Doumas M, Pittaras A, Narayan P, Myers J, Tsimploulis A, Kokkinos P. Exercise Capacity and All-Cause Mortality in Male Veterans With Hypertension Aged ≥70 Years. Hypertension. 2014May; 64(12):1 30-35.
- Fagard RH. Exercise is good for your blood pressure: effects of endurance training and resistance training. Clin Exp Pharmacol Physiol. 2006 Sep; 33(9): 853–856.
- Ozemek C, Cochran HL, Strath SJ, Byun W, Kaminsky LA. Estimating relative intensity using individualized accelerometer cutpoints: the importance of fitness level. BMC Med Res Methodol. 2013 Apr 1; 13:53.
- Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exer.2011Jul; 43(7):1334-59.
- Joffres M, Falaschetti E, Gillespie C, Robitaille C, Loustalot F, Poulter NA, McAlister F, Johansen H, Baclic O, Campbell N. Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality: a cross-sectional study. BMJ. 2013Aug; 3(8): e003423.
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