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Associations of Lifestyle Intervention Effect with Blood Pressure and Physical Activity among Community-Dwelling Older Americans with Hypertension in Southern California

Author

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  • Mei-Lan Chen

    (Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA
    Gerontology Institute, Georgia State University, Atlanta, GA 30303, USA)

  • Jie Hu

    (College of Nursing, The Ohio State University, Columbus, OH 43210, USA)

  • Thomas P. McCoy

    (School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA)

  • Susan Letvak

    (School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA)

  • Luba Ivanov

    (College of Nursing, Chamberlain University, Downers Grove, IL 60515, USA)

Abstract

A healthy lifestyle and regular physical activity are highly recommended for older adults. However, there has been limited research into testing lifestyle intervention effects on physical activity in older adults with hypertension. The purpose of this study was to assess the association of lifestyle intervention effects with physical activity and blood pressure in older adults with hypertension, accounting for social support and perceived stress as control variables. This study performed a secondary analysis of a two-arm randomized controlled trial. A total of 196 participants were randomly assigned to a six-month lifestyle intervention group or a control group. Hierarchical multiple regression analyses demonstrated that lifestyle intervention effects were not significantly associated with improvements in physical activity and blood pressure, but the final regression models were statistically significant (all p < 0.001). The result revealed that only physical activity frequency at baseline was significantly related to improvement in physical activity. Systolic blood pressure (SBP) at baseline and monthly income were significantly associated with change in SBP, while age and diastolic blood pressure (DBP) at baseline were significantly related to change in DBP. The findings provide empirical evidence for developing and optimizing lifestyle interventions for future research and clinical practice in this population.

Suggested Citation

  • Mei-Lan Chen & Jie Hu & Thomas P. McCoy & Susan Letvak & Luba Ivanov, 2020. "Associations of Lifestyle Intervention Effect with Blood Pressure and Physical Activity among Community-Dwelling Older Americans with Hypertension in Southern California," IJERPH, MDPI, vol. 17(16), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5673-:d:395101
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    References listed on IDEAS

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    1. Aihua Lin & Guanrong Zhang & Zhiting Liu & Jing Gu & Weiqing Chen & Futian Luo, 2014. "Community-Based Lifestyle Intervention for Reducing Blood Pressure and Glucose among Middle-Aged and Older Adults in China: A Pilot Study," IJERPH, MDPI, vol. 11(11), pages 1-19, November.
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    Cited by:

    1. Yi-Pin Wang & Kuo-Wei Tseng & Meng-Hui Lin & Mei-Wun Tsai, 2021. "Factors Related to Blood Pressure Response after Community-Based Exercise Program in the Elderly Population," IJERPH, MDPI, vol. 18(6), pages 1-14, March.

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