Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension

• Published in: Patient preference and adherence Vol. 13; pp. 209 - 214
• Main Authors: Riegel, Glaube R, Martins, Giulia B, Schmidt, Afonso G, Rodrigues, Marcela P, Nunes, Gerson S, Correa, Jr, Vicente, Fuchs, Sandra C, Fuchs, Flavio D, Ribeiro, Paula Ab, Moreira, Leila B
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2019; Taylor & Francis Ltd; Dove Medical Press
• Subjects: Aerobics; Blood pressure; Cardiovascular disease; Care and treatment; Comparative analysis; Diabetes; Exercise; Health aspects; Health surveys; Hospitals; Hypertension; Meta-analysis; Original Research; Patient compliance; Patients; physical activity; physical activity counselling; Physical fitness; Questionnaires; Self report; Surveys; Systematic review; treatment adherence; Womens health; Brazil; Rio Grande do Sul Brazil; blood pressure; exercise; self-report; treatment adherence; hypertension; physical activity counseling
• ISSN: 1177-889X; 1177-889X
• DOI: 10.2147/PPA.S185519

Physical activity (PA) is recommended as adjuvant therapy to control blood pressure (BP). The effectiveness of simple recommendations is not clear. We aimed to assess the agreement between self-report of adherence to PA in clinical routine and International Physical Activity Questionnaire (IPAQ) interview and its association with BP control. A cross-sectional study was conducted with hypertensive outpatients. Adherence to recommendation to PA was assessed by the physician and IPAQ interview. A cutoff of 150 minutes/week was used to classify active or nonactive patients. High sitting time was considered >4 hours/day. A total of 127 individuals (SBP 144.9±24.4 mmHg/DBP 82.0±12.8 mmHg) were included. A total of 69 subjects (54.3%) reported to be active to their physician, whereas 81 (63.8%) were classified as active by IPAQ (6.3% active in leisure time PA). Kappa test was 0.22 (95% CI, 0.06-0.37). The rate of BP control was 45.7%. There was no association with the reported PA assessed by both methods nor with sitting time. Our results demonstrated poor agreement between self-report adherence and IPAQ interview, and neither evaluation was associated with BP control. Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings.