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

• Main Authors: Riegel GR, Martins GB, Schmidt AG, Rodrigues MP, Nunes GS, Correa Jr V, Fuchs SC, Fuchs FD, Ribeiro PAB, Moreira LB
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-01-01
• Series: Patient Preference and Adherence
• Subjects: blood pressure; physical activity; treatment adherence; self-report; hypertension; physical activity counselling
• Online Access: https://www.dovepress.com/self-reported-adherence-to-physical-activity-recommendations-compared--peer-reviewed-article-PPA

Glaube R Riegel,1 Giulia B Martins,1 Afonso G Schmidt,1 Marcela P Rodrigues,1 Gerson S Nunes,2 Vicente Correa Jr,1,2 Sandra C Fuchs,1 Flavio D Fuchs,1,2 Paula AB Ribeiro,1,3 Leila B Moreira1,4 1Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; 2Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil; 3Cardiology Division, University of Montreal Hospital Research Centre (CRCHUM), Montréal, QC, Canada; 4Pharmacology Department, Instituto de Ciências Básicas da Saúde (ICBS), Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil Background: 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. Methods: 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. Results: 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. Conclusion: Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings. Keywords: blood pressure, exercise, treatment adherence, self-report, hypertension, physical activity counseling