Vol.:(0123456789) 1 3
Sport Sciences for Health
https://doi.org/10.1007/s11332-019-00609-2
ORIGINAL ARTICLE
Physical activity and supervised exercise among hypertensives
and normotensives: status and barriers
Dulce Esteves
1
· Paulo Duarte
2
· Paulo Pinheiro
2
· Rui Brás
1
· Ricardo Gouveia Rodrigues
2
· Ana Gouveia
3
·
Kelly O’Hara
1
Received: 18 July 2019 / Accepted: 14 November 2019
© Springer-Verlag Italia S.r.l., part of Springer Nature 2019
Abstract
Purpose Physical activity (PA) is considered central to hypertension prevention and management. The main purpose of this
article is to compare supervised exercise (SE) patterns among hypertensive and normotensive Portuguese adults.
Methods A total of 966 participants aged between 15 and 90 years old (mean 41.9; SD 19.5) were surveyed face-to-face in
public places across Portugal. Participants were considered hypertensives (n = 144) if they have systolic and diastolic blood
pressure higher than 160 and 90 mmHg or report taking antihypertensive medication. PA was assessed using the International
Physical Activity Questionnaire (IPAQ). Descriptive statistics, Chi-square test for associations and t test for independent
samples were used to analyze data.
Results Hypertensive individuals show a higher prevalence of sedentary lifestyle than normotensive (31% vs 20%). About
40% of hypertensive patients have a high level of physical activity. Several signifcant diferences were found between hyper-
tensives and normotensives regarding the causes for non-participation, information sources and motivation to participate.
For infrastructures, only the quality of the equipment (p = 0.032), innovative activities (p = 0.027), and the opportunity to
socialize (p = 0.000) are capable of diferentiating the two groups.
Conclusions This study shows the prevalence of sedentary behavior among the hypertensive population. Hypertensives
and normotensive behavior reveal diferent patterns on the barriers, sources of information, and perception regarding the
structures. Service providers seem incapable to make hypertensives aware of the risks associated with PA and the benefts
associated with SE. More information is needed to make hypertensives aware of the benefts of SE programs.
Keywords Hypertension · Health · Physical activity · Supervised exercise · Program attendance promotion · Promotion ·
Information sources · Sports health
* Paulo Duarte
pduarte@ubi.pt
Dulce Esteves
desteves@ubi.pt
Paulo Pinheiro
pgp@ubi.pt
Rui Brás
rmmb@ubi.pt
Ricardo Gouveia Rodrigues
rjagr@ubi.pt
Ana Gouveia
agouveia@ubi.pt
Kelly O’Hara
ohara@ubi.pt
1
Universidade da Beira Interior, Research Center
in Sports Sciences, Health Sciences and Human
Development (CIDESD), Rua Marquês d’Ávila e Bolama,
6201-001 Covilhã, Portugal
2
Research Unit in Business Sciences (NECE), Universidade
da Beira Interior, Rua Marquês d’Ávila e Bolama,
6201-001 Covilhã, Portugal
3
Instituto de Biofísica e Engenharia Biomédica, Faculdade de
Ciências, Universidade da Beira Interior, Universidade de
Lisboa, Rua Marquês d’Ávila e Bolama, 6201-001 Covilhã,
Portugal