Associação entre atividade  física e uso de medicamentos  em hipertensos do Sistema Único de Saúde

Guilherme Tadeu de Barcelos; Marina Christofoletti; Isabel Heberle; Aline Mendes Gerage; Jucemar Benedet

doi:10.5585/conssaude.v18n2.11175

Authors

Guilherme Tadeu de Barcelos Universidade Federal de Santa Catarina https://orcid.org/0000-0003-1356-1213
Marina Christofoletti Universidade Federal de Santa Catarina https://orcid.org/0000-0002-5672-6869
Isabel Heberle Universidade Federal de Santa Catarina https://orcid.org/0000-0001-6407-7777
Aline Mendes Gerage Universidade Federal de Santa Catarina https://orcid.org/0000-0002-0555-5422
Jucemar Benedet Universidade Federal de Santa Catarina https://orcid.org/0000-0002-2058-6040

DOI:

https://doi.org/10.5585/conssaude.v18n2.11175

Keywords:

Hypertension, Exercise, Drug therapy

Abstract

Introduction: The development of hypertension is associated with an unhealthy lifestyle, and its treatment consists of changes in lifestyle and the use of pharmacological remedies. However, the use of the latter in high doses causes health problems, while the regular practice of physical activities (PA) has a beneficial effect in the control of arterial pressure. Objective: To find correlations between PA indicators and the use of antihypertensive drugs in users of the Unified Health System. Methods: Participants were hypertensive adults, aged ≥40 years, who reside in Florianópolis and are users of Basic Health Units. Participants were queried on the amount of medication used and the level of PA practiced. Results: A total of 112 participants were interviewed (64 ± 0.85 years). A significant correlation between drug use and the practice of PA was identified only in the elderly. Conclusion: Regular practice of PA with a higher weekly volume seems to be related to the lower use of antihypertensive medications in the elderly.

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References

Sociedade Brasileira de Cardiologia, Sociedade Brasileira de Hipertensão, Sociedade Brasileira de Nefrologia. VII Diretriz Brasileira de Hipertensão Arterial. Rio de Janeiro: SBC – Tecnologia da Informação e Comunicação; 2016.

Bundchen DC, Schenkel I C, Santos RZ, Carvalho T. Exercício físico controla pressão arterial e melhora qualidade de vida. Rev Bras Med Esporte. 2013;19(2):91-5.

Malachias MVB, Gomes MAM, Nobre F, Alessi A, Feitosa AD, Coelho EB. 7th Brazilian guideline of arterial hypertension: chapter 2-Diagnosis and classification. Arq Bras Cardiol. 2016;107(3):7-13.

Malta DC, Bernal RTI, Andrade SSCA, Silva MMA, Melendez GV. Prevalence of and factors associated with self-reported high blood pressure in Brazilian adults. Rev Saúde Pública. 2017;51(1):1-10.

European Society of Cardiology, European Society of Hypertension. 2018 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC).Oxford: Eur Heart J; 2018.

Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association hypertension guideline. Annals of Internal Medicine. 2018;168(5):351-8.

Souza, ACCD, Borges, JWP, Moreira, TMM. Quality of life and treatment adherence in hypertensive patients: systematic review with meta-analysis. Rev Saúde Pública. 2016;50(71):1-14.

Vamvakis A, Gkaliagkousi E, Triantafyllou A, Gavriilaki E, Douma S. Beneficial effects of nonpharmacological interventions in the management of essential hypertension. JRSM Cardiovasc Dis. 2017;6(1):16.

Bueno DR, Marucci MDFN, Gobbo LA, Almeida-Roediger M, de Oliveira Duarte YA, Lebrão, ML. Expenditures of medicine use in hypertensive/diabetic elderly and physical activity and engagement in walking: cross secctional analysis of SABE Survey. BMC Geriatr. 2017;17(70):2-8.

Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc. 2013;2(1):e004473.

Börjesson M, Onerup A, Lundqvist S, Dahlöf B. Physical activity and exercise lower blood pressure in individuals with hypertension: narrative review of 27 RCTs. Br J Sports Med. 2016;50(6):356-61.

Santos RZ, Bundchen DC, Amboni R, Santos MB, Ghisi GLM, Herdy AH et al. Treinamento aeróbio intenso promove redução da pressão arterial em hipertensos. Rev Bras Med Esporte. 2015;21(4):292-6.

Guimarães FC, Amorim PS, Reis FF, Teixeira RB, Moura TA, Assis CL et al. Efeito do exercício resistido, executado em diferentes horas do dia na pressão arterial de idosos hipertensos. R Bras Ci e Mov. 2018;26(1):94-104.

Nascimento LS, Santos AC, Lucena JMS, Silva LGO, Almeida AEM, Brasileiro-Santos MS. Acute and chronic effects of aerobic exercise on blood pressure in resistant hypertension: study protocol for a randomized controlled trial. Trials. 2017;18(250):2-8.

Huang G, Shi X, Davis-Brezette JA, Osness WH. Resting heart rate changes after endurance training in older adults: a meta-analysis. Med Sci Sports Exerc. 2005 Aug;37(8):1381-6.

Bottcher LB, Kokubun E. Comparação dos níveis de aptidão física entre hipertensos e normotensos. Rev Bras Med Esporte. 2017;23(2):114-7.

Ministério da Saúde. Vigitel Brasil 2014: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília, DF: Ministério da Saúde; 2014.

Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (Ipaq): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fis Saúde. 2012;6(2):5-18.

Ben AJ, Neumann CR, Mengue SS. Teste de Morisky-Green e Brief Medication Questionnaire para avaliar adesão a medicamentos. Rev Saúde Pública. 2012;46(2):279-89.

Hagberg JM, Park JJ, Brown MD. The role of exercise training in the treatment of hypertension: an update. Sports Med Auckl NZ. 2000;30(3):193-206.

Sharman JE, Gerche A, Coombes J. Exercise and cardiovascular risk in patients with hypertension. Am J Hypertens. 2015;28(2):147-58.

Diaz KM, Shimbo D. Physical activity and the prevention of hypertension. Curr Hypertens Rep. 2013;15(6):659-68.

Brito Ade F, de Oliveira CV, Brasileiro-Santos Mdo S, Santos Ada C. Resistance exercise with different volumes: blood pressure response and forearm blood flow in the hypertensive elderly. Clin Interv Aging. 2014;9(1):2151-8.

Massa KHC, Antunes JLF, Lebrão ML, Duarte YAO, Chiavegatto Filho ADP. Fatores associados ao uso de anti-hipertensivos em idosos. Rev Saúde Pública. 2016;50-75.

Silva LJ da, Azevedo MR, Matsudo S, Lopes GS. Association between levels of physical activity and use of medication among older women. Cad Saúde Pública. 2012;28(3):463-71.

Lago C, Morais GL, Guarda FRB, Simões P, Farias JM. Relação do nível de atividade física habitual e consumo de medicamentos em usuários do Sistema Único de Saúde. Rev Bras Ativ Fis Saúde. 2016;21(4):373-80.

Johnson HM, Thorpe CT, Bartels CM, et al. Antihypertensive medication initiation among young adults with regular primary care use. J Gen Intern Med. 2014;29(5):723-31.

Ministério da Saúde. Estratégias para o cuidado da pessoa com doença crônica: hipertensão arterial sistêmica. Brasília, DF: Ministério da Saúde; 2013.