The Effects of Physical Activity Duration，Sleep Quality，and Weight Control on Patient-Reported Outcomes in Hypertensive Patients

Ru ZHANG; Yajing ZHAO; Wen ZHANG; Shunding TANG; Han WANG; Xiaoqing ZHANG

Article Contents

Article Navigation > Journal of Kunming Medical University > 2024 >

Ru ZHANG, Yajing ZHAO, Wen ZHANG, Shunding TANG, Han WANG, Xiaoqing ZHANG. The Effects of Physical Activity Duration，Sleep Quality，and Weight Control on Patient-Reported Outcomes in Hypertensive Patients[J]. Journal of Kunming Medical University.

Citation:

PDF( 642 KB)

The Effects of Physical Activity Duration，Sleep Quality，and Weight Control on Patient-Reported Outcomes in Hypertensive Patients

1.
School of Public Health，Kunming Medical University，Kunming Yunnan 650500
2.
Hypertension Department，Fuwai Yunnan Cardiovascular Disease Hospital，Kunming Yunnan 650032
3.
ICU，Fuwai Yunnan Cardiovascular Disease Hospital，Kunming Yunnan 650032
4.
Yunnan Centre for Disease Control and Prevention，Kunming Yunnan 650022，China

Received Date: 2024-08-13

Abstract

Abstract

Objective To investigate the correlation between physical activity duration, sleep quality, weight control, and PRO（patient- reported outcomes） in individuals with hypertension, providing effective information for enhancing patient-reported outcomes in this population. Methods A total of 625 hypertensive patients were randomly selected from four counties in Yunnan Province from April to June 2020 to participate in a field survey. The questionnaire included patients' basic information, lifestyle, health status and the PRO Scale for Hypertension-PROISCD-HY （V1.0）. Statistical analyses including t-tests, one-way ANOVA, and multivariate linear regression were conducted to investigate the relationships between physical activity duration, sleep quality, weight control, and PRO, with the Bootstrap method used to examine potential mediating effects. Results After adjusting for potential covariates, the multiple linear regression model indicated a significant association between a physical activity duration of ≥2 hours with PRO[B = 6.551, 95%CI（2.611, 10.491）]. Stratified analysis showed that this association was only present among males, females, and younger adults, but not in older adults. Additionally, a positive correlation was found between good sleep quality and PRO[B = 1.870, 95%CI（0.449, 3.291）], with this association being consistent across all populations after stratification. Patients who managed their condition through exercise and diet had higher PRO scores[B = 1.904, 95%CI（0.383, 3.424）], while those controlling weight through diet and other methods exhibited a decrease in PRO scores[B = -4.873, 95%CI（-7.860, -1.887）; B = -7.105, 95%CI（-12.211, -1.999）], with variations among different groups. The bootstrap method revealed that physical activity duration had both direct and indirect effects on PRO, with sleep quality acting as a partial mediator between physical activity duration and PRO. Conclusion A Physical activity duration of at least 2 hours, good sleep quality, and weight control have been shown to improve PRO in individuals with hypertension.
- Hypertension,
- Patient-reported outcomes,
- Multiple linear regression,
- Bootstrap

FullText(HTML)

References(35)

References

[1]	Desai A N. High Blood Pressure[J]. JAMA,2020,324(12):1254-1255. doi: 10.1001/jama.2020.11289
[2]	Li Z,Cao L M,Zhou Z Y,et al. Factors influencing the progression from prehypertension to hypertension among Chinese middle-aged and older adults: A 2-year longitudinal study[J]. BMC Public Health,2023,23(1):339-339. doi: 10.1186/s12889-022-14410-3
[3]	Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims: draft guidance [J]. Health and Quality of Life Outcomes,2006,4 (1): 79.
[4]	厉柯轩,蔡媛媛,谢舒,等. 我国患者报告结局研究热点分析[J]. 中华护理教育,2023,20(9):1113-1118.
[5]	史钊,窦蕾,李顺平. 国内外患者报告结局的应用现状与研究进展[J]. 中国全科医学,2023,26(4):401-408.
[6]	彭丽霞,张勇. 高血压患者报告结局的研究现状[J]. 保健医学研究与实践,2021,18(1):100-104. doi: 10.11986/j.issn.1673-873X.2021.01.023
[7]	李明哲,田一川,王成龙,等. 身体活动和睡眠对中老年人腰背痛的独立和联合影响研究[J]. 中国全科医学,2024,27(23):2869-2874.
[8]	Zhou L L,Feng W,Xiang N,et al. Association between physical activity dimensions and the risk of hypertension among middle and older adults: A cross-sectional study in China[J]. Frontiers in Public Health,2022,10:995755. doi: 10.3389/fpubh.2022.995755
[9]	Byambasukh O,Snieder H,Corpeleijn E. Relation Between Leisure Time,Commuting,and Occupational Physical Activity With Blood Pressure in 125 402 Adults: The Lifelines Cohort[J]. Journal of the American Heart Association,2020,9(4):e014313. doi: 10.1161/JAHA.119.014313
[10]	Koh Y S,Asharani P V,Devi F,et al. Benefits of leisure-related physical activity and association between sedentary time and risk for hypertension and type 2 diabetes[J]. Annals of the Academy of Medicine,Singapore,2023,52(4):172-181.
[11]	唐顺定. 高血压患者报告的临床结局研究及MCID制定 [D]. 昆明: 昆明医科大学,2021.
[12]	中国高血压防治指南(2018年修订版) [J]. 中国心血管杂志,2019,24(1): 24-56.
[13]	Tofighi B,Abrantes A,Stein M D. The Role of Technology-Based Interventions for Substance Use Disorders in Primary Care: A Review of the Literature[J]. Med Clin North Am,2018,102(4):715-731. doi: 10.1016/j.mcna.2018.02.011
[14]	Patel M L,Hopkins C M,Brooks T L,et al. Comparing Self-Monitoring Strategies for Weight Loss in a Smartphone App: Randomized Controlled Trial[J]. JMIR Mhealth Uhealth,2019,7(2):e12209. doi: 10.2196/12209
[15]	Payne Riches S,Piernas C,Aveyard P,et al. A Mobile Health Salt Reduction Intervention for People With Hypertension: Results of a Feasibility Randomized Controlled Trial[J]. JMIR Mhealth Uhealth,2021,9(10):e26233. doi: 10.2196/26233
[16]	唐顺定,万崇华,宋莹,等. 高血压患者报告的临床结局测定量表的应用考评[J]. 昆明医科大学学报,2022,43(3):60-66.
[17]	许珊,张书迎,谢文涵,等. 生活方式与心血管代谢性共病发生发展轨迹的关联研究[J]. 现代预防医学,2024,51(12):2113-2120.
[18]	Hiroshi K,Tatsuhiko A,Ayano T,et al. Features of and preventive measures against hypertension in the young[J]. Hypertension Research,2019,42(7):935-948. doi: 10.1038/s41440-019-0229-3
[19]	Andi A,Edi P,Lukman N. The Correlation between Body Mass Index,Physical Activity and Blood Pressure with Quality of Life in Elderly Hypertension[J]. Formosa Journal of Science and Technology,2023,2(5):1191-1214. doi: 10.55927/fjst.v2i5.4021
[20]	Eliana R M,Beatriz N. Physical activity and its relationship with health-related quality of life in type II diabetics[J]. Exercise and Quality of Life,2022,14(2):5-12. doi: 10.31382/eqol.221201
[21]	唐颖,覃玲玉,吕高名,等. 基于行为改变整合理论的健康教育对老年高血压患者血压控制及生命质量的影响[J]. 河北医药,2024,46(21):3346-3349.
[22]	罗晓梅. 宁夏吴忠扁担沟镇高血压患者的控制率及相关影响因素分析 [D]. 吴忠: 宁夏医科大学,2021.
[23]	Neto O L ,Tavares O D D V ,Nascimento D P A Â,et al. Analysis of the Levels of Physical Activity in the Quality of Life of Elderly Patients With Hypertension [J]. Global Journal of Health Science,2020,12 (4): 138.
[24]	Wu W W,Wang W R,Gu Y H,et al. Sleep quality,sleep duration,and their association with hypertension prevalence among low-income oldest-old in a rural area of China: A population-based study [J]. Journal of Psychosomatic Research,2019,127 109848.
[25]	张艳平. 观察老年高血压患者睡眠时间及睡眠质量与血压变异性的相关性[J]. 世界睡眠医学杂志,2022,9(5):833-835. doi: 10.3969/j.issn.2095-7130.2022.05.017
[26]	孙尧,郑明明,程燕. 高龄高血压患者血压达标情况及影响因素分析[J]. 中国循证心血管医学杂志,2016,8(4):448-450.
[27]	Thalia W,Andriana K D. Poor sleep quality in post menopause woman[J]. Science Midwifery,2023,11(1):76-84. doi: 10.35335/midwifery.v11i1.1197
[28]	Izabella U,Karolina H. M,Bartosz U,et al. The relationship between sleep disturbances and quality of life in elderly patients with hypertension [J]. Clinical Interventions in Aging,2019,Volume 14 (0): 155-165.
[29]	王洪丹. 老年人睡眠、体力活动对健康的影响研究 [D]. 吉林: 吉林大学,2023.
[30]	Barbagelata-Aguero F,Vizcarra-Escobar D. Quality of life is impaired among older adults with obstructive sleep apnea hypopnea syndrome despite disease severity[J]. Sleep Medicine,2013,14(S1):e300-e300.
[31]	Hossein S,Amir S. Sleep-Related Breathing Disorders and Quality of Life[J]. Sleep Medicine Clinics,2006,1(4):519-525. doi: 10.1016/j.jsmc.2006.10.003
[32]	Signal T L,Gale J,Gander P H. Sleep measurement in flight crew: comparing actigraphic and subjective estimates to polysomnography[J]. Aviation,Space,and Environmental Medicine,2005,76(11):1058-1063.
[33]	Lauderdale D S,Knutson K L,Yan L L,et al. Self-reported and measured sleep duration: how similar are they?[J]. Epidemiology (Cambridge,Mass. ),2008,19(6):838-845. doi: 10.1097/EDE.0b013e318187a7b0
[34]	郑柳燕,徐兴燕,蔡莹莹,等. 福州市社区居民睡眠特征与正常高值血压的关系[J]. 中华高血压杂志,2023,31(3):264-272.
[35]	张莉,郭奕瑞,杨艳,等. 健康体检人群运动与睡眠质量的关系[J]. 江苏医药,2022,48(1):56-60.

Relative Articles(20)

Relative Articles

[1]	Yuqin LIU, Mingying YANG, Liufang WANG, Siya XIA, Danna LI, Xijuan ZHAO, Ya WANG. Development of a Patient-reported Outcome Scale For Bladder Cancer and Test of Reliability and Validity. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20240727
[2]	Qiuju MIAO, Yuanling CHEN, Na LUO, Xin SHI, Ruiyu LI, Ting SONG, Ying CHEN. Evaluation of Patient-Reported Outcome Scale for Chronic Gastritis based on SEM Model. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20240406
[3]	Manyu XIAO, Mingying YANG, Jihua TAO, Siya XIA, Tingrui MENG, Fan JIANG, Lirui YU. Current Status and Factors Influencing PROMIS Informational Support among Ostomy Patients. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20230915
[4]	Yanqin RUAN, Maojuan LI, Limei HE, Ying SONG, Qiaoyun HUANG, Ying CHEN, Chang LIU. Screening of Special Abnormal Module Items in PRO Scale for Patients with Inflammatory Bowel Disease.. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20220310
[5]	Song LI, Juan CHEN, Chaogang ZHU, Daoli XIE, Hongxue GUAN, Lingyun RAN. Effect of 5 g Salt Reduction Based on Peer Education in Self-management of Elderly Hypertensive Patients in the Community. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20221009
[6]	Liu LI, Yaru WANG, Di ZHANG, Qincong CHEN, Ming WANG, Shuo WANG. Application of Gene Detection for Individualized Medication for Hypertension in Patients with Grade 3 Hypertension. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20220430
[7]	Shunding TANG, Chonghua WAN, Ying SONG, Li DENG, Han WANG, Changwei SU, Xiaoqing ZHANG. Evaluation and Application of the Patients Reported Outcomes Measurement Scale for Hypertension. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20220312
[8]	Xin-tian LONG, Jie CHEN, Yong MAO, Xiu-qing WANG, Shuang-yan LU, Hui-jie PU, Jia ZHOU, Cheng-huan SUN, Song-mei WANG, Ai-fang YE. Detection Rate and Determinants of Hypertension among Seniors in Anning City. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20211210
[9]	Hai-ping ZHANG, Shu-juan YANG, Li-xia YANG, Zhao-juan RUAN, Rui-wei GUO. Effect of Hyperhomocysteinemia on Cardiac Function and Mortality of Patients with Acute Myocardial Infarction Concomitant Hypertension underwent Primary Percutaneous Coronary Intervention after 6 Months. Journal of Kunming Medical University, doi: 10.12259/j.issn.2095-610X.S20210319
[10]	Zhao Xiao Li , Yue Wei Wei , Miao Wen Qing , Qian Jing , Zhu Dan , Li Sui Wen , Yang Yue Lin , Li Hai Sheng , Hu Da Chun . . Journal of Kunming Medical University,
[11]	Zhang Li Qiong , Cai Le , Zhang Hong Qing , Cui Wen Long , Liu Ying Nan , Shen Jing Rong , He Lian Ju . . Journal of Kunming Medical University,
[12]	Sun Cheng Huan , Zhou Jia , Mao Yong , Luo Jia Hong , Chu Tian Shu , Lai Chun Mi , Qi Bing Xian , Zhang Qing . The Awareness, Treatment and Control of Hypertension and Its Determinants in the Elderly Hypertensive Patients of Dean Nationality: A Multilevel Model Analysis. Journal of Kunming Medical University,
[13]	Chen Xiao Hong , Wang Zhuo , Ma Ting , Ma Run , Li Mei Ling , Zhou Tao . . Journal of Kunming Medical University,
[14]	Li Wen Hong . . Journal of Kunming Medical University,
[15]	Qu Qi Cai . . Journal of Kunming Medical University,
[16]	Zhang Ti Ling . . Journal of Kunming Medical University,
[17]	Li Hong Fei . . Journal of Kunming Medical University,
[18]	Pang Xing Mei . . Journal of Kunming Medical University,
[19]	Yang Zheng . . Journal of Kunming Medical University,
[20]	Hao Ying Lu . . Journal of Kunming Medical University,