Comparison of Single Versus Multiple Lifestyle Interventions: Are the Antihypertensive Effects of Exercise Training and Diet-Induced Weight Loss Additive?
Although aerobic exercise training and diet-induced weight loss each have been shown to individually lower elevated blood pressure (BP), it is currently not known whether their combined use produces an additive antihypertensive effect. In this randomized clinical trial we therefore compared the effe...
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| Veröffentlicht in: | The American journal of cardiology 1997-03, Vol.79 (6), p.763-767 |
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| description | Although aerobic exercise training and diet-induced weight loss each have been shown to individually lower elevated blood pressure (BP), it is currently not known whether their combined use produces an additive antihypertensive effect. In this randomized clinical trial we therefore compared the effect on resting BP of exercise training only and dietary modification only with that of exercise training plus dietary modification in 55 sedentary, overweight patients with high normal BP or stage 1 or 2 hypertension. After baseline testing, patients were randomized to 1 of the following 3 interventions for 12 weeks: exercise training only (aerobic exercise; 30 to 45 minutes; 3 to 5 days/week; 60% to 85% of maximal heart rate), dietary modification only (aimed primarily at weight loss via restriction of energy intake and dietary fat), or exercise training plus dietary modification. Forty-eight patients completed the study. In these patients, exercise training plus dietary modification elicited a greater reduction (p ≤0.001) in body weight (−7.1 ± 2.9 vs −1.0 ± 1.8 kg) than exercise training only, and a greater increase (p ≤0.05) in maximal oxygen uptake (4.3 ± 2.6 vs 1.9 ± 2.0 ml/kg/min) versus dietary modification only. However, the reduction in BP with exercise training plus dietary modification (−12.5 ± 6.3/7.9 ± 4.3 mm Hg) did not differ significantly from that with exercise training only (−9.9 ± 6.4/5.9 ± 4.6 mm Hg) or dietary modification only (−11.3 ± 12.1/7.5 ± 4.3 mm Hg). These data indicate that the antihypertensive effects of exercise training and diet-induced weight loss are not additive. This finding has important public health and clinical implications for the millions of overweight persons with high normal BP or stage 1 or 2 hypertension.
In patients with high normal blood pressure or stage 1 or 2 hypertension, the antihypertensive effects of aerobic exercise training and diet-induced weight loss are not additive. |
| doi_str_mv | 10.1016/S0002-9149(96)00864-8 |
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In patients with high normal blood pressure or stage 1 or 2 hypertension, the antihypertensive effects of aerobic exercise training and diet-induced weight loss are not additive.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/S0002-9149(96)00864-8</identifier><identifier>PMID: 9070555</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aerobics ; Aged ; Antihypertensives ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Determination - methods ; Blood Pressure Determination - statistics & numerical data ; Body fat ; Body weight ; Body weight loss ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Clinical trials ; Combined Modality Therapy ; Compliance ; Diaries ; Diet ; Diet, Reducing ; Dietary intake ; Energy ; Energy intake ; Ethanol ; Exercise ; Exercise Therapy ; Female ; Fitness training programs ; Food ; Heart rate ; Humans ; Hypertension ; Hypertension - physiopathology ; Hypertension - prevention & control ; Intervention ; Life Style ; Lifestyles ; Male ; Medical sciences ; Middle Aged ; Nutrition research ; Obesity ; Obesity - physiopathology ; Obesity - therapy ; Overweight ; Oxygen uptake ; Patients ; Physical fitness ; Physical training ; Public health ; Shopping centers ; Training ; Treatment Outcome ; Weight control ; Weight Loss ; Weight reduction</subject><ispartof>The American journal of cardiology, 1997-03, Vol.79 (6), p.763-767</ispartof><rights>1997 Elsevier Science Inc.</rights><rights>1997 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. Mar 15, 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-39db7a87b70666ee165a4a778515cc083802775183f34bc931c1ab940859a67c3</citedby><cites>FETCH-LOGICAL-c510t-39db7a87b70666ee165a4a778515cc083802775183f34bc931c1ab940859a67c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002914996008648$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2620373$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9070555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gordon, Neil F.</creatorcontrib><creatorcontrib>Scott, Christopher B.</creatorcontrib><creatorcontrib>Levine, Benjamin D.</creatorcontrib><title>Comparison of Single Versus Multiple Lifestyle Interventions: Are the Antihypertensive Effects of Exercise Training and Diet-Induced Weight Loss Additive?</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Although aerobic exercise training and diet-induced weight loss each have been shown to individually lower elevated blood pressure (BP), it is currently not known whether their combined use produces an additive antihypertensive effect. In this randomized clinical trial we therefore compared the effect on resting BP of exercise training only and dietary modification only with that of exercise training plus dietary modification in 55 sedentary, overweight patients with high normal BP or stage 1 or 2 hypertension. After baseline testing, patients were randomized to 1 of the following 3 interventions for 12 weeks: exercise training only (aerobic exercise; 30 to 45 minutes; 3 to 5 days/week; 60% to 85% of maximal heart rate), dietary modification only (aimed primarily at weight loss via restriction of energy intake and dietary fat), or exercise training plus dietary modification. Forty-eight patients completed the study. In these patients, exercise training plus dietary modification elicited a greater reduction (p ≤0.001) in body weight (−7.1 ± 2.9 vs −1.0 ± 1.8 kg) than exercise training only, and a greater increase (p ≤0.05) in maximal oxygen uptake (4.3 ± 2.6 vs 1.9 ± 2.0 ml/kg/min) versus dietary modification only. However, the reduction in BP with exercise training plus dietary modification (−12.5 ± 6.3/7.9 ± 4.3 mm Hg) did not differ significantly from that with exercise training only (−9.9 ± 6.4/5.9 ± 4.6 mm Hg) or dietary modification only (−11.3 ± 12.1/7.5 ± 4.3 mm Hg). These data indicate that the antihypertensive effects of exercise training and diet-induced weight loss are not additive. This finding has important public health and clinical implications for the millions of overweight persons with high normal BP or stage 1 or 2 hypertension.
In patients with high normal blood pressure or stage 1 or 2 hypertension, the antihypertensive effects of aerobic exercise training and diet-induced weight loss are not additive.</description><subject>Adult</subject><subject>Aerobics</subject><subject>Aged</subject><subject>Antihypertensives</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination - methods</subject><subject>Blood Pressure Determination - statistics & numerical data</subject><subject>Body fat</subject><subject>Body weight</subject><subject>Body weight loss</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Clinical trials</subject><subject>Combined Modality Therapy</subject><subject>Compliance</subject><subject>Diaries</subject><subject>Diet</subject><subject>Diet, Reducing</subject><subject>Dietary intake</subject><subject>Energy</subject><subject>Energy intake</subject><subject>Ethanol</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>Fitness training programs</subject><subject>Food</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - physiopathology</subject><subject>Hypertension - prevention & control</subject><subject>Intervention</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Overweight</subject><subject>Oxygen uptake</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Public health</subject><subject>Shopping centers</subject><subject>Training</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><subject>Weight reduction</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU2P0zAQhiMEWsrCT1jJAoTgELDj-IvLqioFKhVx2AWOlutMtl6lTrCdiv4Vfi3uh3pAQpzs8Tzzembeorgi-C3BhL-7wRhXpSK1eq34G4wlr0v5oJgQKVRJFKEPi8kZeVw8ifE-h4QwflFcKCwwY2xS_J71m8EEF3uP-hbdOH_XAfoOIY4RfRm75IYcL10LMe3ybeEThC345Hof36NpAJTWgKb5Yb0bICTw0W0BzdsWbIp7zfkvCNZFQLfBOJ8_QMY36IODVC58M1po0A9wd-uEln2MaNo0LmWJ66fFo9Z0EZ6dzsvi28f57exzufz6aTGbLkvLCE4lVc1KGClWAnPOAQhnpjZCSEaYtVhSiSshGJG0pfXKKkosMStVY8mU4cLSy-LVUXcI_c8xz6k3LlroOuOhH6MWUuV9C5XB53-B9_0YfO5NVxRTzjCvMvTinxCuOau5PFDsSNmQZw7Q6iG4jQk7TbDe26sP9uq9d1pxfbBXy1x3dVIfVxtozlUnP3P-5SlvojVdG4zPqz9jFa8wFTRj10cM8l63DoKO1oHPVriQbdNN7_7TyB88LcDi</recordid><startdate>19970315</startdate><enddate>19970315</enddate><creator>Gordon, Neil F.</creator><creator>Scott, Christopher B.</creator><creator>Levine, Benjamin D.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>19970315</creationdate><title>Comparison of Single Versus Multiple Lifestyle Interventions: Are the Antihypertensive Effects of Exercise Training and Diet-Induced Weight Loss Additive?</title><author>Gordon, Neil F. ; Scott, Christopher B. ; Levine, Benjamin D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-39db7a87b70666ee165a4a778515cc083802775183f34bc931c1ab940859a67c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aerobics</topic><topic>Aged</topic><topic>Antihypertensives</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination - methods</topic><topic>Blood Pressure Determination - statistics & numerical data</topic><topic>Body fat</topic><topic>Body weight</topic><topic>Body weight loss</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Clinical trials</topic><topic>Combined Modality Therapy</topic><topic>Compliance</topic><topic>Diaries</topic><topic>Diet</topic><topic>Diet, Reducing</topic><topic>Dietary intake</topic><topic>Energy</topic><topic>Energy intake</topic><topic>Ethanol</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Female</topic><topic>Fitness training programs</topic><topic>Food</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - physiopathology</topic><topic>Hypertension - prevention & control</topic><topic>Intervention</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nutrition research</topic><topic>Obesity</topic><topic>Obesity - physiopathology</topic><topic>Obesity - therapy</topic><topic>Overweight</topic><topic>Oxygen uptake</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Public health</topic><topic>Shopping centers</topic><topic>Training</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><topic>Weight reduction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gordon, Neil F.</creatorcontrib><creatorcontrib>Scott, Christopher B.</creatorcontrib><creatorcontrib>Levine, Benjamin D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gordon, Neil F.</au><au>Scott, Christopher B.</au><au>Levine, Benjamin D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Single Versus Multiple Lifestyle Interventions: Are the Antihypertensive Effects of Exercise Training and Diet-Induced Weight Loss Additive?</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1997-03-15</date><risdate>1997</risdate><volume>79</volume><issue>6</issue><spage>763</spage><epage>767</epage><pages>763-767</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Although aerobic exercise training and diet-induced weight loss each have been shown to individually lower elevated blood pressure (BP), it is currently not known whether their combined use produces an additive antihypertensive effect. In this randomized clinical trial we therefore compared the effect on resting BP of exercise training only and dietary modification only with that of exercise training plus dietary modification in 55 sedentary, overweight patients with high normal BP or stage 1 or 2 hypertension. After baseline testing, patients were randomized to 1 of the following 3 interventions for 12 weeks: exercise training only (aerobic exercise; 30 to 45 minutes; 3 to 5 days/week; 60% to 85% of maximal heart rate), dietary modification only (aimed primarily at weight loss via restriction of energy intake and dietary fat), or exercise training plus dietary modification. Forty-eight patients completed the study. In these patients, exercise training plus dietary modification elicited a greater reduction (p ≤0.001) in body weight (−7.1 ± 2.9 vs −1.0 ± 1.8 kg) than exercise training only, and a greater increase (p ≤0.05) in maximal oxygen uptake (4.3 ± 2.6 vs 1.9 ± 2.0 ml/kg/min) versus dietary modification only. However, the reduction in BP with exercise training plus dietary modification (−12.5 ± 6.3/7.9 ± 4.3 mm Hg) did not differ significantly from that with exercise training only (−9.9 ± 6.4/5.9 ± 4.6 mm Hg) or dietary modification only (−11.3 ± 12.1/7.5 ± 4.3 mm Hg). These data indicate that the antihypertensive effects of exercise training and diet-induced weight loss are not additive. This finding has important public health and clinical implications for the millions of overweight persons with high normal BP or stage 1 or 2 hypertension.
In patients with high normal blood pressure or stage 1 or 2 hypertension, the antihypertensive effects of aerobic exercise training and diet-induced weight loss are not additive.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9070555</pmid><doi>10.1016/S0002-9149(96)00864-8</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 1997-03, Vol.79 (6), p.763-767 |
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| subjects | Adult Aerobics Aged Antihypertensives Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood Pressure Blood Pressure Determination - methods Blood Pressure Determination - statistics & numerical data Body fat Body weight Body weight loss Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Clinical trials Combined Modality Therapy Compliance Diaries Diet Diet, Reducing Dietary intake Energy Energy intake Ethanol Exercise Exercise Therapy Female Fitness training programs Food Heart rate Humans Hypertension Hypertension - physiopathology Hypertension - prevention & control Intervention Life Style Lifestyles Male Medical sciences Middle Aged Nutrition research Obesity Obesity - physiopathology Obesity - therapy Overweight Oxygen uptake Patients Physical fitness Physical training Public health Shopping centers Training Treatment Outcome Weight control Weight Loss Weight reduction |
| title | Comparison of Single Versus Multiple Lifestyle Interventions: Are the Antihypertensive Effects of Exercise Training and Diet-Induced Weight Loss Additive? |
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