Costa, Eduardo CaldasSousa Júnior, Altieres Elias de2018-11-232018-11-232017-11-27SOUSA JÚNIOR, Altieres Elias de. Efeito de um programa de aconselhamento à prática de atividade física sobre a pressão arterial ambulatorial e indicadores de saúde de hipertensos de meia-idade: um ensaio clínico randomizado piloto. 2017. 85f. Dissertação (Mestrado em Educação Física) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2017.https://repositorio.ufrn.br/jspui/handle/123456789/26168Objective: To analyze the effects of a physical activity (PA) counseling program on ambulatory blood pressure (BP) and health-related outcomes in middle-aged individuals with hypertension. Methods: Twenty-two middle-aged individuals with hypertension (♂ = 6, ♀ = 18) were randomly allocated into two groups: i) PA counseling program (n = 11, 49.6 ± 8.1 years, resting BP 130.5 ± 14.3 / 78.6 ± 8.8 mmHg, body mass index [BMI] 33.0 ± 5.3 kg/m2 ) or ii) control group (n = 11, 47.9 ± 6.7 years, resting BP 130.8 ± 13.9 / 85.4 ± 10.0 mmHg, BMI 31.3 ± 5.1 kg/m2 ). The PA counseling group had six 60-minute bi-weekly meetings where they were counseled to increase the PA levels following weekly progressive goals. This intervention was based on the five “As” model (i.e., assess, advise, agree, assist, and arrange). The control group received general information about PA during a single 15-minute meeting. Before and after 12 weeks, PA level (pedometer for seven days), ambulatory BP (24 h ambulatory BP monitoring), resting BP, body composition (DEXA), anthropometric measures, cardiometabolic risk factors (fasting glucose, total cholesterol, HDL, LDL, and triglycerides), markers of renal function (creatinine and urea), and markers of hepatic function (TGO, TGP, and GAMA GT). The intention-to-treat analysis was adopted. The results are expressed as mean and 95% confidence interval (95% CI). A p-value <0.05 was considered statistically significant. Results: The PA counseling group increased the PA levels (643.8 steps/day [95% CI: 13.3, 1274.2] vs. -172.3 steps/day [95% CI: -802.8, 458.1]; p < 0.05). The control group increased waist circumference (1.8 cm [95% CI: 0.1, 3.4] vs. - 1.3 cm [95% CI: -2.9, 3.0]; p < 0.02), and decreased triglycerides levels (-37.2 mg/dL [95% CI: -62.9, -11.5] vs. 17.1 mg/dL [95% CI: -8.6, 42.8]; p < 0.01). There were no changes in ambulatory BP, resting BP, body composition, fasting glucose, total cholesterol, LDL-cholesterol, HDL-cholesterol, markers of renal and hepatic function in both groups after 12 weeks (p > 0.05). Conclusion: The PA counseling program increased the PA level of middle-aged individuals with hypertension; however, the intervention was not effective to reduce ambulatory BP, improve body composition and decrease cardiometabolic risk factors in these individuals.Acesso AbertoHipertensãoAconselhamentoAtividade físicaMonitorização da pressão ambulatorialmasterThesisCNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA