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Published on: November 8, 2013
Determinants of exercise adherence and maintenance among patients with hypertension: a narrative review
Susana Lopes1,2, Gonçalo Félix3, José Mesquita-Bastos3,4
1Institute of Biomedicine - iBiMED, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
Abstract:
Treatment options for hypertension have been evolving over time. However, prevalence rates keep increasing and perpetuate hypertension as a major cardiovascular risk factor. Exercise training is effective in reducing blood pressure, cardiovascular disease risk factors and mortality, besides improving quality of life. However, participation rates for hypertensive patients remain shockingly low and adherence to exercise training tends to decline following exercise programs. These trends emphasize the need to deepen our knowledge of modifiable intrapersonal, interpersonal, and socioeconomic and environmental factors that help explain exercise adherence among people with hypertension. The present review focuses on the determinants of adherence and long-term maintenance of a physically active lifestyle in hypertensive individuals.
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