Sedentary lifestyle in individuals with hypertension

Martins, Larissa Castelo Guedes; Lopes, Marcos Venícios de Oliveira; Guedes, Nirla Gomes; Nunes, Marília Mendes; Diniz, Camila Maciel; Carvalho, Priscilla Magalhães de Oliveira

doi:10.1590/0034-7167.2015680602i

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Revista Brasileira de Enfermagem

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RESEARCH • Rev. Bras. Enferm. 68 (6) • Nov-Dec 2015 • https://doi.org/10.1590/0034-7167.2015680602i copy

Sedentary lifestyle in individuals with hypertension

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension.

Method:

cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. Results: SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL.

Conclusion:

the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.

Key words:
Nursing Diagnosis; Sedentary Lifestyle; Hypertension

Variables	n		%	95% CI
1. Gender
Male	127		44.6	38.83 - 50.37
Female	158		55.4	49.63 - 61.63
	*P value^ * Kolmogorov-Smirnov Test.**	Mean	Standard deviation	Median	IQR
2. Age (years)	< 0.001	51.34	7.09	53.00	9
3. Schooling (years)	< 0.001	9.52	4.41	10.00	8
4. Per capita income (BRL)	< 0.001	797.32	858.43	500.00	530.82

Variables	Sedentary lifestyle
Variables	Present	Absent	*P value^ Note: Chi-square Test.*
Clinical indicators
Chooses a daily routine lacking physical exercise
Present	159	20	< 0.001
Absent	0	106	< 0.001
Does not perform physical activities in leisure time
Present	155	84	< 0.001
Absent	4	42	< 0.001
Reports preference for activities low in physical activity
Present	72	41	0.029
Absent	87	85	0.029
Poor performance in instrumental activities of daily living
Present	155	84	< 0.001
Absent	4	42	< 0.001
Reduced cardiorespiratory capacity
Present	84	39	< 0.001
Absent	75	87	< 0.001

Related factors	Sedentary Lifestyle		P value PR CI
Related factors	Present	Absent
Lack of motivation for the practice of physical exercise			p < 0.001^* Note: *Chi-square Test.
Present	138	19	RP = 5.358
Absent	21	107	IC 95% = [3.608-7.955]
Lack of interest in exercising			p < 0.001^* Note: *Chi-square Test.
Present	138	19	RP = 5.358
Absent	21	107	IC 95% = [3.608-7.955]
Activity intolerance			p = 0.032^* Note: *Chi-square Test.
Present	102	65	RP = 1.264
Absent	57	61	IC 95% = [1.012-1.579]
Pain report			p = 0.300^* Note: *Chi-square Test.
Present	98	70	RP = 1.119
Absent	61	56	IC 95% = [0.902-1.388]
Deficient knowledge of the health benefits of physical exercise and/or on the consequences of sedentary lifestyle			p = 0.143^* Note: *Chi-square Test.
Present	130	94	RP = 1.221
Absent	29	32	IC 95% = [0.917-1.625]
Attitudes, beliefs and health habits that hinder the practice of physical exercise			p = 0.001^* Note: *Chi-square Test.
Present	113	65	RP = 1.477
Absent	46	61	IC 95% = [1.156-1.887]
Lack of resources (time, money, place, security, equipment) for the practice of physical exercise			p = 0.143^* Note: *Chi-square Test.
Present	143	106	RP = 1.292
Absent	16	20	IC 95% = [0.883-1.891]
Lack of training for accomplishment of physical exercise			p = 0.002^* Note: *Chi-square Test.
Present	83	43	RP = 1.378
Absent	76	83	IC 95% = [1.122-1.692]
Lack of motivation for the practice of physical exercise			p = 0.005^* Note: *Chi-square Test.
Present	132	87	RP = 1.473
Absent	27	39	IC 95% = [1.081-2.007]
Lack of confidence for the practice of physical exercise			p < 0.001^* Note: *Chi-square Test.
Present	62	20	RP = 1.582
Absent	97	106	IC 95% = [1.310-1.912]
Impaired mobility			p = 0.249^* Note: *Chi-square Test.
Present	8	3	RP = 1.320
Absent	151	123	IC 95% = [0.905-1.925]

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[1] CORRESPONDING AUTHOR: Marília Mendes Nunes. E-mail: marilia_mn@hotmail.com