Publication: The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension A randomized control trial and follow-up study in Thailand
Issued Date
2017
Resource Type
Language
eng
Rights
Mahidol University
Rights Holder(s)
Emerald Publishing Limited
Bibliographic Citation
Journal of Health Research. Vol. 32, No. 1 (2017), 74-81
Suggested Citation
Sukanya Chongthawonsatid, Wipawee Chinjenpradit The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension A randomized control trial and follow-up study in Thailand. Journal of Health Research. Vol. 32, No. 1 (2017), 74-81. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/44034
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Title
The use of a pedometer with or without a supervised exercise program for control of pre- to mild hypertension A randomized control trial and follow-up study in Thailand
Abstract
intervention for the control of blood pressure. The purpose of this paper is to compare the effectiveness of a
supervised modified exercise program of moderate-intensity exercise for one hour per week including
the use of a pedometer, and with the use of a pedometer alone without additional exercise in reducing
blood pressure.
Design/methodology/approach – The study was a randomized control trial, with an experimental group
of 30 people and a control group of 26 people. Participants were males and females aged 30-65 years with
pre- to mild hypertension, and who were not receiving any drugs for the treatment of hypertension.
Participants of the experimental group were assigned to a fitness program with supervised exercise once a
week at the Golden Jubilee Medical Fitness Center, given access to a pedometer, and provided with health
education. Participants in the control group were assigned to use a pedometer only. All experimental and
control group members participated in the study for three months, as well as a follow-up at the third and
sixth month.
Findings – Comparison of the experimental and control groups at the first, third, and sixth month,
using repeated measures analysis found that interaction effect groups and times were significantly
different for mean systolic blood pressure (SBP), body mass index (BMI), hip circumference (HC),
and high-density lipoprotein (HDL) (po0.05). Mean SBP, diastolic blood pressure (DBP), BMI, waist
circumference (WC), HC, and low-density lipoprotein (LDL) within groups were significantly different
( po0.05). Mean WC, cholesterol, LDL, and triglyceride between groups were significantly different
( po0.05). Both groups had SBP improved at the third and sixth month when compared with baseline data.
Mean HDL increased in the experimental group and decreased in the control group. Multiple regression
analysis showed that both groups were not statistically different after intervention, SBP was reduced in the
experimental group when compared to the control group. However, at six months, members in
the experimental group reported spending less time sitting or reclining on a typical day than members of
the control group.