2010 Hong Kong Reference Framework for Hypertension Care for ...

More documents

Recommendations

Info

Module 5Dietary InterventionReference:1. National Heart, Lung, and Blood Institute. Your Guide to Lowering Your Blood PressureWith DASH. [Internet]. (US): National Heart, Lung, and Blood Institute; c2006[cited 24May 2011]. Available from:http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf2. Department of Health. Heart Healthy Diet. [Internet]. (Hong Kong): Department of Health;c2006 [updated 1 October 2006; cited 24 May 2011]. Available from:http://www.info.gov.hk/elderly/english/healthinfo/lifestyles/heart_healthy_diet-e.htmHK Reference Framework for Hypertension Care for Adults in Primary Care Settings6
Module 6Exercise Recommendations to People with Hypertension(Adopted from Department of Health Central HealthEducation Unit Exercise Prescription 2011 Edition)1. Effect of ExerciseEpidemiological studies suggest that regular physical activity may be beneficialfor both prevention and treatment of hypertension, to enable weight loss,for functional health status, and to diminish all-cause mortality and risk ofcardiovascular disease. Cross-sectional studies of select populations from Chinaand other Eastern populations have confirmed the presence of a strong associationbetween physical inactivity and an adverse heart disease risk factor profile 1 . InJapanese men, duration of walk-to-work and leisure-time physical activity wassignificantly associated with a reduction in the risk for incident hypertension 2 . Ameta-analysis of randomized controlled trials concluded that dynamic aerobicendurance training reduces resting systolic and diastolic blood pressures by 3.0/2.4mmHg, and daytime ambulatory blood pressure by 3.3/3.5 mmHg. The reductionin resting blood pressure was more pronounced in the hypertensive group (-6.9/-4.9 mmHg) than in the normotensive group (-1.9/-1.6 mmHg) 3 . Even moderatelevels of exercise lowered blood pressure, and this type of exercise also reducedbody weight, body fat and waist circumference 4 . Dynamic resistance exercisecan also decrease resting blood pressure by 3.5/3.2 mmHg 5 .2. Recommendations for Exercise PrescriptionThe following table summarises the exercise prescription that is recommendedfor patients with hypertension in general.PhysicalActivityProfileRecommendations*Frequency • Perform aerobic exercise preferably all days of the week 6 .• Supplemented by resistance exercise twice to thrice weekly onnonconsecutive days 6 .* Given that many patients may present with comorbidities, it may be necessary to tailor theexercise prescription accordingly.1 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Page 2:
ContentPreface.....................
Page 6 and 7:
Key To Evidence Statements And Grad
Page 8 and 9: Chapter 1.EpidemiologyHypertension
Page 12 and 13: Chapter 6.Component 1: Prevention O
Page 14 and 15: Chapter 7.Component 2: Early Identi
Page 16 and 17: Chapter 8.Component 3: Clinical Car
Page 26 and 27: Chapter 9.Component 4: Patient Empo
Page 28 and 29: Appendix 1. Smoking Cessation Servi
Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
Page 40 and 41: Module 1 Framework for Population A
Page 42 and 43: Module 1Framework for Population Ap
Page 44 and 45: Module 2Blood Pressure Measurement2
Page 46 and 47: Module 2Blood Pressure Measurement4
Page 48 and 49: Module 3 Secondary Hypertension 1,2
Page 50 and 51: Module 4Evaluation for All Newly Di
Page 52 and 53: Module 4Evaluation for All Newly Di
Page 54 and 55: Module 5Dietary InterventionFood Gr
Page 56 and 57: Module 5Dietary InterventionMeals a
Page 60 and 61: Module 6Exercise Recommendations to
Page 66 and 67: Module 7Drug Treatment for People w
Page 74 and 75: Module 8Annual AssessmentLaboratory
show all

2010 Hong Kong Reference Framework for Hypertension Care for ...

Create successful ePaper yourself

Delete template?

Save as template?