IMR Press / RCM / Volume 22 / Issue 4 / DOI: 10.31083/j.rcm2204134
Open Access Review
Determinants of exercise adherence and maintenance among patients with hypertension: a narrative review
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1 Institute of Biomedicine – iBiMED, School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
2 Physiotherapy Department, Polytechnic of Coimbra, ESTeSC Coimbra Health School, 3040-854 Coimbra, Portugal
3 School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
4 Cardiology Department, Hospital Infante D. Pedro, Centro Hospitalar do Baixo Vouga, 3810-164 Aveiro, Portugal
5 Centre for Health Technology and Services Research (CINTESIS.UA), School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal
6 Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, 4200-450 Porto, Portugal
7 Laboratory for Integrative and Translational Research in Population Health (ITR), 4200-450 Porto, Portugal
*Correspondence: psusanalopes@gmail.com (Susana Lopes)
Academic Editor: Filippos Triposkiadis
Rev. Cardiovasc. Med. 2021, 22(4), 1271–1278; https://doi.org/10.31083/j.rcm2204134
Submitted: 5 August 2021 | Revised: 22 September 2021 | Accepted: 8 October 2021 | Published: 22 December 2021
(This article belongs to the Special Issue State-of-the-Art Cardiovascular Medicine in Europe 2022)
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
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.

Keywords
Hypertension
Exercise training
Determinants for adherence
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