TY - JOUR
T1 - Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol
T2 - Who, What, and How?: A Scientific Statement From the American Heart Association
AU - Barone Gibbs, Bethany
AU - Hivert, Marie France
AU - Jerome, Gerald J.
AU - Kraus, William E.
AU - Rosenkranz, Sara K.
AU - Schorr, Erica N.
AU - Spartano, Nicole L.
AU - Lobelo, Felipe
N1 - Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/8/1
Y1 - 2021/8/1
N2 - Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol.
AB - Current guidelines published by the American Heart Association and the American College of Cardiology broadly recommend lifestyle approaches to prevent and treat elevated blood pressure and cholesterol. For patients with mildly or moderately elevated blood pressure and blood cholesterol, lifestyle-only approaches are the first line of therapy. The purpose of this scientific statement is to: (1) highlight the mild-moderate-risk patient groups indicated for lifestyle-only treatment for elevated blood pressure or cholesterol; (2) describe recommendations, average effects, and additional considerations when prescribing lifestyle treatment with physical activity; and (3) provide guidance and resources for clinicians to assess, prescribe, counsel, and refer to support increased physical activity in their patients. An estimated 21% and 28% to 37% of US adults, respectively, have mild-moderate-risk blood pressure and cholesterol and should receive lifestyle-only as first-line treatment. Of the recommended lifestyle changes, increasing physical activity has extensive benefits, including improving both blood pressure and blood cholesterol, that are comparable, superior, or complementary to other healthy lifestyle changes. Physical activity assessment and prescription are an excellent lifestyle behavior treatment option for all patients, including for the large population of mild-moderate-risk patients with elevated blood pressure and blood cholesterol.
KW - AHA Scientific Statements
KW - blood pressure
KW - exercise
KW - hypertension
KW - lifestyle
KW - risk reduction behavior
UR - http://www.scopus.com/inward/record.url?scp=85109569742&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85109569742&partnerID=8YFLogxK
U2 - 10.1161/HYP.0000000000000196
DO - 10.1161/HYP.0000000000000196
M3 - Article
C2 - 34074137
AN - SCOPUS:85109569742
SN - 0194-911X
VL - 78
SP - E26-E37
JO - Hypertension
JF - Hypertension
IS - 2
ER -