How can people with high blood pressure exercise safely and effectively? Recently, the program "Health Smart House" invited Chen Qi, deputy chief physician of the Department of Cardiopulmonary Rehabilitation, Yangzhi Rehabilitation Hospital Affiliated to Tongji University, and Guo Jin, attending physician, to share with everyone on this topic.
Chen Qi said in the program that the number of hypertensive patients is large. According to statistics, there are nearly 250 million patients with hypertension in mainland China, and almost 1 in every 3 adults has hypertension. In people over 60 years of age, the proportion of people with high blood pressure is as high as 50%, and 1 in 2 people have high blood pressure. More seriously, less than half of hypertensive patients know that they have this disease, of which about 80% know and treat, and the treatment control rate is only 37.6%. Chen Qi said that the number of people with uncontrolled blood pressure is huge, there are huge hidden dangers, and hypertension is easy to cause acute cerebrovascular disease. Anticoagulant and platelet therapy is effective, but relatively few people with hypertension are on anticoagulant and platelet therapy, and the risk of acute cerebrovascular disease is high. After years of efforts, great progress has been made in the prevention and control of hypertension in the mainland, but this work still has a long way to go.
The effect of exercise on hypertension is mainly manifested in: exercise can not only reduce blood pressure, but also reduce the mortality of hypertension complications. Studies have found that increased exercise reduces cardiovascular mortality by 16% to 67% in hypertensive patients. In patients with hypertension, cardiovascular mortality can be reduced by 20% to 67% with sustained exercise compared with less or no exercise; Low- and moderate-exercise, less inactive or sedentary patients can reduce cardiovascular mortality by 16% to 22%.
It should be noted that although exercise therapy is beneficial in lowering blood pressure and reducing the damage caused by the disease to the body, not every person with high blood pressure is suitable for exercise. Therefore, be sure to exercise under the guidance of a doctor, especially a rehabilitation doctor.
"The exercise methods of hypertensive patients are mainly aerobic exercise, such as walking, jogging, swimming, cycling, climbing, climbing, ball games, aerobics, etc." Chen Qi said that these exercises are characterized by low intensity, rhythmic, uninterrupted and long duration. It is best for the elderly to choose to exercise in the afternoon and evening. Because hypertensive patients often have morning blood pressure fluctuations, 4 to 6 a.m., about 10 a.m., and 2 p.m. to 4 p.m. are relatively high blood pressure periods, and the incidence of malignant events is relatively concentrated. Exercise in the morning may sharply increase blood pressure, triggering cardiovascular and cerebrovascular events. Overall exercise rehabilitation exercise can reduce blood pressure, reduce drug dosage and medical costs, can significantly improve blood pressure, adhere to this program can be through their own normal physiological response, blood pressure control at normal levels, enhance physical fitness, improve quality of life.
In short, hypertension treatment is a health management project that lasts for years or even decades. Patients with hypertension should adhere to long-term regular, safe and effective exercise under the condition that blood pressure control is stable, within their own ability and under the guidance of doctors.
The program "Healthy Smart House" is jointly organized by Songjiang District Rong Media Center, District Health Commission and District Love Health Office, and is broadcast live every Monday to Friday from 11:00 to 12:00 on the comprehensive frequency (FM100.9) of Songjiang District Radio and Television Station and the "Shanghai Songjiang" App. Each program invites experts from major medical institutions in Songjiang District, such as Songjiang District Center for Disease Control and Prevention, Songjiang District Central Hospital, Songjiang District Maternal and Child Health Care Hospital, Southern Shanghai First People's Hospital, Shanghai Fifth Rehabilitation Hospital, Songjiang District Fangta Traditional Chinese Medicine Hospital, Songjiang District Sijing Hospital, Songjiang District Mental Health Center, Yangzhi Rehabilitation Hospital Affiliated to Tongji University, etc., to receive consultation from the public.
If you have any health-related questions, please call the hotline 021-37683768 during the live broadcast, or download the "Shanghai Songjiang" App to enter the "Live Broadcast - Visual Live Broadcast" to listen to the live broadcast of the program and participate in messages and interactions.
Text: Hu Wanyuan
Editor: Zhou Yuwei