Covid-19 pandemic, fitness and health outcomes in older adults with hypertension: a longitudinal study
DOI:
https://doi.org/10.12820/rbafs.31e0442Palabras clave:
COVID-19, Echocardiography, Cardiopulmonary exercise test, Sedentary behavior, Physical activityResumen
Objective: This study examined changes in cardiovascular health-related outcomes, movement behaviors, and body composition in older adults with hypertension 15 months after the onset of the covid-19 pandemic. Methods: Fifteen older adults were included in this longitudinal study with a 15-month follow-up. Assessments included cardiac structure and function, vascular health markers (arterial stiffness, endothelial function, and carotid intima-media thickness), 24-hour blood pressure and heart rate variability, cardiorespiratory fitness, accelerometer-based physical activity (PA) and sedentary behavior (SB), and body composition. Generalized linear mixed models were used for data analysis. Results: After 15 months, participants showed a significant increase in SB (β = 41 min/ day; p = 0.007), a reduction in light-intensity PA (β = ‒39 min/day; p = 0.008), a decrease in step count (β = ‒1,343 steps/day; p = 0.002), and a reduction in peak oxygen uptake (β = ‒1.7 mL/kg/min; p = 0.034). A small but significant decrease was also observed in left ventricular posterior wall thickness (β = ‒0.5 mm; p = 0.046). No significant changes were found in other outcomes (p > 0.05). Conclusion: Deleterious changes in movement behaviors and cardiorespiratory fitness were observed 15 months after the onset of the covid-19 pandemic in older adults with hypertension, despite the absence of significant changes in a broader range of cardiovascular health-related outcomes.
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Derechos de autor 2026 Bruno Erick Barros Lucena, Ludmila Lucena Pereira Cabral, Gabriel Costa Souto, Maria Beatriz da Fonseca-Araújo, Rodrigo Alberto Vieira Browne, Eduardo Caldas Costa
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