Référence de l’article : Barone Gibbs B, Hivert MF, Jerome GJ, Kraus WE, Rosenkranz SK, Schorr EN, Spartano NL, Lobelo F; American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology. Physical Activity as a Critical Component of First-Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How?: A Scientific Statement From the American Heart Association. Hypertension. 2021 Aug;78(2):e26-e37. doi: 10.1161/HYP.0000000000000196. Epub 2021 Jun 2. PMID: 34074137.
Résumé proposé par : JP Fauvel
Cet avis d’experts Américains fait la synthèse des connaissances actuelles sur les baisses de pression artérielles et de cholestérol que l’on peut obtenir chez les patients à risque CV léger à modéré en améliorant leur hygiène de vie. Cet article propose des conseils et des ressources aux cliniciens pour évaluer, prescrire, conseiller et orienter leurs patients vers une activité physique accrue.
Table 2. Average Effect Sizes of Physical Activity and Other Lifestyle-Only Treatments on Blood Pressure and Blood Cholesterol
|
Lifestyle modification |
Average effect on blood pressure |
Average effect on blood cholesterol and triglycerides |
|||
|
SBP (mm Hg) |
DBP (mm Hg) |
LDL-C (mg/dL) |
HDL-C (mg/dL) |
TG (mg/dL) |
|
|
Physical activity |
|||||
|
Aerobic15–17 |
–4 |
–3 |
–3 to –4 |
+1 to +2 |
–4 to –12 |
|
–2 |
–3 |
–6 |
– |
–8 |
|
|
Combined19 |
–3 |
–3 |
– |
– |
– |
|
Weight loss20 |
–3 |
–2 |
–5 |
+2 to +3 |
–15 |
|
Dietary modifications |
|||||
|
DASH and DASH-style diets21 |
–5 |
–3 |
–4 |
– |
– |
|
Mediterranean diet22 |
–3 |
–2 |
– |
– |
– |
|
– |
– |
– |
+4 |
– |
|
|
–3 |
–3 |
– |
– |
– |
|
– indicates nonsignificant effect, not recommended, or insufficient evidence to draw conclusions; DASH, Dietary Approach to Stop Hypertension; DBP, diastolic blood pressure; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; SBP, systolic blood pressure; and TG, triglyceride.
Pour en savoir plus, article en accès gratuit : https://www.ahajournals.org/doi/epub/10.1161/HYP.0000000000000196