Quantitative Research Critique : Exercise Program

The following section is broken into six subsections that will assess how each topic relates to JNC 6, 7, and 8. The subsections are organized into the following: algorithms, classification of hypertension, lifestyle modifications, pharmacological treatment, and management of care. It is important to note that JNC 6 and 7 have a greater correlation in format and the types of recommendations presented to clinicians. Contrastingly JNC 8 varies in format, as well as the type of recommendations presented to clinicians, therefore each of the subsections may not contain information on JNC 8.

This shows an importance placed more heavily on the diet part of the program than on the exercise. This could have directly affected the results. In relation to the diet, the adults experienced a decrease in their urinary Na/K, their blood pressure, and their total cholesterol when they monitored the intake of healthy foods. Changes were also seen as an increase in their body mass index when they monitored the intake of unhealthy foods. These changes were not as obvious when monitoring exercise results. In regards to exercise, there were no significant correlations between the measured variables and the adults in the study.

Age related changes could affect anyone’s quality of life. Chronic illnesses such as hypertension and diabetes can affect physical activity. Limitations

The baseline study of the elderly study sample are as shown in the given table. It can be observed that three-fifths of the total sample were composed of women, and also an expression of the high prevalence of diabetes, antihypertensive treatment, and CVD are evident.

2. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007; 39(8): 1435-45. Abstract available at: http://journals.lww.com/acsm-msse/Abstract/2007/08000/Physical_Activity_and_Public_Health_in_Older.28.aspx

Finally, as long as appropriate safety measures are taken, such as the overall assessment of the patient before starting an unsupervised exercise program and appropriate guidance given, an unsupervised physical activity program such as the one proposed here is safe and adds benefits to its practicioners, even though they are elderly hypertensive

Monpere (1998) warns that this older population is further complicated by the increased prevalence of concurrent, non-cardiac chronic diseases such as chronic obstructive pulmonary disease, atrophic musculature, orthopedic contusion, hypertension, and diabetes. Not only do these conditions limit the exercise potential of these patients, but as mentioned previously, some are even contraindications for exercise-based cardiac rehabilitation. These diseases, on their own, can be extremely limiting for the quality of life for patients as well and when combined with cardiac conditions they can be

One of the most important factors to keeping seniors healthy is exercise. A community exercise program would encourage exercise in this population. Initiating a senior community exercise program within a community would require a large amount interprofessional communication and collaboration. In addition, to have a successful community senior exercise program it would the involvement of several different disciplines. Important disciplines to have involved in this community exercise program would be a medical provider, nurses, therapist, and dietitian. Each of these disciplines has a different specialty that brings different knowledge to the table, which will help create a comprehensive exercise program. Similarly, the collaboration of each

The research paper examined for the purposes of this assignment focuses on the issues of daily physical activity level comparing it to sedentary behaviors for older post cardiac patients from age 60 to 85 years of age. The aim of the study is look at quality and quantity of exercise in cardiac artery disease (CAD) patients comparing the physical activity levels in three different categories: Acute group, Rehab group and Maintain group. The paper did not explore in depth cardiac patients live a more inactive lifestyle except to posit it is largely related to negative lasting effects of a CAD diagnosis and physical impact from this disease. There were no references from before CAD to post CAD. The rationale and purpose of the paper was clearly

This health promotion class does not have patient/participant outcome measures. The facilitators have yet to create a system that measures health outcomes within its participants. It is important for health promotion programs and classes to measure health outcome in order to identify areas that need improvement or adjustments. Nonetheless, the class believes it is effective since it is identifying older adults with hypertension.

The major health problem selected for this project was hypertension (Harrison et al, 2011). It is identified as a cardio vascular disease risk factor such as dementia, chronic kidney disease, coronary heart disease, and stroke (NICE, 2011). It can be missed easily, as in various instances it is asymptomatic as well as it is also known as a silent killer. The Hypertension is thought to be a disease of vascular regulation ensuing from arterial pressure control mechanisms malfunction (extracellular fluid volume, rennin-angiotensin-aldosterone system, and CNS) that results in elevation of BP by means of enhanced peripheral vascular resistance, and cardiac output. There are 2 basic hypertension types. Around 90 to 95 percent of the individuals have primary hypertension which is linked with change in lifestyle as well as needs medical treatment. On the other hand, 5-10% has secondary hypertension which is linked with various other diseases for instance pregnancy, thyroid, and renal (Haslam and James, 2005). It is estimated that around 1 in 20 adults will have increased BP of 160/100 mmHg and above that results in either more than one predisposing aspects (Gemmell et al, 2006).

The survey that will be utilized is the High Blood Pressure IQ quiz questionnaire and the Health Promoting Lifestyle Profile. The questions were created by Dr. Henry Wells, a cardiologist at Jackson Memorial Hospital. He created questionnaires like the Health Promoting Lifestyle profile to gain research on reducing hypertension, to know how many people are aware of how to control and maintain a healthy lifestyle (“Health-Promoting Behaviors,” n.d.). One of the 50 questions is measuring the participant’s awareness by asking them to write down the last day they checked their bold pressure. A question from the Health promoting Lifestyle profile asked if they ever take part in a light to moderate physical activity in the last 6 months.

Hypertension, a condition more commonly known as high blood pressure, is a major risk factor for many medical diseases and comorbidities. Hypertension affects 1 of 3 American adults each year, leading to comorbidities such as heart disease, coronary artery disease, stroke, and kidney disease. The treatment of hypertension totals $46 billion annually ("CDC High Blood Pressure Facts," 2015). Clinical treatment guidelines, developed in 2003 by The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), were established for clinician management of hypertensive patients. The JNC 7 produces a standard of care in classification and treatment of hypertension, establishing standards for providers to educate their hypertensive patients in areas such as lifestyle modifications and pharmacological treatment. The JNC 7 recommends that lifestyle modifications, such as weight loss and exercise, be the preliminary treatment plan for lowering blood pressure and specifically recommends a diet rich in fiber, fruits, vegetables and low fat dairy products as outlined in the Dietary Approaches to Stop Hypertension (DASH) diet (C. Hobanian et al., 2003). More currently, JNC7 recommendations have been modified in the Eighth Report of the Joint National Committee (JNC 8), increasing the baseline blood pressure goal (Sessoms, Reid, Williams, &

Participants were selected randomly. The sample size was 46 male and 39 females. All of them underwent cardiac surgeries and was having hypertension as their co-morbid. The physiotherapists working in cardiac rehabilitation unit noted blood pressures and heart rates before and after exercise daily till the last session. Type of exercise, time duration of each session and work load chosen for all patients were same and that is:

Good physical health is a vital part of the well-being of every person. A major component of our physical health is “Cardiovascular fitness”. Cardiovascular fitness is the ability of the heart and lungs to provide oxygen to the muscles for activity of an extended duration. If we have a good level of cardio-vascular fitness we are able to sustain activity for a reasonable period of time and not fatigue easily. This can give individuals a variety of health benefits and allow more regular and enjoyable activity to be participated in. This research report will examine my results of cardio-vascular fitness tests and weekly physical activity events, which