• Glaube R Riegel, Giulia B Martins, Afonso G Schmidt, Marcela P Rodrigues, Gerson S Nunes, Vicente Correa, Sandra C Fuchs, Flavio D Fuchs, Paula Ab Ribeiro, and Leila B Moreira.
• Postgraduate Studies Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil, paula.ribeiro.chum@ssss.gouv.qc.ca.
• Patient Prefer Adher. 2019 Jan 1; 13: 209-214.

BackgroundPhysical activity (PA) is recommended as adjuvant therapy to control blood pressure (BP). The effectiveness of simple recommendations is not clear. We aimed to assess the agreement between self-report of adherence to PA in clinical routine and International Physical Activity Questionnaire (IPAQ) interview and its association with BP control.MethodsA cross-sectional study was conducted with hypertensive outpatients. Adherence to recommendation to PA was assessed by the physician and IPAQ interview. A cutoff of 150 minutes/week was used to classify active or nonactive patients. High sitting time was considered >4 hours/day. A total of 127 individuals (SBP 144.9±24.4 mmHg/DBP 82.0±12.8 mmHg) were included.ResultsA total of 69 subjects (54.3%) reported to be active to their physician, whereas 81 (63.8%) were classified as active by IPAQ (6.3% active in leisure time PA). Kappa test was 0.22 (95% CI, 0.06-0.37). The rate of BP control was 45.7%. There was no association with the reported PA assessed by both methods nor with sitting time. Our results demonstrated poor agreement between self-report adherence and IPAQ interview, and neither evaluation was associated with BP control.ConclusionOur findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings.

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