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6773441 
Journal Article 
Self-reported adherence to physical activity recommendations compared to the IPAQ interview in patients with hypertension 
Riegel, GR; Martins, GB; Schmidt, AG; Rodrigues, MP; Nunes, GS; Correa, V; Fuchs, SC; Fuchs, FD; Ribeiro, PA; Moreira, LB 
2019 
1 
Patient Preference and Adherence
ISSN: 1177-889X 
13 
209-214 
English 
30774316 
WOS:000456666200002 
Background: Physical 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.

Methods: A 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.

Results: A 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.

Conclusion: Our findings underpin evidences that a simple PA recommendation has low association with BP control in clinical settings.