title: Net Blood Pressure Reduction Following 9 Months of Lifestyle and High-Intensity Interval Training Intervention in Individuals With Abdominal Obesity.
abstract: The authors aimed to study the impact of a combined 9-month lifestyle program (Mediterranean diet nutritional counselling, and high-intensity interval training twice a week) on blood pressure (BP) in individuals with abdominal obesity, taking into account the regression-to-the-mean phenomena. A total of 115 participants (53±9 years; 84 women; waist circumference [WC]: 111±13 cm; systolic/diastolic BP [SBP/DBP]: 133±13/82±8 mm Hg; 13% diabetics; 12% smokers; and 30% taking antihypertensive therapy) were retrospectively analyzed before and after the program. After 9 months, we observed an improvement in weight (-5.2±5.6 kg) and WC (-6.3±6.0 cm), and an average SBP/DBP net decrease of -5.1±13.7/-2.8±8.7 mm Hg. These changes were not uniform: 67 participants (58%) decreased their SBP by 2 mm Hg or more. The characteristics of responders included a higher baseline BP than nonresponders (SBP/DBP: 137.2±13.7/83.1±7.3 mm Hg vs 127.0±10.3/80.0±7.3 mm Hg, P<.05) and a higher proportion of participants with a baseline BP ≥130/85 mm Hg (81% vs 52%, P=.001) or with the metabolic syndrome (75% vs 54%, P=.02).
authors.affiliation: Laboratory MOVE (EA 6314), Faculty of Sport Sciences, University of Poitiers, Poitiers, France. philippe.sosner@univ-poitiers.fr.|Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada. philippe.sosner@univ-poitiers.fr.|Research Center, Montreal Heart Institute and University of Montreal, Montreal, Canada. philippe.sosner@univ-poitiers.fr.|Department of Medicine, University of Montreal, Montreal, Canada. philippe.sosner@univ-poitiers.fr.|Cardiology Department, University Hospital of Poitiers, Poitiers, France. philippe.sosner@univ-poitiers.fr.|Sports Medicine Centre "Mon Stade", Paris, France. philippe.sosner@univ-poitiers.fr.
authors.forename: Philippe
authors.initials: P
authors.lastname: Sosner
authors.affiliation: Laboratory MOVE (EA 6314), Faculty of Sport Sciences, University of Poitiers, Poitiers, France.|Department of Kinesiology, University of Montreal, Montreal, Canada.
authors.forename: Laurent
authors.initials: L
authors.lastname: Bosquet
authors.affiliation: Cardiology Department, University Hospital of Poitiers, Poitiers, France.
authors.forename: Daniel
authors.initials: D
authors.lastname: Herpin
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.
authors.forename: Valérie
authors.initials: V
authors.lastname: Guilbeault
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.
authors.forename: Elise
authors.initials: E
authors.lastname: Latour
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.|Department of Medicine, University of Montreal, Montreal, Canada.
authors.forename: Laurie
authors.initials: L
authors.lastname: Paquette-Tannir
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.|Research Center, Montreal Heart Institute and University of Montreal, Montreal, Canada.|Department of Medicine, University of Montreal, Montreal, Canada.
authors.forename: Martin
authors.initials: M
authors.lastname: Juneau
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.|Research Center, Montreal Heart Institute and University of Montreal, Montreal, Canada.|Department of Medicine, University of Montreal, Montreal, Canada.
authors.forename: Anil
authors.initials: A
authors.lastname: Nigam
authors.affiliation: Cardiovascular Prevention and Rehabilitation Center (ÉPIC), Montreal Heart Institute, Montreal, Canada.|Research Center, Montreal Heart Institute and University of Montreal, Montreal, Canada.|Department of Medicine, University of Montreal, Montreal, Canada.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Gayda
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D038441:Diet, Mediterranean; D005260:Female; D000072696:High-Intensity Interval Training / Q000379:methods*; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008019:Life Style; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000628:therapy*; D012189:Retrospective Studies