Open Access Peer-reviewed Research Article

Impact of physical activity on the prevalence of hypertension among the older adults in Beijing communities

Main Article Content

Hui Miao
Jun Li
Xiaofang Weng
Xia Wu corresponding author
Aoyi Deng
Jingwen Zhao
Ting Cai


This study aims to evaluate the impact of physical activity (PA) on the prevalence of hypertension among older adults in Beijing community. As economy growing rapidly in China, the occurrence of hypertension increases among older people in China as well. Epidemiological studies have shown that physical activity may significantly related to lower risk of hypertension. Taking PA maybe an instructive factor to reduce the risk of being hypertensive. We randomly selected Beijing community residents aged 65 and above (n=400), collected data comprising level of PA (low, moderate, high), blood pressure, and a host of potentially confounding variables indicated by the literature. Five logistic regression models adjusted for different modifiers were used to estimate the association between hypertension and PA. The prevalence of hypertension was 96.88%, 78.57% and 73.66% among subjects with low, moderate and high level of PA respectively. Lower diastolic BP was observed for elder people with higher level of PA (p<0.01). We observed a strong and statistically significant association between moderate (OR=0.09, 95%CI: 0.01 to 0.74) or high (OR=0.08, 95%CI: 0.01 to 0.57) level of PA and lower risk of hypertension (p < 0.05). PA is a protective factor for hypertension among older Beijing people, which suggests elderly people be encouraged to actively engage in PA, if body conditions permit.

hypertension, physical activity, elder adults, IPAQ, Beijing

Article Details

Supporting Agencies
Peking University Health Science Center provided a research fund to this study (PKUSMH-JC-2017503D)
How to Cite
Miao, H., Li, J., Weng, X., Wu, X., Deng, A., Zhao, J., & Cai, T. (2019). Impact of physical activity on the prevalence of hypertension among the older adults in Beijing communities. Advances in Health and Behavior, 2(1), 41-48.


  1. Hypertension Management Office of National Basic Public Health Service Project. National guidelines for prevention and treatment of hypertension at the grass-roots level. Chinese Circulation Journal , 2017: 11.
  2. Whelton PK. Epidemiology of hypertension. The Lancet, 1994, 344(8915): 101-106.
  3. Guo J, Zhu YC, Chen YP, et al. The dynamics of hypertension prevalence, awareness, treatment, control and associated factors in chinese adults: results from chns 1991-2011. Journal of Hypertension, 2015, 33(8): 1688-96.
  4. Vathesatogkit P, Woodward M, Tanomsup S, et al. Long-term effects of socioeconomic status on incident hypertension and progression of blood pressure. Journal of Hypertension, 2012, 30(7): 1347-1353.
  5. Xu X, Liang J, Bennett JM, et al. Socioeconomic stratification and multidimensional health trajectories: evidence of convergence in later old age. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2015, 70(4): 661-671.
  6. National Bureau of Statistics of China. 2019. National Data.
  7. Chen H, Liu C and Shen X. Effect of different physical activities on blood pressure in elderly patients with hypertension. Chinese Journal of Geriatrics, 2017, 36(2): 135-137.
  8. Diaz KM, Booth JN, Seals SR, et al. Physical activity and incident hypertension in African Americans: The Jackson heart study. Hypertension, 2017, 69(3): 421-427.
  9. IPAQ Research Committee. Guidelines for the data processing and analysis of the International Physical Activity Questionnaire. 2005.
  10. Whelton SP, Chin A, Xin X, et al. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Annals of Internal Medicine, 2002, 136(7): 493-503.
  11. Kamphuis CB, Van Lenthe FJ, Giskes K, et al. Socioeconomic status, environmental and individual factors, and sports participation. Medicine & Science in Sports & Exercise, 2008, 40(1): 71-81.
  12. Estabrooks PA, Lee RE and Gyurcsik NC. Resources for physical activity participation: does availability and accessibility differ by neighborhood socioeconomic status?. Annals of Behavioral Medicine, 2003, 25(2): 100-104.
  13. Wardle J and Steptoe A. Socioeconomic differences in attitudes and beliefs about healthy lifestyles. Journal of Epidemiology & Community Health, 2003, 57(6): 440-443.
  14. Papadopoulou SK, Papadopoulou SD, Zerva A, et al. Health status and socioeconomic factors as determinants of physical activity level in the elderly. Med Sci Monit, 2003, 9(2): CR79.
  15. Shaw BA and Spokane LS. Examining the association between education level and physical activity changes during early old age. Journal of Aging and Health, 2008, 20(7): 767-787.
  16. Freis ED. Age, race, sex and other indices of risk in hypertension. American Journal of Medicine, 1973, 55(3): 275-280.
  17. Dong GH, Wang D, Liu MM, et al. Sex difference of the prevalence and risk factors associated with prehypertension among urban chinese adults from 33 communities of china: the chpsne study. Journal of Hypertension, 2012, 30(3): 485-491.
  18. Zhou P, Hughes AK, Grady SC, et al. Physical activity and chronic diseases among older people in a mid-size city in china: a longitudinal investigation of bipolar effects. BMC Public Health, 2018, 18(1): 486.
  19. Teo GS and Idris MN. Prevalence of hypertension among chinese elderly and its relationship to behavioural and nutritional factors. Medical Journal of Malaysia, 1996, 51(1): 33-40.
  20. Kiely DK, Gross AL, Kim DH, et al. The association of educational attainment and sbp among older community-living adults: the maintenance of balance, independent living, intellect and zest in the elderly (mobilize) boston study. Journal of Hypertension, 2012, 30(8): 1518.
  21. Tan ST, Quek RYC, Haldane V, et al. The social determinants of chronic disease management: perspectives of elderly patients with hypertension from low socio-economic background in singapore. International Journal for Equity in Health, 2019, 18(1): 1.
  22. Rosenthal T and Alter A. Occupational stress and hypertension. Journal of the American Society of Hypertension, 2012, 6(1): 2-22.
  23. Pedersen BK and Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scandinavian Journal of Medicine & Science in Sports, 2016, 16(S1): 61.
  24. Hoseini H, Maleki F, Moeini M, et al. Investigating the effect of an education plan based on the health belief model on the physical activity of women who are at risk for hypertension. Iranian Journal of Nursing & Midwifery Research, 2014, 19(6): 647-652.