Effect of lifestyle interventions on oxidative stress in elderly hypertensive and in normal individuals
Keywords:
Yoga, Blood Pressure, Antioxidants, Geriatric PopulationAbstract
Introduction: Oxidative stress has emerged as one of the important factors of aging as well as various diseases including hypertension. A Few changes in lifestyle like food habits and exercise leads to significant decrease in the oxidative stress and inflammation which in turn improves the endothelium functions. Aim: The present study was designed to assess and compare the effect of lifestyle modifications on oxidative stress in elderly essential hypertensive patients as well as in normotensive elderly subjects. Materials and Methods: One hundred four normotensive elderly subjects of group I and one hundred eighty-six elderly hypertensive patients of group II between 60 to 80 years of age successfully completed three months lifestyle modifications program conducted in the department of physiology, Santosh Medical College Ghaziabad. Oxidative stress markers GSH, SOD, MDA and blood pressure were measured before and after lifestyle modification program. Results: The findings of the present study showed that SBP (p<0.001), DBP (p<0.001), MAP (p<0.001) were significantly low in group II hypertensive patients in comparison of group I normotensive subjects. Value of SOD increased significantly in group II hypertensive patients in comparison to group I normotensive subjects.
Downloads
References
Hybertson BM, Gao B, Bose SK, McCord JM. Oxidative stress in health and disease: The therapeutic potential of Nrf2 activation. Molecular Aspects of Medicine. 2011; 32: 234–246. doi: 10.1016/j.mam.2011.10.006. PMID: 22020111.
Banerjee AK, Mandal A, Chanda D, Chakraborti S. Oxidant, antioxidant and physical exercise. Molecular and Cellular Biochemistry. 2003; 253(1):307-312. doi: 10.1016/j.mam.2011.10.006. PMID: 22020111.
Rodak Z, Zhao Z, Goto S, Koltai E. Age-associated neurodegeneration and oxidative damage to lipids,proteins and DNA. Molecular Aspects of Medicine. 2011; 32:305-315. doi: 10.1016/j.mam.2011.10.010. Epub 2011 Oct 15. PMID: 22020115.
Appel LJ, Baltimore, Champagne CM, Harsha DW, Cooper LS, Obarzanek E. Effects of comprehensive lifestyle modification on blood pressure control. JAMA. 2003; 289 (16); 2083-93. doi: 10.1001/jama.289.16.2083. PMID: 12709466.
Uzun H, Karter Y, Aydin S, Urgunlu AC, Simsek G, Yucel R, Vehiyd S, etal. Oxidative stress in white coat hypertension; role of paraoxonase. Journal of Human Hypertension. 2004; 18:523–528. doi: 10.1038/sj.jhh.1001697. PMID: 14985779.
Walter MF, Jacob RF, Jeffers B, Ghadanfar MM, Preston GM, Buch J, Mason PR; Serum levels of thiobarbituric acid reactive substances predict cardiovascular events in patients with stable coronary artery disease A longitudinal analysis of the prevent study. J Am Coll Cardiol. 2004; 44(10):1996-2002. doi: 10.1016/j.jacc.2004.08.029. PMID: 15542282.
Briones AM, Touyz RM. Oxidative stress and hypertension: current concepts.Curr Hypertens Rep. 2010; 12(2):135-42. doi: 10.1007/s11906-010-0100-z. PMID: 20424957.
Gonenc A, Hacisevki A, Tavil Y, Cengel A, Torun M. Oxidative stress in patients with essential hypertension: a comparison of dippers and non-dippers. Eur J Intern Med. 2013; 24(2):139-144. doi: 10.1007/s11906-010-0100-z. PMID: 20424957.
Borhani NO. Significance of physical activity for prevention and control of hypertension. J Hum Hypertens. 1996; 10 Suppl (2):S7-11. PMID: 8868037.
Calhoun DA, Textor S, Goff DC, Murphy TP, White A, Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Hypertension. 2008; 51(6):1403-19. doi: 10.1161/CIRCULATIONAHA.108.189141. PMID: 18574054.
Subbalakshmi NK, Saxena SK, Urmimala, D’Souza UJA, Immediate effect of ‘Nadi –Shodhana Pranayama’ on some selected parameters of cardiaovacular, pulmonary, and higher functions of brain. Thai journal of physiological sciences.2005; 18 (2):10-16.
Bhatnagar A, Tripathi Y, Kumar A. Change in oxidative stress of normotensive elderly subjects following lifestyle modifications. JCDR. 2016 Sep, Vol-10(9): CC09-CC13. DOI : 10.7860/JCDR/2016/20184.8469
Roberts CK, Won D, Pruthi S, Lin SS, Barnard RJ. Effect of a diet and exercise intervention on oxidative stress, inflammation and monocyte adhesion in diabetic men. Diabetes Res Clin Pract. 2006; 73(3):249-59. doi: 10.1016/j.diabres.2006.02.013. PMID: 16616795.
Head GA, Mihailidous AS, Duggan KA, Beilin LJ, Berry N, Brown MA et al. Definition of ambulatory blood pressure targets for diagnosis and treatment of hypertension in relation to clinic blood pressure: prospective cohort study. BMJ. 2010; 340:1104. PMCID: PMC2854890.
Ohta M, Nanri H, Matsushima Y, Sato Y, Ikeda M. Blood pressure-lowering effects of lifestyle modification: possible involvement of nitric oxide bioavailability. Hypertens Res. 2005; 28(10):779-86. doi: 10.1291/hypres.28.779. PMID: 16471171.
Paffenbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB; The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. The New England Journal of Medicines. 1993; 328 (8):538-45. PMID: 8426621.
Tochikubo O, Ikeda A, Miyajima E, Ishii M. Effects of insufficient sleep on blood pressure monitored by a new multi biomedical recorder. Hypertension. 1996; 27(6):1318-24. PMID: 8641742.
Whelton PK, Apeel LJ, Espeland MA, Applegate Wb, Etinnger WH Jr, Kostis JB et al. Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly. JAMA. 1998; 279(11):839-46. doi: 10.1001/jama.279.11.839. PMID: 9515998.
Spigt MG, Knottnerus JA, Westerterp KR, Olde Rikkert MG, Schayck CP. The effects of 6 months of increased water intake on blood sodium, glomerular filtration rate, blood pressure, and quality of life in elderly (aged 55-75) men. J Am Geriatr Soc. 2006; 54(3):438-43. doi: 10.1111/j.1532-5415.2005.00606.x. PMID: 16551310.
Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in human and experimental animals: Part 1: Blood pressure measurement in humans: A statement for professionals from the subcommittee of professional and public education of the American heart association council on high blood pressure research. Hypertension. 2005; 45:142-61. doi: 10.1161/01.CIR.0000154900.76284.F6. PMID: 15699287.
Onorato JM, Thorpe SR, Baynes JW. Immunohistochemical and ELISA assays for biomarkers of oxidative stress in aging and disease. Ann N Y Acad Sci.1998; 854277-90. doi: 10.1111/j.1749-6632.1998.tb09909.x. PMID: 9928437.
Mossa M M, Bushra M M, Salih M R, May N Y. Estimation of malondialdehyde as oxidative factor & glutathione as early detectors of hypertensive pregnant women. Tikrit Medical Journal. 2009; 15(2):63-69.
Mozaffarian D, Wilson PW, Kannel WB. Beyond established and novel risk factors for cardiovascular disease. Circulation. 2008; 117(23):3031-3038. doi: 10.1161/CIRCULATIONAHA.107.738732. PMID: 18541753.
Elmer PJ, Oberzanek E, Vollmer WM, Simons-Morton D, Stevens VJ, Young DR etal. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med. 2006 Apr 4; 144(7):485-95. doi: 10.7326/0003-4819-144-7-200604040-00007. PMID: 16585662.
Ingole A, Bahattare V, Shinde P, Zingade US. Effect of Pranayama on cardiopulmonary functions and serum MDA levels. International Medical Journal. 2014; 1(4):135-139. DOI: 04 April 2014
Paeolatti V, Loricchio DP, Basili S, Cavina G, Labaddia G, Pacelli M etal. Lifestyle and global cardiovascular risk: a prospective study on a borderline hypertensive population. Clin Ter. 2010; 161(1):13-23. PMID: 20393673.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Svetkey LP, Erlinger TP, Vollmer WM, Feldstein A, Cooper LS, Appel LJ etal. Effect of lifestyle modifications on blood pressure by race, sex, hypertension status, and age. Hum Hypertens. 2005; 19(1):21-31. doi: 10.1038/sj.jhh.1001770. PMID: 15385946.
Cohen DL, Bloedon LT, Rothman RL, Farrar JT, Galantino ML, Volger S etal. Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage 1 hypertension: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine. 2011; 2011(546428): 8. doi: 10.1093/ecam/nep130. Epub 2011 Feb 14. PMID: 19734256; PMCID: PMC3145370.
Nelson MR, Alkhateeb AN, Ryan P, Willson K, Gartlan JG, Reid CM. Physical activity, alcohol and tobacco use and associated cardiovascular morbidity and mortality in the Second Australian National Blood Pressure study cohort. Age and Ageing. 2010; 39: 112–139. DOI 10.1093/ageing/afp186.
Hambrecht R, Gielen S, Linke A, Fiehn E, Yu J, Walther C etal. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure a randomized trial. JAMA. 2000; 283(23):3095-3101. doi: 10.1001/jama.283.23.3095. PMID: 10865304.
Frisoli TM, Schmieder RE, Grodzicki T, Messerli FH. Beyond salt: lifestyle modifications and blood pressure. Eur Heart J. 2011; 32(24):3081-7. doi: 10.1093/eurheartj/ehr379. Epub 2011 Oct 11. PMID: 21990264.
Hegde SV, Adhikari P, Kotian S, Pinto Vj, D’souza S, D’souza V. Effect of 3-Month Yoga on Oxidative Stress in Type 2 Diabetes With or Without Complications. Diabetes Care. 2011; 34:2208–2210. doi: 10.2337/dc10-2430. Epub 2011 Aug 11. Erratum in: Diabetes Care. 2012 Apr;35(4):939. PMID: 21836105; PMCID: PMC3177728.
Cheong KJ, Lim SA. Antioxidant effects of regular yoga training on the healthy university students controlled clinical trial. J Yoga Phys Ther. 2012; 2 (6); 2157-7595. DOI: 10.4172/2157-7595.1000127
He LIU, Jing LI, Yao-guang W. Effects of yoga exercise on female university students' CK, SOD, GPX and MDA. J Shen Spor Uni. 2007; 26 (2):65-66.
Bhattacharya S, Pandey US, Verma NS. Improvement in oxidative status with yogic breathing in young healthy males. Indian Journal of Physiology and Pharmacology. 2002, 46(3):349-354. PMID: 12613400.
Jatuporn S, Sangwatanaroj S, Saengsiri AO, Rattanapruks S, Srimahachota S, Uthayachalerm W, Kuanoon W, Panpakdee O, Tangkijvanich P, Tosukhowong P. Short-term effects of an intensive lifestyle modification program on lipid peroxidation and antioxidant systems in patients with coronary artery disease. Clin Hemorheol Microcirc. 2003;29(3-4):429-36. PMID: 14724371.
Bhatnagar A, Dhar U, Tripathi Y. Effect of lifestyle modifications on oxidative stress in elderly essential hypertensive patients. Int J Med Sci Public Health. 2016; 5: 1942- 1947. doi: 10.544/ijmsph.2016.01112015383
Higashi Y, Sasaki S, Kurisu S, Yoshimizu A. Regular aerobic exercise augments endothelium- dependent vascular relaxation in normotensive as well as hypertensive subjects role of endothelium-derived nitric oxide. Circulation.1999; 100:1194-1202. doi: 10.1161/01.cir.100.11.1194. PMID: 10484540.
Laufs U, Wassmann S, Czech T, Munzel T, Eisenhauer M, Bohm M, Nickenig G. Physical Inactivity Increases Oxidative Stress, Endothelial Dysfunction, and Atherosclerosis. Arterioscler Thromb Vasc Biol. 2005; 25:809-814. doi: 10.1161/01.ATV.0000158311.24443.af. Epub 2005 Feb 3. PMID: 15692095.
Rector RS, Warner SO, Liu Y, Hinton PS, Sun GY, Cox RH etal. Thomas TR. Exercise and diet induced weight loss improves measures of oxidative stress and insulin sensitivity in adults with characteristics of the metabolic syndrome. AJP-Endocrinol Metab. 2007; 293(2): 500-506. doi: 10.1152/ajpendo.00116.2007. Epub 2007 May 1. PMID: 17473052; PMCID: PMC2646852.
Rio DD, Stewart AJ, Pellegrini N. A review of recent studies on malondialdehyde as toxic molecule and biological marker of oxidative stress. Nutrition , Metsbolism and Cardiovascular Diseases. 2005; 15(4); 316–328. doi: 10.1016/j.numecd.2005.05.003. PMID: 16054557.
Agte VV, Jahagirdar, Tarwadi KV. The effects of SudarshanKriya Yoga on some physiological and biochemical parameters in mild hypertensive patients. Indian J Physiol Pharmacol. 2011; 55(2):183-7. PMID: 22319901.
Gordon LA, Morrison EY, McGrowder DA, Young R, Fraser YT, Zamora EM, et al. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med. 2008; 8:21. doi: 10.1186/1472-6882-8-21.
Borghi C. Interactions between hypercholesterolemia and hypertension: implications for therapy. Current Opinion in Nephrology and Hypertension. 2002; 11(5): 489–496. PMID: 12187312
Mylonas C, Kouretas D. Lipid peroxidation and tissue damage. In Vivo. 1999; 13(3):295-309. PMID: 10459507
Sieverdes JC, Mueller M, Gregoski MJ, Brunner – Jackson B, McQuade L, Matthews C, Treiber FA. Effects of Hatha yoga on blood pressure, salivary α-amylase, and cortisol function among normotensive and prehypertensive youth. J Altern Complement Med. 2014; 20(4):241-50. PMID: 24620850
Jagadeeswaran I, Pal GK, Pravati P. Sympathovagal imbalance in obesity: cardiovascular perspective. International journal of clinical and experimental physiology. 2014; 1(2):93-100. DOI: 10.4103/2348-8093.137398
Ogunro PS, Balogun WO, Fadero FF, Idogun ES, Ononla SO, Elemile PO, Eziyi AK. Plasma lipid peroxidation and totalantioxidant status among dyslipidaemic and hypertensive Nigerians with high risk of coronary heart disease.West Afr J Med. 2009; 28(2):87-91. doi: 10.4314/wajm.v28i2.48430.
Montezano A, Touyz RM. Reactive oxygen species, vascular Noxs and hypertension: Focus on translational and clinical research. Antioxident Redox Signal. 2014; 20(1):164-182. PMID: 23600794
Vanhoutte PM. Endothelium and control of vascular function. State of the Art lecture. Hypertension. 1989; 13(6):658-667. PMID: 2661425
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.