@misc{10498/40171,
year = {2026},
url = {http://hdl.handle.net/10498/40171},
abstract = {Background/Objectives: Maintaining healthy blood pressure (BP) is essential in the frailty phenotype to prevent cardiovascular events. This study examined the effects of a 6-month educational program on BP in community-dwelling pre-frail or frail older adults. Methods: In this multicenter randomized controlled trial, 210 community-dwelling older adults (145 women; 74± 6 years) meeting at least one of Fried’s frailty criteria were assigned to a control group (usual care; n = 95) or an intervention group (educational program; n = 115). The 6-month intervention consisted of an educational program that provided recommendations on physical activity, nutrition, cognition, and psychosocial well-being, delivered through four group sessions and six telephone calls. Systolic BP and diastolic BP were measured at baseline and after 6 months, and categorized as normal, high-normal, or hypertensive (systolic: <130, 130–139, ≥140 mmHg; diastolic: <85, 85–89, ≥90 mmHg, respectively). Results: A significant reduction in systolic BP was observed within the intervention group (Z = −2.84, p < 0.01, r = 0.27), increasing the proportion of participants with normal systolic BP by 16% and reducing the proportion of participants with high-normal and hypertensive systolic BP by 8% each (χ2 (3) = 9.21, p = 0.03). No significant changes were observed in the control group (p > 0.05), nor were there significant effects for diastolic BP in any study group (p > 0.05). Conclusions: These findings suggest that this educational program may be a feasible complementary non-pharmacological strategy to improve systolic BP, a key cardiovascular risk factor, in community-dwelling pre-frail and frail older adults.},
publisher = {MDPI},
keywords = {health education},
keywords = {frailness},
keywords = {blood pressure determination},
keywords = {health promotion},
keywords = {nutritional education},
keywords = {exercise},
keywords = {gerontology},
keywords = {healthy aging},
keywords = {cognition},
keywords = {cardiovascular risk factor},
title = {Effects of a 6-Month Educational Program on Blood Pressure in Pre-Frail and Frail Older Adults: A Randomized Controlled Trial},
doi = {10.3390/healthcare14060756},
author = {Ávila Cabeza de Vaca, Laura and Mier Perulero, Alba and Lacrimioara, Tania Tirnovan and Costilla Macias, Manuel Jesús and Casals Vázquez, Cristina and González Mariscal, Andrea María and Corral Pérez, Juan},
}